Version 2.78

87212-7 Care Area Triggered

Observation ID in Form

V0200A_A

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Care area triggered
Property
Find
Time
RptPeriod
System
^Patient
Scale
Nom
Method
CMS Assessment

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.63
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;
Order vs. Observation
Observation

Normative Answer List LL4663-2

Answer Code Score Answer ID
Delirium 01 LA7426-5
Cognitive loss/dementia 02 LA28159-4
Visual function 03 LA28160-2
Communication 04 LA28161-0
ADL functional/rehabilitation potential 05 LA28162-8
Urinary incontinence and indwelling catheter 06 LA28163-6
Psychosocial well-being 07 LA28165-1
Mood state 08 LA28166-9
Behavioral symptoms 09 LA28167-7
Activities 10 LA28168-5
Falls 11 LA17133-2
Nutritional status 12 LA28169-3
Feeding tube 13 LA28170-1
Dehydration/fluid maintenance 14 LA28171-9
Dental care 15 LA28172-7
Pressure ulcer 16 LA19028-2
Psychotropic drug use 17 LA28173-5
Physical restraints 18 LA28174-3
Pain 19 LA7460-4
Return to community referral 20 LA28175-0

Member of these Panels

LOINC Long Common Name
86522-0 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88282-9 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88954-3 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [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]
101105-5 MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) 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]

87213-5 Care Planning Decision

Observation ID in Form

V0200A_B

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Triggered care area included in care plan
Property
Find
Time
RptPeriod
System
^Patient
Scale
Nom
Method
CMS Assessment

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.63
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;
Order vs. Observation
Observation

Normative Answer List LL4663-2

Answer Code Score Answer ID
Delirium 01 LA7426-5
Cognitive loss/dementia 02 LA28159-4
Visual function 03 LA28160-2
Communication 04 LA28161-0
ADL functional/rehabilitation potential 05 LA28162-8
Urinary incontinence and indwelling catheter 06 LA28163-6
Psychosocial well-being 07 LA28165-1
Mood state 08 LA28166-9
Behavioral symptoms 09 LA28167-7
Activities 10 LA28168-5
Falls 11 LA17133-2
Nutritional status 12 LA28169-3
Feeding tube 13 LA28170-1
Dehydration/fluid maintenance 14 LA28171-9
Dental care 15 LA28172-7
Pressure ulcer 16 LA19028-2
Psychotropic drug use 17 LA28173-5
Physical restraints 18 LA28174-3
Pain 19 LA7460-4
Return to community referral 20 LA28175-0

Member of these Panels

LOINC Long Common Name
86522-0 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88282-9 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88954-3 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [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]
101105-5 MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) 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]