87208-5 Items From the Most Recent Prior OBRA or Scheduled PPS Assessment

Observation ID in Form

V0100

Skip Logic

Complete only if A0310E = 0 and if the following is true for the prior assessment: A0310A = 01- 06 or A0310B = 01- 05

Fully-Specified Name

Component

Items from the most recent prior OBRA or scheduled PPS Assessment

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

Items from the most recent prior OBRA or scheduled PPS Assessment during assessment period [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.63

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;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

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

Related Codes

54583-0 Prior Assessment Federal OBRA Reason for Assessment

Observation ID in Form

V0100A

Form Coding Instructions

A0310A value from prior assessment

Fully-Specified Name

Component

Federal OBRA reason for assessment

Property

Type

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Federal OBRA reason for assessment during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.77 (MAJ)

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 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

Observation

Normative Answer List LL631-3

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Nominal
• Report period
• Survey
• Typ

Related Codes

54584-8 Prior Assessment PPS Reason for Assessment

Observation ID in Form

V0100B

Form Coding Instructions

A0310B value from prior assessment

Fully-Specified Name

Component

PPS Assessment

Property

Type

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

PPS Assessment during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.78 (MAJ)

Change Reason

Release 2.78: SCALE_TYP: LL has nominal list; Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; 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; Change Scale from Nom to Ord because the answer lists are Ordinal.; Changed Component from plural to singular to reflect answer cardinality

Order vs. Observation

Observation

Normative Answer List LL4610-3

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Nominal
• Report period
• Survey
• Typ

Related Codes

54593-9 Prior Assessment Reference Date

Term Description

The end-point of the assessment period for the CMS assessment instrument.

Observation ID in Form

V0100C

Form Coding Instructions

(A2300 value from prior assessment)

Fully-Specified Name

Component

Assessment reference date - observation end date

Property

Date

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Long Common Name

Assessment reference date - observation end date during assessment period [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.77 (MAJ)

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Release 2.74: PanelType: made subset organizer - contains children; CLASS: Class must include panel because made subset organizer - contains children; Previous Releases: Updated METHOD from MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee. Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• QNT
• Quan
• Quant
• Quantitative
• Report period
• Survey

Example Units

Related Codes

54614-3 Prior Assessment Brief Interview for Mental Status (BIMS) Summary Score

Observation ID in Form

V0100D

Form Coding Instructions

(C0500 value from prior assessment)

Form Coding Instructions

Add scores for questions C0200-C0400 and fill in total score (00-15). Enter 99 if the resident was unable to complete interview

Fully-Specified Name

Component

Brief interview for mental status - summary score

Property

Score

Time

Pt

System

^Patient

Scale

Qn

Method

BIMS

Long Common Name

Brief Interview for Mental Status - summary score [BIMS]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.63 (MIN)

Change Reason

Changed method to BIMS so term can be used across CMS assessments; Updated CLASS to SURVEY.CMS; Removed (BIMS) from Component because it is repeated in the Method

Order vs. Observation

Observation

Member of these Panels

Related Names

• BIMS summary score
• Point in time
• QNT
• Quan
• Quant
• Quantitative
• Random
• Scale
• Survey

Example Units

54654-9 Prior Assessment Resident Mood Interview (PHQ-9©) Total Severity Score

Observation ID in Form

V0100E

Form Coding Instructions

D0300 value from prior assessment

Form Coding Instructions

Add scores for all frequency responses in Column 2, Symptom Frequency. Total score must be between 00 and 27. Enter 99 if unable to complete interview (i.e., Symptom Frequency is blank for 3 or more required items)

Fully-Specified Name

Component

Mood interview total severity score

Property

Score

Time

Pt

System

^Patient

Scale

Qn

Method

Reported.PHQ-9.CMS

Long Common Name

Mood interview total severity score [Reported PHQ-9 CMS]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.63 (MIN)

Change Reason

Updated METHOD to Reported.PHQ-9.CMS to use term across CMS instruments

Order vs. Observation

Observation

Member of these Panels

Related Names

• Mental health
• MentalHealth
• Patient Health Questionnaire
• PHQ9
• Point in time
• Psych
• Psychiatry
• QNT
• Quan
• Quant
• Quantitative
• Random
• Scale
• Survey
• Tot
• Totl

Example Units

Copyright

Organization

Pfizer, Inc

Copyright

Copyright © Pfizer Inc. All rights reserved.

Terms of Use

Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute.

URL

https://www.phqscreeners.com/

54677-0 Prior Assessment Staff Assessment of Resident Mood (PHQ-9-OV) Total Severity Score

Observation ID in Form

V0100F

Form Coding Instructions

(D0600 value from prior assessment)

Form Coding Instructions

Add scores for all frequency responses in Column 2, Symptom Frequency. Total score must be between 00 and 30

Fully-Specified Name

Component

Staff assessment of resident mood total severity score

Property

Score

Time

Pt

System

^Patient

Scale

Qn

Method

Observed.PHQ-9.CMS

Long Common Name

Staff assessment of resident mood total severity score [Observed PHQ-9 CMS]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.63 (MIN)

Change Reason

Updated METHOD to Observed.PHQ-9.CMS to use term across CMS instruments

Order vs. Observation

Observation

Member of these Panels

Related Names

• Mental health
• MentalHealth
• Patient Health Questionnaire
• PHQ9
• Point in time
• Psych
• Psychiatry
• QNT
• Quan
• Quant
• Quantitative
• Random
• Scale
• Survey
• Tot
• Totl

Example Units

Copyright

Organization

Pfizer, Inc

Copyright

Copyright © Pfizer Inc. All rights reserved.

Terms of Use

Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute.

URL

https://www.phqscreeners.com/

87210-1 CAAs and Care Planning

Observation ID in Form

V0200

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 Care Planning Decision 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 Documentation 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

Fully-Specified Name

Component

Care Area Assessment (CAA) and Care Planning

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

Care Area Assessment (CAA) and care planning during assessment period [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.63

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;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

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

Related Codes

87211-9 CAA Results

Observation ID in Form

V0200A

Fully-Specified Name

Component

Care Area Assessment (CAA) results

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

Care Area Assessment (CAA) results during assessment period [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.63

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;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

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

Related Codes

87212-7 Care Area Triggered

Observation ID in Form

V0200A_A

Form Coding Instructions

Check all that apply.

Fully-Specified Name

Component

Care area triggered

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Care area triggered during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.77 (MAJ)

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Normative Answer List LL4663-2

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Nominal
• Report period
• Survey

Related Codes

87213-5 Care Planning Decision

Observation ID in Form

V0200A_B

Form Coding Instructions

Check all that apply.

Fully-Specified Name

Component

Triggered care area included in care plan

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Triggered care area included in care plan during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.77 (MAJ)

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Normative Answer List LL4663-2

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Nominal
• Report period
• Survey

Related Codes