Version 2.80

45813-3 Preferred activity setting - own room [Minimum Data Set]

Observation ID in Form

N3a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.
*2. See N3e consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Preferred activity setting - own room
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

45814-1 Preferred activity setting - day or activity room [Minimum Data Set]

Observation ID in Form

N3b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.
*2. See N3e consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Preferred activity setting - day or activity room
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

45815-8 Preferred activity setting - inside NH/off unit [Minimum Data Set]

Observation ID in Form

N3c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.
*2. See N3e consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Preferred activity setting - inside NH &or off unit
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

45816-6 Preferred activity setting - outside facility [Minimum Data Set]

Observation ID in Form

N3d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.
*2. See N3e consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Preferred activity setting - outside facility
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

45817-4 Preferred activitty setting - none of above [Minimum Data Set]

Observation ID in Form

N3e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.

*2. If REC_TYPE A,AM,AO,Y,YM, or YO, N3e must be 0 (zero) if any N3a thru N3d = 1; N3e must be 1 if each N3a thru N3d = 0 (zero); N3e must be - if any N3a thru N3d = - and no N3a thru N3d = 1.

3. If REC_TYPE is Q, QM, or QO, and N3e is active by State option, then N3e must be 0 (zero) if any active (State option) N3a thru N3d = 1; N3e must be 1 if each active (State option) N3a thru N3d = 0 (zero); N3e must be - if any active (State option) N3a thru N3d = - and no active (State option) N3a thru N3d = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Preferred activitty setting - 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