86905-7  Outcome and assessment information set (OASIS) form - version C2 [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2: -: Pt: ^Patient: -: CMS Assessment  

PANEL HIERARCHY  (view this panel in the LForms viewer)

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  86905-7   Outcome and assessment information set (OASIS) form - version C2 [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2: -: Pt: ^Patient: -: CMS Assessment    
       85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment    
            85908-2   Home Health Patient Tracking Sheet    
                 69417-4   CMS Certification Number    
                 46494-1   Branch State    
                 46495-8   Branch ID Number    
                 68468-8   National Provider Identifier (NPI) for the attending physician who has signed the plan of care    
                 46496-6   Patient ID Number    
                 46497-4   Start of Care Date   {mm/dd/yyyy} 
                 54503-8   Patient Name    
                      45392-8   (First)    
                      45393-6   (MI)    
                      45394-4   (Last)    
                      45395-1   (Suffix)    
                 46499-0   Patient State of Residence    
                 45401-7   Patient ZIP Code    
                 45397-7   Medicare Number    
                 45396-9   Social Security Number    
                 45400-9   Medicaid Number    
                 21112-8   Birth Date   {mm/dd/yyyy} 
                 46098-0   Gender    
                 59362-4   Race/Ethnicity 1..6   
                 57199-2   Current Payment Sources for Home Care 1..11   
            57040-8   CLINICAL RECORD ITEMS    
                 46500-5   Discipline of Person Completing Assessment    
                 46501-3   Date Assessment Completed   {mm/dd/yyyy} 
                 57200-8   This Assessment is Currently Being Completed for the Following Reason    
                 57201-6   Date of Physician-ordered Start of Care (Resumption of Care)   {mm/dd/yyyy} 
                 57202-4   Date of Referral   {mm/dd/yyyy} 
                 57203-2   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?    
            85909-0   PATIENT HISTORY AND DIAGNOSES    
                 57204-0   From which of the following Inpatient Facilities was the patient discharged within the past 14 days? 1..7   
                 86470-2   Inpatient Discharge Date (most recent)   {mm/dd/yyyy} 
                 46504-7   Inpatient Facility Diagnosis: ICD-10-CM Code 1..6   
                 46507-0   Diagnosis Requiring Medical or Treatment Regimen Change Within Past 14 Days 1..6   
                 86469-4   Conditions Prior to Medical or Treatment Regimen Change or Inpatient Stay Within Past 14 Days 1..6   
                 85911-6   Diagnoses, Symptom Control, and Optional Diagnoses    
                      85912-4   Primary Diagnosis    
                           86255-7   Primary Diagnosis: ICD-10-code    
                           85920-7   Primary Diagnosis Symptom Control Rating    
                           85914-0   Optional Diagnosis: ICD-10-CM    
                           86254-0   Optional Diagnosis: ICD-10-CM - multiple coding    
                      85913-2   Other Diagnoses 0..5   
                           81885-6   Other Diagnoses: ICD-10-CM    
                           85920-7   Other Diagnoses Symptom Control Rating    
                           85914-0   Optional Diagnosis: ICD-10-CM    
                           86254-0   Optional Diagnosis: ICD-10-CM - multiple coding    
                 83243-6   Active Diagnoses-Comorbidities and Co-existing Conditions 0..2   
                 46466-9   Therapies the patient receives at home 1..3   
                 57319-6   Risk for Hospitalization: Which of the following signs or symptoms characterize this patient as at risk for hospitalization? 1..9   
                 57206-5   Overall Status: Which description best fits the patient's overall status?    
                 57207-3   Risk factors, either present or past, likely to affect health status and/or outcome 1..4   
                 54567-3   Height and weightHeight and weightHeight and weight: -: Pt: ^Patient: -:    
                      3137-7   Height (in inches)   [in_us];cm 
                      3141-9   Weight (in pounds)   [lb_av];kg 
            85951-2   Living Arrangements    
                 85950-4   Patient Living Situation: Which of the following best describes the patient's residential circumstance and availability of assistance?    
            57042-4   SENSORY STATUS    
                 57215-6   Vision (with corrective lenses if the patient usually wears them)    
                 57216-4   Ability to Hear (with hearing aid or hearing appliance if normally used)    
                 57217-2   Understanding of Verbal Content in patient's own language (with hearing aid or device if used)    
                 57218-0   Speech and Oral (Verbal) Expression of Language (in patient's own language)    
                 57219-8   Has this patient had a formal Pain Assessment using a standardized, validated pain assessment tool (appropriate to the patient’s ability to communicate the severity of pain)?    
                 57220-6   Frequency of pain interfering with patient's activity or movement    
            85917-3   INTEGUMENTARY STATUS    
                 57221-4   Pressure Ulcer Assessment: Was this patient assessed for Risk of Developing Pressure Ulcers?    
                 57280-0   Does this patient have a Risk of Developing Pressure Ulcers?    
                 85918-1   Does this patient have at least one Unhealed Pressure Ulcer at Stage 2 or Higher or designated as Unstageable?    
                 85919-9   Current Number of Unhealed Pressure Ulcers at Each Stage    
                      55124-2   Number of Stage 2 pressure ulcers   {#} 
                      55125-9   Number of Stage 3 pressure ulcers   {#} 
                      55126-7   Number of Stage 4 pressure ulcers   {#} 
                      54893-3   Number of unstageable pressure ulcers due to non-removable dressing/device   {#} 
                      54946-9   Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar   {#} 
                      54950-1   Number of unstageable pressure ulcers with suspected deep tissue injury in evolution   {#} 
                 57229-7   Status of Most Problematic Pressure Ulcer that is Observable    
                 46536-9   Current Number of Stage 1 Pressure Ulcers   {#} 
                 57231-3   Stage of Most Problematic Unhealed Pressure Ulcer that is Stageable    
                 57232-1   Does this patient have a Stasis Ulcer?    
                 57233-9   Current Number of Stasis Ulcer(s) that are Observable   {#} 
                 57234-7   Status of Most Problematic Stasis Ulcer that is Observable    
                 57235-4   Does this patient have a Surgical Wound?    
                 57236-2   Status of Most Problematic Surgical Wound that is Observable    
                 46534-4   Does this patient have a Skin Lesion or Open Wound (excluding bowel ostomy), other than those described above, that is receiving intervention by the home health agency?    
            85921-5   RESPIRATORY STATUS    
                 57237-0   When is the patient dyspneic or noticeably Short of Breath?    
                 57238-8   Respiratory Treatments utilized at home 1..3   
            85922-3   ELIMINATION STATUS    
                 46552-6   Has this patient been treated for a Urinary Tract Infection in the past 14 days?    
                 46553-4   Urinary Incontinence or Urinary Catheter Presence    
                 57241-2   When does Urinary Incontinence occur?    
                 46587-2   Bowel Incontinence Frequency    
                 86471-0   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?    
            57047-3   NEURO/EMOTIONAL/BEHAVIORAL STATUS    
                 46589-8   Cognitive Functioning: Patient's current (day of assessment) level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands.    
                 58104-1   When Confused (Reported or Observed Within the Last 14 Days)    
                 86495-9   When Anxious (Reported or Observed Within the Last 14 Days)    
                 57242-0   Depression Screening: Has the patient been screened for depression, using a standardized, validated depression screening tool?    
                      58120-7   PHQ-2©    
                           44250-9   Little interest or pleasure in doing things    
                           44255-8   Feeling down, depressed, or hopeless?    
                 46473-5   Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed)    
                 46592-2   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.    
                 46593-0   Is this patient receiving Psychiatric Nursing Services at home provided by a qualified psychiatric nurse?    
            85923-1   ADL & IADLs    
                 46595-5   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).    
                 46597-1   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.    
                 46599-7   Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes.    
                 57243-8   Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).    
                 57244-6   Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.    
                 57245-3   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.    
                 57246-1   Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.    
                 85924-9   FUNCTIONAL ABILITIES and GOALS - SOC/ROC    
                      85925-6   Mobility    
                           85926-4   Lying to Sitting on Side of Bed - SOC Performance    
                           85927-2   Lying to Sitting on Side of Bed - Discharge Goal    
                 57247-9   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.    
                 57248-7   Feeding or Eating: Current ability to feed self meals and snacks safely.    
                 57249-5   Current Ability to Plan and Prepare Light Meals (for example, cereal, sandwich) or reheat delivered meals safely.    
                 46569-0   Ability to Use Telephone: Current ability to answer the phone safely, including dialing numbers, and effectively using the telephone to communicate.    
                 58121-5   Prior Functioning ADL/IADL    
                      85070-1   Self-Care (specifically: grooming, dressing, bathing, and toileting hygiene)    
                      86185-6   Ambulation    
                      86186-4   Transfer    
                      86187-2   Household tasks (specifically: light meal preparation, laundry, shopping, and phone use.)    
                 57254-5   Has this patient had a multi-factor Falls Risk Assessment using a standardized, validated assessment tool?    
            85928-0   MEDICATIONS    
                 57255-2   Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?    
                 57281-8   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?    
                 57257-8   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?    
                 57285-9   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.    
                 57284-2   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.    
                 57196-8   Prior Medication Management: Indicate the patient’s usual ability with managing oral and injectable medications prior to his/her most recent illness, exacerbation or injury.    
                      57258-6   Oral medications    
                      57259-4   Injectable medications    
            57049-9   CARE MANAGEMENT    
                 57306-3   Types and Sources of Assistance    
                      57260-2   ADL assistance (for example, transfer/ ambulation, bathing, dressing, toileting, eating/feeding)    
                      57261-0   IADL assistance (for example, meals, housekeeping, laundry, telephone, shopping, finances)    
                      57262-8   Medication administration (for example, oral, inhaled or injectable)    
                      57263-6   Medical procedures/treatments (for example, changing wound dressing, home exercise program)    
                      57264-4   Management of equipment (for example, oxygen, IV/infusion equipment, enteral/parenteral nutrition, ventilator therapy equipment or supplies)    
                      57265-1   Supervision and safety (for example, due to cognitive impairment)    
                      57266-9   Advocacy or facilitation of patient's participation in appropriate medical care (for example, transportation to or from appointments)    
                 57267-7   How Often does the patient receive ADL or IADL assistance from any caregiver(s) (other than home health agency staff)?    
            57050-7   THERAPY NEED AND PLAN OF CARE    
                 57268-5   Therapy need: Number of therapy visits indicated (total of physical, occupational and speech-language pathology combined).   {#} 
                 57197-6   Plan of Care Synopsis    
                      57269-3   Patient-specific parameters for notifying physician of changes in vital signs or other clinical findings    
                      57270-1   Diabetic foot care including monitoring for the presence of skin lesions on the lower extremities and patient/caregiver education on proper foot care    
                      57271-9   Fall prevention interventions    
                      57272-7   Depression intervention(s) such as medication, referral for other treatment, or a monitoring plan for current treatment and/or physician notified that patient screened positive for depression    
                      57273-5   Intervention(s) to monitor and mitigate pain    
                      57274-3   Intervention(s) to prevent pressure ulcers    
                      57275-0   Pressure ulcer treatment based on principles of moist wound healing OR order for treatment based on moist wound healing has been requested from physician    
       86189-8   Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Resumption of care: -: Pt: ^Patient: -: CMS Assessment    
            85906-6   Home health patient tracking sheet    
                 46498-2   Resumption of Care Date   {mm/dd/yyyy} 
            57040-8   CLINICAL RECORD ITEMS    
                 46500-5   Discipline of Person Completing Assessment    
                 46501-3   Date Assessment Completed   {mm/dd/yyyy} 
                 57200-8   This Assessment is Currently Being Completed for the Following Reason:    
                 57201-6   Date of Physician-ordered Start of Care (Resumption of Care)   {mm/dd/yyyy} 
                 57202-4   Date of Referral   {mm/dd/yyyy} 
                 57203-2   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?    
            85909-0   PATIENT HISTORY AND DIAGNOSES    
                 57204-0   From which of the following Inpatient Facilities was the patient discharged within the past 14 days? 1..7   
                 86470-2   Inpatient Discharge Date (most recent)   {mm/dd/yyyy} 
                 46504-7   Inpatient Facility Diagnosis: ICD-10-CM Code 1..6   
                 46507-0   Diagnosis Requiring Medical or Treatment Regimen Change Within Past 14 Days 1..6   
                 86469-4   Conditions Prior to Medical or Treatment Regimen Change or Inpatient Stay Within Past 14 Days 1..6   
                 85911-6   Diagnoses, Symptom Control, and Optional Diagnoses    
                      85912-4   Primary Diagnosis    
                           86255-7   Primary Diagnosis: ICD-10-code    
                           85920-7   Primary Diagnosis Symptom Control Rating    
                           85914-0   Optional Diagnosis: ICD-10-CM    
                           86254-0   Optional Diagnosis: ICD-10-CM - multiple coding    
                      85913-2   Other Diagnoses 0..5   
                           81885-6   Other Diagnoses: ICD-10-CM    
                           85920-7   Other Diagnoses Symptom Control Rating    
                           85914-0   Optional Diagnosis: ICD-10-CM    
                           86254-0   Optional Diagnosis: ICD-10-CM - multiple coding    
                 83243-6   Active Diagnoses-Comorbidities and Co-existing Conditions 0..2   
                 46466-9   Therapies the patient receives at home 1..3   
                 57319-6   Risk for Hospitalization: Which of the following signs or symptoms characterize this patient as at risk for hospitalization? 1..9   
                 57206-5   Overall Status: Which description best fits the patient's overall status?    
                 57207-3   Risk factors, either present or past, likely to affect health status and/or outcome 1..4   
                 54567-3   Height and weightHeight and weightHeight and weight: -: Pt: ^Patient: -:    
                      3137-7   Height (in inches)   [in_us];cm 
                      3141-9   Weight (in pounds)   [lb_av];kg 
            85951-2   Living Arrangements    
                 85950-4   Patient Living Situation: Which of the following best describes the patient's residential circumstance and availability of assistance?    
            57042-4   SENSORY STATUS    
                 57215-6   Vision (with corrective lenses if the patient usually wears them)    
                 57216-4   Ability to Hear (with hearing aid or hearing appliance if normally used)    
                 57217-2   Understanding of Verbal Content in patient's own language (with hearing aid or device if used)    
                 57218-0   Speech and Oral (Verbal) Expression of Language (in patient's own language)    
                 57219-8   Has this patient had a formal Pain Assessment using a standardized, validated pain assessment tool (appropriate to the patient’s ability to communicate the severity of pain)?    
                 57220-6   Frequency of pain interfering with patient's activity or movement    
            85917-3   INTEGUMENTARY STATUS    
                 57221-4   Pressure Ulcer Assessment: Was this patient assessed for Risk of Developing Pressure Ulcers?    
                 57280-0   Does this patient have a Risk of Developing Pressure Ulcers?    
                 85918-1   Does this patient have at least one Unhealed Pressure Ulcer at Stage 2 or Higher or designated as Unstageable?    
                 85919-9   Current Number of Unhealed Pressure Ulcers at Each Stage    
                      55124-2   Number of Stage 2 pressure ulcers   {#} 
                      55125-9   Number of Stage 3 pressure ulcers   {#} 
                      55126-7   Number of Stage 4 pressure ulcers   {#} 
                      54893-3   Number of unstageable pressure ulcers due to non-removable dressing/device   {#} 
                      54946-9   Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar   {#} 
                      54950-1   Number of unstageable pressure ulcers with suspected deep tissue injury in evolution   {#} 
                 57229-7   Status of Most Problematic Pressure Ulcer that is Observable    
                 46536-9   Current Number of Stage 1 Pressure Ulcers   {#} 
                 57231-3   Stage of Most Problematic Unhealed Pressure Ulcer that is Stageable    
                 57232-1   Does this patient have a Stasis Ulcer?    
                 57233-9   Current Number of Stasis Ulcer(s) that are Observable   {#} 
                 57234-7   Status of Most Problematic Stasis Ulcer that is Observable    
                 57235-4   Does this patient have a Surgical Wound?    
                 57236-2   Status of Most Problematic Surgical Wound that is Observable    
                 46534-4   Does this patient have a Skin Lesion or Open Wound (excluding bowel ostomy), other than those described above, that is receiving intervention by the home health agency?    
            85921-5   RESPIRATORY STATUS    
                 57237-0   When is the patient dyspneic or noticeably Short of Breath?    
                 57238-8   Respiratory Treatments utilized at home 1..3   
            85922-3   ELIMINATION STATUS    
                 46552-6   Has this patient been treated for a Urinary Tract Infection in the past 14 days?    
                 46553-4   Urinary Incontinence or Urinary Catheter Presence    
                 57241-2   When does Urinary Incontinence occur?    
                 46587-2   Bowel Incontinence Frequency    
                 86471-0   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?    
            57047-3   NEURO/EMOTIONAL/BEHAVIORAL STATUS    
                 46589-8   Cognitive Functioning: Patient's current (day of assessment) level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands.    
                 58104-1   When Confused (Reported or Observed Within the Last 14 Days)    
                 86495-9   When Anxious (Reported or Observed Within the Last 14 Days)    
                 57242-0   Depression Screening: Has the patient been screened for depression, using a standardized, validated depression screening tool?    
                      58120-7   PHQ-2©    
                           44250-9   Little interest or pleasure in doing things    
                           44255-8   Feeling down, depressed, or hopeless?    
                 46473-5   Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed) 1..6   
                 46592-2   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.    
                 46593-0   Is this patient receiving Psychiatric Nursing Services at home provided by a qualified psychiatric nurse?    
            85923-1   ADL & IADLs    
                 46595-5   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).    
                 46597-1   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.    
                 46599-7   Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes.    
                 57243-8   Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).    
                 57244-6   Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.    
                 57245-3   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.    
                 57246-1   Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.    
                 85924-9   FUNCTIONAL ABILITIES and GOALS - SOC/ROC    
                      85925-6   Mobility    
                           85926-4   Lying to Sitting on Side of Bed - ROC Performance    
                           85927-2   Lying to Sitting on Side of Bed - Discharge Goal    
                 57247-9   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.    
                 57248-7   Feeding or Eating: Current ability to feed self meals and snacks safely.    
                 57249-5   Current Ability to Plan and Prepare Light Meals (for example, cereal, sandwich) or reheat delivered meals safely.    
                 46569-0   Ability to Use Telephone: Current ability to answer the phone safely, including dialing numbers, and effectively using the telephone to communicate.    
                 58121-5   Prior Functioning ADL/IADL    
                      85070-1   Self-Care (specifically: grooming, dressing, bathing, and toileting hygiene)    
                      86185-6   Ambulation    
                      86186-4   Transfer    
                      86187-2   Household tasks (specifically: light meal preparation, laundry, shopping, and phone use.)    
                 57254-5   Has this patient had a multi-factor Falls Risk Assessment using a standardized, validated assessment tool?    
            85928-0   MEDICATIONS    
                 57255-2   Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?    
                 57281-8   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?    
                 57257-8   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?    
                 57285-9   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.    
                 57284-2   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.    
                 57196-8   Prior Medication Management: Indicate the patient’s usual ability with managing oral and injectable medications prior to his/her most recent illness, exacerbation or injury.    
                      57258-6   Oral medications    
                      57259-4   Injectable medications    
            57049-9   CARE MANAGEMENT    
                 57306-3   Types and Sources of Assistance    
                      57260-2   ADL assistance (for example, transfer/ ambulation, bathing, dressing, toileting, eating/feeding)    
                      57261-0   IADL assistance (for example, meals, housekeeping, laundry, telephone, shopping, finances)    
                      57262-8   Medication administration (for example, oral, inhaled or injectable)    
                      57263-6   Medical procedures/treatments (for example, changing wound dressing, home exercise program)    
                      57264-4   Management of equipment (for example, oxygen, IV/infusion equipment, enteral/parenteral nutrition, ventilator therapy equipment or supplies)    
                      57265-1   Supervision and safety (for example, due to cognitive impairment)    
                      57266-9   Advocacy or facilitation of patient's participation in appropriate medical care (for example, transportation to or from appointments)    
                 57267-7   How Often does the patient receive ADL or IADL assistance from any caregiver(s) (other than home health agency staff)?    
            57050-7   THERAPY NEED AND PLAN OF CARE    
                 57268-5   Therapy need: Number of therapy visits indicated (total of physical, occupational and speech-language pathology combined).   {#} 
                 57197-6   Plan of Care Synopsis    
                      57269-3   Patient-specific parameters for notifying physician of changes in vital signs or other clinical findings    
                      57270-1   Diabetic foot care including monitoring for the presence of skin lesions on the lower extremities and patient/caregiver education on proper foot care    
                      57271-9   Fall prevention interventions    
                      57272-7   Depression intervention(s) such as medication, referral for other treatment, or a monitoring plan for current treatment and/or physician notified that patient screened positive for depression    
                      57273-5   Intervention(s) to monitor and mitigate pain    
                      57274-3   Intervention(s) to prevent pressure ulcers    
                      57275-0   Pressure ulcer treatment based on principles of moist wound healing OR order for treatment based on moist wound healing has been requested from physician    
       86244-1   Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up: -: Pt: ^Patient: -: CMS Assessment    
            86245-8   CLINICAL RECORD ITEMS    
                 46500-5   Discipline of Person Completing Assessment    
                 46501-3   Date Assessment Completed   {mm/dd/yyyy} 
                 57200-8   This Assessment is Currently Being Completed for the Following Reason    
                 57203-2   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?    
            86246-6   PATIENT HISTORY AND DIAGNOSES    
                 46504-7   Inpatient Facility Diagnosis: ICD-10-CM Code 1..6   
                 85911-6   Diagnoses, Symptom Control, and Optional Diagnoses    
                      85912-4   Primary Diagnosis    
                           86255-7   Primary Diagnosis: ICD-10-code    
                           85920-7   Primary Diagnosis Symptom Control Rating    
                           85914-0   Optional Diagnosis: ICD-10-CM    
                           86254-0   Optional Diagnosis: ICD-10-CM - multiple coding    
                      85913-2   Other Diagnoses 0..5   
                           81885-6   Other Diagnoses: ICD-10-CM    
                           85920-7   Other Diagnoses Symptom Control Rating    
                           85914-0   Optional Diagnosis: ICD-10-CM    
                           86254-0   Optional Diagnosis: ICD-10-CM - multiple coding    
                 46466-9   Therapies the patient receives at home 1..3   
            86247-4   SENSORY STATUS    
                 57215-6   Vision (with corrective lenses if the patient usually wears them)    
                 57220-6   Frequency of pain interfering with patient's activity or movement    
            86248-2   INTEGUMENTARY STATUS    
                 85918-1   Does this patient have at least one Unhealed Pressure Ulcer at Stage 2 or Higher or designated as Unstageable?    
                 86270-6   Current Number of Unhealed Pressure Ulcers at Each Stage    
                      55124-2   Number of Stage 2 pressure ulcers   {#} 
                      54886-7   Number of these Stage 2 pressure ulcers that were present at most recent SOC/ROC   {#} 
                      55125-9   Number of Stage 3 pressure ulcers   {#} 
                      54887-5   Number of these Stage 3 pressure ulcers that were present at most recent SOC/ROC   {#} 
                      55126-7   Number of Stage 4 pressure ulcers   {#} 
                      54890-9   Number of these Stage 4 pressure ulcers that were present at most recent SOC/ROC   {#} 
                      54893-3   Number of unstageable pressure ulcers due to non-removable dressing/device   {#} 
                      54894-1   Number of these unstageable pressure ulcers that were present at most recent SOC/ROC   {#} 
                      54946-9   Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar   {#} 
                      54947-7   Number of these unstageable pressure ulcers that were present at most recent SOC/ROC   {#} 
                      54950-1   Number of unstageable pressure ulcers with suspected deep tissue injury in evolution   {#} 
                      54951-9   Number of these unstageable pressure ulcers that were present at most recent SOC/ROC   {#} 
                 46536-9   Current Number of Stage 1 Pressure Ulcers   {#} 
                 57231-3   Stage of Most Problematic Unhealed Pressure Ulcer that is Stageable    
                 57232-1   Does this patient have a Stasis Ulcer?    
                 57233-9   Current Number of Stasis Ulcer(s) that are Observable   {#} 
                 57234-7   Status of Most Problematic Stasis Ulcer that is Observable    
                 57235-4   Does this patient have a Surgical Wound?    
                 57236-2   Status of Most Problematic Surgical Wound that is Observable    
            86249-0   RESPIRATORY STATUS    
                 57237-0   When is the patient dyspneic or noticeably Short of Breath?    
            86250-8   ELIMINATION STATUS    
                 46553-4   Urinary Incontinence or Urinary Catheter Presence    
                 46587-2   Bowel Incontinence Frequency    
                 86471-0   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?    
            86251-6   ADL & IADLs    
                 46597-1   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.    
                 46599-7   Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes.    
                 57243-8   Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).    
                 57244-6   Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.    
                 57246-1   Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.    
                 57247-9   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.    
            86252-4   MEDICATIONS    
                 57284-2   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.    
            86253-2   THERAPY NEED AND PLAN OF CARE    
                 57268-5   Therapy need: Number of therapy visits indicated (total of physical, occupational and speech-language pathology combined).   {#} 
       86259-9   Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Transfer to inpatient facility - patient discharged or not discharged: -: Pt: ^Patient: -: CMS Assessment    
            86257-3   CLINICAL RECORD ITEMS    
                 46500-5   Discipline of Person Completing Assessment    
                 46501-3   Date Assessment Completed   {mm/dd/yyyy} 
                 57200-8   This Assessment is Currently Being Completed for the Following Reason    
            86256-5   PATIENT HISTORY AND DIAGNOSIS    
                 85915-7   InfluenzaVaccine Data Collection Period: Does this episode of care (SOC/ROC to Transfer/Discharge) include any dates on or between October 1 and March 31?    
                 57208-1   Influenza Vaccine Received: Did the patient receive the influenza vaccine for this year’s flu season    
                 85916-5   Pneumococcal Vaccine: Has the patient ever received the pneumococcal vaccination (for example, Pneumovax)?    
                 45956-0   Reason Pneumococcal Vaccine not received: If patient has never received the pneumococcal vaccination (for example, pneumovax), state reason    
            57045-7   CARDIAC STATUS    
                 57239-6   Symptoms in Heart Failure Patients    
                 57240-4   Heart Failure Follow-up: If patient has been diagnosed with heart failure and has exhibited symptoms indicative of heart failure at the time of or at any time since the most recent SOC/ROC assessment, what action(s) has (have) been taken to respond? 1..5   
            86258-1   MEDICATIONS    
                 57256-0   Medication Intervention    
                 57195-0   Patient/Caregiver Drug Education Intervention    
            57052-3   EMERGENT CARE    
                 57276-8   Emergent Care: At the time of or at any time since the most recent SOC/ROC assessment has the patient utilized a hospital emergency department (includes holding/observation status)?    
                 57277-6   Reason For Emergent Care: For what reason(s) did the patient seek and/or receive emergent care (with or without hospitalization)? 1..19   
            86260-7   DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY    
                 57198-4   Intervention Synopsis: At the time of or at any time since the most recent SOC/ROC assessment, were the following interventions BOTH included in the physician-ordered plan or care AND implemented?    
                      57270-1   Diabetic foot care including monitoring for the presence of skin lesions on the lower extremities and patient/caregiver education on proper foot care    
                      57271-9   Falls prevention interventions    
                      57272-7   Depression intervention(s) such as medication, referral for other treatment, or a monitoring plan for current treatment    
                      57273-5   Intervention(s) to monitor and mitigate pain    
                      57274-3   Intervention(s) to prevent pressure ulcers    
                      57275-0   Pressure ulcer treatment based on principles of moist wound healing    
                 46578-1   To which Inpatient Facility has the patient been admitted?    
                 57279-2   Reason for Hospitalization: For what reason(s) did the patient require hospitalization? 1..20   
                 46581-5   Date of Last (Most Recent) Home Visit   {mm/dd/yyyy} 
                 46582-3   Discharge/Transfer/Death Date   {mm/dd/yyyy} 
       86261-5   Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home: -: Pt: ^Patient: -: CMS Assessment    
            86257-3   CLINICAL RECORD ITEMS    
                 46500-5   Discipline of Person Completing Assessment    
                 46501-3   Date Assessment Completed   {mm/dd/yyyy} 
                 57200-8   This Assessment is Currently Being Completed for the Following Reason    
            86262-3   MEDICATIONS    
                 57256-0   Medication Intervention    
            86263-1   DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY    
                 46581-5   Date of Last (Most Recent) Home Visit   {mm/dd/yyyy} 
                 46582-3   Discharge/Transfer/Death Date   {mm/dd/yyyy} 
       86264-9   Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency: -: Pt: ^Patient: -: CMS Assessment    
            86257-3   CLINICAL RECORD ITEMS    
                 46500-5   Discipline of Person Completing Assessment    
                 46501-3   Date Assessment Completed   {mm/dd/yyyy} 
                 57200-8   This Assessment is Currently Being Completed for the Following Reason    
            86256-5   PATIENT HISTORY AND DIAGNOSES    
                 85915-7   InfluenzaVaccine Data Collection Period: Does this episode of care (SOC/ROC to Transfer/Discharge) include any dates on or between October 1 and March 31?    
                 57208-1   Influenza Vaccine Received: Did the patient receive the influenza vaccine for this year’s flu season    
                 85916-5   Pneumococcal Vaccine: Has the patient ever received the pneumococcal vaccination (for example, Pneumovax)?    
                 45956-0   Reason Pneumococcal Vaccine not received: If patient has never received the pneumococcal vaccination (for example, pneumovax), state reason    
            86266-4   SENSORY STATUS    
                 57218-0   Speech and Oral (Verbal) Expression of Language (in patient's own language)    
                 57220-6   Frequency of pain interfering with patient's activity or movement    
            86267-2   INTEGUMENTARY STATUS    
                 85918-1   Does this patient have at least one Unhealed Pressure Ulcer at Stage 2 or Higher or designated as Unstageable?    
                 57222-2   The Oldest Stage 2 pressure ulcer that is present at discharge    
                 58052-2   Record date pressure ulcer first identified   {mm/dd/yyyy} 
                 86270-6   Current Number of Unhealed Pressure Ulcers at Each Stage    
                      55124-2   Number of Stage 2 pressure ulcers   {#} 
                      54886-7   Number of these Stage 2 pressure ulcers that were present at most recent SOC/ROC   {#} 
                      55125-9   Number of Stage 3 pressure ulcers   {#} 
                      54887-5   Number of these Stage 3 pressure ulcers that were present at most recent SOC/ROC   {#} 
                      55126-7   Number of Stage 4 pressure ulcers   {#} 
                      54890-9   Number of these Stage 4 pressure ulcers that were present at most recent SOC/ROC   {#} 
                      54893-3   Number of unstageable pressure ulcers due to non-removable dressing/device   {#} 
                      54894-1   Number of these unstageable pressure ulcers that were present at most recent SOC/ROC   {#} 
                      54946-9   Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar   {#} 
                      54947-7   Number of these unstageable pressure ulcers that were present at most recent SOC/ROC   {#} 
                      54950-1   Number of unstageable pressure ulcers with suspected deep tissue injury in evolution   {#} 
                      54951-9   Number of these unstageable pressure ulcers that were present at most recent SOC/ROC   {#} 
                 86268-0   Worsening in Pressure Ulcer Status since SOC/ROC    
                      83283-2   Stage 2   {#} 
                      83284-0   Stage 3   {#} 
                      83285-7   Stage 4   {#} 
                      83286-5   Unstageable - Known or likely but Unstageable due to non-removable dressing.   {#} 
                      83287-3   Unstageable - Known or likely but Unstageable due to coverage of wound bed by slough and/or eschar.   {#} 
                      83288-1   Unstageable - Suspected deep tissue injury in evolution.   {#} 
                 57229-7   Status of Most Problematic Pressure Ulcer that is Observable    
                 46536-9   Current Number of Stage 1 Pressure Ulcers   {#} 
                 57231-3   Stage of Most Problematic Unhealed Pressure Ulcer that is Stageable    
                 57232-1   Does this patient have a Stasis Ulcer?    
                 57233-9   Current Number of Stasis Ulcer(s) that are Observable   {#} 
                 57234-7   Status of Most Problematic Stasis Ulcer that is Observable    
                 57235-4   Does this patient have a Surgical Wound?    
                 57236-2   Status of Most Problematic Surgical Wound that is Observable    
            86249-0   RESPIRATORY STATUS    
                 57237-0   When is the patient dyspneic or noticeably Short of Breath?    
            57045-7   CARDIAC STATUS    
                 57239-6   Symptoms in Heart Failure Patients    
                 57240-4   Heart Failure Follow-up: If patient has been diagnosed with heart failure and has exhibited symptoms indicative of heart failure at the time of or at any time since the most recent SOC/ROC assessment, what action(s) has (have) been taken to respond? 1..5   
            86269-8   ELIMINATION STATUS    
                 46552-6   Has this patient been treated for a Urinary Tract Infection in the past 14 days?    
                 46553-4   Urinary Incontinence or Urinary Catheter Presence    
                 57241-2   When does Urinary Incontinence occur?    
                 46587-2   Bowel Incontinence Frequency    
            69332-5   NEURO/EMOTIONAL/BEHAVIORAL STATUS    
                 46589-8   Cognitive Functioning: Patient's current (day of assessment) level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands.    
                 58104-1   When Confused (Reported or Observed Within the Last 14 Days)    
                 86495-9   When Anxious (Reported or Observed Within the Last 14 Days)    
                 46473-5   Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): 1..6   
                 46592-2   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.    
            69337-4   ADL/IADLs    
                 46595-5   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).    
                 46597-1   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.    
                 46599-7   Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes.    
                 57243-8   Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).    
                 57244-6   Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.    
                 57245-3   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.    
                 57246-1   Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.    
                 57247-9   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.    
                 57248-7   Feeding or Eating: Current ability to feed self meals and snacks safely.    
                 57249-5   Current Ability to Plan and Prepare Light Meals (for example, cereal, sandwich) or reheat delivered meals safely.    
                 46569-0   Ability to Use Telephone: Current ability to answer the phone safely, including dialing numbers, and effectively using the telephone to communicate.    
            86265-6   MEDICATIONS    
                 57256-0   Medication Intervention    
                 57195-0   Patient/Caregiver Drug Education Intervention    
                 57285-9   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.    
                 57284-2   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.    
            57049-9   CARE MANAGEMENT    
                 57306-3   Types and Sources of Assistance    
                      57260-2   ADL assistance (for example, transfer/ ambulation, bathing, dressing, toileting, eating/feeding)    
                      57261-0   IADL assistance (for example, meals, housekeeping, laundry, telephone, shopping, finances)    
                      57262-8   Medication administration (for example, oral, inhaled or injectable)    
                      57263-6   Medical procedures/treatments (for example, changing wound dressing, home exercise program)    
                      57264-4   Management of equipment (for example, oxygen, IV/infusion equipment, enteral/parenteral nutrition, ventilator therapy equipment or supplies)    
                      57265-1   Supervision and safety (for example, due to cognitive impairment)    
                      57266-9   Advocacy or facilitation of patient's participation in appropriate medical care (for example, transportation to or from appointments)    
                 57267-7   How Often does the patient receive ADL or IADL assistance from any caregiver(s) (other than home health agency staff)?    
            57052-3   EMERGENT CARE    
                 57276-8   Emergent Care: At the time of or at any time since the most recent SOC/ROC assessment has the patient utilized a hospital emergency department (includes holding/observation status)?    
                 57277-6   Reason For Emergent Care: For what reason(s) did the patient receive emergent care (with or without hospitalization)? 1..19   
            69331-7   DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY ONLY    
                 57198-4   Intervention Synopsis: At the time of or at any time since the most recent SOC/ROC assessment, were the following interventions BOTH included in the physician-ordered plan or care AND implemented?    
                      57270-1   Diabetic foot care including monitoring for the presence of skin lesions on the lower extremities and patient/caregiver education on proper foot care    
                      57271-9   Falls prevention interventions    
                      57272-7   Depression intervention(s) such as medication, referral for other treatment, or a monitoring plan for current treatment    
                      57273-5   Intervention(s) to monitor and mitigate pain    
                      57274-3   Intervention(s) to prevent pressure ulcers    
                      57275-0   Pressure ulcer treatment based on principles of moist wound healing    
                 46578-1   To which Inpatient Facility has the patient been admitted?    
                 57278-4   Discharge disposition: Where is the patient after discharge from your agency? 1..1   
                 46581-5   Date of Last (Most Recent) Home Visit   {mm/dd/yyyy} 
                 46582-3   Discharge/Transfer/Death Date   {mm/dd/yyyy} 
 

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Outcome and assessment information set (OASIS) form - version C2  Pt  ^Patient  CMS Assessment
  Long Common Name:  Outcome and assessment information set (OASIS) form - version C2 [CMS Assessment]

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Convenience group
  First Released in Version: 2.63
  Last Updated in Version: 2.63
  Order vs. Obs.: Order
  Status: Active

PARTS

Part Type    Part No.  Part Name   
Component   LP249864-2  Outcome and assessment information set (OASIS) form - version C2 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment 
Fragments for synonyms   LP57618-8  OASIS 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Pan Pnl
  Form version Panel Point in time
  LTPAC PANEL.SURVEY.CMS Random
  Outcome and assessment information set Panl  

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:47 PM
  Long Common Name: Outcome and assessment information set (OASIS) form - version C2 [CMS Assessment]
  Fully Specified Name: Outcome and assessment information set (OASIS) form - version C2: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 9
  ID: 92640
  # of Panel Elements: 496
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Outcome and assessment information set (OASIS) form - version C2 - Start of care  Pt  ^Patient  CMS Assessment
  Long Common Name:  Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Panel
  First Released in Version: 2.63
  Last Updated in Version: 2.63
  Order vs. Obs.: Order
  Status: Active

PARTS

Part Type    Part No.  Part Name   
Component   LP249858-4  Outcome and assessment information set (OASIS) form - version C2 - Start of care 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment 
Fragments for synonyms   LP21059-8  Panel 
Fragments for synonyms   LP21371-7  Start 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Panel Random
  Form version PANEL.SURVEY.CMS Started
  LTPAC Panl  
  Outcome and assessment information set Pnl  
  Pan Point in time  

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:48 PM
  Long Common Name: Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  Fully Specified Name: Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 12
  ID: 91446
  Status (Raw): ACTIVE


85908-2   Home health patient tracking sheet - start of care [CMS Assessment]Home health patient tracking sheet - start of care [CMS Assessment]Home health patient tracking sheet - start of care: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Home health patient tracking sheet - start of care  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Home Health Patient Tracking Sheet
  Long Common Name:  Home health patient tracking sheet - start of care [CMS Assessment]

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.63
  Last Updated in Version: 2.63
  Order vs. Obs.: Subset
  Status: Active

MEMBER OF THESE PANELS
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP249865-9  Home health patient tracking sheet - start of care 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment 
Fragments for synonyms   LP21371-7  Start 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment PANEL.SURVEY.CMS Point in time
  Pan Panl Random
  Panel Pnl Started

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:48 PM
  Long Common Name: Home health patient tracking sheet - start of care [CMS Assessment]
  Fully Specified Name: Home health patient tracking sheet - start of care: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 8
  ID: 91447
  Status (Raw): ACTIVE


69417-4   CMS certification number (CCN) for FacilityCMS certification number (CCN) for FacilityCMS certification number: ID: Pt: Facility: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
CMS certification number  ID  Pt  Facility  Nom 
  Override Display Name for Form:  CMS Certification Number
  Long Common Name:  CMS certification number (CCN) for Facility
  Shortname:  CMS certification # Facility

OBSERVATION ID IN FORM
M0010

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.38
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Removed "-CCN" from COMPONENT and added "(CCN)" to the Long Common Name because the abbreviation is redundant in the formal name.

MEMBER OF THESE PANELS
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  71747-0   Facility panel [ESRD]Facility panel [ESRD]Facility panel: -: Pt: Facility: -: ESRD
  83265-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.4: -: Pt: ^Patient: -: CMS Assessment
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88329-8   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 2.0: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  89963-3   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 3.0: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP74461-2  CMS certification number   [CMS certification number (CCN)] 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  CMS 证书编号:标识符:时间点:设施:名义型:CMS 证书编号:标识符:时间点:设施:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Numero di certificazione CMS:ID:Pt:Struttura:Nom:Numero di certificazione CMS:ID:Pt:Struttura:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  CMS сертификационный номер:ID:ТчкВрм:Учреждение:Ном:CMS сертификационный номер:ID:ТчкВрм:Учреждение:Ном:

RELATED NAMES
  ADMIN Identifier Point in time
  CCN No Random
  CMS certification # Nominal  
  Ident Num  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   1B     2.0 
   CMS IRF-PAI   1B     3.0 
   CMS IRF-PAI   1B     1.5 
   CMS IRF-PAI   1B     1.4 
   CMS LCDS   A0100B     3.00 
   CMS LCDS   A0100B     4.00 
   CMS MDS   A0100B     1.16.1 
   CMS MDS   A0100B     1.15.1 
   CMS MDS   A0100B     1.14.1 
   CMS OASIS   M0010     D 
   CMS OASIS   M0010     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:48 PM
  Attachment Units Required: N
  Long Common Name: CMS certification number (CCN) for Facility
  Shortname: CMS certification # Facility
  Fully Specified Name: CMS certification number: ID: Pt: Facility: Nom:
     
  Component Word Count: 3
  ID: 68728
  Status (Raw): ACTIVE


46494-1   State location of agency branch [CMS Assessment]State location of agency branch [CMS Assessment]State location of agency branch: Loc: Pt: Agency: Nom: CMS Assessment  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
State location of agency branch  Loc  Pt  Agency  Nom  CMS Assessment
  Override Display Name for Form:  Branch State
  Long Common Name:  State location of agency branch [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  The state where the agency branch office is located.
 
 

OBSERVATION ID IN FORM
M0014

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed SCALE from Ord to Nom to reflect answer options.

EXAMPLE ANSWER LIST    (LL3661-7)  
 
Externally Defined: Y
Source: Centers for Disease Control and Prevention
Link to external list: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.830

MEMBER OF THESE PANELS
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP75671-5  State location of agency branch 
Property   LP6825-6  Loc   [Location] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP40483-7  Agency 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Point in time  
  Location Random  
  Nominal    

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0014     D 
   CMS OASIS   M0014     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:48 PM
  Attachment Units Required: N
  Long Common Name: State location of agency branch [CMS Assessment]
  Fully Specified Name: State location of agency branch: Loc: Pt: Agency: Nom: CMS Assessment
     
  Component Word Count: 5
  ID: 39934
  Status (Raw): ACTIVE


46495-8   Branch number Agency [CMS Assessment]Branch number Agency [CMS Assessment]Branch number: ID: Pt: Agency: Nom: CMS Assessment  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Branch number  ID  Pt  Agency  Nom  CMS Assessment
  Override Display Name for Form:  Branch ID Number
  Long Common Name:  Branch number Agency [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Specifies the branch identification code, as assigned by CMS. The identifier consists of 10 digits with the State code as the first two digits, followed by Q (upper case), followed by the last four digits of the current Medicare provider number, and ending with the three-digit CMS-assigned branch number.
 
 

OBSERVATION ID IN FORM
M0016

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Updated description to match 2016 OASIS manual;Changed SCALE from Ord to Nom to reflect answer options.

MEMBER OF THESE PANELS
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP74574-2  Branch number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP40483-7  Agency 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment 

RELATED NAMES
  Branch # Identifier Num
  Centers for Medicare and Medicaid Assessment No Point in time
  Ident Nominal Random

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0016     D 
   CMS OASIS   M0016     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:49 PM
  Attachment Units Required: N
  Long Common Name: Branch number Agency [CMS Assessment]
  Fully Specified Name: Branch number: ID: Pt: Agency: Nom: CMS Assessment
     
  Component Word Count: 2
  ID: 39935
  Status (Raw): ACTIVE


68468-8   Attending physician NPI ProviderAttending physician NPI ProviderAttending physician NPI: ID: Pt: Provider: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Attending physician NPI  ID  Pt  Provider  Nom 
  Override Display Name for Form:  National Provider Identifier (NPI) for the attending physician who has signed the plan of care
  Long Common Name:  Attending physician NPI Provider

OBSERVATION ID IN FORM
M0018

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL512-5)  
 
Externally Defined: Y
Source: Centers for Medicare & Medicaid Services
Link to external list: https://nppes.cms.hhs.gov/

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86636-8   Family planning report - FPAR 2.0 setFamily planning report - FPAR 2.0 setFamily planning report - FPAR 2.0 set: -: Pt: ^Patient: -:
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP135442-4  Attending physician NPI 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP7504-6  Provider 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP57596-6  NPI 

RELATED NAMES
  ESRD Identifier Point in time
  ESRD survey National Provider Identifier Random
  Ident Nominal  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0018     D 
   CMS OASIS   M0018     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:49 PM
  Attachment Units Required: N
  Long Common Name: Attending physician NPI Provider
  Fully Specified Name: Attending physician NPI: ID: Pt: Provider: Nom:
     
  Component Word Count: 3
  ID: 67777
  Status (Raw): ACTIVE


46496-6   Agency patient number [CMS Assessment]Agency patient number [CMS Assessment]Agency patient number: ID: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Agency patient number  ID  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Patient ID Number
  Long Common Name:  Agency patient number [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Agency-specific patient identifier. This is the identification code the agency assigns to the patient and uses for record keeping purposes for this episode of care.
 
 

OBSERVATION ID IN FORM
M0020

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Added "Agency" to COMPONENT to indicate that this ID is assigned by the CMS agency; Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.

MEMBER OF THESE PANELS
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  62677-0   PhenX domain - OcularPhenX domain - OcularPhenX domain - Ocular: -: Pt: ^Patient: -: PhenX
  70182-1   NIH Stroke ScaleNIH Stroke ScaleNIH stroke scale: -: Pt: ^Patient: -: NIHSS
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP250649-3  Agency patient number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment No Patient #
  Ident Nominal Point in time
  Identifier Num Random

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0020     D 
   CMS OASIS   M0020     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:49 PM
  Attachment Units Required: N
  Long Common Name: Agency patient number [CMS Assessment]
  Fully Specified Name: Agency patient number: ID: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 3
  ID: 39936
  Status (Raw): ACTIVE


46497-4   Start of care date [CMS Assessment]Start of care date [CMS Assessment]Start of care date: Date: Pt: ^Patient: Qn: CMS Assessment  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Start of care date  Date  Pt  ^Patient  Qn  CMS Assessment
  Override Display Name for Form:  Start of Care Date
  Long Common Name:  Start of care date [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  The date that care begins. When the first reimbursable service is delivered, this is the start of care.
 
 

OBSERVATION ID IN FORM
M0030

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee.

MEMBER OF THESE PANELS
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP75667-3  Start of care date 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Method   LP230524-3  CMS Assessment 
Fragments for synonyms   LP21371-7  Start 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Quan Random
  Point in time Quant Started
  QNT Quantitative  

EXAMPLE UNITS
  Unit  Source Type
  {mm/dd/yyyy}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {mm/dd/yyyy} 

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0030     D 
   CMS OASIS   M0030     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:50 PM
  Attachment Units Required: N
  Long Common Name: Start of care date [CMS Assessment]
  Fully Specified Name: Start of care date: Date: Pt: ^Patient: Qn: CMS Assessment
     
  Component Word Count: 4
  ID: 39937
  Status (Raw): ACTIVE


54503-8   Legal name of patientLegal name of patientLegal name of patient: -: Pt: ^Patient: -:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Legal name of patient  Pt  ^Patient 
  Override Display Name for Form:  Patient Name
  Long Common Name:  Legal name of patient

OBSERVATION ID IN FORM
M0040

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Panel
  First Released in Version: 2.27
  Last Updated in Version: 2.63
  Order vs. Obs.: Order
  Status: Active.
Change Reason: Change "resident" to "patient".

MEMBER OF THESE PANELS
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP249325-4  Legal name of patient 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Pan Panl Random
  Panel Pnl  
  PANEL.SURVEY.CMS Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS LCDS   A0500     3.00 
   CMS LCDS   A0500     4.00 
   CMS MDS   A0500     1.16.1 
   CMS MDS   A0500     1.15.1 
   CMS MDS   A0500     1.14.1 
   CMS OASIS   M0040     D 
   CMS OASIS   M0040     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:50 PM
  Attachment Units Required: N
  Long Common Name: Legal name of patient
  Fully Specified Name: Legal name of patient: -: Pt: ^Patient: -:
     
  Component Word Count: 4
  ID: 48812
  Status (Raw): ACTIVE


45392-8   First nameFirst nameFirst name: Pn: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
First name  Pn  Pt  ^Patient  Nom 
  Override Display Name for Form:  (First)
  Long Common Name:  First name
  Shortname:  First name

OBSERVATION ID IN FORM
M0040

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.2

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  45981-8   MDS full assessment form - version 2.0MDS full assessment form - version 2.0MDS full assessment form - version 2.0: -: Pt: ^Patient: -:
  46102-0   MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0: -: Pt: ^Patient: -:
  46103-8   MDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-III: -: Pt: ^Patient: -:
  46104-6   MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  46611-0   Mental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment form: -: Pt: ^Patient: -:
  46637-5   Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form: -: Pt: ^Patient: -: RFC assessment
  47245-6   HIV treatment form DocumentHIV treatment form DocumentHIV Rx Form: -: Pt: Form: Doc:
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
  52747-3   Continuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity assessment record and evaluation tool - Expired: -: Pt: ^Patient: -: CARE
  52748-1   Continuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity assessment record and evaluation tool - Home health admission: -: Pt: ^Patient: -: CARE
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  55140-8   Vaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System panel: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  62812-3   PhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitness: -: Pt: ^Patient: -: PhenX
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  76464-7   American Physical Therapy Association registry panelAmerican Physical Therapy Association registry panelAmerican Physical Therapy Association Registry panel: -: Pt: Organization: -:
  79191-3   Patient demographics panelPatient demographics panelPatient demographics panel: -: Pt: ^Patient: -:
  80399-9   Occupational exposure information panelOccupational exposure information panelOccupational exposure information panel: -: Pt: ^Patient: -:
  83265-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.4: -: Pt: ^Patient: -: CMS Assessment
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88329-8   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 2.0: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  89963-3   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 3.0: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP74855-5  First name 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  名字:人员姓名:时间点:^患者:名义型:名字:人员姓名:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Primo nome:Pn:Pt:^Paziente:Nom:Primo nome:Pn:Pt:^Paziente:Nom:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Nombre:Pn:Punto temporal:^paciente:Nom:Nombre:Pn:Punto temporal:^paciente:Nom:
  Turkish (TURKEY)  (From: Regenstrief-generated full translation based on part translation provided by LOINC Turkish Translation Group and the Turkish Ministry of Health)
 
  Ad:KişiAdı:Zmlı:^Hasta:Snf:Ad:KişiAdı:Zmlı:^Hasta:Snf:

RELATED NAMES
  ADMIN Person name  
  Given name Point in time  
  Nominal Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   4     2.0 
   CMS IRF-PAI   4     3.0 
   CMS IRF-PAI   4     1.5 
   CMS IRF-PAI   4     1.4 
   CMS LCDS   A0500A     3.00 
   CMS LCDS   A0500A     4.00 
   CMS MDS   A0500A     1.16.1 
   CMS MDS   A0500A     1.15.1 
   CMS MDS   A0500A     1.14.1 
   CMS MDS   X0200A     1.16.1 
   CMS MDS   X0200A     1.15.1 
   CMS MDS   X0200A     1.14.1 
   CMS OASIS   M0040     D 
   CMS OASIS   M0040     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:50 PM
  Attachment Units Required: N
  Long Common Name: First name
  Shortname: First name
  Fully Specified Name: First name: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38740
  Status (Raw): ACTIVE


45393-6   Middle initialMiddle initialMiddle initial: Pn: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Middle initial  Pn  Pt  ^Patient  Nom 
  Override Display Name for Form:  (MI)
  Long Common Name:  Middle initial
  Shortname:  Middle initial

OBSERVATION ID IN FORM
M0040

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Change PROPERTY from ID to Pn to match convention for other name terms.

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.3

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  45981-8   MDS full assessment form - version 2.0MDS full assessment form - version 2.0MDS full assessment form - version 2.0: -: Pt: ^Patient: -:
  46102-0   MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0: -: Pt: ^Patient: -:
  46103-8   MDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-III: -: Pt: ^Patient: -:
  46104-6   MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  46611-0   Mental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment form: -: Pt: ^Patient: -:
  46637-5   Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form: -: Pt: ^Patient: -: RFC assessment
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  62812-3   PhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitness: -: Pt: ^Patient: -: PhenX
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP75126-0  Middle initial 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  中间名首字母:人员姓名:时间点:^患者:名义型:中间名首字母:人员姓名:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Iniziale secondo nome:Pn:Pt:^Paziente:Nom:Iniziale secondo nome:Pn:Pt:^Paziente:Nom:

RELATED NAMES
  ADMIN Point in time  
  Nominal Random  
  Person name    

RELATED CODES
Code System Code Code Text Code Version
   CMS LCDS   A0500B     3.00 
   CMS LCDS   A0500B     4.00 
   CMS MDS   A0500B     1.16.1 
   CMS MDS   A0500B     1.15.1 
   CMS MDS   A0500B     1.14.1 
   CMS OASIS   M0040     D 
   CMS OASIS   M0040     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:50 PM
  Attachment Units Required: N
  Long Common Name: Middle initial
  Shortname: Middle initial
  Fully Specified Name: Middle initial: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38742
  Status (Raw): ACTIVE


45394-4   Last nameLast nameLast name: Pn: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Last name  Pn  Pt  ^Patient  Nom 
  Override Display Name for Form:  (Last)
  Long Common Name:  Last name
  Shortname:  Last name

OBSERVATION ID IN FORM
M0040

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.1

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  45981-8   MDS full assessment form - version 2.0MDS full assessment form - version 2.0MDS full assessment form - version 2.0: -: Pt: ^Patient: -:
  46102-0   MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0: -: Pt: ^Patient: -:
  46103-8   MDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-III: -: Pt: ^Patient: -:
  46104-6   MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  46611-0   Mental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment form: -: Pt: ^Patient: -:
  46637-5   Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form: -: Pt: ^Patient: -: RFC assessment
  47245-6   HIV treatment form DocumentHIV treatment form DocumentHIV Rx Form: -: Pt: Form: Doc:
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
  52747-3   Continuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity assessment record and evaluation tool - Expired: -: Pt: ^Patient: -: CARE
  52748-1   Continuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity assessment record and evaluation tool - Home health admission: -: Pt: ^Patient: -: CARE
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  55140-8   Vaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System panel: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  62812-3   PhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitness: -: Pt: ^Patient: -: PhenX
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  76464-7   American Physical Therapy Association registry panelAmerican Physical Therapy Association registry panelAmerican Physical Therapy Association Registry panel: -: Pt: Organization: -:
  79191-3   Patient demographics panelPatient demographics panelPatient demographics panel: -: Pt: ^Patient: -:
  80399-9   Occupational exposure information panelOccupational exposure information panelOccupational exposure information panel: -: Pt: ^Patient: -:
  83265-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.4: -: Pt: ^Patient: -: CMS Assessment
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88329-8   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 2.0: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  89963-3   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 3.0: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP75019-7  Last name 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP200101-6  Last 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  姓氏:人员姓名:时间点:^患者:名义型:姓氏:人员姓名:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Cognome:Pn:Pt:^Paziente:Nom:Cognome:Pn:Pt:^Paziente:Nom:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Apellido:Pn:Punto temporal:^paciente:Nom:Apellido:Pn:Punto temporal:^paciente:Nom:
  Turkish (TURKEY)  (From: Regenstrief-generated full translation based on part translation provided by LOINC Turkish Translation Group and the Turkish Ministry of Health)
 
  Soyad:KişiAdı:Zmlı:^Hasta:Snf:Soyad:KişiAdı:Zmlı:^Hasta:Snf:

RELATED NAMES
  ADMIN Person name  
  Nominal Point in time  
  Past Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   5A     2.0 
   CMS IRF-PAI   5A     3.0 
   CMS IRF-PAI   5A     1.5 
   CMS IRF-PAI   5A     1.4 
   CMS LCDS   A0500C     3.00 
   CMS LCDS   A0500C     4.00 
   CMS MDS   A0500C     1.16.1 
   CMS MDS   A0500C     1.15.1 
   CMS MDS   A0500C     1.14.1 
   CMS MDS   X0200C     1.16.1 
   CMS MDS   X0200C     1.15.1 
   CMS MDS   X0200C     1.14.1 
   CMS OASIS   M0040     D 
   CMS OASIS   M0040     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:51 PM
  Attachment Units Required: N
  Long Common Name: Last name
  Shortname: Last name
  Fully Specified Name: Last name: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38743
  Status (Raw): ACTIVE


45395-1   Name suffixName suffixName suffix: Pn: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Name suffix  Pn  Pt  ^Patient  Nom 
  Override Display Name for Form:  (Suffix)
  Long Common Name:  Name suffix
  Shortname:  Name suffix

OBSERVATION ID IN FORM
M0040

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed CLASS to ADMIN.

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.4

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  45981-8   MDS full assessment form - version 2.0MDS full assessment form - version 2.0MDS full assessment form - version 2.0: -: Pt: ^Patient: -:
  46102-0   MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0: -: Pt: ^Patient: -:
  46103-8   MDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-III: -: Pt: ^Patient: -:
  46104-6   MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  46611-0   Mental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment form: -: Pt: ^Patient: -:
  46637-5   Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form: -: Pt: ^Patient: -: RFC assessment
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP75158-3  Name suffix 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  姓名后缀:人员姓名:时间点:^患者:名义型:姓名后缀:人员姓名:时间点:^患者:名义型:

RELATED NAMES
  ADMIN Point in time  
  Nominal Random  
  Person name    

RELATED CODES
Code System Code Code Text Code Version
   CMS LCDS   A0500D     3.00 
   CMS LCDS   A0500D     4.00 
   CMS MDS   A0500D     1.16.1 
   CMS MDS   A0500D     1.15.1 
   CMS MDS   A0500D     1.14.1 
   CMS OASIS   M0040     D 
   CMS OASIS   M0040     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:51 PM
  Attachment Units Required: N
  Long Common Name: Name suffix
  Shortname: Name suffix
  Fully Specified Name: Name suffix: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38744
  Status (Raw): ACTIVE


46499-0   State of residenceState of residenceState of residence: Loc: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
State of residence  Loc  Pt  ^Patient  Nom 
  Override Display Name for Form:  Patient State of Residence
  Long Common Name:  State of residence
  Shortname:  State of residence

TERM DEFINITION/DESCRIPTION(S)
  The state in which the patient is currently residing while receiving care.
 
 

OBSERVATION ID IN FORM
M0050

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.19
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-11.4

EXAMPLE ANSWER LIST    (LL3661-7)  
 
Externally Defined: Y
Source: Centers for Disease Control and Prevention
Link to external list: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.830

MEMBER OF THESE PANELS
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  79191-3   Patient demographics panelPatient demographics panelPatient demographics panel: -: Pt: ^Patient: -:
  80399-9   Occupational exposure information panelOccupational exposure information panelOccupational exposure information panel: -: Pt: ^Patient: -:
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP75672-3  State of residence 
Property   LP6825-6  Loc   [Location] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  居住州:位置:时间点:^患者:名义型:居住州:位置:时间点:^患者:名义型:

RELATED NAMES
  ADMIN Point in time  
  Location Random  
  Nominal    

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0050     D 
   CMS OASIS   M0050     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:51 PM
  Attachment Units Required: N
  Long Common Name: State of residence
  Shortname: State of residence
  Fully Specified Name: State of residence: Loc: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 38413
  Status (Raw): ACTIVE


45401-7   ZIP Code [Location]ZIP Code [Location]ZIP Code: Loc: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
ZIP Code  Loc  Pt  ^Patient  Nom 
  Override Display Name for Form:  Patient ZIP Code
  Long Common Name:  ZIP Code [Location]
  Shortname:  ZIP code

OBSERVATION ID IN FORM
M0060

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-11.5

MEMBER OF THESE PANELS
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  76464-7   American Physical Therapy Association registry panelAmerican Physical Therapy Association registry panelAmerican Physical Therapy Association Registry panel: -: Pt: Organization: -:
  79191-3   Patient demographics panelPatient demographics panelPatient demographics panel: -: Pt: ^Patient: -:
  80399-9   Occupational exposure information panelOccupational exposure information panelOccupational exposure information panel: -: Pt: ^Patient: -:
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP75910-7  ZIP Code 
Property   LP6825-6  Loc   [Location] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  邮政编码:位置:时间点:^患者:名义型:邮政编码:位置:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Codice di avviamento postale:Loc:Pt:^Paziente:Nom:Codice di avviamento postale:Loc:Pt:^Paziente:Nom:

RELATED NAMES
  ADMIN Point in time  
  Location Random  
  Nominal    

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0060     D 
   CMS OASIS   M0060     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:51 PM
  Attachment Units Required: N
  Long Common Name: ZIP Code [Location]
  Shortname: ZIP code
  Fully Specified Name: ZIP Code: Loc: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38751
  Status (Raw): ACTIVE


45397-7   Medicare or comparable numberMedicare or comparable numberMedicare or comparable number: ID: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Medicare or comparable number  ID  Pt  ^Patient  Nom 
  Override Display Name for Form:  Medicare Number
  Long Common Name:  Medicare or comparable number
  Shortname:  Medicare or comparable #

OBSERVATION ID IN FORM
M0063

FORM CODING INSTRUCTIONS
including suffix

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed CLASS to ADMIN.

HL7 ATTRIBUTES
  HL7 Field ID: PID-3

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
  52747-3   Continuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity assessment record and evaluation tool - Expired: -: Pt: ^Patient: -: CARE
  52748-1   Continuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity assessment record and evaluation tool - Home health admission: -: Pt: ^Patient: -: CARE
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  83265-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.4: -: Pt: ^Patient: -: CMS Assessment
  84908-3   Cancer pathology panel - Prostate cancerCancer pathology panel - Prostate cancerCancer pathology panel: -: Pt: Prostate cancer.XXX: -:
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88329-8   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 2.0: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  89963-3   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 3.0: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP75106-2  Medicare or comparable number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医疗保险或类似编号:标识符:时间点:^患者:名义型:医疗保险或类似编号:标识符:时间点:^患者:名义型:

RELATED NAMES
  ADMIN Medicare or comparable # Num
  Ident No Point in time
  Identifier Nominal Random

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   2     2.0 
   CMS IRF-PAI   2     3.0 
   CMS IRF-PAI   2     1.5 
   CMS IRF-PAI   2     1.4 
   CMS LCDS   A0600B     3.00 
   CMS LCDS   A0600B     4.00 
   CMS MDS   A0600B     1.16.1 
   CMS MDS   A0600B     1.15.1 
   CMS MDS   A0600B     1.14.1 
   CMS OASIS   M0063     D 
   CMS OASIS   M0063     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:52 PM
  Attachment Units Required: N
  Long Common Name: Medicare or comparable number
  Shortname: Medicare or comparable #
  Fully Specified Name: Medicare or comparable number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 4
  ID: 38746
  Status (Raw): ACTIVE


45396-9   Social Security number [Identifier]Social Security number [Identifier]Social Security number: ID: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Social Security number  ID  Pt  ^Patient  Nom 
  Override Display Name for Form:  Social Security Number
  Long Common Name:  Social Security number [Identifier]
  Shortname:  Social Security #

OBSERVATION ID IN FORM
M0064

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Updated Class from SURVEY.MDS to ADMIN; Capitalized Security in Component.

HL7 ATTRIBUTES
  HL7 Field ID: PID-19

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  46611-0   Mental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment form: -: Pt: ^Patient: -:
  46637-5   Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form: -: Pt: ^Patient: -: RFC assessment
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
  52748-1   Continuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity assessment record and evaluation tool - Home health admission: -: Pt: ^Patient: -: CARE
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  55168-9   Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  62812-3   PhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitness: -: Pt: ^Patient: -: PhenX
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  76464-7   American Physical Therapy Association registry panelAmerican Physical Therapy Association registry panelAmerican Physical Therapy Association Registry panel: -: Pt: Organization: -:
  83265-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.4: -: Pt: ^Patient: -: CMS Assessment
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88329-8   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 2.0: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  89070-7   ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set: -: Pt: ^Patient: -: ADAPTABLE
  89963-3   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 3.0: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP75647-5  Social Security number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  社会安全号码:标识符:时间点:^患者:名义型:社会安全号码:标识符:时间点:^患者:名义型:

RELATED NAMES
  ADMIN No Point in time
  Ident Nominal Random
  Identifier Num Social security #

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   7     2.0 
   CMS IRF-PAI   7     3.0 
   CMS IRF-PAI   7     1.5 
   CMS IRF-PAI   7     1.4 
   CMS LCDS   A0600A     3.00 
   CMS LCDS   A0600A     4.00 
   CMS MDS   A0600A     1.16.1 
   CMS MDS   A0600A     1.15.1 
   CMS MDS   A0600A     1.14.1 
   CMS MDS   X0500     1.16.1 
   CMS MDS   X0500     1.15.1 
   CMS MDS   X0500     1.14.1 
   CMS OASIS   M0064     D 
   CMS OASIS   M0064     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:52 PM
  Attachment Units Required: N
  Long Common Name: Social Security number [Identifier]
  Shortname: Social Security #
  Fully Specified Name: Social Security number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 38745
  Status (Raw): ACTIVE


45400-9   Medicaid numberMedicaid numberMedicaid number: ID: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Medicaid number  ID  Pt  ^Patient  Nom 
  Override Display Name for Form:  Medicaid Number
  Long Common Name:  Medicaid number
  Shortname:  Medicaid #

OBSERVATION ID IN FORM
M0065

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed CLASS to ADMIN.

HL7 ATTRIBUTES
  HL7 Field ID: PID-3

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
  52747-3   Continuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity assessment record and evaluation tool - Expired: -: Pt: ^Patient: -: CARE
  52748-1   Continuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity assessment record and evaluation tool - Home health admission: -: Pt: ^Patient: -: CARE
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  83265-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.4: -: Pt: ^Patient: -: CMS Assessment
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88329-8   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 2.0: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  89963-3   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 3.0: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP75093-2  Medicaid number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医疗补助计划编号:标识符:时间点:^患者:名义型:医疗补助计划编号:标识符:时间点:^患者:名义型:

RELATED NAMES
  ADMIN Medicaid # Num
  Ident No Point in time
  Identifier Nominal Random

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   3     2.0 
   CMS IRF-PAI   3     3.0 
   CMS IRF-PAI   3     1.5 
   CMS IRF-PAI   3     1.4 
   CMS LCDS   A0700     3.00 
   CMS LCDS   A0700     4.00 
   CMS MDS   A0700     1.16.1 
   CMS MDS   A0700     1.15.1 
   CMS MDS   A0700     1.14.1 
   CMS OASIS   M0065     D 
   CMS OASIS   M0065     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:52 PM
  Attachment Units Required: N
  Long Common Name: Medicaid number
  Shortname: Medicaid #
  Fully Specified Name: Medicaid number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38749
  Status (Raw): ACTIVE


21112-8   Birth dateBirth dateBirth date: TmStp: Pt: ^Patient: Qn:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Birth date  TmStp  Pt  ^Patient  Qn 
  Override Display Name for Form:  Birth Date
  Long Common Name:  Birth date
  Shortname:  Birth date
  DisplayName:  Birth date [Date/time]

OBSERVATION ID IN FORM
M0066

BASIC ATTRIBUTES
  Class/Type: MISC/Lab
  Common Lab Results Rank: #1736
  Common SI Lab Results Rank: #1736
  First Released in Version: 1.0m
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-7.1

MEMBER OF THESE PANELS
  35086-8   Second trimester triple maternal screen panel - Serum or PlasmaSecond trimester triple maternal screen panel - Serum or PlasmaSecond trimester triple maternal screen panel: -: Pt: Ser/​Plas: -:
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  47245-6   HIV treatment form DocumentHIV treatment form DocumentHIV Rx Form: -: Pt: Form: Doc:
  48798-3   First trimester maternal screen panel - Serum or PlasmaFirst trimester maternal screen panel - Serum or PlasmaFirst trimester maternal screen panel: -: Pt: Ser/​Plas: -:
  48799-1   Second trimester penta maternal screen panel - Serum or PlasmaSecond trimester penta maternal screen panel - Serum or PlasmaSecond trimester penta maternal screen panel: -: Pt: Ser/​Plas: -:
  48800-7   Second trimester quad maternal screen panel - Serum or PlasmaSecond trimester quad maternal screen panel - Serum or PlasmaSecond trimester quad maternal screen panel: -: Pt: Ser/​Plas: -:
  48802-3   Alpha-1-Fetoprotein panel - Serum or PlasmaAlpha-1-Fetoprotein panel - Serum or PlasmaAlpha-1-fetoprotein panel: -: Pt: Ser/​Plas: -:
  49085-4   First and Second trimester integrated maternal screen panelFirst and Second trimester integrated maternal screen panelFirst & Second trimester integrated maternal screen panel: -: Pt: ^Patient: -:
  49086-2   First trimester maternal screen with nuchal translucency panelFirst trimester maternal screen with nuchal translucency panelFirst trimester maternal screen with nuchal translucency panel: -: Pt: ^Patient: -:
  49087-0   Maternal screen clinical predictors panelMaternal screen clinical predictors panelMaternal screen clinical predictors panel: -: Pt: ^Patient: -:
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
  52747-3   Continuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity assessment record and evaluation tool - Expired: -: Pt: ^Patient: -: CARE
  52748-1   Continuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity assessment record and evaluation tool - Home health admission: -: Pt: ^Patient: -: CARE
  54127-6   US Surgeon General family health portrait [USSG-FHT]US Surgeon General family health portrait [USSG-FHT]US Surgeon General family health portrait: -: Pt: ^Patient: -: USSG-FHT
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  55140-8   Vaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System panel: -: Pt: ^Patient: -:
  55168-9   Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  58735-2   Alpha-1-Fetoprotein panel - Amniotic fluidAlpha-1-Fetoprotein panel - Amniotic fluidAlpha-1-fetoprotein panel: -: Pt: Amnio fld: -:
  60687-1   Test of Infant Motor Performance Version 5.1Test of Infant Motor Performance Version 5.1Test of Infant Motor Performance Version 5.1: -: Pt: ^Patient: -:
  61129-3   PhenX domain - DemographicsPhenX domain - DemographicsPhenX domain - Demographics: -: Pt: ^Patient: -: PhenX
  62263-9   PhenX domain - Nutrition and dietary supplementsPhenX domain - Nutrition and dietary supplementsPhenX domain - Nutrition and dietary supplements: -: Pt: ^Patient: -: PhenX
  62611-9   PhenX domain - RespiratoryPhenX domain - RespiratoryPhenX domain - Respiratory: -: Pt: ^Patient: -: PhenX
  62812-3   PhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitness: -: Pt: ^Patient: -: PhenX
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  70182-1   NIH Stroke ScaleNIH Stroke ScaleNIH stroke scale: -: Pt: ^Patient: -: NIHSS
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  74495-3   Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]Patient safety event report - hospital - healthcare event reporting form - version 1.2: -: Pt: ^Patient: -: AHRQ
  75199-0   Congenital syphilis case investigation and report panel [CDC.CS]Congenital syphilis case investigation and report panel [CDC.CS]Congenital syphilis case investigation and report panel: -: Pt: ^Patient: -: CDC.CS
  75854-0   PCORnet common data model set - version 1.0 [PCORnet]PCORnet common data model set - version 1.0 [PCORnet]PCORnet common data model set - version 1.0: -: Pt: ^Patient: -: PCORnet
  76464-7   American Physical Therapy Association registry panelAmerican Physical Therapy Association registry panelAmerican Physical Therapy Association Registry panel: -: Pt: Organization: -:
  83265-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.4: -: Pt: ^Patient: -: CMS Assessment
  85057-8   PCORnet Common Data Model set - version 3.0 [PCORnet]PCORnet Common Data Model set - version 3.0 [PCORnet]PCORnet common data model set - version 3.0: -: Pt: ^Patient: -: PCORnet
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86636-8   Family planning report - FPAR 2.0 setFamily planning report - FPAR 2.0 setFamily planning report - FPAR 2.0 set: -: Pt: ^Patient: -:
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88329-8   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 2.0: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  89070-7   ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set: -: Pt: ^Patient: -: ADAPTABLE
  89963-3   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 3.0: -: Pt: ^Patient: -: CMS Assessment

PARTS

Part Type    Part No.  Part Name   
Component   LP19498-2  Birth date 
Property   LP6882-7  TmStp   [Time Stamp (Date and Time)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  出生日期:时间戳:时间点:^患者:定量型:出生日期:时间戳:时间点:^患者:定量型:
  Dutch (NETHERLANDS)  (From: Regenstrief-generated full translation based on part translation provided by NVKC, Dutch Society for Clinical Chemistry and Laboratory Medicine, The Netherlands)
 
  geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:
  French (FRANCE)  (From: ASIP Santé (Agence des systèmes d'information partagés de santé))
 
  Date de naissance:Horodatage:Ponctuel:Patient:Numérique:nullDate de naissance:Horodatage:Ponctuel:Patient:Numérique:nullDate de naissance [Horodatage] Patient ; Numérique
  German (GERMANY)  (From: Institute for Medical Documentation and Information (DIMDI))
 
  Geburtsdatum:ZtStpl:Pkt:^Patient:Qn:Geburtsdatum:ZtStpl:Pkt:^Patient:Qn:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Data di nascita:TmStp:Pt:^Paziente:Qn:Data di nascita:TmStp:Pt:^Paziente:Qn:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Data de nascimento:TmStp:Pt:^Paciente:Qn:Data de nascimento:TmStp:Pt:^Paciente:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Рождения дата:TmStp:ТчкВрм:^Пациент:Колич:Рождения дата:TmStp:ТчкВрм:^Пациент:Колич:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn:Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn:
  Turkish (TURKEY)  (From: Regenstrief-generated full translation based on part translation provided by LOINC Turkish Translation Group and the Turkish Ministry of Health)
 
  Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:

RELATED NAMES
  Birthdate Point in time Random
  Date and time QNT Time stamp
  Date of birth Quan Timestamp
  DOB Quant  
  MISC Quantitative  

EXAMPLE UNITS
  Unit  Source Type
  {mm/dd/yyyy}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {mm/dd/yyyy} 

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   6     3.0 
   CMS IRF-PAI   6     1.5 
   CMS IRF-PAI   6     1.4 
   CMS IRF-PAI   6     2.0 
   CMS LCDS   A0900     4.00 
   CMS LCDS   A0900     3.00 
   CMS MDS   A0900     1.15.1 
   CMS MDS   A0900     1.14.1 
   CMS MDS   A0900     1.16.1 
   CMS MDS   X0400     1.15.1 
   CMS MDS   X0400     1.14.1 
   CMS MDS   X0400     1.16.1 
   CMS OASIS   M0066     C2 
   CMS OASIS   M0066     D 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:45:52 PM
  Attachment Units Required: Y
  Long Common Name: Birth date
  Shortname: Birth date
  Fully Specified Name: Birth date: TmStp: Pt: ^Patient: Qn:
     
  Component Word Count: 2
  ID: 12108
  Status (Raw): ACTIVE


46098-0   SexSexSex: Type: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Sex  Type  Pt  ^Patient  Nom 
  Override Display Name for Form:  Gender
  Long Common Name:  Sex
  Shortname:  Sex

PART DEFINITION/DESCRIPTION(S)
  Part: Sex
  In LOINC, sex refers to the biological sex of an organism, which is most commonly determined based on anatomy and physiology or genetic (chromosome) analysis. Our definition is based on the World Health Organization's definition of sex and gender: sex (male, female) refers to biological and physiological characteristics, and gender (masculine, feminine) refers to socially constructed roles, behaviors, activities, and attributes. (http://www.who.int/gender/whatisgender/en)
 
 

OBSERVATION ID IN FORM
M0069

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed Component from 'Gender' to 'Sex' to align with the World Health Organization (WHO) definition of this concept.

HL7 ATTRIBUTES
  HL7 Field ID: PID-8

EXAMPLE ANSWER LIST    (LL1-9)  
 
Source: Regenstrief LOINC
  SEQ#        Answer        Code         Answer ID    
  1       Male       1       LA2-8  
  2       Female       2       LA3-6  

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  47245-6   HIV treatment form DocumentHIV treatment form DocumentHIV Rx Form: -: Pt: Form: Doc:
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
&nbs