55040-0 |
Number of D physician examined the patient in last 14D |
NRat |
^Patient |
14D |
Qn |
CMS Assessment |
|
ACTIVE |
Number of days physician examined the patient in last 14 days [CMS Assessment] |
|
MAJ |
DefinitionDescription |
|
|
days/14days |
|
|
|
|
|
|
SURVEY.CMS |
|
55040-0 |
|
CMS Assessment |
|
|
Observation |
|
|
|
0 |
|
|
|
|
N |
|
# days physician examined the patient in last 14D; Centers for Medicare and Medicaid Assessment; Count/time; Dextro; No; nRate; Num; Number rate; Number Rate = Count/Time; Past; QNT; Quan; Quant; Quantitative; Survey |
2.63 |
2.27 |
|
|
|
|
|
|
|
d/(14.d) |
|
|
Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.; Changed Property from Find to NRat as decided by the CMS PAC team |
0 |
55041-8 |
Number of D physician orders changed in last 14D |
NRat |
^Patient |
14D |
Qn |
CMS Assessment |
|
ACTIVE |
Number of days physician orders changed in last 14 days [CMS Assessment] |
|
MAJ |
DefinitionDescription |
|
|
days/14days |
|
|
|
|
|
|
SURVEY.CMS |
|
55041-8 |
|
CMS Assessment |
|
|
Observation |
|
|
|
0 |
|
|
|
|
N |
|
# days physician orders changed in last 14D; Centers for Medicare and Medicaid Assessment; Count/time; Dextro; No; nRate; Num; Number rate; Number Rate = Count/Time; Past; QNT; Quan; Quant; Quantitative; Survey |
2.63 |
2.27 |
|
|
|
|
|
|
|
d/(14.d) |
|
|
Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.; Changed Property from Find to NRat as decided by the CMS PAC team |
0 |
55042-6 |
Restraints |
- |
^Patient |
Pt |
- |
|
|
ACTIVE |
Restraints |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
PANEL.SURVEY.MDS |
|
55042-6 |
|
|
|
|
|
|
|
|
0 |
|
|
|
|
N |
|
Pan; Panel; Panl; Pnl; Point in time; Random; Survey; SURVEY.MDS |
2.68 |
2.27 |
|
Panel |
|
|
|
|
|
|
|
|
|
0 |
55043-4 |
Physical restraints |
- |
^Patient |
Pt |
- |
|
|
ACTIVE |
Physical restraints |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
PANEL.SURVEY.MDS |
|
55043-4 |
|
|
|
|
|
|
|
|
0 |
|
|
|
|
N |
|
Pan; Panel; Panl; Pnl; Point in time; Random; Survey; SURVEY.MDS |
2.68 |
2.27 |
|
Panel |
|
|
|
|
|
|
|
|
|
0 |
55044-2 |
Physical restraints used in bed - bed rail of any type |
Find |
^Patient |
Pt |
Ord |
MDSv3 |
|
ACTIVE |
Physical restraints used in bed - bed rail of any type [MDSv3] |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.MDS |
|
55044-2 |
|
MDSv3 |
|
|
|
|
|
|
0 |
|
|
|
|
N |
|
Finding; Findings; MDS version 3; Ordinal; Point in time; QL; Qual; Qualitative; Random; Screen; Survey; SURVEY.MDS |
2.44 |
2.27 |
|
|
|
|
|
|
|
|
|
|
|
0 |
55045-9 |
Physical restraints used in bed - trunk restraint |
Find |
^Patient |
Pt |
Ord |
MDSv3 |
|
ACTIVE |
Physical restraints used in bed - trunk restraint [MDSv3] |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.MDS |
|
55045-9 |
|
MDSv3 |
|
|
|
|
|
|
0 |
|
|
|
|
N |
|
Finding; Findings; MDS version 3; Ordinal; Point in time; QL; Qual; Qualitative; Random; Screen; Survey; SURVEY.MDS |
2.44 |
2.27 |
|
|
|
|
|
|
|
|
|
|
|
0 |
55046-7 |
Physical restraints used in bed - limb restraint |
Find |
^Patient |
Pt |
Ord |
MDSv3 |
|
ACTIVE |
Physical restraints used in bed - limb restraint [MDSv3] |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.MDS |
|
55046-7 |
|
MDSv3 |
|
|
|
|
|
|
0 |
|
|
|
|
N |
|
Finding; Findings; MDS version 3; Ordinal; Point in time; QL; Qual; Qualitative; Random; Screen; Survey; SURVEY.MDS |
2.44 |
2.27 |
|
|
|
|
|
|
|
|
|
|
|
0 |
55047-5 |
Physical restraints used in bed - other |
Find |
^Patient |
Pt |
Ord |
MDSv3 |
|
ACTIVE |
Physical restraints used in bed - other [MDSv3] |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.MDS |
|
55047-5 |
|
MDSv3 |
|
|
|
|
|
|
0 |
|
|
|
|
N |
|
Finding; Findings; MDS version 3; Ordinal; Othr; Point in time; QL; Qual; Qualitative; Random; Screen; Survey; SURVEY.MDS |
2.44 |
2.27 |
|
|
|
|
|
|
|
|
|
|
|
0 |
55048-3 |
Physical restraints used in chair or out of bed - trunk restraint |
Find |
^Patient |
Pt |
Ord |
MDSv3 |
|
ACTIVE |
Physical restraints used in chair or out of bed - trunk restraint [MDSv3] |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.MDS |
|
55048-3 |
|
MDSv3 |
|
|
|
|
|
|
0 |
|
|
|
|
N |
|
Finding; Findings; MDS version 3; Ordinal; Point in time; QL; Qual; Qualitative; Random; Screen; Survey; SURVEY.MDS |
2.44 |
2.27 |
|
|
|
|
|
|
|
|
|
|
|
0 |
55049-1 |
Physical restraints used in chair or out of bed - limb restraint |
Find |
^Patient |
Pt |
Ord |
MDSv3 |
|
ACTIVE |
Physical restraints used in chair or out of bed - limb restraint [MDSv3] |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.MDS |
|
55049-1 |
|
MDSv3 |
|
|
|
|
|
|
0 |
|
|
|
|
N |
|
Finding; Findings; MDS version 3; Ordinal; Point in time; QL; Qual; Qualitative; Random; Screen; Survey; SURVEY.MDS |
2.44 |
2.27 |
|
|
|
|
|
|
|
|
|
|
|
0 |
5505-3 |
CD56 |
ACnc |
WBC |
Pt |
Qn |
|
|
DEPRECATED |
Deprecated CD56 cells/100 cells in Blood |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
CELLMARK |
|
5505-3 |
|
|
|
|
|
|
|
|
0 |
Deprecated CD56 WBC-aCnc |
|
|
|
|
|
Arbitrary concentration; CELL MARKERS; Leu19; Leu-19; Leukocytes; NCAM; Neural cell adhesion molecule; NKH1; Point in time; QNT; Quan; Quant; Quantitative; Random; WBCs; White blood cells |
2.69 |
1 |
|
|
|
AssociatedObservations |
EXTERNAL_COPYRIGHT_LINK |
HL7_ATTACHMENT_STRUCTURE |
CONSUMER_NAME |
EXAMPLE_UCUM_UNITS |
STATUS_REASON |
STATUS_TEXT |
CHANGE_REASON_PUBLIC |
COMMON_TEST_RANK |
COMMON_ORDER_RANK |
55050-9 |
Physical restraints used in chair or out of bed - chair prevents rising |
Find |
^Patient |
Pt |
Ord |
MDSv3 |
|
ACTIVE |
Physical restraints used in chair or out of bed - chair prevents rising [MDSv3] |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.MDS |
|
55050-9 |
|
MDSv3 |
|
|
|
|
|
|
0 |
|
|
|
|
N |
|
Finding; Findings; MDS version 3; Ordinal; Point in time; QL; Qual; Qualitative; Random; Screen; Survey; SURVEY.MDS |
2.44 |
2.27 |
|
|
|
|
|
|
|
|
|
|
|
0 |
55051-7 |
Physical restraints used in chair or out of bed - other |
Find |
^Patient |
Pt |
Ord |
MDSv3 |
|
ACTIVE |
Physical restraints used in chair or out of bed - other [MDSv3] |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.MDS |
|
55051-7 |
|
MDSv3 |
|
|
|
|
|
|
0 |
|
|
|
|
N |
|
Finding; Findings; MDS version 3; Ordinal; Othr; Point in time; QL; Qual; Qualitative; Random; Screen; Survey; SURVEY.MDS |
2.44 |
2.27 |
|
|
|
|
|
|
|
|
|
|
|
0 |
55052-5 |
Participation in assessment and goal setting |
- |
^Patient |
Pt |
- |
|
|
ACTIVE |
Participation in assessment and goal setting |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
PANEL.SURVEY.MDS |
|
55052-5 |
|
|
|
|
|
|
|
|
0 |
|
|
|
|
N |
|
Pan; Panel; Panl; Pnl; Point in time; Random; Survey; SURVEY.MDS |
2.68 |
2.27 |
|
Panel |
|
|
|
|
|
|
|
|
|
0 |
55053-3 |
Participation in assessment |
- |
^Patient |
Pt |
- |
|
|
ACTIVE |
Participation in assessment |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
PANEL.SURVEY.CMS |
|
55053-3 |
|
|
|
|
Subset |
|
|
|
0 |
|
|
|
|
N |
|
Pan; Panel; PANEL.SURVEY.CMS; Panl; Pnl; Point in time; Random; Survey |
2.63 |
2.27 |
|
Organizer |
|
|
|
|
|
|
|
|
Changed CLASS from SURVEY.MDS to PANEL.SURVEY.CMS |
0 |
55054-1 |
Participation in assessment |
Find |
^Patient |
RptPeriod |
Ord |
CMS Assessment |
|
ACTIVE |
Participation in assessment during assessment period [CMS Assessment] |
|
MAJ |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.CMS |
|
55054-1 |
|
CMS Assessment |
|
|
Observation |
|
|
|
0 |
|
|
|
|
N |
|
Centers for Medicare and Medicaid Assessment; Finding; Findings; Ordinal; Ql; Qual; Qualitative; Report period; Screen; Survey |
2.77 |
2.27 |
|
|
|
|
|
|
|
|
|
|
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated Method from MDSv3 since this term is used across CMS Assessment.;Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments |
0 |
55055-8 |
Return to community |
Find |
^Patient |
Pt |
Ord |
MDSv3 |
|
ACTIVE |
Return to community [MDSv3] |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.MDS |
|
55055-8 |
|
MDSv3 |
|
|
|
|
|
|
0 |
|
|
MDS_Q0200 |
Return to Community. Ask resident (or family or significant other if resident unable to respond): "Do you want to talk to someone about the possibility of returning to the community?" |
N |
|
Finding; Findings; MDS version 3; Ordinal; Point in time; QL; Qual; Qualitative; Random; Screen; Survey; SURVEY.MDS |
2.44 |
2.27 |
|
|
|
|
|
|
|
|
|
|
|
0 |
55056-6 |
Resident's overall goals |
- |
^Patient |
RptPeriod |
- |
CMS Assessment |
|
ACTIVE |
Resident's overall goals during assessment period [CMS Assessment] |
|
PANEL |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
PANEL.SURVEY.MDS |
|
55056-6 |
|
CMS Assessment |
|
|
Subset |
|
|
|
0 |
|
|
|
|
N |
|
Centers for Medicare and Medicaid Assessment; Pan; Panel; Panl; Pnl; Report period; S prime; Survey; SURVEY.MDS |
2.78 |
2.27 |
|
Organizer |
|
|
|
|
|
|
|
|
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. |
0 |
55057-4 |
Goals established during assessment process |
Find |
^Patient |
RptPeriod |
Nom |
CMS Assessment |
|
ACTIVE |
Goals established during assessment process during assessment period [CMS Assessment] |
|
MAJ |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.CMS |
|
55057-4 |
|
CMS Assessment |
|
|
Observation |
|
|
|
0 |
|
|
|
|
N |
|
Centers for Medicare and Medicaid Assessment; Finding; Findings; Nominal; Report period; Survey |
2.77 |
2.27 |
|
|
|
|
|
|
|
|
|
|
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Release 2.67: ANSWER_LIST_TYPE: Answer List Type updated to Example to accommodate override answer lists; Previous Releases: Changed Scale from Ord to Nom to reflect answer list. Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. |
0 |
55058-2 |
Information source for resident's overall goal |
Type |
^Patient |
RptPeriod |
Nom |
CMS Assessment |
|
ACTIVE |
Information source for resident's overall goal during assessment period [CMS Assessment] |
|
MAJ |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.CMS |
|
55058-2 |
|
CMS Assessment |
|
|
Observation |
|
|
|
0 |
|
|
|
|
N |
|
Centers for Medicare and Medicaid Assessment; Nominal; Report period; S prime; Source of info; Srce; Survey; Typ |
2.77 |
2.27 |
|
|
|
|
|
|
|
|
|
|
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Added clarifying text to Component to better represent the form question. Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. |
0 |
55059-0 |
Therapy supplement for Medicare PPS |
- |
^Patient |
Pt |
- |
|
|
DEPRECATED |
Deprecated Therapy supplement for Medicare PPS |
|
DEL |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.MDS |
|
55059-0 |
|
|
|
|
|
|
|
|
0 |
|
|
|
|
N |
|
Point in time; Random; Survey; SURVEY.MDS |
2.36 |
2.27 |
|
|
|
AssociatedObservations |
EXTERNAL_COPYRIGHT_LINK |
HL7_ATTACHMENT_STRUCTURE |
CONSUMER_NAME |
EXAMPLE_UCUM_UNITS |
STATUS_REASON |
STATUS_TEXT |
CHANGE_REASON_PUBLIC |
COMMON_TEST_RANK |
COMMON_ORDER_RANK |
5506-1 |
CD57 |
ACnc |
WBC |
Pt |
Qn |
|
|
DEPRECATED |
Deprecated CD57 cells/100 cells in Blood |
|
MIN |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
CELLMARK |
|
5506-1 |
|
|
|
|
|
|
|
|
0 |
Deprecated CD57 WBC-aCnc |
|
|
|
|
|
Arbitrary concentration; CELL MARKERS; HNK1; Leu7; Leu-7; Leukocytes; Point in time; QNT; Quan; Quant; Quantitative; Random; WBCs; White blood cells |
2.69 |
1 |
|
|
|
AssociatedObservations |
EXTERNAL_COPYRIGHT_LINK |
HL7_ATTACHMENT_STRUCTURE |
CONSUMER_NAME |
EXAMPLE_UCUM_UNITS |
STATUS_REASON |
STATUS_TEXT |
CHANGE_REASON_PUBLIC |
COMMON_TEST_RANK |
COMMON_ORDER_RANK |
55060-8 |
Ordered therapies |
- |
^Patient |
Pt |
- |
|
|
DEPRECATED |
Deprecated Ordered therapies |
|
DEL |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.MDS |
|
55060-8 |
|
|
|
|
|
|
|
|
0 |
|
|
|
|
N |
|
Point in time; Random; Survey; SURVEY.MDS |
2.36 |
2.27 |
|
|
|
AssociatedObservations |
EXTERNAL_COPYRIGHT_LINK |
HL7_ATTACHMENT_STRUCTURE |
CONSUMER_NAME |
EXAMPLE_UCUM_UNITS |
STATUS_REASON |
STATUS_TEXT |
CHANGE_REASON_PUBLIC |
COMMON_TEST_RANK |
COMMON_ORDER_RANK |
55061-6 |
Therapies ordered to begin in first 14D of stay |
Find |
^Patient |
Pt |
Ord |
MDSv3 |
|
DEPRECATED |
Deprecated Therapies ordered to begin in first 14D of stay MDSv3 |
|
DEL |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.MDS |
|
55061-6 |
|
MDSv3 |
|
|
|
|
|
|
0 |
|
|
MDSv3.T0100A |
Has the physician ordered any of the following therapies to begin in first 14 days of stay: physical therapy, occupational therapy, or speech/language pathology service? |
N |
|
Finding; Findings; MDS version 3; Ordinal; Point in time; QL; Qual; Qualitative; Random; Screen; Survey; SURVEY.MDS |
2.36 |
2.27 |
|
|
|
AssociatedObservations |
EXTERNAL_COPYRIGHT_LINK |
HL7_ATTACHMENT_STRUCTURE |
CONSUMER_NAME |
EXAMPLE_UCUM_UNITS |
STATUS_REASON |
STATUS_TEXT |
CHANGE_REASON_PUBLIC |
COMMON_TEST_RANK |
COMMON_ORDER_RANK |
55062-4 |
Therapy evaluations completed |
Find |
^Patient |
Pt |
Ord |
MDSv3 |
|
DEPRECATED |
Deprecated Therapy evaluations completed MDSv3 |
|
DEL |
DefinitionDescription |
|
|
|
|
|
|
|
|
|
SURVEY.MDS |
|
55062-4 |
|
MDSv3 |
|
|
|
|
|
|
0 |
|
|
MDSv3.T0100B |
Were therapy evaluations completed? |
N |
|
Finding; Findings; MDS version 3; Ordinal; Point in time; QL; Qual; Qualitative; Random; Screen; Survey; SURVEY.MDS; Therapy evals completed |
2.36 |
2.27 |
|
|
|
AssociatedObservations |
EXTERNAL_COPYRIGHT_LINK |
HL7_ATTACHMENT_STRUCTURE |
CONSUMER_NAME |
EXAMPLE_UCUM_UNITS |
STATUS_REASON |
STATUS_TEXT |
CHANGE_REASON_PUBLIC |
COMMON_TEST_RANK |
COMMON_ORDER_RANK |