57041-6
Patient history and diagnoses
Active
57204-0 From which of the following Inpatient Facilities was the patient discharged during the past 14 days?
Observation ID in Form
M1000
Skip Logic
If Yes to "NA - Patient was not discharged from an inpatient facility", then go to M1016.
Form Coding Instructions
Mark all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Inpatient discharge facility within the past 14D
- Property
- Type
- Time
- 14D
- System
- ^Patient
- Scale
- Nom
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.63
- Change Reason
- Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Changed TIME from Pt to 14D to reflect the term definition "within the past 14 days"; Added timing to the Component to follow LOINC convention
- Order vs. Observation
- Observation
Normative Answer List LL775-8
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Long-term nursing facility (NF) | 1 | LA12115-4 | |
| Skilled nursing facility (SNF/TCU) | 2 | LA10080-2 | |
| Short-stay acute hospital (IPPS) | 3 | LA10078-6 | |
| Long-Term Care Hospital (LTCH) | 4 | LA10000-0 | |
| Inpatient rehabilitation hospital or unit (IRF) | 5 | LA9986-6 | |
| Psychiatric hospital or unit | 6 | LA10065-3 | |
| Other (specify) | 7 | LA6310-2 | |
| Patient was not discharged from an inpatient facility | NA | LA6342-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
| 88368-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment] |
| 88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
| 99160-4 | Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment] |
| 99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
58106-6 Other (specify)
Fully-Specified Name
- Component
- Inpatient discharge facility.other specified
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- OASIS-C
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.44
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
86470-2 Inpatient Discharge Date (most recent)
Observation ID in Form
M1005
Fully-Specified Name
- Component
- Most recent inpatient discharge date in the last 14D
- Property
- Date
- Time
- 14D
- System
- ^Patient
- Scale
- Qn
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.63
- Last Updated
- Version 2.63
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
| 88368-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment] |
| 88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
| 99160-4 | Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment] |
| 99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
Example Units
| Unit | Source |
|---|---|
| {mm/dd/yyyy} | Example UCUM Units |
46458-6 Inpatient Diagnosis
Form Coding Instructions
List each Inpatient Diagnosis and ICD-9-CM code at the level of highest specificity for only those conditions treated during an inpatient stay within the last 14 days (no E codes, or V codes):
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Inpatient facililty diagnoses
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.61
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
46504-7 Inpatient Facility Diagnosis : ICD-9-CM Code
Term Description
Identifies diagnosis(es) for which patient was receiving treatment in an inpatient facility within the past 14 days. (Past 14 days encompasses the two-week period immediately preceding the start/resumption of care.)
Source: Regenstrief LOINC
Observation ID in Form
M1010
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Inpatient stay within last 14D - ICD code
- Property
- Prid
- Time
- 14D
- System
- ^Patient
- Scale
- Nom
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.61
- Change Reason
- Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
- Order vs. Observation
- Observation
Normative Answer List LL343-5
- Externally Defined
- Yes
- Code System
- I9C
- Code System OID
- 1.3.6.1.4.1.12009.10.1.2173
- Link to External List
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86244-1 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment] |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
57183-6 Inpatient Procedure
Observation Required in Panel
Conditional
Form Coding Instructions
List each Inpatient Procedure and the associated ICD-9-CM procedure code relevant to the plan of care
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Inpatient procedure relevant to plan of care
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- PANEL.SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.68
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
58050-6 Inpatient Procedure : Procedure Code
Observation ID in Form
M1012
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Inpatient procedure relevant to plan of care
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- OASIS-C
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.44
Normative Answer List LL842-6
- Externally Defined
- Yes
- Code System
- I9C
- Code System OID
- 1.3.6.1.4.1.12009.10.1.3275
- Link to External List
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
46459-4 Diagnoses Requiring Medical or Treatment Change Within Past 14 Days
Observation Required in Panel
Required
Form Coding Instructions
List the patient's Medical Diagnoses and ICD-9-CM codes at the level of highest specificity for those conditions requiring changed medical or treatment regimen within the past 14 days. (no surgical, E codes, or V codes):
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Changed medical regimen diagnoses
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.61
- Change Reason
- Changed SCALE from "Set" to "-" to match current conventions for the panel terms
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
46507-0 Changed Medical Regimen Diagnosis : ICD-9-CM Code
Term Description
Identifies the diagnosis(es) that have caused an addition or change to the patient's treatment, regimen, health care services received, or medication within the past 14 days. (Past 14 days encompasses the two-week period immediately preceding the start/resumption of care [or the date of the follow-up/discharge visit].)
Source: Regenstrief LOINC
Observation ID in Form
M1016
Fully-Specified Name
- Component
- Regimen change in past 14D - ICD code
- Property
- Prid
- Time
- 14D
- System
- ^Patient
- Scale
- Nom
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.61
- Change Reason
- Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
- Order vs. Observation
- Observation
Normative Answer List LL343-5
- Externally Defined
- Yes
- Code System
- I9C
- Code System OID
- 1.3.6.1.4.1.12009.10.1.2173
- Link to External List
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
46465-1 Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days [OASIS]
Term Description
Identifies existence of condition(s) prior to medical regimen change or inpatient stay within 14 days of start of care. (Past 14 days encompasses the two-week period immediately preceding the start/resumption of care [or the date of the follow-up/discharge visit].)
Source: Regenstrief LOINC
Observation ID in Form
M1018
Form Coding Instructions
If this patient experienced an inpatient facility discharge or change in medical or treatment regimen within the past 14 days, indicate any conditions which existed prior to the inpatient stay or change in medical or treatment regimen. (Mark all that apply.)
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Conditions prior to medical or treatment regimen change or inpatient stay within past 14D
- Property
- Find
- Time
- 14D
- System
- ^Patient
- Scale
- Nom
- Method
- OASIS
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.61
- Order vs. Observation
- Observation
Normative Answer List LL252-8
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Urinary incontinence | 1 | LA6436-5 | |
| Indwelling/suprapubic catheter | 2 | LA6240-1 | |
| Intractable pain | 3 | LA6243-5 | |
| Impaired decision-making | 4 | LA6227-8 | |
| Disruptive or socially inappropriate behavior | 5 | LA27596-8 | |
| Memory loss to the extent that supervision required | 6 | LA6261-7 | |
| None of the above | 7 | LA9-3 | |
| No inpatient facility discharge and no change in medical/treatment regimen in past 14 days | NA | LA6282-3 | |
| Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | UK | LA4489-6 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
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.
46609-4 Diagnosis and severity index
Form Coding Instructions
(M1020/1022/1024) Diagnoses, Symptom Control, and Payment Diagnoses: List each diagnosis for which the patient is receiving home care (Column 1) and enter its ICD-9-C M code at the level of highest specificity (no surgical/procedure codes) (Column 2). Diagnoses are listed in the order that best reflect the seriousness of each condition and support the disciplines and services provided. Rate the degree of symptom control for each condition (Column 2). Choose one value that represents the degree of symptom control appropriate for each diagnosis: V-codes (for M1020 or M1022) or E-codes (for M1022 only) may be used. ICD-9-C M sequencing requirements must be followed if multiple coding is indicated for any diagnoses. If a V-code is reported in place of a case mix diagnosis, then optional item M1024 Payment Diagnoses (Columns 3 and 4) may be completed. A case mix diagnosis is a diagnosis that determines the Medicare P P S case mix group. Do not assign symptom control ratings for V- or E-codes. Code each row according to the following directions for each column: Column 1: Enter the description of the diagnosis.Diagnoses (Sequencing of diagnoses should reflect the seriousness of each condition and support the disciplines and services provided.) Column 2: Enter the ICD-9-C M code for the diagnosis described in Column 1; Rate the degree of symptom control for the condition listed in Column 1 using the following scale: 0 - Asymptomatic, no treatment needed at this time 1 - Symptoms well controlled with current therapy 2 - Symptoms controlled with difficulty, affecting daily functioning; patient needs ongoing monitoring 3 - Symptoms poorly controlled; patient needs frequent adjustment in treatment and dose monitoring 4 - Symptoms poorly controlled; history of re-hospitalizations Note that in Column 2 the rating for symptom control of each diagnosis should not be used to determine the sequencing of the diagnoses listed in Column 1. These are separate items and sequencing may not coincide. Sequencing of diagnoses should reflect the seriousness of each condition and support the disciplines and services provided.ICD-9-C M and symptom control rating for each condition. Note that the sequencing of these ratings may not match the sequencing of Column 3: (OPTIONAL) If a V-code is assigned to any row in Column 2, in place of a case mix diagnosis, it may be necessary to complete optional item M1024 Payment Diagnoses (Columns 3 and 4). See OASIS-C Guidance Manual.Complete if a V-code is assigned under certain circumstances to Column 2 in place of a case mix diagnosis. Column 4: (OPTIONAL) If a V-code in Column 2 is reported in place of a case mix diagnosis that requires multiple diagnosis codes under ICD-9-C M coding guidelines, enter the diagnosis descriptions and the ICD-9-C M codes in the same row in Columns 3 and 4. For example, if the case mix diagnosis is a manifestation code, record the diagnosis description and ICD-9-C M code for the underlying condition in Column 3 of that row and the diagnosis description and ICD-9-C M code for the manifestation in Column 4 of that row. Otherwise, leave Column 4 blank in that row.Complete only if the V-code in Column 2 is reported in place of a case mix diagnosis that is a multiple coding situation (e.g., a manifestation code)
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Diagnosis and severity index
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.73
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
86255-7 Primary diagnosis ICD code
Term Description
The condition that is the chief reason for providing care.
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Primary diagnosis ICD code
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Panel Name
- Short Name
- Primary Dx ICD code
Basic Attributes
- Class
- CLIN
- Type
- Clinical
- First Released
- Version 2.63
- Last Updated
- Version 2.73
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 17680
Example Answer List LL4547-7
- Externally Defined
- Yes
- Code System
- Code System OID
- 1.3.6.1.4.1.12009.10.1.3459
- Link to External List
- http://www.cdc.gov/nchs/icd.htm
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
| 52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
| 52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
| 69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86244-1 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment] |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
| 88369-4 | Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment] |
| 88368-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment] |
| 88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
| 93058-6 | Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment] |
| 99160-4 | Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment] |
| 99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| es-MX | Spanish (Mexico) | Código ICD de diagnóstico primario: |
| it-IT | Italian (Italy) | Diagnosi primaria codice ICD: Synonyms: Clinico paziente Punto nel tempo (episodio) |
| zh-CN | Chinese (China) | 主要诊断 ICD 代码: Synonyms: ICD 分类型应答; |
46512-0 Primary Diagnosis Symptom Control Rating
Term Description
Severity category for diagnosis.
Source: Regenstrief LOINC
Observation ID in Form
M1020
Fully-Specified Name
- Component
- Primary diagnosis severity rating
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- OASIS
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.50
Normative Answer List LL253-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| 0 | 0 | LA6111-4 | |
| 1 | 1 | LA6112-2 | |
| 2 or more | 2 | LA6113-0 | |
| 3 | 3 | LA6114-8 | |
| 4 | 4 | LA6115-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
46513-8 Other diagnosis 1 - ICD code [OASIS]
Term Description
Identifies diagnosis for which the patient is receiving care and its ICD-9-CM code.
Source: Regenstrief LOINC
Observation ID in Form
M1022
Fully-Specified Name
- Component
- Other diagnosis 1 - ICD code
- Property
- Prid
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- OASIS
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.54
Normative Answer List LL343-5
- Externally Defined
- Yes
- Code System
- I9C
- Code System OID
- 1.3.6.1.4.1.12009.10.1.2173
- Link to External List
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
46514-6 Other diagnosis 1: Symptom Control Rating
Term Description
Severity category for diagnosis.
Source: Regenstrief LOINC
Observation ID in Form
M1022
Fully-Specified Name
- Component
- Other diagnosis 1 - severity rating
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- OASIS
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.54
Normative Answer List LL253-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| 0 | 0 | LA6111-4 | |
| 1 | 1 | LA6112-2 | |
| 2 or more | 2 | LA6113-0 | |
| 3 | 3 | LA6114-8 | |
| 4 | 4 | LA6115-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
46515-3 Other diagnosis 2 - ICD code [OASIS]
Term Description
Identifies diagnosis for which the patient is receiving care and its ICD-9-CM code.
Source: Regenstrief LOINC
Observation ID in Form
M1022
Fully-Specified Name
- Component
- Other diagnosis 2 - ICD code
- Property
- Prid
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- OASIS
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.54
Normative Answer List LL343-5
- Externally Defined
- Yes
- Code System
- I9C
- Code System OID
- 1.3.6.1.4.1.12009.10.1.2173
- Link to External List
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
46516-1 Other diagnosis 2: Symptom Control Rating
Term Description
Severity category for diagnosis.
Source: Regenstrief LOINC
Observation ID in Form
M1022
Fully-Specified Name
- Component
- Other diagnosis 2 - severity rating
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- OASIS
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.54
Normative Answer List LL253-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| 0 | 0 | LA6111-4 | |
| 1 | 1 | LA6112-2 | |
| 2 or more | 2 | LA6113-0 | |
| 3 | 3 | LA6114-8 | |
| 4 | 4 | LA6115-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
46517-9 Other diagnosis 3 - ICD code [OASIS]
Term Description
Identifies diagnosis for which the patient is receiving care and its ICD-9-CM code.
Source: Regenstrief LOINC
Observation ID in Form
M1022
Fully-Specified Name
- Component
- Other diagnosis 3 - ICD code
- Property
- Prid
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- OASIS
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.54
Normative Answer List LL343-5
- Externally Defined
- Yes
- Code System
- I9C
- Code System OID
- 1.3.6.1.4.1.12009.10.1.2173
- Link to External List
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
46518-7 Other diagnosis 3: Symptom Control Rating
Term Description
Severity category for diagnosis.
Source: Regenstrief LOINC
Observation ID in Form
M1022
Fully-Specified Name
- Component
- Other diagnosis 3 - severity rating
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- OASIS
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.54
Normative Answer List LL253-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| 0 | 0 | LA6111-4 | |
| 1 | 1 | LA6112-2 | |
| 2 or more | 2 | LA6113-0 | |
| 3 | 3 | LA6114-8 | |
| 4 | 4 | LA6115-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
46519-5 Other diagnosis 4 - ICD code [OASIS]
Term Description
Identifies diagnosis for which the patient is receiving care and its ICD-9-CM code.
Source: Regenstrief LOINC
Observation ID in Form
M1022
Fully-Specified Name
- Component
- Other diagnosis 4 - ICD code
- Property
- Prid
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- OASIS
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.54
Normative Answer List LL343-5
- Externally Defined
- Yes
- Code System
- I9C
- Code System OID
- 1.3.6.1.4.1.12009.10.1.2173
- Link to External List
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
46520-3 Other diagnosis 4: Symptom Control Rating
Term Description
Severity category for diagnosis.
Source: Regenstrief LOINC
Observation ID in Form
M1022
Fully-Specified Name
- Component
- Other diagnosis 4 - severity rating
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- OASIS
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.54
Normative Answer List LL253-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| 0 | 0 | LA6111-4 | |
| 1 | 1 | LA6112-2 | |
| 2 or more | 2 | LA6113-0 | |
| 3 | 3 | LA6114-8 | |
| 4 | 4 | LA6115-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
46521-1 Other diagnosis 5 - ICD code [OASIS]
Term Description
Identifies diagnosis for which the patient is receiving care and its ICD-9-CM code.
Source: Regenstrief LOINC
Observation ID in Form
M1022
Fully-Specified Name
- Component
- Other diagnosis 5 - ICD code
- Property
- Prid
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- OASIS
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.54
Normative Answer List LL343-5
- Externally Defined
- Yes
- Code System
- I9C
- Code System OID
- 1.3.6.1.4.1.12009.10.1.2173
- Link to External List
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
46522-9 Other diagnosis 5: Symptom Control Rating
Term Description
Severity category for diagnosis.
Source: Regenstrief LOINC
Observation ID in Form
M1022
Fully-Specified Name
- Component
- Other diagnosis 5 - severity rating
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- OASIS
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.54
Normative Answer List LL253-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| 0 | 0 | LA6111-4 | |
| 1 | 1 | LA6112-2 | |
| 2 or more | 2 | LA6113-0 | |
| 3 | 3 | LA6114-8 | |
| 4 | 4 | LA6115-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
58051-4 Payment diagnosis [OASIS-C]
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Payment diagnosis
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- OASIS-C
Basic Attributes
- Class
- PANEL.SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.68
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
49561-4 Payment diagnosis [identifier]
Observation ID in Form
M1024
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Payment diagnosis
- Property
- Prid
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Panel Name
- Short Name
- Payment Dx
Basic Attributes
- Class
- CLIN
- Type
- Clinical
- First Released
- Version 2.22
- Last Updated
- Version 2.40
Example Answer List LL343-5
- Externally Defined
- Yes
- Code System
- I9C
- Code System OID
- 1.3.6.1.4.1.12009.10.1.2173
- Link to External List
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 55169-7 | Data Elements for Emergency Department Systems (DEEDS) Release 1.0 |
| 55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| es-MX | Spanish (Mexico) | Diagnóstico de pago: |
| it-IT | Italian (Italy) | Diagnosi di pagamento: Synonyms: Clinico paziente Presenza o Identità Punto nel tempo (episodio) |
| pt-BR | Portuguese (Brazil) | Pagamento de diagnóstico: Synonyms: ; |
| ru-RU | Russian (Russian Federation) | Оплата диагноз: Synonyms: Диагноз для оплаты Номинальный; |
| zh-CN | Chinese (China) | 支付诊断: Synonyms: 分类型应答; |
46466-9 Therapies the patient receives at home
Term Description
Identifies whether the patient is receiving intravenous, parenteral nutrition, or enteral nutrition therapy at home.
Source: Regenstrief LOINC
Observation ID in Form
M1030
Form Coding Instructions
Therapies are patient receives at home: (Mark all that apply.)
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Therapeutic substance administered at home
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Nom
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to the Component to clarify the concept
- Order vs. Observation
- Observation
Normative Answer List LL254-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Intravenous or infusion therapy (excludes TPN) | 1 | LA6244-3 | |
| Parenteral nutrition (TPN or lipids) | 2 | LA6321-9 | |
| Enteral nutrition (nasogastric, gastrostomy, jejunostomy, or any other artificial entry into the alimentary canal) | 3 | LA6194-0 | |
| None of the above | 4 | LA9-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86244-1 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment] |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
| 88369-4 | Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment] |
| 88368-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment] |
| 88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
| 93058-6 | Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment] |
57319-6 Risk for Hospitalization: Which of the following signs or symptoms characterize this patient as at risk for hospitalization?
Observation ID in Form
M1032
Form Coding Instructions
Mark all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Risk for hospitalization
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Nom
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms
- Order vs. Observation
- Observation
Normative Answer List LL777-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Recent decline in mental, emotional, or behavioral status | 1 | LA12130-3 | |
| Multiple hospitalizations (2 or more) in the past 12 months | 2 | LA12131-1 | |
| History of falls (2 or more falls - or any fall with an injury - in the past year) | 3 | LA12132-9 | |
| Taking five or more medications | 4 | LA12133-7 | |
| Frailty indicators, e.g., weight loss, self-reported exhaustion | 5 | LA12134-5 | |
| Other | 6 | LA46-8 | |
| None of the above | 7 | LA9-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
| 88368-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment] |
| 88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
| 93058-6 | Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment] |
| 99153-9 | Outcome and assessment information set (OASIS) form - version E - Follow Up during assessment period [CMS Assessment] |
| 99160-4 | Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment] |
| 99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
57206-5 Overall Status:Which description best fits the patient's overall status?
Observation ID in Form
M1034
Form Coding Instructions
Check one
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Overall status
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Changed Scale from Nom to Ord because the Answer List is ordinal
- Order vs. Observation
- Observation
Normative Answer List LL778-2
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| The patient is stable with no heightened risk(s) for serious complications and death (beyond those typical of the patient's age). | 0 | LA12137-8 | |
| The patient is temporarily facing high health risk(s) but is likely to return to being stable without heightened risk(s) for serious complications and death (beyond those typical of the patient's age). | 1 | LA12138-6 | |
| The patient is likely to remain in fragile health and have ongoing high risk(s) of serious complications and death. | 2 | LA12139-4 | |
| The patient has serious progressive conditions that could lead to death within a year. | 3 | LA10096-8 | |
| The patient's situation is unknown or unclear. | UK | LA12141-0 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
57207-3 Risk factors, either present or past, likely to affect current health status and/or outcome
Observation ID in Form
M1036
Form Coding Instructions
Mark all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Risk factors affecting health status and or outcome
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Nom
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Removed "past or present" from the Component because that is implied
- Order vs. Observation
- Observation
- Common Test Rank Get Info
- 16958
Normative Answer List LL779-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Smoking | 1 | LA8928-9 | |
| Obesity | 2 | LA6301-1 | |
| Alcohol dependency | 3 | LA6152-8 | |
| Drug dependency | 4 | LA6189-0 | |
| None of the above | 5 | LA9-3 | |
| Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | UK | LA4489-6 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
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.
57208-1 Influenza vaccination received in Reporting Period [CMS Assessment]
Term Description
Identifies whether the patient received an influenza vaccine for this year's flu season
Source: Regenstrief LOINC
Observation ID in Form
M1040
Skip Logic
If "1 - Yes", then go to M1050. If "NA - Does not apply because entire episode of care (SOC/ROC to Transfer/Discharge) is outside this influenza season", then go to M1050.
Form Context
Influenza Vaccine: Did the patient receive the influenza vaccine from your agency for this year's influenza season (October 1 through March 31) during this episode of care?
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Influenza virus vaccination received
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.67
- Change Reason
- Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Added "vaccination received" to the Component for consistent modeling across LOINC vaccination terms.; Added "virus" to Component to be consistent with other "Influenza virus" terms
- Order vs. Observation
- Observation
Normative Answer List LL780-8
| 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 | |
| Does not apply because entire episode of care (SOC/ROC to Transfer/Discharge) is outside this influenza season. | NA | LA12150-1 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
| 57193-5 | Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility |
| 86264-9 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] |
| 86259-9 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] |
| 88371-0 | Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment] |
| 88367-8 | Outcome and assessment information set (OASIS) form - version D, D1 - Transfer to inpatient facility - patient discharged or not discharged during assessment period [CMS Assessment] |
| 99178-6 | Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment] |
| 99174-5 | Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment] |
Member of these Groups Get Info
| LOINC Group | Group Name |
|---|---|
| LG32757-3 | Influenza virus |
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.
55020-2 Reason influenza virus vaccine not received during assessment period [CMS Assessment]
Fully-Specified Name
- Component
- Reason influenza virus vaccine not received
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Nom
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Changed method from MDSv3 so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG
- Order vs. Observation
- Observation
Example Answer List LL676-8
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Resident not in facility during this year's flu season | 1 | LA12666-6 | |
| Received outside of this facility | 2 | LA184-4 | |
| Not eligible - medical contraindication | 3 | LA11091-8 | |
| Offered and declined | 4 | LA186-9 | |
| Not offered | 5 | LA187-7 | |
| Inability to obtain vaccine due to declared shortage | 6 | LA12156-8 | |
| None of the above | 9 | LA9-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
| 52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
| 83265-9 | Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] |
| 87414-9 | Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] |
| 88329-8 | Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] |
| 85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] |
| 85671-6 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment] |
| 85662-5 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] |
| 85668-2 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment] |
| 45981-8 | Deprecated MDS full assessment form - version 2.0 |
| 46104-6 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update |
| 86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
| 86872-9 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] |
| 86871-1 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] |
| 86873-7 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] |
| 86856-2 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] |
| 86876-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] |
| 88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
| 88283-7 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] |
| 88284-5 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] |
| 88285-2 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] |
| 88287-8 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] |
| 88292-8 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] |
| 88288-6 | Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] |
| 88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
| 88945-1 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] |
| 88946-9 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] |
| 88947-7 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] |
| 88949-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] |
| 88955-0 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] |
| 88950-1 | Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] |
| 54580-6 | Deprecated Minimum Data Set - version 3.0 |
| 46076-6 | Deprecated Minimum Data Set (MDS) supplemental items section - version 2.0 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
| 57193-5 | Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility |
| 87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
| 87506-2 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment] |
| 87507-0 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment] |
| 87508-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment] |
| 90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 90477-1 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] |
| 90474-8 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment] |
| 90475-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment] |
| 91552-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment] |
| 90476-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
| 101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 101107-1 | MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] |
| 101110-5 | MDS v3.0 - RAI v1.18.11 - Nursing home PPS (NP) item set during assessment period [CMS Assessment] |
| 101106-3 | MDS v3.0 - RAI v1.18.11 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment] |
| 101113-9 | MDS v3.0 - RAI v1.18.11 - Swing bed discharge (SD) item set during assessment period [CMS Assessment] |
| 101112-1 | MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
| 103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 104606-9 | MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] |
| 104552-5 | MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment] |
| 104554-1 | MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment] |
| 104607-7 | MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment] |
| 104609-3 | MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
57210-7 Pneumococcal Vaccine: Did the patient receive pneumococcal polysaccharide vaccine (PPV) from your agency during this episode of care (SOC/ROC to Transfer/Discharge)?
Observation ID in Form
M1050
Skip Logic
If "1 - Yes", then go to M1500 at TRN, go to M1230 at DC.
Fully-Specified Name
- Component
- Pneumococcal vaccine
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- OASIS-C
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.44
Survey Question
- Text
- Pneumococcal Vaccine: Did the patient receive pneumococcal polysaccharide vaccine (PPV) from your agency during this episode of care (SOC/ROC to Transfer/Discharge)?
- Source
- OASIS-C.M1050
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 |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
| 57193-5 | Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility |
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.
57211-5 Reason PPV not received: If patient did not receive the pneumococcal polysaccharide vaccine (PPV) from your agency during this episode of care (SOC/ROC to Transfer/Discharge), state reason:
Observation ID in Form
M1055
Fully-Specified Name
- Component
- Reason pneumococcal vaccine not given
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- OASIS-C
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.48
Normative Answer List LL782-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Patient has received PPV in the past | 1 | LA12158-4 | |
| Offered and declined | 2 | LA186-9 | |
| Assessed and determined to have medical contraindication(s) | 3 | LA12154-3 | |
| Not indicated; patient does not meet age/condition guidelines for PPV | 4 | LA12161-8 | |
| None of the above | 5 | LA9-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
| 57193-5 | Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility |