Version 2.80

106665-3 Was the patient screened for pain?

Observation ID in Form

J0900A

Skip Logic

If 0, Skip to J0905, Pain Active Problem

Fully-Specified Name

Component
Was the patient screened for pain
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Was the patient screened for pain 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 LL251-0

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

Member of these Panels

LOINC Long Common Name
106623-2 Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]

106666-1 Date of first screening for pain

Observation ID in Form

J0900B

Fully-Specified Name

Component
Date of first screening for pain
Property
Date
Time
RptPeriod
System
^Patient
Scale
Qn
Method
CMS Assessment

Long Common Name

Date of first screening for pain 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

LOINC Long Common Name
106623-2 Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]

Example Units

Unit Source
{mm/dd/yyyy} Example UCUM Units

106667-9 The patient’s pain severity was:

Observation ID in Form

J0900C

Fully-Specified Name

Component
Patient's pain severity
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Patient's pain severity 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 LL6958-4

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 0 LA137-2
Mild 1 LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value) 2 LA6751-7
Severe 3 LA6750-9
Pain not rated 9 LA34607-4

Member of these Panels

LOINC Long Common Name
106623-2 Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]

106669-5 Type of standardized pain tool used:

Observation ID in Form

J0900D

Fully-Specified Name

Component
Type of standardized pain tool used
Property
Find
Time
RptPeriod
System
^Patient
Scale
Nom
Method
CMS Assessment

Long Common Name

Type of standardized pain tool used 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 LL6959-2

Answer Code Score Answer ID
Nurmeric 1 LA34570-4
Verbal descriptor 2 LA34608-2
Patient visual 3 LA34609-0
Staff observation 4 LA34610-8
No standardized tool used 9 LA34611-6

Member of these Panels

LOINC Long Common Name
106623-2 Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]