Version 2.80

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