54566-5 Swallowing disorder

Reference Information

Observation ID in Form

K0100

Form Coding Instructions

Check all that apply

Fully-Specified Name

Component

Swallowing disorder

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

Related Names

• Deglutition
• Pan
• Panel
• Panl
• Pnl
• Point in time
• Random
• Survey
• SURVEY.MDS

54858-6 Loss of liquids/solids from mouth when eating or drinking

Observation ID in Form

K0100A

Fully-Specified Name

Component

Loss of liquids &or solids from mouth when eating or drinking in last 7D

Property

Find

Time

7D

System

^Patient

Scale

Ord

Method

MDSv3

Long Common Name

Loss of liquids/solids from mouth when eating or drinking 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

Member of these Panels

Related Names

• Finding
• Findings
• Loss of liquids/solids from mouth when eating or drinking in last 7D
• MDS version 3
• Ordinal
• Past
• QL
• Qual
• Qualitative
• Screen
• Survey
• SURVEY.MDS

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

54859-4 Holding food in mouth/cheeks or residual food in mouth after meals

Observation ID in Form

K0100B

Fully-Specified Name

Component

Holding food in mouth &or cheeks or residual food in mouth after meals in last 7D

Property

Find

Time

7D

System

^Patient

Scale

Ord

Method

MDSv3

Long Common Name

Holding food in mouth/cheeks or residual food in mouth after meals 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

Member of these Panels

Related Names

• Finding
• Findings
• Holding food in mouth/cheeks or residual food in mouth after meals in last 7D
• MDS version 3
• Ordinal
• Past
• QL
• Qual
• Qualitative
• Screen
• Survey
• SURVEY.MDS

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

54860-2 Coughing or choking during meals or when swallowing medications

Observation ID in Form

K0100C

Fully-Specified Name

Component

Coughing or choking during meals or when swallowing medications in last 7D

Property

Find

Time

7D

System

^Patient

Scale

Ord

Method

MDSv3

Long Common Name

Coughing or choking during meals or when swallowing medications 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

Member of these Panels

Related Names

• Deglutition
• Finding
• Findings
• MDS version 3
• Ordinal
• Past
• QL
• Qual
• Qualitative
• Screen
• Survey
• SURVEY.MDS

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

54861-0 Complaints of difficulty or pain with swallowing

Observation ID in Form

K0100D

Fully-Specified Name

Component

Complaints of difficulty or pain with swallowing in last 7D

Property

Find

Time

7D

System

^Patient

Scale

Ord

Method

MDSv3

Long Common Name

Complaints of difficulty or pain with swallowing 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

Member of these Panels

Related Names

• Deglutition
• Finding
• Findings
• MDS version 3
• Ordinal
• Past
• QL
• Qual
• Qualitative
• Screen
• Survey
• SURVEY.MDS

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

54862-8 None of the above

Observation ID in Form

K0100Z

Fully-Specified Name

Component

Signs or symptoms of possible swallowing disorder - none of the above

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

MDSv3

Long Common Name

Signs or symptoms of possible swallowing disorder - none of the above [MDSv3]

Basic Attributes

Class

SURVEY.MDS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.44 (MIN)

Normative Answer List LL251-0

Member of these Panels

Related Names

• Deglutition
• Finding
• Findings
• MDS version 3
• Ordinal
• Point in time
• QL
• Qual
• Qualitative
• Random
• Screen
• Survey
• SURVEY.MDS
• Sx

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

54567-3 Height and weight

Observation ID in Form

K0200

Description

Intent: To record a current height and weight in order to monitor nutrition and hydration status over time; also, to provide a mechanism for monitoring stability of weight over time. For example, a resident who has had edema can have an intended and expected weight loss as a result of taking a diuretic. Or weight loss could be the result of poor intake, or adequate intake accompanied by recent participation in a fitness program. Process: Check the clinical records. If the last recorded weight was taken more than one month ago or weight is not available, weigh the resident again. If the resident's weight was taken more than once during the preceding month, record the most recent weight.

Coding: Round weight upward to the nearest whole pound. Measure weight consistently over time in accord with standard facility practice (after voiding, before meal, etc.).

Form Coding Instructions

While measuring, if the number is X.1 - X.4 round down; X.5 or greater round up

Fully-Specified Name

Component

Height and weight

Property

-

Time

Pt

System

^Patient

Scale

-

Method

Basic Attributes

Class

PANEL.SURVEY.MDS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.74 (PANEL)

Order vs. Observation

Order

Common Test Rank Get Info

295

Panel Type

Panel

Member of these Panels

Related Names

• Pan
• Panel
• Panl
• Pnl
• Point in time
• Random
• Survey
• SURVEY.MDS
• Wt

Related Codes

3137-7 Height (in inches)

Observation ID in Form

K0200A

Form Coding Instructions

Base weight on most recent measure in last 30 days; measure weight consistently, according to standard facility practice (e.g., in a.m. after voiding, before meal, with shoes off, etc.)

Fully-Specified Name

Component

Body height

Property

Len

Time

Pt

System

^Patient

Scale

Qn

Method

Measured

Long Common Name

Body height Measured

Basic Attributes

Class

BDYHGT.ATOM

Type

Clinical

First Released

Version 1.0

Last Updated

Version 2.73 (MIN)

Order vs. Observation

Both

Common Test Rank Get Info

372

Member of these Panels

Member of these Groups Get Info

Language Variants Get Info

Related Names

• Axial length
• bod
• Bodies
• BODY HEIGHT(LENGTH).ATOM
• Body length
• Length
• Point in time
• QNT
• Quan
• Quant
• Quantitative
• Random

Example Units

Related Codes

3141-9 Weight (in pounds)

Observation ID in Form

K0200B

Form Coding Instructions

Record most recent height measure since admission

Fully-Specified Name

Component

Body weight

Property

Mass

Time

Pt

System

^Patient

Scale

Qn

Method

Measured

Long Common Name

Body weight Measured

Basic Attributes

Class

BDYWGT.ATOM

Type

Clinical

First Released

Version 1.0

Last Updated

Version 2.73 (MIN)

Order vs. Observation

Both

Common Test Rank Get Info

115

Member of these Panels

Member of these Groups Get Info

Language Variants Get Info

Related Names

• Bdy weight
• bod
• Bodies
• BODY WEIGHT.ATOM
• Point in time
• QNT
• Quan
• Quant
• Quantitative
• Random
• Wt

Example Units

Related Codes

54863-6 Weight loss of 5% or more in the last month or loss of 10% or more in last 6 months [CMS Assessment]

Observation ID in Form

K0300

Fully-Specified Name

Component

Weight loss of 5% or more in the last Mo or loss of 10% or more in last 6Mo

Property

Find

Time

6Mo

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.63 (MAJ)

Change Reason

Changed method from MDSv3 so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG.;Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments

Order vs. Observation

Observation

Normative Answer List LL671-9

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• month
• Ordinal
• Past
• QL
• Qual
• Qualitative
• Screen
• Survey
• Weight loss of 5% or more in the last month or loss of 10% or more in last 6 months
• Wt

Related Codes

71442-8 Weight gain [MDSv3]

Term Description

Gain of 5% or more in the last month or loss of 10% or more in the last 6 months

Observation ID in Form

K0310

Fully-Specified Name

Component

Weight gain

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

MDSv3

Basic Attributes

Class

SURVEY.MDS

Type

Surveys

First Released

Version 2.40

Last Updated

Version 2.67 (MIN)

Order vs. Observation

Observation

Normative Answer List LL2099-1

Member of these Panels

Related Names

• Finding
• Findings
• MDS version 3
• Ordinal
• Point in time
• QL
• Qual
• Qualitative
• Random
• Screen
• Survey
• SURVEY.MDS
• Wt
• Wt gain

54568-1 Nutritional approaches panel during assessment period [CMS Assessment]

Observation ID in Form

K0510

Form Coding Instructions

Check all that apply

Form Coding Instructions

Check all of the following nutritional approaches that were performed in the last 7 days

Fully-Specified Name

Component

Nutritional approaches panel

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 2.78 (PANEL)

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Release 2.67: COMPONENT: Added "panel" to Component to differentiate from Nutritional approaches as a observation; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee. Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

Related Codes

71444-4 Nutritional Approaches. While NOT a Resident

Observation ID in Form

K0510_1

Form Coding Instructions

Only check column 1 if resident entered (admission or reentry) in the last 7 days. If resident last entered 7 or more days ago, leave column 1 blank

Fully-Specified Name

Component

Nutritional approaches during last 7D - while not a resident

Property

Find

Time

7D

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Nutritional approaches during last 7 days - while not a resident [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.40

Last Updated

Version 2.70 (MIN)

Change Reason

Release 2.70: AnswerListId: Updated per CMS team to current commonly used list across assessments.; Previous Releases: Changed order of words in the Component to better convey the survey question. Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.; Changed Property to Nom because answers are not Ordinal

Order vs. Observation

Observation

Example Answer List LL5182-2

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Nominal
• Past
• Survey

Related Codes

71445-1 Nutritional Approaches. While a Resident

Observation ID in Form

K0510_2

Fully-Specified Name

Component

Nutritional approaches during last 7D - while a resident

Property

Find

Time

7D

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Nutritional approaches during last 7 days - while a resident [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.40

Last Updated

Version 2.63 (MAJ)

Change Reason

Release 2.79: AnswerListId: Updated answerlist; Previous Releases: Changed order of words in the Component to better convey the survey question. Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.; Changed Property to Nom because answers are not Ordinal

Order vs. Observation

Observation

Example Answer List LL5387-7

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Nominal
• Past
• Survey

Related Codes

54569-9 Percent intake by artificial route

Observation ID in Form

K0700

Form Coding Instructions

Complete K0700 only if K0500A or K0500B is checked

Fully-Specified Name

Component

Percent intake by artificial route

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

Related Names

• Pan
• Panel
• Panl
• Pnl
• Point in time
• Random
• Survey
• SURVEY.MDS

54897-4 Proportion of total calories the resident received through parenteral or tube feedings

Observation ID in Form

K0700A

Fully-Specified Name

Component

Proportion of total calories the resident received through parenteral or tube feedings in the last 7D

Property

EngFr

Time

7D

System

^Patient

Scale

Qn

Method

MDSv3

Long Common Name

Proportion of total calories the resident received through parenteral or tube feedings in the 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 LL672-7

Member of these Panels

Related Names

• MDS version 3
• Past
• QNT
• Quan
• Quant
• Quantitative
• Survey
• SURVEY.MDS
• Tot
• Totl

Example Units

54869-3 Average fluid intake per day by parenteral or tube feedings

Observation ID in Form

K0700B

Fully-Specified Name

Component

Average fluid intake per day by parenteral or tube feedings in the 7D

Property

VRat

Time

7D

System

^Patient

Scale

Qn

Method

MDSv3

Long Common Name

Average fluid intake per day by parenteral or tube feedings in the 7 days [MDSv3]

Basic Attributes

Class

SURVEY.MDS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.54 (MAJ)

Normative Answer List LL673-5

Member of these Panels

Related Names

• Fld
• Flow
• MDS version 3
• QNT
• Quan
• Quant
• Quantitative
• Survey
• SURVEY.MDS
• Volume rate
• vRate

Example Units