106935-0 Administrative Information

Observation ID in Form

A

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component

Administrative information

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

Administrative information [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.80

Last Updated

Version 2.80 (ADD)

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Admin info
• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

58198-3 Type of Record

Observation ID in Form

A0050

Fully-Specified Name

Component

Type of record

Property

Type

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Type of record during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.77 (MAJ)

Change Reason

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 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.

Order vs. Observation

Observation

Example Answer List LL861-6

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Nominal
• Report period
• Survey
• Typ

Related Codes

54581-4 Facility Provider Numbers

Observation ID in Form

A0100

Fully-Specified Name

Component

Facility provider numbers

Property

-

Time

Pt

System

Facility

Scale

-

Method

Long Common Name

Facility provider numbers

Basic Attributes

Class

PANEL.ADMIN

Type

Clinical

First Released

Version 2.27

Last Updated

Version 2.74 (PANEL)

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Facility provider #s
• Pan
• Panel
• PANEL.ADMIN
• Panl
• Pnl
• Point in time
• Random

Related Codes

76468-8 National Provider Identifier (NPI)

Observation ID in Form

A0100A

Fully-Specified Name

Component

National provider ID

Property

ID

Time

Pt

System

Organization

Scale

Nom

Method

Long Common Name

Organization NPI

Basic Attributes

Class

ADMIN.ID

Type

Clinical

First Released

Version 2.54

Last Updated

Version 2.66 (MIN)

Order vs. Observation

Both

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Ident
• Identifier
• Intradermal
• Nominal
• NPI
• Point in time
• Random

Related Codes

69417-4 CMS Certification Number (CCN)

Observation ID in Form

A0100B

Fully-Specified Name

Component

CMS certification number

Property

ID

Time

Pt

System

Facility

Scale

Nom

Method

Long Common Name

CMS certification number (CCN) for Facility

Basic Attributes

Class

ADMIN.FACILITY

Type

Clinical

First Released

Version 2.38

Last Updated

Version 2.66 (MIN)

Change Reason

Removed "-CCN" from COMPONENT and added "(CCN)" to the Long Common Name because the abbreviation is redundant in the formal name.

Order vs. Observation

Observation

Member of these Panels

Language Variants Get Info

Related Names

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

Related Codes

106631-5 Site of Service at Admission

Observation ID in Form

A0215

Fully-Specified Name

Component

Site of Service at Admission

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Site of Service at Admission during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.80

Last Updated

Version 2.80 (ADD)

Order vs. Observation

Observation

Normative Answer List LL6940-2

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Nominal
• Report period
• Survey

52455-3 Admission Date

Observation ID in Form

A0220

Fully-Specified Name

Component

Admission date

Property

TmStp

Time

Pt

System

^Patient

Scale

Qn

Method

Long Common Name

Admission date

Basic Attributes

Class

ADMIN

Type

Clinical

First Released

Version 2.26

Last Updated

Version 2.63 (MIN)

Change Reason

Updated Class from SURVEY.CARE to ADMIN

Order vs. Observation

Both

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Date and time
• Point in time
• QNT
• Quan
• Quant
• Quantitative
• Random
• Time stamp
• Timestamp

Example Units

Related Codes

52454-6 Reason for Record

Observation ID in Form

A0250

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Reason for assessment

Property

Find

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Reason for assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.26

Last Updated

Version 2.63 (MIN)

Order vs. Observation

Observation

Normative Answer List LL6941-0

Member of these Panels

Related Names

• Finding
• Findings
• Nominal
• Point in time
• Random
• Survey

Related Codes

54503-8 Legal Name of Patient

Observation ID in Form

A0500

Fully-Specified Name

Component

Legal name of patient

Property

-

Time

Pt

System

^Patient

Scale

-

Method

Long Common Name

Legal name of patient

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.67 (PANEL)

Change Reason

Change "resident" to "patient"

Order vs. Observation

Order

Panel Type

Panel

Member of these Panels

Related Names

• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Point in time
• Random
• Survey

Related Codes

45392-8 First name

Observation ID in Form

A0500A

Fully-Specified Name

Component

First name

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Patient First (Given) name

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70 (MIN)

Change Reason

Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.2

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Given name
• Nominal
• Person name
• Point in time
• Random

Related Codes

45393-6 Middle initial

Observation ID in Form

A0500B

Fully-Specified Name

Component

Middle initial

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66 (MIN)

Change Reason

Change PROPERTY from ID to Pn to match convention for other name terms

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.3

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Nominal
• Person name
• Point in time
• Random

Related Codes

45394-4 Last name

Observation ID in Form

A0500C

Fully-Specified Name

Component

Last name

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Patient Last (Family) name

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70 (MIN)

Change Reason

Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.1

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Nominal
• Past
• Person name
• Point in time
• Random

Related Codes

45395-1 Suffix

Observation ID in Form

A0500D

Fully-Specified Name

Component

Name suffix

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Patient Name suffix

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70 (MIN)

Change Reason

Release 2.70: SHORTNAME: Added "Patient" to distinguish from the general "Name suffix" term that does not distinguish between various subjects (patient, provider, contact, etc.).; LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Name suffix" term that does not distinguish between various subjects (patient, provider, contact, etc.).; Previous Releases: Changed CLASS to ADMIN

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.4

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Nominal
• Person name
• Point in time
• Random

Related Codes

106632-3 Patient ZIP Code

Observation ID in Form

A0550

Fully-Specified Name

Component

Patient ZIP Code

Property

Loc

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Patient ZIP Code during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.80

Last Updated

Version 2.80 (ADD)

Order vs. Observation

Observation

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Location
• Nominal
• Report period
• Survey

45966-9 Social Security and Medicare numbers

Observation ID in Form

A0600

Fully-Specified Name

Component

Social Security & Medicare numbers

Property

-

Time

Pt

System

^Patient

Scale

-

Method

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.17

Last Updated

Version 2.67 (PANEL)

Change Reason

Scale was updated from "Set" to "-" adhere to current panel conventions;Changed CLASS to PANEL.SURVEY.CMS because term is used across CMS assessments

Order vs. Observation

Order

Panel Type

Organizer

HL7^® Attributes

HL7^® Field ID

PID-3;PID-19

Member of these Panels

Related Names

• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Point in time
• Random
• Social Security & Medicare #s
• Survey

Related Codes

45396-9 Social Security Number

Observation ID in Form

A0600A

Fully-Specified Name

Component

Social Security number

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Social Security number [Identifier]

Basic Attributes

Class

ADMIN.PATIENT.ID

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.73 (MIN)

Change Reason

Updated Class from SURVEY.MDS to ADMIN; Capitalized Security in Component

Order vs. Observation

Both

Common Test Rank Get Info

6170

HL7^® Attributes

HL7^® Field ID

PID-19

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• ADMIN.PATIENT.ID
• Ident
• Identifier
• Intradermal
• No
• Nominal
• Num
• Point in time
• Random
• Social Security #

Related Codes

45397-7 Medicare Number

Observation ID in Form

A0600B

Fully-Specified Name

Component

Medicare or comparable number

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Medicare or comparable number

Basic Attributes

Class

ADMIN.PATIENT.ID

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66 (MIN)

Change Reason

Changed CLASS to ADMIN

Order vs. Observation

Both