LOINC
Version 2.72

LL251-0OASIS_M0200Active

Basic Properties

OID
1.3.6.1.4.1.12009.10.1.62
Name
OASIS_M0200
Description
No/Yes
LOINCs Using This List
498

Answer List

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6

LOINC FHIR® API Examples - CodeSystem and ValueSet Requests Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=LL251-0 https://fhir.loinc.org/ValueSet/?url=http://loinc.org/vs/LL251-0

LOINC Terms That Use This Answer List

54873-5 Abnormal mouth tissue in last 7 days [MDSv3]
58146-2 Active discharge planning in place for resident return to community [CMS Assessment]
54632-5 Acute onset mental status change [CAM.CMS]
54804-0 Alzheimer's disease in last 7 days [MDSv3]
54775-2 Anemia in last 7 days [MDSv3]
66623-0 Angina or coronary artery bypass [Reported]
63910-4 Angina pectoris confirmed angiography [PhenX]
54985-7 Antianxiety received in last 7 days or since admission/reentry if less than 7 days [MDSv3]
58129-8 Antibiotic received in last 7 days or since admission/reentry if less than 7 days [MDSv3]
54988-1 Anticoagulant received in last 7 days or since admission/reentry if less than 7 days [MDSv3]
54986-5 Antidepressant received in last 7 days or since admission/reentry if less than 7 days [MDSv3]
54984-0 Antipsychotic received in last 7 days or since admission/reentry if less than 7 days [MDSv3]
54817-2 Anxiety disorder in last 7 days [MDSv3]
52637-6 Any impairments with endurance
52631-9 Any impairments with grip strength
52621-0 Any impairments with hearing, vision, or communication
52634-3 Any impairments with respiratory status
52617-8 Any impairments with swallowing [CARE]
52626-9 Any impairments with weight-bearing
67309-5 Anyone in your child's family less talkative [PhenX]
67311-1 Anyone in your child's family that doesn't like to read [PhenX]
67312-9 Anyone in your child's family that doesn't read well [PhenX]
67314-5 Anyone in your child's family that has a poorer vocabulary than other family members [PhenX]
67316-0 Anyone in your child's family that has awkward sentence structures when writing or talking [PhenX]
67319-4 Anyone in your child's family that has difficulty explaining things [PhenX]
67313-7 Anyone in your child's family that has difficulty thinking of words they want to say when talking [PhenX]
67315-2 Anyone in your child's family that is a poor speller [PhenX]
67318-6 Anyone in your child's family that is hard to follow when they tell you something, such as a personal experience [PhenX]
67317-8 Anyone in your child's family that mispronounces long words [PhenX]
54805-7 Aphasia in last 7 days [MDSv3]
54766-1 Appliances - none of the above used in last 7 days [MDSv3]
54980-8 Application of dressings to feet (with or without topical medications) provided in last 7 days [MDSv3]
54978-2 Application of nonsurgical dressings (with or without topical medications) other than to feet provided in last 7 days [MDSv3]
54979-0 Applications of ointments/medications other than to feet provided in last 7 days [MDSv3]
64628-1 Are you currently using any method of birth control [PhenX]
64649-7 Are you currently using any over-the-counter - herbal, natural, or soy-based - preparations for hormone replacement or to treat post-menopausal symptoms [PhenX]
64653-9 Are you currently using them - within the last month [PhenX]
67405-1 Are you particularly sensitive to loud sounds [PhenX]
89437-8 Are you short of breath on washing or dressing [Rose Dyspnea Scale]
85407-5 Arthritis conditions recorded [CMS Assessment]
54800-8 Arthritis in last 7 days [MDSv3]
87538-5 Assessed for readiness for SBT by day 2 of stay [CMS Assessment]
90522-4 Assessment for state payment [CMS Assessment]
54822-2 Asthma/chronic obstructive lung disease or chronic lung disease in last 7 days [MDSv3]
54776-0 Atrial fibrillation and other dysrhythmias in last 7 days [MDSv3]
45423-1 Autism [Minimum Data Set]
94912-3 Availability of caregiver assistance [CMS Assessment]
54761-2 Bedfast [MDSv3]
54675-4 Being short-tempered, easily annoyed in last 2 weeks.presence [Observed PHQ-9 CMS]
54786-9 Benign prostatic hyperplasia in last 7 days [MDSv3]
55005-3 BIPAP/CPAP machine in last 14 days - while a resident [MDSv3]
55004-6 BIPAP/CPAP machine in last 14 days - while not a resident [MDSv3]
52609-5 Bladder - external or indwelling device or intermittent catheterization [CARE]
52613-7 Bladder - needs assistance to manage bladder care equipment [CARE]
52610-3 Bowel - external or indwelling device or intermittent catheterization [CARE]
52614-5 Bowel - needs assistance to manage bowel care equipment [CARE]
54772-9 Bowel toileting program currently being used [CMS Assessment]
52594-9 Brief Interview for Mental Status (BIMS) was attempted [CARE]
54871-9 Broken or loosely fitting full or partial denture in last 7 days [MDSv3]
67181-8 Can exact number of adenomas be determined [PhenX]
54619-2 Can recall current season in last 7 days [MDSv3]
54620-0 Can recall location of own room in last 7 days [MDSv3]
54621-8 Can recall staff names and faces in last 7 days [MDSv3]
54622-6 Can recall that he or she is in a nursing home in last 7 days [MDSv3]
54774-5 Cancer in last 30 days [MDSv3]
54756-2 Cane/crutch normally used in last 7 days [MDSv3]
66625-5 Cardiomyopathy [Reported]
66608-1 Cataract [Reported]
54823-0 Cataracts/glaucoma or macular degeneration in last 7 days [MDSv3]
54806-5 Cerebral palsy in last 7 days [MDSv3]
54807-3 Cerebrovascular accident/transient ischemic attack/stroke in last 7 days [MDSv3]
54993-1 Chemotherapy in last 14 days - while a resident [MDSv3]
54992-3 Chemotherapy in last 14 days - while not a resident [MDSv3]
66667-7 Chronic peritonitis [PhenX]
54783-6 Cirrhosis in last 7 days [MDSv3]
66628-9 Claudication for 6 months [Reported]
86795-2 Clinical record documents a request that questions regarding possible return to the community be asked only on comprehensive assessments [CMS Assessment]
66610-7 Cognitive impairment [Reported]
45482-7 Comatose [CMS Assessment]
85629-4 Comatose during 3 day assessment period [CMS Assessment]
54597-0 Comatose during assessment period [CMS Assessment]
54861-0 Complaints of difficulty or pain with swallowing in last 7 days [MDSv3]
54773-7 Constipation present during assessment period [CMS Assessment]
54777-8 Coronary artery disease in last 7 days [MDSv3]
54604-4 Corrective lenses used during assessment period [CMS Assessment]
54860-2 Coughing or choking during meals or when swallowing medications in last 7 days [MDSv3]
66613-1 Cranial or peripheral neuropathy [Reported]
54769-5 Current toileting program or trial during assessment period [CMS Assessment]
58202-3 Data entry error [MDSv3]
87540-1 Deemed medically ready for SBT by day 2 of stay [CMS Assessment]
54778-6 Deep venous thrombosis/pulmonary embolus or pulmonary thrombo-embolism in last 7 days [MDSv3]
66670-1 Deforming or erosive arthritis [PhenX]
45696-2 Dehydrated [Minimum Data Set]
54680-4 Delusions in last 7 days [MDSv3]
54877-6 Dental status - none of the above in last 7 days [MDSv3]
54870-1 Deprecated Able to perform dental exam MDSv3
52572-5 Deprecated Allergy list is complete
52557-6 Deprecated Clinician diagnosis, comorbidity, and complication list is complete
52570-9 Deprecated Drug list is complete
54788-5 Deprecated HIV infection in last 30D MDSv3
54679-6 Deprecated Illusions in last 7D MDSv3
52555-0 Deprecated Interpreter needed [CARE]
52798-6 Deprecated Medical coding diagnosis, comorbidity, and complication list is complete
54885-9 Deprecated One or more unhealed pressure ulcer(s) at Stage 2 or higher, or one or more likely pressure ulcers that are unstageable MDSv3
54964-2 Deprecated Other foot or lower extremity open lesion(s) or infections in last 7D MDSv3
52563-4 Deprecated Procedure list is complete
54789-3 Deprecated Staphylococcus aureus.methicillin resistant or Enterococcus species.vancomycin resistant or Clostridium difficile infections &or colonization in last 30D MDSv3
54586-3 Deprecated State required assessment MDSv3
55061-6 Deprecated Therapies ordered to begin in first 14D of stay MDSv3
55062-4 Deprecated Therapy evaluations completed MDSv3
54793-5 Deprecated Urinary tract infection in last 7D MDSv3
54962-6 Deprecated Venous or arterial ulcers in last 7D MDSv3
54965-9 Deprecated Wound infection other than on foot or lower extremity in last 7D MDSv3
54818-0 Depression other than bipolar in last 7 days [MDSv3]
66678-4 Diabetes [PhenX]
54795-0 Diabetes mellitus in last 7 days [MDSv3]
54963-4 Diabetic foot ulcer(s) in last 7 days [MDSv3]
55011-1 Dialysis in last 14 days - while a resident [MDSv3]
55010-3 Dialysis in last 14 days - while not a resident [MDSv3]
85630-2 Did the (abnormal) behavior fluctuate during the day, that is, tend to come and go or increase and decrease in severity during 3 day assessment period [CAM.CMS]
95855-3 Did the (abnormal) behavior fluctuate during the day, that is, tend to come and go or increase and decrease in severity during assessment period [CAM.CMS]
85631-0 Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said during 3 day assessment period [CAM.CMS]
69709-4 Did you feel as if you were choking [Reported.PHQ]
69712-8 Did you feel dizzy, unsteady, or faint [Reported.PHQ]
69707-8 Did you have chest pain or pressure [Reported.PHQ]
69710-2 Did you have hot flashes or chills [Reported.PHQ]
69711-0 Did you have nausea or an upset stomach, or the feeling that you were going to have diarrhea [Reported.PHQ]
63914-6 Did you have symptoms of gallstones [PhenX]
69713-6 Did you have tingling or numbness in parts of your body [Reported.PHQ]
69708-6 Did you sweat [Reported.PHQ]
69714-4 Did you tremble or shake [Reported.PHQ]
69706-0 Did your heart race, pound, or skip [Reported.PHQ]
65877-3 Did your main daytime activities during a typical work week have you on water for a total of three or more hours a day, for example working on a boat [PhenX]
64812-1 Did your main daytime activities during your leisure time have you over water for a total of three or more hours a day, for example sailing, fishing or swimming [PhenX]
45613-7 Direct care staff believe resident is capable of increased independence in at least some ADLs [CMS Assessment]
52716-8 Discharge delayed at least 24 hours
52690-5 Discharge destination influenced by caregiver availability [CARE]
52713-5 Discharged with referral for additional services [CARE]
69703-7 Do some of these attacks come suddenly out of the blue - that is, in situations where you don't expect to be nervous or uncomfortable [Reported.PHQ]
69704-5 Do these attacks bother you a lot or are you worried about having another attack [Reported.PHQ]
67743-5 Do you drink alcohol regularly, every week [PhenX]
69721-9 Do you ever drink alcohol - including beer or wine [Reported.PHQ]
67407-7 Do you ever get noises in your head or ears, tinnitus, which usually last longer than 5 minutes [PhenX]
67412-7 Do you feel unsteady when walking in the dark [PhenX]
67404-4 Do you find it very difficult to follow a conversation if there is background noise [PhenX]
89439-4 Do you get short of breath walking with other people of your own age on level ground [Rose Dyspnea Scale]
70482-5 Do you have an ostomy appliance [FACIT]
67463-0 Do you have any brothers or sisters with hearing difficulties [PhenX]
67416-8 Do you have any brothers or sisters with normal hearing [PhenX]
67465-5 Do you have any children with hearing difficulties [PhenX]
67418-4 Do you have any children with normal hearing [PhenX]
67400-2 Do you have any difficulty with your hearing [PhenX]
67433-3 Do you have other problems with your heart or circulation [PhenX]
67440-8 Do you have other serious health problems that are not covered by the previous questions [PhenX]
89438-6 Do you have to stop for breath when walking at your own pace on level ground [Rose Dyspnea Scale]
67420-0 Do you have uncles, aunts, cousins, nephews, or nieces with hearing difficulties [PhenX]
67436-6 Do you need insulin [PhenX]
69691-4 Do you often eat, within any 2 hour period, what most people would regard as an unusually large amount of food [Reported.PHQ]
69690-6 Do you often feel that you can't control what or how much you eat [Reported.PHQ]
67423-4 Do you suffer from migraine [PhenX]
67450-7 Do you take aspirin on a daily basis for your heart or to dilute your blood [PhenX]
66289-0 Do you think this was a valid 7 days PAR interview Observer [PhenX]
83271-7 Does the patient use a wheelchair or scooter during 3 day assessment period [CMS Assessment]
89411-3 Does the patient use a wheelchair/scooter [CMS Assessment]
95738-1 Does the patient use a wheelchair/scooter during assessment period [CMS Assessment]
65677-7 Does this loss of sleep affect you the next day with respect to how much you eat [PhenX]
65675-1 Does this loss of sleep affect you the next day with respect to your ability to get your work done [PhenX]
65679-3 Does this loss of sleep affect you the next day with respect to your desire for chocolate or sweets [PhenX]
65573-8 Does this loss of sleep affect you the next day with respect to your mood [PhenX]
65631-4 Does this loss of sleep affect you the next day with respect to your tendency to be irritable [PhenX]
63982-3 Does your mouth feel dry when eating [PhenX]
63981-5 Does your mouth frequently feel dry [PhenX]
67415-0 Does your parent have or had hearing problems [PhenX]
45422-3 Down's syndrome [Minimum Data Set]
67459-8 During your leisure time, have you been regularly, more than once a W, exposed to loud sound or noise, so that you have to shout to make yourself heard by someone who was more than 1 meter away from you [PhenX]
66617-2 End-stage renal disease [Reported]
45424-9 Epilepsy [Minimum Data Set]
66615-6 Estimated or measured glomerular filtration rate less than 50 percent [Reported]
69696-3 Exercised for more than an hour specifically to avoid gaining weight after binge eating often in last 3 months in order to avoid gaining weight [Reported.PHQ]
46533-6 Experiencing intractable pain [OASIS]
66675-0 Extensive scarring or panniculum other than scalp and pulp space [PhenX]
54763-8 External catheter used in last 7 days [MDSv3]
54837-0 Facial expressions of pain in last 5 days [MDSv3]
69695-5 Fasted - not eaten anything at all for at least 24 hours - often in last 3 months in order to avoid gaining weight [Reported.PHQ]
54660-6 Feeling or appearing down, depressed or hopeless in last 2 weeks.presence [Observed PHQ-9 CMS]
54664-8 Feeling tired or having little energy in last 2 weeks.presence [Observed PHQ-9 CMS]
45701-0 Fever [Minimum Data Set]
63912-0 Fibrocystic or other benign breast disease confirmed by aspiration [PhenX]
63911-2 Fibrocystic or other benign breast disease confirmed by breast biopsy [PhenX]
54587-1 First assessment since the most recent admission/reentry [CMS Assessment]
54784-4 Gastroesophageal reflux disease/ulcer in last 7 days [MDSv3]
66665-1 Gastrointestinal infarction or resection of bowel below duodenum, spleen, liver, or gall bladder [PhenX]
88297-7 Gradual dose reduction (GDR) attempted [CMS Assessment]
54678-8 Hallucinations in last 7 days [MDSv3]
67310-3 Has anyone in your child's family had a hard time carrying on a conversation [PhenX]
67308-7 Has anyone in your child's family had stuttering [PhenX]
83280-8 Has the patient had any falls since admission [CMS Assessment]
54853-7 Has the patient had any falls since admission or prior assessment [CMS Assessment]
69692-2 Has this been as often, on average, as twice a week for the last 3 months [Reported.PHQ]
69702-9 Has this ever happened before [Reported.PHQ]
91387-1 Has valid driver license
67728-6 Have you been exposed to solvents such as thrichloroethylene, toluene, evaporations from paints or lacquers, for more than one year in one of your jobs [PhenX]
67446-5 Have you been treated with chemotherapy or other medication for this condition [PhenX]
67442-4 Have you ever been treated for a serious infection with an antibiotic, other than penicillin, which was administered by injection or drip for a week or more [PhenX]
67454-9 Have you ever fired a gun [PhenX]
67408-5 Have you ever had an ear disease that has caused your hearing to get worse [PhenX]
63993-0 Have you ever had any orthodontic treatment [PhenX]
67429-1 Have you ever had coronary artery catheterization [PhenX]
67428-3 Have you ever had heart surgery [PhenX]
67447-3 Have you ever received radiotherapy to your head or neck for a tumor [PhenX]
70483-3 Have you ever smoked [FACIT]
67739-3 Have you ever smoked regularly [PhenX]
63874-2 Have you ever taken premarin by mouth as pills [CA Teachers]
63960-9 Have you ever used this estrogen administration method [CA Teachers]
63958-3 Have you ever used this premarin pill [CA Teachers]
67733-6 Have you ever worked for more than 1 year in a place where you had to raise your voice to make yourself heard by someone standing 1 mile away from you [PhenX]
67444-0 Have you had cancer or leukemia [PhenX]
67225-3 Have you had this clinician diagnosed condition [PhenX]
64645-5 Have you used evista - raloxifene or nolvadex - tamoxifen [PhenX]
64651-3 Have you used prescription female hormones [PhenX]
54599-6 Hearing aid used during assessment period [CMS Assessment]
54779-4 Heart failure in last 7 days [MDSv3]
54809-9 Hemiplegia/hemiparesis in last 7 days [MDSv3]
54802-4 Hip fracture in last 7 days [MDSv3]
54859-4 Holding food in mouth/cheeks or residual food in mouth after meals in last 7 days [MDSv3]
55013-7 Hospice care in last 14 days - while a resident [MDSv3]
55012-9 Hospice care in last 14 days - while not a resident [MDSv3]
58113-2 Huntington's disease Multiple sclerosis in last 7 days [MDSv3]
54797-6 Hyperkalemia in last 7 days [MDSv3]
54798-4 Hyperlipidemia in last 7 days [MDSv3]
54780-2 Hypertension in last 7 days [MDSv3]
54987-3 Hypnotic received in last 7 days or since admission/reentry if less than 7 days [MDSv3]
54796-8 Hyponatremia in last 7 days [MDSv3]
70712-5 I have told family members about my infection in the past 7 days [FACIT]
70710-9 I have told my partner - spouse about my infection in the past 7 days [FACIT]
69720-1 If you checked yes to any of these ways of avoiding gaining weight, were any as often, on average, as twice a week [Reported.PHQ]
64446-8 If you have a wheeze, is it worse in the morning [PhenX]
52608-7 Impairments with bladder or bowel management
69716-9 In the last 4 weeks, have you had an anxiety attack - suddenly feeling fear or panic [Reported.PHQ]
67221-2 In the past 2Y have you had a colonoscopy [PhenX]
67222-0 In the past 2Y, have you had a sigmoidoscopy [PhenX]
67220-4 In the past 2Y, have you had a virtual CT colonoscopy [PhenX]
67219-6 In the past 2Y, have you had upper endoscopy, esophagus or stomach [PhenX]
54668-9 Indicating that (s)he feels bad about self, is a failure, or has let self or family down in last 2 weeks.presence [Observed PHQ-9 CMS]
54762-0 Indwelling catheter used in last 7 days [MDSv3]
54875-0 Inflamed or bleeding gums or loose natural teeth in last 7 days [MDSv3]
55019-4 Influenza virus vaccine received in facility [CMS Assessment]
71453-5 Intellectual disability and developmental disability with no organic condition [MDSv3]
71452-7 Intellectual disability and developmental disability with organic condition [MDSv3]
54765-3 Intermittent catheterization used in last 7 days [MDSv3]
45703-6 Internal bleeding [Minimum Data Set]
87541-9 Is there documentation of reason(s) in the patient's medical record that the patient was deemed medically unready for SBT by day 2 of stay? [CMS Assessment]
85634-4 Is there evidence of an acute change in mental status from the patient's baseline during 3 day assessment period [CAM.CMS]
95813-2 Is there evidence of an acute change in mental status from the patient's baseline during assessment period [CAM.CMS]
55017-8 Isolation or quarantine for active infectious disease in last 14 days - while a resident [MDSv3]
55016-0 Isolation or quarantine for active infectious disease in last 14 days - while not a resident [MDSv3]
58203-1 Item coding error [MDSv3]
55007-9 IV medications in last 14 days - while a resident [MDSv3]
55006-1 IV medications in last 14 days - while not a resident [MDSv3]
52553-5 Language.primary is English
85646-8 Level of consciousness - Alert (normal) during 3 day assessment [CAM.CMS]
95857-9 Level of consciousness - Alert (normal) during assessment period [CAM.CMS]
85655-9 Level of consciousness - Vigilant or lethargic or stupor or coma during 3 day assessment [CAM.CMS]
95858-7 Level of consciousness - Vigilant or lethargic or stupor or coma during assessment period [CAM.CMS]
54846-1 Life expectancy of less than 6 months [CMS Assessment]
54759-6 Limb prosthesis normally used in last 7 days [MDSv3]
54658-0 Little interest or pleasure in doing things in last 2 weeks.presence [Observed PHQ-9 CMS]
52727-5 Lives outside U.S.
54858-6 Loss of liquids/solids from mouth when eating or drinking in last 7 days [MDSv3]
69693-0 Made yourself vomit often in last 3 months in order to avoid gaining weight [Reported.PHQ]
52585-7 Major wound (excluding pressure ulcers) [CARE]
54819-8 Manic depression other than schizophrenia in last 7 days [MDSv3]
95021-2 Manual wheelchair use [CMS Assessment]
54866-9 Mechanically altered diet - require change in texture of food or liquids in last 7 days [MDSv3]
46506-2 Medical or treatment regimen change in past 14 days [OASIS]
58421-9 Medicare short stay assessment [CMS Assessment]
54594-7 Medicare-covered stay since the most recent entry [CMS Assessment]
57281-8 Medication follow-up [CMS Assessment]
88871-9 Medication follow-up in the last 3 days [CMS Assessment]
54989-9 Medications received - none of the above were received in last 7 days or since admission/reentry if less than 7 days [MDSv3]
45426-4 Mental retardation and developmental disabilities with no organic condition [Minimum Data Set]
66666-9 Mesenteric insufficiency [PhenX]
66662-8 Minor tissue loss [PhenX]
54760-4 Mobility aids - none of the above were normally used in last 7 days [MDSv3]
71451-9 Moisture associated skin damage (MASD) [MDSv3]
52601-2 Mood interview was attempted [CARE]
95022-0 Motorized wheelchair/scooter use [CMS Assessment]
54876-8 Mouth or facial pain, discomfort or difficulty with chewing in last 7 days [MDSv3]
54672-1 Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that (s)he has been moving around a lot more than usual in last 2 weeks.presence [Observed PHQ-9 CMS]
58109-0 Multidrug-resistant organism (MDRO) in last 7 days [MDSv3]
67173-5 Multiple polyps in specimen jar [PhenX]
54812-3 Multiple sclerosis in last 7 days [MDSv3]
66669-3 Muscle atrophy or weakness [PhenX]
54865-1 Nasogastric or abdominal feeding tube in last 7 days [MDSv3]
58111-6 Neurogenic bladder in last 7 days [MDSv3]
52701-0 No assistance needed [CARE]
45421-5 No mental retardation and developmental disabilities [Minimum Data Set]
54872-7 No natural teeth or tooth fragments in last 7 days [MDSv3]
54808-1 Non-Alzheimer's dementia in last 7 days [MDSv3]
54835-4 Non-verbal sounds of pain in last 5 days [MDSv3]
54824-8 None of the above active diagnoses in last 7 days [MDSv3]
54844-6 None of the above shortness of breath symptoms in last 7 days [MDSv3]
54623-4 None of the above were recalled in last 7 days [MDSv3]
54839-6 None of these signs of pain observed or documented in last 5 days [MDSv3]
54975-8 Nutrition or hydration intervention to manage skin problems provided in last 7 days [MDSv3]
54868-5 Nutritional approaches in last 7 days - none of the above [MDSv3]
54874-3 Obvious or likely cavity or broken natural teeth in last 7 days [MDSv3]
54825-5 On scheduled pain medication regimen in last 7 days [MDSv3]
58214-8 One or more unhealed pressure injuries stage 1 or higher [CMS Assessment]
54967-5 Open lesion(s) other than ulcers, rashes, cuts in last 7 days [MDSv3]
54781-0 Orthostatic hypotension in last 7 days [MDSv3]
66673-5 Osteomyelitis [PhenX]
54801-6 Osteoporosis in last 7 days [MDSv3]
66671-9 Osteoporosis with fracture or vertebral collapse [PhenX]
54764-6 Ostomy (including suprapubic catheter, ileostomy, and colostomy) present in last 7 days [MDSv3]
67190-9 Other cancer diagnosis [PhenX]
52600-4 Other disruptive or dangerous behavioral symptoms not directed towards others, including self-injurious behaviors during 2 day assessment period [CARE]
58208-0 Other error requiring error requiring inactivation [MDSv3]
58204-9 Other error requiring modification [MDSv3]
54803-2 Other fracture in last 7 days [MDSv3]
71455-0 Other organic condition related to intellectual disability and developmental disability status [MDSv3]
45425-6 Other organic condition related to mental retardation and developmental disabilities [Minimum Data Set]
54969-1 Other ulcers, wounds, and skin problems - none of above in last 7 days [MDSv3]
54685-3 Overall presence of behavioral symptoms during assessment period [CMS Assessment]
54997-2 Oxygen therapy in last 14 days - while a resident [MDSv3]
54996-4 Oxygen therapy in last 14 days - while not a resident [MDSv3]
52501-4 Pain Effect on Function during last 2 days
52603-8 Pain interview was attempted [CARE]
54810-7 Paraplegia in last 7 days [MDSv3]
54864-4 Parenteral/IV feeding in last 7 days [MDSv3]
54813-1 Parkinson's disease in last 7 days [MDSv3]
55054-1 Participation in assessment [CMS Assessment]
85411-7 Patient discharged against medical advice [CMS Assessment]
85415-8 Patient discharged alive [CMS Assessment]
52719-2 Patient requested information not be shared with next provider [CARE]
66627-1 Pericarditis for 6 months, or pericardiectomy [Reported]
54782-8 Peripheral vascular disease in last 7 days [MDSv3]
52598-0 Physical behavioral symptoms directed toward others during 2 day assessment period [CARE]
66621-4 Pleural fibrosis [Reported]
55022-8 Pneumococcal vaccination up to date [CMS Assessment]
57210-7 Pneumococcal vaccine [OASIS-C]
54790-1 Pneumonia in last 7 days [MDSv3]
54666-3 Poor appetite or overeating in last 2 weeks.presence [Observed PHQ-9 CMS]
54066-6 Post acute care or personal assistance anticipated following discharge [CARE]
54821-4 Post-traumatic stress disorder in last 7 days [MDSv3]
66677-6 Premature gonadal failure [PhenX]
54957-6 Pressure injuries were present on the prior assessment [CMS Assessment]
46535-1 Pressure injury [OASIS]
54881-8 Pressure injury risk - none of the above [MDSv3]
54880-0 Pressure injury risk by clinical judgment [MDSv3]
54879-2 Pressure injury risk by formal assessment [MDSv3]
54878-4 Pressure injury risk by resident has a stage 1 or greater, a scar over bony prominence, or a non-removable dressing, device in last 7 days [MDSv3]
54973-3 Pressure reducing device for bed provided in last 7 days [MDSv3]
54972-5 Pressure reducing device for chair provided in last 7 days [MDSv3]
86772-1 Previous rehabilitation therapy regimen (speech, occupational, and/or physical therapy) ended, and regimen now resumed at exactly the same level for each discipline [CMS Assessment]
52652-5 Primarily uses wheelchair for mobility during 2 day assessment period [CARE]
54848-7 Problem conditions - none of above [MDSv3]
66287-4 Problems with the 7 days PAR interview Observer [PhenX]
52558-4 Procedure this admission [CARE]
52560-0 Procedure.left [CARE]
52561-8 Procedure.right [CARE]
52562-6 Procedure.side not applicable [CARE]
85412-5 Program interruption(s) [CMS Assessment]
54838-8 Protective body movements or postures in last 5 days [MDSv3]
54816-4 Protein or calorie malnutrition or at risk for malnutrition in last 7 days [MDSv3]
66616-4 Proteinuria greater than or equal to 3.5 gm in 24 hours [Reported]
54681-2 Psychoses - none of the above in last 7 days [MDSv3]
66619-8 Pulmonary fibrosis [Reported]
66618-0 Pulmonary hypertension [Reported]
66622-2 Pulmonary infarction [Reported]
54689-5 Put others at significant risk for physical injury during assessment period [CMS Assessment]
54686-1 Put the resident at significant risk for physical illness or injury during assessment period [CMS Assessment]
54811-5 Quadriplegia in last 7 days [MDSv3]
54995-6 Radiation in last 14 days - while a resident [MDSv3]
54994-9 Radiation in last 14 days - while not a resident [MDSv3]
58207-2 Reasons for inactivation - event did not occur [MDSv3]
71449-3 Received non-medication intervention for pain during assessment period [CMS Assessment]
54827-1 Received non-medication intervention for pain in last 7 days [MDSv3]
54826-3 Received PRN pain medications in last 7 days [MDSv3]
71448-5 Received PRN pain medications or was offered and declined during assessment period [CMS Assessment]
71447-7 Received scheduled pain medication regimen during assessment period [CMS Assessment]
46593-0 Receives psychiatric nursing [CMS Assessment]
54787-7 Renal insufficiency or renal failure/end-stage renal disease in last 7 days [MDSv3]
45612-9 Resident believes he or she is capable of increased independence in at least some ADLs [Minimum Data Set]
54729-9 Resident prefers being around animals such as pets [MDSv3]
54717-4 Resident prefers caring for personal belongings [MDSv3]
54716-6 Resident prefers choosing clothes to wear [MDSv3]
54731-5 Resident prefers doing things with groups of people [MDSv3]
54724-0 Resident prefers family or significant other involvement in care discussions [MDSv3]
54730-7 Resident prefers keeping up with the news [MDSv3]
54728-1 Resident prefers listening to music [MDSv3]
54736-4 Resident prefers none of the above [MDSv3]
54732-3 Resident prefers participating in favorite activities [MDSv3]
54735-6 Resident prefers participating in religious activities or practices [MDSv3]
54726-5 Resident prefers place to lock personal belongings [MDSv3]
54727-3 Resident prefers reading books, newspapers, magazines [MDSv3]
54720-8 Resident prefers receiving bed bath [MDSv3]
54719-0 Resident prefers receiving shower [MDSv3]
54721-6 Resident prefers receiving sponge bath [MDSv3]
54718-2 Resident prefers receiving tub bath [MDSv3]
54722-4 Resident prefers snacks between meals [MDSv3]
54733-1 Resident prefers spending time away from the nursing home [MDSv3]
54734-9 Resident prefers spending time outdoors [MDSv3]
54723-2 Resident prefers staying up past 8:00 p.m. [MDSv3]
54725-7 Resident prefers use of phone in private [MDSv3]
58116-5 Respiratory failure in last 7 days [MDSv3]
55015-2 Respite care in last 14 days - while a resident [MDSv3]
55014-5 Respite care in last 14 days - while not a resident [MDSv3]
54655-6 Responsible staff or provider was informed of potential for resident self harm [CMS Assessment]
66609-9 Retinal change or optic atrophy [Reported]
57280-0 Risk of developing pressure injuries [CMS Assessment]
54882-6 Risk of developing pressure injuries [MDSv3]
87542-7 SBT performed by day 2 of stay [CMS Assessment]
66674-3 Scarring chronic alopecia [PhenX]
54820-6 Schizophrenia in last 7 days [MDSv3]
54968-3 Second or third degree burns in last 7 days [MDSv3]
54814-9 Seizure disorder in last 7 days [MDSv3]
66611-5 Seizures requiring therapy for 6 months [Reported]
54791-9 Septicemia in last 7 days [MDSv3]
90549-7 Short stay assessment [CMS Assessment]
54843-8 Shortness of breath or trouble breathing when lying flat in last 7 days [MDSv3]
54842-0 Shortness of breath or trouble breathing when sitting at rest in last 7 days [MDSv3]
54841-2 Shortness of breath or trouble breathing with exertion in last 7 days [MDSv3]
66620-6 Shrinking lung [Reported]
54691-1 Significantly disrupt care or living environment during assessment period [CMS Assessment]
54687-9 Significantly interfere with the resident's care during assessment period [CMS Assessment]
54688-7 Significantly interfere with the resident's participation in activities or social interactions during assessment period [CMS Assessment]
54690-3 Significantly intrude on the privacy or activity of others during assessment period [CMS Assessment]
54862-8 Signs or symptoms of possible swallowing disorder - none of the above [MDSv3]
54981-6 Skin and ulcer treatments - none of above provided in last 7 days [MDSv3]
46534-4 Skin lesion or open wound [CMS Assessment]
71450-1 Skin tear(s) [MDSv3]
66676-8 Skin ulceration for >6 months [PhenX]
90525-7 SNF Part A Interrupted Stay [CMS Assessment]
86525-3 SNF Part A PPS discharge assessment [CMS Assessment]
58227-0 Software product error [MDSv3]
46543-5 Stasis ulcer [OASIS]
54673-9 States that life isn't worth living, wishes for death, or attempts to harm self in last 2 weeks.presence [Observed PHQ-9 CMS]
66668-5 Stricture or upper gastrointestinal tract surgery [PhenX]
54999-8 Suctioning in last 14 days - while a resident [MDSv3]
54998-0 Suctioning in last 14 days - while not a resident [MDSv3]
46547-6 Surgical wound [OASIS]
54977-4 Surgical wound care provided in last 7 days [MDSv3]
54966-7 Surgical wound(s) in last 7 days [MDSv3]
58107-4 Swing bed clinical change assessment [CMS Assessment]
54867-7 Therapeutic diet in last 7 days [MDSv3]
54799-2 Thyroid disorder in last 7 days [MDSv3]
54845-3 Tobacco use during assessment period [CMS Assessment]
69694-8 Took more than twice the recommended dose of laxatives often in last 3 months in order to avoid gaining weight [Reported.PHQ]
58114-0 Tourette's syndrome in last 7 days [MDSv3]
55001-2 Tracheostomy care in last 14 days - while a resident [MDSv3]
55000-4 Tracheostomy care in last 14 days - while not a resident [MDSv3]
58201-5 Transcription error [MDSv3]
55009-5 Transfusions in last 14 days - while a resident [MDSv3]
55008-7 Transfusions in last 14 days - while not a resident [MDSv3]
66614-9 Transverse myelitis [Reported]
54815-6 Traumatic brain injury in last 7 days [MDSv3]
54670-5 Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.presence [Observed PHQ-9 CMS]
54662-2 Trouble falling or staying asleep, or sleeping too much in last 2 weeks.presence [Observed PHQ-9 CMS]
54792-7 Tuberculosis in last 7 days [MDSv3]
54974-1 Turning/repositioning provided in last 7 days [MDSv3]
54976-6 Ulcer care provided in last 7 days [MDSv3]
54785-1 Ulcerative colitis/Crohn's disease/inflammatory bowel disease in last 7 days [MDSv3]
58119-9 Unable to examine oral or dental status [MDSv3]
85918-1 Unhealed pressure injury at stage 2 or higher or designated as unstageable [CMS Assessment]
57307-1 Unhealed pressure injury at stage 2 or higher or designated as unstageable [OASIS-C]
46540-1 Unobserved pressure injury [OASIS]
46545-0 Unobserved stasis ulcer [OASIS]
46549-2 Unobserved surgical wound [OASIS]
88695-2 Used bowel toileting program during assessment period [CMS Assessment]
95042-8 Used or needed assistive devices in the past month [CMS Assessment]
66626-3 Valvular disease [Reported]
66664-4 Venous thrombosis with swelling, ulceration, or venous stasis [PhenX]
55003-8 Ventilator or respirator in last 14 days - while a resident [MDSv3]
55002-0 Ventilator or respirator in last 14 days - while not a resident [MDSv3]
52599-8 Verbal behavioral symptoms directed towards others during 2 day assessment period [CARE]
54794-3 Viral hepatitis in last 7 days [MDSv3]
54836-2 Vocal complaints of pain in last 5 days [MDSv3]
45708-5 Vomiting [Minimum Data Set]
54757-0 Walker normally used in last 7 days [MDSv3]
54694-5 Wandering places resident at significant risk of getting to a potentially dangerous place in last 7 days [CMS Assessment]
54695-2 Wandering significantly intrudes on the privacy or activities of others in last 7 days [CMS Assessment]
63916-1 Was endometriosis confirmed by laparoscopy [PhenX]
85651-8 Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject during 3 day assessment period [CAM.CMS]
66606-5 Was this the source of fracture confirmation [PhenX]
63917-9 Were uterine fibroids confirmed by pelvic exam [PhenX]
63918-7 Were uterine fibroids confirmed by ultrasound or hysterectomy [PhenX]
69715-1 Were you afraid you were dying [Reported.PHQ]
66271-8 Were you employed in the last 7 days [PhenX]
69705-2 Were you short of breath [Reported.PHQ]
54758-8 Wheelchair (manual or electric) normally used in last 7 days [MDSv3]
67554-6 Work related exposure, injury, or death Provider NEMSIS
69697-1 You drank alcohol, even though a doctor suggested that you stop drinking because of a problem with your health, more than once in last 6 months [Reported.PHQ]
69698-9 You drank alcohol, were high from alcohol, or hung over while you were working, going to school, or taking care of children or other responsibilities more than once in last 6 months [Reported.PHQ]
69701-1 You drove a car after having several drinks or after drinking too much more than once in last 6 months [Reported.PHQ]
69700-3 You had a problem getting along with other people while you were drinking more than once in last 6 months [Reported.PHQ]
69699-7 You missed or were late for work, school, or other activities because you were drinking or hung over, more than once in last 6 months [Reported.PHQ]
52540-2 Zip code unknown