Version 2.80

45466-0 Legal guardian [Minimum Data Set]

Observation ID in Form

A9a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See A9g consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Legal guardian
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50 (MIN)

Normative Answer List LL50-6

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
UTD LA1-0

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0

45467-8 Other legal oversight [Minimum Data Set]

Observation ID in Form

A9b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See A9g consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Other legal oversight
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50 (MIN)

Normative Answer List LL50-6

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
UTD LA1-0

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0

45468-6 Health care durable power attorney [Minimum Data Set]

Observation ID in Form

A9c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See A9g consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Health care durable power attorney
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50 (MIN)

Normative Answer List LL50-6

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
UTD LA1-0

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0

45469-4 Financial durable power attorney [Minimum Data Set]

Observation ID in Form

A9d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See A9g consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Financial durable power attorney
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50 (MIN)

Normative Answer List LL50-6

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
UTD LA1-0

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0

45470-2 Family member responsible [Minimum Data Set]

Observation ID in Form

A9e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See A9g consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Family member responsible
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50 (MIN)

Normative Answer List LL50-6

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
UTD LA1-0

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0

45471-0 Patient responsible for self [Minimum Data Set]

Observation ID in Form

A9f

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See A9g consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Patient responsible for self
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50 (MIN)

Normative Answer List LL50-6

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
UTD LA1-0

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0

45472-8 Responsibility - none of above [Minimum Data Set]

Observation ID in Form

A9g

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. If REC_TYPE is A,AM,AO,Y,YM, or YO, then A9g must be 0 (zero) if any A9a thru A9f = 1; A9g must be 1 if each A9a thru A9f = 0 (zero); A9g must be - if any A9a thru A9f = - and no A9a thru A9f = 1.

2. If REC_TYPE is Q, QM, or QO and A9g is active by State option, then A9g must be 0 (zero) if any active (State option) A9a thru A9f = 1; A9g must be 1 if each active (State option) A9a thru A9f = 0 (zero); A9g must be - if any active (State option) A9a thru A9f = - and no active (State option) A9a thru A9f = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Responsibility - none of above
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50 (MIN)

Normative Answer List LL50-6

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
UTD LA1-0

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0