Version 2.77

Description

Form CMS-2728-U3 - ESRD Medical Evidence Report, Medicare Entitlement, (Patient Registration) is completed on each incident ESRD patient or each patient re-entering the Medicare program. Dialysis and transplant facilities must submit this form to the Networks within 45 days from the date a patient is diagnosed with ESRD and either has a transplant or begins a regular course of dialysis. This form is also mandatory if a patient loses Medicare coverage and re-applying for benefits. Source: Regenstrief LOINC, Medicare ESRD Network Organizations Manual

Basic Part Properties

Part Display Name
End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
Part Type
Component (Describes the core component or analyte measured)
Created On
2011-08-30
Construct for LOINC Short Name
ESRD CMS Form 2728

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=LP134062-1

Language Variants Get Info

Tag Language Translation
zh-CN Chinese (China) 终末期肾脏疾病医学证据报告, 医疗保险权利和或患者注册 - OMB CMS 表单 2728
Synonyms: 终末期肾脏疾病医学证据报告, 医疗保险权利和或患者(病人)注册(登记) - OMB CMS 表单 2728;ESRD 医学证据报告医疗保险权利 - OMB CMS 表单 2728;终末期肾脏疾病医学证据报告医疗保险权利 - OMB CMS 表单 2728;终末期肾脏疾病医学证明报告医疗保险资格 - OMB CMS 表单 2728;终末期肾脏疾病医学证据报告医疗保险授权 - OMB CMS 表单 2728;Centers for Medicare & Medicaid Services;Centers fo
ru-RU Russian (Russian Federation) ESRD медицинское доказательство отчёт medicare право - OMB CMS форма 2728