Version 2.80

46105-3 Problem conditions Set

Term Description

(Check all problems present in last 7 days unless other time frame is indicated)

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Problem conditions
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.52 (MIN)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

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

46031-1 Indicators of fluid status Set

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Indicators of fluid status
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.52 (MIN)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45694-7 Weight gain or loss of 3+ Lbs. within a 7 day period [Minimum Data Set]

Observation ID in Form

J1a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Weight gain or loss of 3+ Lbs. within a 7D period
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.61 (NAM)
Change Reason
Corrected typo from "7 period" to "7D period" and updated the Timing to match

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
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45695-4 Inability to lie flat due to shortness of breath [Minimum Data Set]

Observation ID in Form

J1b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Inability to lie flat due to shortness of breath
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
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45696-2 Dehydrated [Minimum Data Set]

Observation ID in Form

J1c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Dehydrated
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 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
45981-8 Deprecated MDS full assessment form - version 2.0
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
54580-6 Deprecated Minimum Data Set - version 3.0

45697-0 Insufficient fluid; did NOT consume all or almost all liquids provided during last 3 days [Minimum Data Set]

Observation ID in Form

J1d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Insufficient fluid; did NOT consume all or almost all liquids provided during last 3D
Property
Find
Time
3D
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.54 (MAJ)

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
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

46032-9 Other indicators Set

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Other indicators
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.52 (MIN)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

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

45698-8 Delusions [Minimum Data Set]

Observation ID in Form

J1e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Delusions
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
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45699-6 Dizziness or vertigo [Minimum Data Set]

Observation ID in Form

J1f

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Dizziness or vertigo
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

45700-2 Edema [Minimum Data Set]

Observation ID in Form

J1g

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Edema
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
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45701-0 Fever [Minimum Data Set]

Observation ID in Form

J1h

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Fever
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 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
45981-8 Deprecated MDS full assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
54580-6 Deprecated Minimum Data Set - version 3.0

45702-8 Hallucinations [Minimum Data Set]

Observation ID in Form

J1i

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hallucinations
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
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45703-6 Internal bleeding [Minimum Data Set]

Observation ID in Form

J1j

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Internal bleeding
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 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
45981-8 Deprecated MDS full assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
54580-6 Deprecated Minimum Data Set - version 3.0

45704-4 Recurrent lung aspirations in last 90 days [Minimum Data Set]

Observation ID in Form

J1k

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Recurrent lung aspirations in last 90D
Property
Find
Time
90D
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.54 (MAJ)

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
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45705-1 Shortness of breath [Minimum Data Set]

Observation ID in Form

J1l

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Shortness of breath
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
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45706-9 Syncope [Minimum Data Set]

Observation ID in Form

J1m

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Syncope
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

45707-7 Unsteady gait [Minimum Data Set]

Observation ID in Form

J1n

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Unsteady gait
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
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45708-5 Vomiting [Minimum Data Set]

Observation ID in Form

J1o

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Vomiting
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 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
45981-8 Deprecated MDS full assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
54580-6 Deprecated Minimum Data Set - version 3.0

45709-3 Problem conditions - none of above [Minimum Data Set]

Observation ID in Form

J1p

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. If REC_TYPE A,AM,AO,Y,YM, or YO, J1p must be 0 (zero) if any J1a thru J1o = 1; J1p must be 1 if each J1a thru J1o = 0 (zero); J1p must be - if any J1a thru J1o = - and no J1a thru J1o = 1.

2. If REC_TYPE is Q, QM, or QO, then J1p must be 0 (zero) if any active (State option) J1a thru J1o = 1; J1p must be 1 if each active (State option) J1a thru J1o = 0 (zero); J1p must be - if any active (State option) J1a thru J1o = - and no active (State option) J1a thru J1o = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Problem conditions - 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
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

46033-7 Pain symptoms Set

Term Description

(Code the highest level of pain present in the last 7 days)

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain symptoms
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.52 (MIN)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45710-1 Pain frequency [Minimum Data Set]

Term Description

FREQUENCY with which resident complains or shows evidence of pain

Observation ID in Form

J2a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. If value is 0 (zero), then J2b thru J3j must be blank.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Pain frequency
Property
NRat
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 LL32-4

Answer Code Score Answer ID
No pain 0 LA131-5
Pain less than daily 1 LA132-3
Pain daily 2 LA133-1

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45711-9 Pain intensity [Minimum Data Set]

Observation ID in Form

J2b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Blank if and only if J2a = 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Pain intensity
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 LL33-2

Answer Code Score Answer ID
Mild intensity 1 LA134-9
Moderate pain 2 LA135-6
Times when pain is horrible or excruciating 3 LA136-4

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

46034-5 Pain site Set

Term Description

(If pain present, check all sites that apply in last 7 days)

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain site
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.52 (MIN)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

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

45712-7 Back pain [Minimum Data Set]

Observation ID in Form

J3a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Blank if and only if J2a = 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Back pain
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

45713-5 Bone pain [Minimum Data Set]

Observation ID in Form

J3b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Blank if and only if J2a = 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Bone pain
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

45714-3 Chest pain while doing usual activities [Minimum Data Set]

Observation ID in Form

J3c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Blank if and only if J2a = 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Chest pain while doing usual activities
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

45715-0 Headache [Minimum Data Set]

Observation ID in Form

J3d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Blank if and only if J2a = 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Headache
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

45716-8 Hip pain

Observation ID in Form

J3e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Blank if and only if J2a = 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hip pain
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.73 (MAJ)
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to interRAI/MDS; METHOD_TYP: Removed Method as this concept is not specific to MDS; ANSWER_LIST_TYPE: Removed as the concept is generic; AnswerListId: Removed as the concept is generic; ORDER_OBS: Updated missing value;
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0
100283-1 Harris Hip Score panel [Harris Hip Score]

45717-6 Incisional pain [Minimum Data Set]

Observation ID in Form

J3f

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Blank if and only if J2a = 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Incisional pain
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

45718-4 Joint pain [Minimum Data Set]

Term Description

Other than hip pain

Observation ID in Form

J3g

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Blank if and only if J2a = 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Joint pain
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

45719-2 Soft tissue pain [Minimum Data Set]

Term Description

(e.g., lesion, muscle)

Observation ID in Form

J3h

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Blank if and only if J2a = 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Soft tissue pain
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

45720-0 Stomach pain [Minimum Data Set]

Observation ID in Form

J3i

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Blank if and only if J2a = 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Stomach pain
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

45721-8 Other pain [Minimum Data Set]

Observation ID in Form

J3j

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Blank if and only if J2a = 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Other pain
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

46035-2 Accidents Set

Term Description

(Check all that apply)

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Accidents
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.52 (MIN)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45722-6 Fell in past 30 days [Minimum Data Set]

Observation ID in Form

J4a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J4e consistency note #1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Fell in past 30D
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.54 (MAJ)

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
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45723-4 Fell in past 31-180 days [Minimum Data Set]

Observation ID in Form

J4b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J4e consistency note #1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Fell in past 31D-180D
Property
Find
Time
180D
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.54 (MAJ)

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
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45724-2 Hip fracture in last 180 days [Minimum Data Set]

Observation ID in Form

J4c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J4e consistency note #1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hip fracture in last 180D
Property
Find
Time
180D
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.54 (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
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45725-9 Other fracture in last 180 days [Minimum Data Set]

Observation ID in Form

J4d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J4e consistency note #1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Other fracture in last 180D
Property
Find
Time
180D
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.54 (MAJ)

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
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45726-7 Accidents - none of above [Minimum Data Set]

Observation ID in Form

J4e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. J4e must be 0 (zero) if any J4a thru J4d = 1; J4e must be 1 if each J4a thru J4d = 0 (zero); J4e must be - if any J4a thru J4d = - and no J4a thru J4d = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Accidents - 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
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update