Version 2.80

54532-7 Cancer during assessment period [CMS Assessment]

Fully-Specified Name

Component
Cancer
Property
-
Time
RptPeriod
System
^Patient
Scale
-
Method
CMS Assessment

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.79 (MAJ)
Change Reason
Release 2.79: PanelType: Change Headers to Subset Organizer; CLASS: Change Class for CMS not specific CMS assessment; TIME_ASPCT: CMS policy change for TIME:RptPeriod;
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54774-5 Cancer

Term Description

With or without metastasis
Source: Centers for Medicare & Medicaid Services

Observation ID in Form

I0100

Fully-Specified Name

Component
Cancer in last 30D
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Cancer in last 30 days during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.79 (MAJ)
Change Reason
Release 2.79: METHOD_TYP: CMS codes should have Method:CMS Assessment; TIME_ASPCT: CMS policy change for TIME:RptPeriod; CLASS: Change Class for CMS not specific CMS assessment;

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
54580-6 Deprecated Minimum Data Set - version 3.0

54533-5 Heart/Circulation

Fully-Specified Name

Component
Heart &or circulation
Property
-
Time
RptPeriod
System
^Patient
Scale
-
Method
CMS Assessment

Long Common Name

Heart/circulation during assessment period [CMS Assessment]

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.79 (MAJ)
Change Reason
Release 2.79: TIME_ASPCT: CMS policy change for TIME:RptPeriod; PanelType: Change Headers to Subset Organizer; CLASS: Change Class for CMS not specific CMS assessment;
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54775-2 Anemia

Term Description

e.g., aplastic, iron deficiency pernicious, and sickle cell

Observation ID in Form

I0200

Fully-Specified Name

Component
Anemia in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Anemia in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54776-0 Atrial Fibrillation and Other Dysrhythmias

Term Description

e.g., bradycardias and tachycardias

Observation ID in Form

I0300

Fully-Specified Name

Component
Atrial fibrillation and other dysrhythmias in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Atrial fibrillation and other dysrhythmias in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54777-8 Coronary Artery Disease (CAD)

Term Description

e.g., angina, myocardial infarction, and atherosclerotic heart disease (ASHD)

Observation ID in Form

I0400

Fully-Specified Name

Component
Coronary artery disease in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Coronary artery disease in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54778-6 Deep Venous Thrombosis (DVT), Pulmonary Embolus (PE), or Pulmonary Thrombo-Embolism (PTE)

Observation ID in Form

I0500

Fully-Specified Name

Component
Deep venous thrombosis &or pulmonary embolus or pulmonary thrombo-embolism in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Deep venous thrombosis/pulmonary embolus or pulmonary thrombo-embolism in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54779-4 Heart Failure

Term Description

e.g., congestive heart failure (CHF) and pulmonary edema

Observation ID in Form

I0600

Fully-Specified Name

Component
Heart Failure
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Heart Failure during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.79 (NAM)
Change Reason
Release 2.79: TIME_ASPCT: CMS policy change for TIME:RptPeriod; METHOD_TYP: CMS codes should have Method:CMS Assessment; CLASS: Change Class for CMS not specific CMS assessment; COMPONENT: Triggered by Coll w SCT: Separating a precoordination of component with timing.;
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
54580-6 Deprecated Minimum Data Set - version 3.0

54780-2 Hypertension

Observation ID in Form

I0700

Fully-Specified Name

Component
Hypertension in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Hypertension in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54781-0 Orthostatic hypotension

Observation ID in Form

I0800

Fully-Specified Name

Component
Orthostatic hypotension in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Orthostatic hypotension in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54782-8 Peripheral Vascular Disease (PVD) or Peripheral Arterial Disease (PAD)

Observation ID in Form

I0900

Fully-Specified Name

Component
Peripheral Vascular Disease or Peripheral Arterial Disease
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Peripheral Vascular Disease or Peripheral Arterial Disease during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.79 (NAM)
Change Reason
Release 2.79: TIME_ASPCT: CMS policy change for TIME:RptPeriod; COMPONENT: Triggered by Coll w SCT: Separating a precoordination of component with timing.; METHOD_TYP: CMS codes should have Method:CMS Assessment;
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
54580-6 Deprecated Minimum Data Set - version 3.0

54534-3 Gastrointestinal during assessment period [CMS Assessment]

Fully-Specified Name

Component
Gastrointestinal
Property
-
Time
RptPeriod
System
^Patient
Scale
-
Method
CMS Assessment

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.79 (MAJ)
Change Reason
Release 2.79: TIME_ASPCT: CMS policy change for TIME:RptPeriod; CLASS: Change Class for CMS not specific CMS assessment; PanelType: Change Headers to Subset Organizer;
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54783-6 Cirrhosis

Observation ID in Form

I1100

Fully-Specified Name

Component
Cirrhosis in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Cirrhosis in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54784-4 Gastroesophageal Reflux Disease (GERD) or Ulcer

Term Description

e.g., esophageal, gastric, and peptic ulcers

Observation ID in Form

I1200

Fully-Specified Name

Component
Gastroesophageal reflux disease &or pressure injury in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Gastroesophageal reflux disease/ulcer in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.73 (NAM)
Change Reason
Release 2.73: COMPONENT: update older "ulcer" terms ;

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
54580-6 Deprecated Minimum Data Set - version 3.0

54785-1 Ulcerative Colitis, Chrohn's Disease or Inflammatory Bowel Disease

Observation ID in Form

I1300

Fully-Specified Name

Component
Ulcerative colitis &or Crohn's disease &or inflammatory bowel disease in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Ulcerative colitis/Crohn's disease/inflammatory bowel disease in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54535-0 Genitourinary during assessment period [CMS Assessment]

Fully-Specified Name

Component
Genitourinary
Property
-
Time
RptPeriod
System
^Patient
Scale
-
Method
CMS Assessment

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.79 (MAJ)
Change Reason
Release 2.79: TIME_ASPCT: CMS policy change for TIME:RptPeriod; PanelType: Change Headers to Subset Organizer; CLASS: Change Class for CMS not specific CMS assessment;
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54786-9 Benign prostatic hyperplasia (BPH)

Observation ID in Form

I1400

Fully-Specified Name

Component
Benign prostatic hyperplasia in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Benign prostatic hyperplasia in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54787-7 Renal Insufficiency or Renal Failure, or End-Stage Renal Disease (ESRD)

Observation ID in Form

I1500

Fully-Specified Name

Component
Renal insufficiency or renal failure &or end-stage renal disease in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Renal insufficiency or renal failure/end-stage renal disease in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

58111-6 Neurogenic Bladder

Observation ID in Form

I1550

Fully-Specified Name

Component
Neurogenic bladder in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Neurogenic bladder in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

58112-4 Obstructive Uropathy

Observation ID in Form

I1650

Fully-Specified Name

Component
Obstructive uropathy in the last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Obstructive uropathy in the last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.54 (MAJ)

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54536-8 Infections during assessment period [CMS Assessment]

Fully-Specified Name

Component
Infections
Property
-
Time
RptPeriod
System
^Patient
Scale
-
Method
CMS Assessment

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.79 (MAJ)
Change Reason
Release 2.79: PanelType: Change Headers to Subset Organizer; TIME_ASPCT: CMS policy change for TIME:RptPeriod; CLASS: Change Class for CMS not specific CMS assessment;
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

58109-0 Multidrug-resistant organism (MDRO)

Observation ID in Form

I1700

Fully-Specified Name

Component
Multidrug-resistant organism (MDRO) in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Multidrug-resistant organism (MDRO) in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54790-1 Pneumonia

Observation ID in Form

I2000

Fully-Specified Name

Component
Pneumonia in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Pneumonia in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54791-9 Septicemia

Observation ID in Form

I2100

Fully-Specified Name

Component
Septicemia in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Septicemia in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54792-7 Tuberculosis

Observation ID in Form

I2200

Fully-Specified Name

Component
Tuberculosis in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Tuberculosis in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

45689-7 Urinary tract infection (UTI) (LAST 30 DAYS)

Observation ID in Form

I2300

Fully-Specified Name

Component
Urinary tract infection in last 30D
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method
MDS

Long Common Name

Urinary tract infection in last 30 days [Minimum Data Set]

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
54580-6 Deprecated Minimum Data Set - version 3.0

54794-3 Viral Hepatitis

Term Description

e.g., Hepatitis A, B, C, D and E

Observation ID in Form

I2400

Fully-Specified Name

Component
Viral hepatitis in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Viral hepatitis in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

58110-8 Wound infection (other than foot)

Observation ID in Form

I2500

Fully-Specified Name

Component
Wound infection (other than foot) in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Wound infection (other than foot) in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.54 (MIN)

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54537-6 Metabolic during assessment period [CMS Assessment]

Fully-Specified Name

Component
Metabolic
Property
-
Time
RptPeriod
System
^Patient
Scale
-
Method
CMS Assessment

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.79 (MAJ)
Change Reason
Release 2.79: PanelType: Change Headers to Subset Organizer; TIME_ASPCT: CMS policy change for TIME:RptPeriod; CLASS: Change Class for CMS not specific CMS assessment;
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54795-0 Diabetes Mellitus (DM)

Term Description

e.g., diabetic retinopathy, nephropathy, and neuropathy

Observation ID in Form

I2900

Fully-Specified Name

Component
Diabetes mellitus
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Diabetes mellitus during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.79 (NAM)
Change Reason
Release 2.79: CLASS: Change Class for CMS not specific CMS assessment; METHOD_TYP: CMS codes should have Method:CMS Assessment; TIME_ASPCT: CMS policy change for TIME:RptPeriod;
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
54580-6 Deprecated Minimum Data Set - version 3.0

54796-8 Hyponatremia

Observation ID in Form

I3100

Fully-Specified Name

Component
Hyponatremia in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Hyponatremia in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54797-6 Hyperkalemia

Observation ID in Form

I3200

Fully-Specified Name

Component
Hyperkalemia in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Hyperkalemia in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54798-4 Hyperlipidemia

Term Description

e.g., hypercholesterolemia

Observation ID in Form

I3300

Fully-Specified Name

Component
Hyperlipidemia in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Hyperlipidemia in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54799-2 Thyroid Disorder

Term Description

e.g., hypothyroidism, hyperthyroidism, and Hashimoto's thyroiditis

Observation ID in Form

I3400

Fully-Specified Name

Component
Thyroid disorder in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Thyroid disorder in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54538-4 Musculoskeletal

Fully-Specified Name

Component
Musculoskeletal
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.68 (MIN)
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54800-8 Arthritis

Term Description

e.g., degenerative joint disease (DJD), osteoarthritis, and rheumatoid arthritis (RA)

Observation ID in Form

I3700

Fully-Specified Name

Component
Arthritis in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Arthritis in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54801-6 Osteoporosis

Observation ID in Form

I3800

Fully-Specified Name

Component
Osteoporosis in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Osteoporosis in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54802-4 Hip Fracture

Term Description

any hip fracture that has a relationship to current status, treatments, monitoring (e.g., sub-capital fractures, fractures of the trochanter and femoral neck)

Observation ID in Form

I3900

Fully-Specified Name

Component
Hip fracture in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Hip fracture in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (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
54580-6 Deprecated Minimum Data Set - version 3.0

54803-2 Other Fracture

Observation ID in Form

I4000

Fully-Specified Name

Component
Other fracture in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Other fracture in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54539-2 Neurological during assessment period [CMS Assessment]

Fully-Specified Name

Component
Neurological
Property
-
Time
RptPeriod
System
^Patient
Scale
-
Method
CMS Assessment

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.79 (MAJ)
Change Reason
Release 2.79: CLASS: Change Class for CMS not specific CMS assessment; TIME_ASPCT: CMS policy change for TIME:RptPeriod; PanelType: Change Headers to Subset Organizer;
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54804-0 Alzheimer's Disease

Observation ID in Form

I4200

Fully-Specified Name

Component
Alzheimer's disease in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Alzheimer's disease in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54805-7 Aphasia

Observation ID in Form

I4300

Fully-Specified Name

Component
Aphasia in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Aphasia in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54806-5 Cerebral Palsy

Observation ID in Form

I4400

Fully-Specified Name

Component
Cerebral palsy in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Cerebral palsy in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54807-3 Cerebrovascular Accident (CVA), Transient Ischemic Attack (TIA), or Stroke

Observation ID in Form

I4500

Fully-Specified Name

Component
Cerebrovascular accident &or transient ischemic attack &or stroke in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Cerebrovascular accident/transient ischemic attack/stroke in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54808-1 Dementia

Term Description

e.g., Lewy body dementia, vascular or multi-infarct dementia; mixed dementia; frontotemporal dementia such as Pick's disease; and dementia related to stroke, Parkinson's, or Creutzfeldt-Jakob diseases

Observation ID in Form

I4800

Fully-Specified Name

Component
Non-Alzheimer's dementia in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Non-Alzheimer's dementia in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54809-9 Hemiplegia or Hemiparesis

Observation ID in Form

I4900

Fully-Specified Name

Component
Hemiplegia &or hemiparesis in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Hemiplegia/hemiparesis in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54810-7 Paraplegia

Observation ID in Form

I5000

Fully-Specified Name

Component
Paraplegia in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Paraplegia in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54811-5 Quadriplegia

Observation ID in Form

I5100

Fully-Specified Name

Component
Quadriplegia in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Quadriplegia in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54812-3 Multiple Sclerosis (MS)

Observation ID in Form

I5200

Fully-Specified Name

Component
Multiple sclerosis in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Multiple sclerosis in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

58113-2 Huntington's Disease

Observation ID in Form

I5250

Fully-Specified Name

Component
Huntington's disease in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Huntington's disease Multiple sclerosis in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54813-1 Parkinson's Disease

Observation ID in Form

I5300

Fully-Specified Name

Component
Parkinson's disease in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Parkinson's disease in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

58114-0 Tourette's Syndrome

Observation ID in Form

I5350

Fully-Specified Name

Component
Tourette's syndrome in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Tourette's syndrome in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54814-9 Seizure Disorder or Epilepsy

Observation ID in Form

I5400

Fully-Specified Name

Component
Seizure disorder or epilepsy
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Seizure disorder or epilepsy during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.79 (NAM)
Change Reason
Release 2.79: TIME_ASPCT: CMS policy change for TIME:RptPeriod; CLASS: Change Class for CMS not specific CMS assessment; COMPONENT: Triggered by Coll w SCT: Separating a precoordination of component with timing.; METHOD_TYP: CMS codes should have Method:CMS Assessment;
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
54580-6 Deprecated Minimum Data Set - version 3.0

54815-6 Traumatic Brain Injury (TBI)

Observation ID in Form

I5500

Fully-Specified Name

Component
Traumatic brain injury in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Traumatic brain injury in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (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
54580-6 Deprecated Minimum Data Set - version 3.0

54540-0 Nutritional

Fully-Specified Name

Component
Nutritional
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.75 (PANEL)
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54816-4 Malnutrition (protein or calorie) or at risk for malnutrition

Observation ID in Form

I5600

Fully-Specified Name

Component
Protein or calorie malnutrition or at risk for malnutrition in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Protein or calorie malnutrition or at risk for malnutrition in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54541-8 Psychiatric/Mood Disorder

Fully-Specified Name

Component
Psychiatric &or mood disorder
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Long Common Name

Psychiatric/mood disorder

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.68 (MIN)
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54817-2 Anxiety Disorder

Observation ID in Form

I5700

Fully-Specified Name

Component
Anxiety disorder in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Anxiety disorder in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54818-0 Depression (other than Bipolar)

Observation ID in Form

I5800

Fully-Specified Name

Component
Depression other than bipolar in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Depression other than bipolar in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54819-8 Manic Depression (bipolar Disease)

Observation ID in Form

I5900

Fully-Specified Name

Component
Manic depression other than schizophrenia in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Manic depression other than schizophrenia in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (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
54580-6 Deprecated Minimum Data Set - version 3.0

58115-7 Psychotic Disorder (other than schizophrenia)

Observation ID in Form

I5950

Form Coding Instructions

1. Check column A if Care Area is triggered. 2. For each triggered Care Area, indicate whether a new care plan, care plan revision, or continuation of current care plan is necessary to address the problem(s) identified in your assessment of the care area. The Addressed in Care Plan column must be completed within 7 days of completing the RAI (MDS and CAA(s)). Check column B if the triggered care area is addressed in the care plan. 3. Indicate in the Location and Date of CAA Information column where information related to the CAA can be found. CAA documentation should include information on the complicating factors, risks, and any referrals for this resident for this care area

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Psychotic disorder (other than schizophrenia) in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Psychotic disorder (other than schizophrenia) in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.54 (MIN)

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54820-6 Schizophrenia

Term Description

e.g., schizoaffective and schizophreniform disorders

Observation ID in Form

I6000

Fully-Specified Name

Component
Schizophrenia in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Schizophrenia in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (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
54580-6 Deprecated Minimum Data Set - version 3.0

54821-4 Post-Traumatic Stress Disorder (PTSD)

Observation ID in Form

I6100

Fully-Specified Name

Component
Post-traumatic stress disorder in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Post-traumatic stress disorder in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54542-6 Pulmonary

Fully-Specified Name

Component
Pulmonary
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.68 (MIN)
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54822-2 Asthma,Chronic Obstructive Pulmonary Disease (COPD), or Chronic Lung Disease

Term Description

e.g., chronic bronchitis and restrictive lung diseases such as asbestosis

Observation ID in Form

I6200

Fully-Specified Name

Component
Asthma &or chronic obstructive lung disease or chronic lung disease in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Asthma/chronic obstructive lung disease or chronic lung disease in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

58116-5 Respiratory Failure

Term Description

e.g., chronic bronchitis and restrictive lung diseases such as asbestosis

Observation ID in Form

I6300

Fully-Specified Name

Component
Respiratory failure in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Respiratory failure in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54543-4 Vision

Fully-Specified Name

Component
Vision
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.68 (MIN)
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54823-0 Cataracts, Glaucoma, or Macular Degeneration

Observation ID in Form

I6500

Fully-Specified Name

Component
Cataracts &or glaucoma or macular degeneration in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

Cataracts/glaucoma or macular degeneration in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54544-2 None of Above

Fully-Specified Name

Component
None of above active diagnoses
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Long Common Name

None of above active diagnoses

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.68 (MIN)
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54824-8 None of the above active diagnoses within the last 7 days

Observation ID in Form

I7900

Fully-Specified Name

Component
None of the above active diagnoses in last 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDSv3

Long Common Name

None of the above active diagnoses in last 7 days [MDSv3]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MAJ)

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
54580-6 Deprecated Minimum Data Set - version 3.0

54898-2 Other

Fully-Specified Name

Component
Other disease diagnoses in last 7D
Property
-
Time
7D
System
^Patient
Scale
-
Method
MDSv3

Long Common Name

Other disease diagnoses in last 7 days [MDSv3]

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.68 (MIN)
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54545-9 Additional diagnoses

Observation ID in Form

I8000

Form Coding Instructions

Enter diagnosis on line and ICD code in boxes. Include the decimal for the code in the appropriate box

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Additional diagnoses
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.68 (MIN)
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54546-7 Additional Diagnosis A

Observation ID in Form

I8000A

Fully-Specified Name

Component
Additional ICD diagnosis 1 in last 7D
Property
Prid
Time
7D
System
^Patient
Scale
Nom
Method

Long Common Name

Additional ICD diagnosis 1 in last 7 days

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MIN)

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54547-5 Additional Diagnosis B

Observation ID in Form

I8000B

Fully-Specified Name

Component
Additional ICD diagnosis 2 in last 7D
Property
Prid
Time
7D
System
^Patient
Scale
Nom
Method

Long Common Name

Additional ICD diagnosis 2 in last 7 days

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MIN)

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54548-3 Additional Diagnosis C

Observation ID in Form

I8000C

Fully-Specified Name

Component
Additional ICD diagnosis 3 in last 7D
Property
Prid
Time
7D
System
^Patient
Scale
Nom
Method

Long Common Name

Additional ICD diagnosis 3 in last 7 days

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MIN)

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54549-1 Additional Diagnosis D

Observation ID in Form

I8000D

Fully-Specified Name

Component
Additional ICD diagnosis 4 in last 7D
Property
Prid
Time
7D
System
^Patient
Scale
Nom
Method

Long Common Name

Additional ICD diagnosis 4 in last 7 days

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MIN)

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54550-9 Additional Diagnosis E

Observation ID in Form

I8000E

Fully-Specified Name

Component
Additional ICD diagnosis 5 in last 7D
Property
Prid
Time
7D
System
^Patient
Scale
Nom
Method

Long Common Name

Additional ICD diagnosis 5 in last 7 days

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MIN)

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54551-7 Additional Diagnosis F

Observation ID in Form

I8000F

Fully-Specified Name

Component
Additional ICD diagnosis 6 in last 7D
Property
Prid
Time
7D
System
^Patient
Scale
Nom
Method

Long Common Name

Additional ICD diagnosis 6 in last 7 days

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MIN)

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54552-5 Additional Diagnosis G

Observation ID in Form

I8000G

Fully-Specified Name

Component
Additional ICD diagnosis 7 in last 7D
Property
Prid
Time
7D
System
^Patient
Scale
Nom
Method

Long Common Name

Additional ICD diagnosis 7 in last 7 days

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MIN)

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54553-3 Additional Diagnosis H

Observation ID in Form

I8000H

Fully-Specified Name

Component
Additional ICD diagnosis 8 in last 7D
Property
Prid
Time
7D
System
^Patient
Scale
Nom
Method

Long Common Name

Additional ICD diagnosis 8 in last 7 days

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MIN)

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54554-1 Additional Diagnosis I

Observation ID in Form

I8000I

Fully-Specified Name

Component
Additional ICD diagnosis 9 in last 7D
Property
Prid
Time
7D
System
^Patient
Scale
Nom
Method

Long Common Name

Additional ICD diagnosis 9 in last 7 days

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MIN)

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0

54555-8 Additional Diagnosis J

Observation ID in Form

I8000J

Fully-Specified Name

Component
Additional ICD diagnosis 10 in last 7D
Property
Prid
Time
7D
System
^Patient
Scale
Nom
Method

Long Common Name

Additional ICD diagnosis 10 in last 7 days

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.54 (MIN)

Member of these Panels

LOINC Long Common Name
54580-6 Deprecated Minimum Data Set - version 3.0