Version 2.78

99582-9 Symptom and timing panel

Fully-Specified Name

Component
Symptom and timing panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Additional Names

Short Name
Symptom and timing panel

Basic Attributes

Class
PANEL.H&P
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Order
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Sintomo e tempistica, panel:-:Pt:^Paziente:-:
Synonyms: Panel di sintomo e tempistica paziente Punto nel tempo (episodio) Set di prescrizione per anamnesi e esame obiettivo
zh-CN Chinese (China) 症状与时间特征组套:-:时间点:^患者:-:
Synonyms: 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.病史与体格检查小节;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.历史纪录与体格检查;医嘱组.历史纪录与体格检查小节;医嘱组.病史与体格检查;历史纪录与体格检查医嘱组;历史纪录与体格检查医嘱组类;历史纪录与体格检查小节医嘱组;历史纪录与体格检查小节医嘱组类;病史与体格检查医嘱组;病史与体格检查医嘱组类;病史与体格检查小节医嘱组;病史与体格检查小节医嘱组类 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 定时;计时 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 征兆;征候;症候;病症;表征 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 病史与体格检查 症状（征兆、征候、症状表现）与时间特征（时机、日期时间、日期与时间）组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目） 组 组合 组合医嘱 组合类 组套

75325-1 Symptom

Part Descriptions

LP185406-8   Symptom
An indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain. Source: Genetic Home Reference, National Library of Medicine, Symptom

Fully-Specified Name

Component
Symptom
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Symptom

Basic Attributes

Class
HL7.CCDA
Type
Clinical
First Released
Version 2.50
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
2640

Example Answer List LL2963-8

Externally Defined
Yes
Code System
SCT
Code System OID
1.3.6.1.4.1.12009.10.1.1896
Link to External List
http://snomed.info/sct

Member of these Panels

LOINC Long Common Name
93989-2 Carbohydrate challenge panel - Exhaled gas
99357-6 COVID-19 health questions panel

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Symptom:Befund:Zeitpunkt:^Patient:Nominal:
es-MX Spanish (Mexico) Síntoma:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Sintomo:Osservazione:Pt:^Paziente:Nom:
Synonyms: HL7 Consolidated Clinical Document Architecture Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 症状:发现:时间点:^患者:名义型:
Synonyms: HL7.统一临床文档架构;HL7 统一临床文档架构;HL7 联合临床文档架构;HL7 综合临床文档架构;HL7 Consolidated Clinical Document Architecture;CCDA 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 征兆;征候;症候;病症;表征 时刻;随机;随意;瞬间

65222-2 Date and time of symptom onset

Fully-Specified Name

Component
Symptom onset
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Date+time symptom onset

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.72
Change Reason
Release 2.72: COMPONENT: Updated for simplicity and clarity, since Property TmStp can be date or date and time.; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term at the in panel. ; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term at the in panel.; Release 2.68: METHOD_TYP: Removed the Method because this is a generic concept; COMPONENT: Updated Component to match LOINC conventions; Previous Releases: Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel
62710-9 PhenX domain - Psychiatric

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Fecha y hora de aparición de los síntomas.:TmStp:Punto temporal:^ Paciente:Cuantitativo:
fr-FR French (France) Date et heure d'apparition des premiers symptomes:Horodatage:Ponctuel:Patient:Numérique:
it-IT Italian (Italy) Sintomo, esordio:TmStp:Pt:^Paziente:Qn:
Synonyms: Esame obbiettivo Esordio del sintomo paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
zh-CN Chinese (China) 症状起始:时间戳:时间点:^患者:定量型:
Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 历史纪录与体格检查 历史纪录与体格检查小节 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 征兆;征候;症候;病症;表征 时刻;随机;随意;瞬间 病史与体格检查 症状（表现）起始（发生、出现、发作、开始）;症状出现日期和（与、及）时间

99342-8 When did the first one start?

Observation ID in Form

2a

Form Context

If you have had any of the symptoms above in the last week:

Source: RTI International

Fully-Specified Name

Component
Days since symptom started
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6092-2

Answer Code Score Answer ID
1 day ago LA32737-1
2 days ago LA32738-9
3 days ago LA32739-7
4 days ago LA32740-5
5 days ago LA32741-3
6 days ago LA32742-1
7 days ago LA32743-9
Can't remember LA32744-7

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

99343-6 When did the last one finish?

Observation ID in Form

2b

Form Context

If you have had any of the symptoms above in the last week:

Source: RTI International

Fully-Specified Name

Component
Days since symptom finished
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6093-0

Answer Code Score Answer ID
1 day ago LA32737-1
2 days ago LA32738-9
3 days ago LA32739-7
4 days ago LA32740-5
5 days ago LA32741-3
6 days ago LA32742-1
7 days ago LA32743-9
Can't remember LA32744-7
I still have it/them LA32745-4

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

70305-8 In the last week have you had shortness of breath (difficulty breathing)?

Observation ID in Form

2c

Form Context

If you have had any of the symptoms above in the last week:

Source: RTI International

Fully-Specified Name

Component
I have been short of breath in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.72
Change Reason
Release 2.72: SURVEY_QUEST_TEXT: Moved to Form Data table.; METHOD_TYP: Removed Method to increase usability.; Previous Releases: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Normative Answer List LL6128-4

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Yes, but did not affect my normal activities LA32889-0
Yes, did affect my normal activities (e.g. walking short distances) LA32890-8
Yes, even when I was sat or lying down LA32891-6

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel
70505-3 Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1 Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7 Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1 Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel
98520-0 PROMIS item bank - dyspnea characteristics - version 1.0

99344-4 Did you seek medical attention for the symptoms you had in the last week?

Observation ID in Form

2d

Form Context

If you have had any of the symptoms above in the last week:

Source: RTI International

Fully-Specified Name

Component
Sought medical attention for symptoms
Property
Find
Time
RptPeriod
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

99345-1 If yes, what kind of medical attention did you access?

Observation ID in Form

2e

Form Context

If you have had any of the symptoms above in the last week:

Source: RTI International

Form Coding Instructions

tick all that apply

Source: RTI International

Fully-Specified Name

Component
Type of medical attention accessed
Property
Type
Time
RptPeriod
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6095-5

Answer Code Score Answer ID
Contacted NHS 111, by phone or online LA32746-2
Visitied pharmacist LA32747-0
Consulted GP/practice nurse over the phone or online LA32748-8
Consulted GP/practice nurse face to face LA32749-6
Walk-in centre LA32750-4
Other, Please specify LA46-8

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

99346-9 In the last week have you had your temperature taken?

Observation ID in Form

3a

Fully-Specified Name

Component
Temperature taken
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Temperature taken RptPeriod

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Temperatura rilevata:Osservazione:Periodo di refertazione:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente
zh-CN Chinese (China) 已测量体温:发现:报告期:^患者:序数型:
Synonyms: 体温 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 已（已经）测量（测量过）体温（身体温度、温度）;测量过体温 报告期间;报告周期;报表周期;编报期;申报期;上报期 病史与体格检查

99359-2 Who took your temperature?

Observation ID in Form

3b

Fully-Specified Name

Component
Person who performed clinical measurement
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Clinical measurement by

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6130-0

Answer Code Score Answer ID
A doctor/nurse or other health professional LA32895-7
I did LA32896-5
It was taken by someone else LA32897-3

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Persona che ha eseguito la misura clinica:Tipo:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 执行临床检测的人员:类型:时间点:^患者:名义型:
Synonyms: 人 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 型 执行（完成、开展、进行）临床检测（测量、测定、观测、观察）的人员（个人、人）;临床检测执行人员 时刻;随机;随意;瞬间 病史与体格检查

99347-7 If you can remember, what was the highest temperature reading?

Observation ID in Form

3c

Fully-Specified Name

Component
Body temperature.max
Property
Temp
Time
RptPeriod
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Body temp.max RptPeriod

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Temperatura del corpo.massima:Temp:Periodo di refertazione:^Paziente:Qn:
Synonyms: Anamnesi Massimo paziente Temperatura
zh-CN Chinese (China) 体温.最大值:温度:报告期:^患者:定量型:
Synonyms: 体温 体温（身体温度、温度）.最大值（最大、极大值、极大、峰值、最高值、最高）;体温（身体温度、温度）最大值（极大值、峰值、最高值）;最大（极大、峰值、最高）体温（身体温度、温度） 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 报告期间;报告周期;报表周期;编报期;申报期;上报期 最大;极大值 物体 病史与体格检查 身体温度

Example Units

Unit Source
deg Example UCUM Units

99348-5 Have you been in close contact with anyone with COVID-19 in the last two weeks?

Observation ID in Form

4

Fully-Specified Name

Component
Close contact with COVID-19 in last 2W
Property
Find
Time
2W
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6129-2

Answer Code Score Answer ID
Yes, I was in contact with a confirmed/test COVID-19 case LA32892-4
Yes, I was in contact with a suspected COVID-19 case LA32893-2
No, not to my knowledge LA32894-0

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

99349-3 Do you think that you have or have had COVID-19?

Observation ID in Form

5a

Fully-Specified Name

Component
Has or had COVID-19
Property
Hx
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6131-8

Answer Code Score Answer ID
Yes, confirmed by a positive test LA32898-1
Yes, suspected by a doctor but not tested LA32899-9
Yes, my own suspicions LA32900-5
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

99350-1 If yes, when were you told/when did you think you first had COVID-19?

Observation ID in Form

5b

Fully-Specified Name

Component
Date of first infection onset
Property
Date
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

Example Units

Unit Source
{mm/dd/yyyy} Example UCUM Units

83243-6 Are you, or do you, currently have any of the following?

Observation ID in Form

6a

Fully-Specified Name

Component
Comorbidities and coexisting conditions
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.72
Change Reason
Release 2.72: METHOD_TYP: Removed Method because this concept is not specific to only CMS Assessments.;
Order vs. Observation
Observation

Normative Answer List LL6132-6

Answer Code Score Answer ID
Organ transplant recipient LA32901-3
Diabetes (Type I or II) LA32902-1
Heart disease or heart problems LA32903-9
Hypertension (high blood pressure) LA32904-7
Overweight LA32905-4
Stroke LA22099-8
Kidney Disease LA10528-0
Liver disease LA25810-5
Anemia LA18969-8
Asthma LA16982-3
Other lung condition such as COPD, bronchitis or emphysema LA32906-2
Cancer LA10524-9
Condition affecting the brain and nerves (e.g. Dementia, Parkinson's, Multiple Sclerosis) LA32907-0
A weakend immune system/reduced ability to deal with infections (as a result of a disease or treatment) LA32908-8
Depression LA10576-9
Anxiety LA10574-4
Psychiatric disorder LA22096-4

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]
99357-6 COVID-19 health questions panel
83265-9 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
86189-8 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
93128-7 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
93222-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
88368-6 Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6 Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99160-4 Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5 Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]

75323-6 If yes, please tell us exactly what you have:

Observation ID in Form

6b

Fully-Specified Name

Component
Condition
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Condition

Basic Attributes

Class
HL7.CCDA
Type
Clinical
First Released
Version 2.50
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
10057

Example Answer List LL2963-8

Externally Defined
Yes
Code System
SCT
Code System OID
1.3.6.1.4.1.12009.10.1.1896
Link to External List
http://snomed.info/sct

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Condición:Tipo:Punto temporal:^ Paciente:Nominal:
es-ES Spanish (Spain) Condición:Hallazgo:Punto temporal:^paciente:Nom:
it-IT Italian (Italy) Condizione:Osservazione:Pt:^Paziente:Nom:
Synonyms: HL7 Consolidated Clinical Document Architecture Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 状况:发现:时间点:^患者:名义型:
Synonyms: HL7.统一临床文档架构;HL7 统一临床文档架构;HL7 联合临床文档架构;HL7 综合临床文档架构;HL7 Consolidated Clinical Document Architecture;CCDA 健康状况;疾病;情况;病情;状态;条件 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间

99351-9 Have you been contacted by letter or text message to say you are at severe risk from COVID-19 due to an underlying health condition and should be shielding (avoiding exposure)?

Observation ID in Form

6c

Fully-Specified Name

Component
Informed of being at severe risk from COVID-19 due to an underlying health condition
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

99352-7 In general, do you have health problems that require you to limit your activities?

Observation ID in Form

7

Fully-Specified Name

Component
Has health problems that require activity limits
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

55748-8 Do you need someone to help you on a regular basis?

Observation ID in Form

7

Fully-Specified Name

Component
Require help from others
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.R-OUTCOMES
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.72
Change Reason
Release 2.72: COMPONENT: Removed leading text for increased usability.; Release 2.70: ORDER_OBS: Updated to align with the modeling for additional R-Outcomes assessments; CLASS: Updated to align with the modeling for additional R-Outcomes assessments; ANSWER_LIST_TYPE: Updated to align with the modeling for additional R-Outcomes assessments; COMPONENT: Updated to align with the modeling for additional R-Outcomes assessments; METHOD_TYP: Updated to align with the modeling for additional R-Outcomes assessments; EXTERNAL_COPYRIGHT_LINK: Removed copyright as the term is now Methodless and used across terms/survey instruments.; Release 2.68: COMPONENT: Updated from "Dependent on others" to "Require help from others" per submitter's request in HelpScout 5691.
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel
55744-7 howRu

99353-5 In general, do you have any health problems that require you to stay at home?

Observation ID in Form

7

Fully-Specified Name

Component
Has health problems that require staying at home
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Health prob require stay home

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Ha problemi di salute che richiedono di restare a casa:Osservazione:Pt:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 存在需要待在家里的健康问题:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 存在（具有、患有、有）需要（要求）待在家里（家中）的健康问题（健康状况、疾病） 时刻;随机;随意;瞬间 病史与体格检查

76749-1 If you need help, can you count on someone close to you?

Observation ID in Form

7

Fully-Specified Name

Component
Is someone available to help you if you need it
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.72
Change Reason
Release 2.72: METHOD_TYP: Removed Method because this concept is not specific to PROMIS; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term at the in panel.; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to PROMIS; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term at the in panel.; AnswerListId: Updated to a more general list without associated codes ;
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel
76791-3 PROMIS item bank - instrumental support - version 2.0
76797-0 PROMIS short form - instrumental support 8a - version 2.0

99354-3 Do you regularly use a stick, walker or wheelchair to move about?

Observation ID in Form

7

Fully-Specified Name

Component
Mobility device or aid is regularly used
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Mobility device reg used

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Viene regolarmente utilizzato un dispositivo o un ausilio per la mobilità:Osservazione:Pt:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 常规使用行动装置或辅助器械:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 动度;行动功能;行动力;行动能力;行动性;行走能力;活动功能;活动力;活动能力;活动性;机动性;可动性;流动能力;流动性;移动力;移动能力;移动性;运动功能;运动力;运动能力;运动性;移动;活动;行动 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 常规（经常、规律）使用行动装置或辅助器械（装置） 时刻;随机;随意;瞬间 病史与体格检查

99355-0 Do you currently take any regular medication?

Observation ID in Form

8

Fully-Specified Name

Component
Takes routine medication
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Takes routine med

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Assume farmaci di routine:Osservazione:Pt:^Paziente:Nom:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 服用着常规的药物:发现:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物 时刻;随机;随意;瞬间 服用着（使用着）常规的（日常的）药物（治疗药物） 病史与体格检查

99356-8 Have you had a flu jab (flu shot) in the last 12 months?

Observation ID in Form

9

Fully-Specified Name

Component
Influenza virus vaccination received in last 12Mo
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Flu vacc last 12Mo

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
99357-6 COVID-19 health questions panel

Member of these Groups Get Info

LOINC Group Group Name
LG32757-3 Influenza virus

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Vaccinazione contro il virus dell'influenza ricevuta negli ultimi 12Mesi:Osservazione:12Mesi:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Vaccinazione contro il virus dell''influenza ricevuta negli ultimi 12 mesi Virus dell''influenza
zh-CN Chinese (China) 过去12个月内接种过流感病毒疫苗:发现:12个月:^患者:序数型:
Synonyms: 1年;4个季度 FLUV;Influ;列性感冒病毒;流行性感冒病毒 传染毒;传染毒素;滤过性病原体;病毒类;过滤性病原体 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 已接种流行性感冒疫苗;已接受流行性感冒接种;已接受流行性感冒免疫接种;已接受流行性感冒预防接种;已接受流感疫苗接种 病史与体格检查 过去12个月（12Mo、1年）内接种过流感病毒疫苗（流感疫苗）