LOINC Panel Details

Panel: 90479-7 - MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home & Swing bed tracking (NT & ST) item set:-:RptPeriod:^Patient:-:CMS Assessment

• 90479-7 - MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home & Swing bed tracking (NT & ST) item set:-:RptPeriod:^Patient:-:CMS Assessment (Seq: 8, Type: N/A) None
  • 90502-6 - MDS v3.0 - RAI v1.17.2 - Identification information - NT, ST:-:RptPeriod:^Patient:-:CMS Assessment (Identification Information) (Seq: 1, Type: N/A) None
    • 58198-3 - Type of record:Type:RptPeriod:^Patient:Nom:CMS Assessment (Type of Record) (Seq: 1, Type: N/A) None
    • 54581-4 - Facility provider #s (Facility Provider Numbers) (Seq: 2, Type: N/A) None
      • 76468-8 - Organization NPI (National Provider Identifier (NPI)) (Seq: 1, Type: N/A) None
      • 69417-4 - CMS certification # Facility (CMS Certification Number (CCN)) (Seq: 2, Type: N/A) None
      • 45398-5 - State provider # Facility (Seq: 3, Type: N/A) None
    • 85632-8 - Facility type:Type:RptPeriod:Facility:Nom:CMS Assessment (Type of Provider) (Seq: 3, Type: N/A) None
    • 90521-6 - Optional state assessment:-:RptPeriod:^Patient:-:CMS Assessment (Optional State Assessment) (Seq: 4, Type: N/A) None
      • 90522-4 - Assessment for state payment:Find:RptPeriod:^Patient:Ord:CMS Assessment (Is this assessment for state payment purposes only?) (Seq: 1, Type: N/A) None
    • 90570-3 - MDS v3.0 - RAI v1.17.2 - Type of assessment - NT, NPE, ST:-:RptPeriod:^Patient:-:CMS Assessment (Type of Assessment) (Seq: 5, Type: N/A) None
      • 54583-0 - Federal OBRA reason for assessment:Type:RptPeriod:^Patient:Nom:CMS Assessment (Federal OBRA Reason for Assessment) (Seq: 1, Type: N/A) None
      • 54584-8 - PPS Assessment:Type:RptPeriod:^Patient:Nom:CMS Assessment (PPS Assessment) (Seq: 2, Type: N/A) None
      • 54587-1 - First assessment since the most recent admission &or reentry:Find:RptPeriod:^Patient:Ord:CMS Assessment (Is this assessment the first assessment (OBRA, Scheduled PPS, or Discharge) since the most recent admission/entry or reentry?) (Seq: 3, Type: N/A) None
      • 58108-2 - Entry &or discharge reporting:Find:RptPeriod:^Patient:Nom:CMS Assessment (Entry/discharge reporting) (Seq: 4, Type: N/A) None
      • 71440-2 - Discharge:Type:RptPeriod:^Patient:Ord:CMS Assessment (Type of discharge) (Seq: 5, Type: N/A) None
    • 86526-1 - Unit certification or licensure designation:Type:RptPeriod:Facility:Nom:CMS Assessment (Unit Certification or Licensure Designation) (Seq: 6, Type: N/A) None
    • 54503-8 - Legal name of patient:-:Pt:^Patient:-: (Legal Name of Resident) (Seq: 7, Type: N/A) None
      • 45392-8 - Patient First name (Seq: 1, Type: N/A) None
      • 45393-6 - Middle initial (Seq: 2, Type: N/A) None
      • 45394-4 - Patient Last name (Seq: 3, Type: N/A) None
      • 45395-1 - Patient Name suffix (Suffix) (Seq: 4, Type: N/A) None
    • 45966-9 - Social Security & Medicare numbers:-:Pt:^Patient:-: (Social Security and Medicare Numbers) (Seq: 8, Type: N/A) None
      • 45396-9 - Social Security # (Seq: 1, Type: Question, expects user entry) None
      • 45397-7 - Medicare or comparable # (Seq: 2, Type: Question, expects user entry) None
    • 45400-9 - Medicaid # (Medicaid Number) (Seq: 9, Type: N/A) None
    • 46098-0 - Sex (Gender) (Seq: 10, Type: N/A) None
    • 21112-8 - Birth date (Birth Date) (Seq: 11, Type: N/A) {mm/dd/yyyy}
    • 59362-4 - Race or ethnicity OMB.1997 (Race/Ethnicity) (Seq: 12, Type: N/A) None
    • 45404-1 - Marital status (Marital Status) (Seq: 13, Type: N/A) None
    • 54506-1 - Optional resident items:-:Pt:^Patient:-: (Optional Resident Items) (Seq: 14, Type: N/A) None
      • 46106-1 - MRN (Medical record number) (Seq: 1, Type: N/A) None
      • 45403-3 - Room # (Seq: 2, Type: N/A) None
      • 52462-9 - Nickname (Name by which resident prefers to be addressed) (Seq: 3, Type: N/A) None
      • 21843-8 - Hx of Usual occupation (Seq: 4, Type: N/A) None
    • 86528-7 - Most recent admission &or entry or reentry into this facility:-:RptPeriod:^Patient:-:CMS Assessment (Most Recent Admission/Entry or Reentry into this Facility) (Seq: 15, Type: N/A) None
      • 50786-3 - Date of entry:TmStp:Pt:^Patient:Qn: (Entry Date) (Seq: 1, Type: N/A) {mm/dd/yyyy}
      • 54590-5 - Entry type:Type:RptPeriod:^Patient:Nom:CMS Assessment (Type of Entry) (Seq: 2, Type: N/A) None
      • 85398-6 - Admitted from:Type:Pt:Facility:Nom: (Entered From) (Seq: 3, Type: N/A) None
    • 52455-3 - Admission date (Admission Date) (Seq: 16, Type: N/A) {mm/dd/yyyy}
    • 52525-3 - Discharge date (Discharge Date) (Seq: 17, Type: N/A) {mm/dd/yyyy}
    • 55128-3 - Discharge disposition:Type:Pt:^Patient:Nom: (Discharge Status) (Seq: 18, Type: N/A) None
    • 54507-9 - Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Medicare Stay) (Seq: 19, Type: N/A) None
      • 54594-7 - Medicare-covered stay since the most recent entry:Find:RptPeriod:^Patient:Ord:CMS Assessment (Has resident had Medicare-covered stay since the most recent entry?) (Seq: 1, Type: N/A) None
      • 54595-4 - Start date of most recent Medicare stay:Date:RptPeriod:^Patient:Qn:CMS Assessment (Seq: 2, Type: N/A) {mm/dd/yyyy}
      • 54596-2 - End date of most recent Medicare stay:Date:RptPeriod:^Patient:Qn:CMS Assessment (Seq: 3, Type: N/A) {mm/dd/yyyy}
  • 90490-4 - MDS v3.0 - RAI v1.17.2 - Correction request:-:RptPeriod:^Patient:-:CMS Assessment (Correction Request) (Seq: 2, Type: N/A) None
    • 85632-8 - Facility type:Type:RptPeriod:Facility:Nom:CMS Assessment (Type of Provider) (Seq: 1, Type: N/A) None
    • 87226-7 - First and last name (Name of Resident) (Seq: 2, Type: N/A) None
      • 45392-8 - Patient First name (Seq: 1, Type: N/A) None
      • 45394-4 - Patient Last name (Seq: 2, Type: N/A) None
    • 46098-0 - Sex (Gender) (Seq: 3, Type: N/A) None
    • 21112-8 - Birth date (Birth Date) (Seq: 4, Type: N/A) {mm/dd/yyyy}
    • 45396-9 - Social Security # (Social Security Number) (Seq: 5, Type: N/A) None
    • 90522-4 - Assessment for state payment:Find:RptPeriod:^Patient:Ord:CMS Assessment (Optional State Assessment. Is this assessment for state payment purposes only?) (Seq: 6, Type: N/A) None
    • 90492-0 - MDS v3.0 - RAI v1.17.2 - Type of assessment on existing record to be modified or inactivated:-:RptPeriod:^Patient:-:CMS Assessment (Type of Assessment) (Seq: 7, Type: N/A) None
      • 54583-0 - Federal OBRA reason for assessment:Type:RptPeriod:^Patient:Nom:CMS Assessment (Federal OBRA Reason for Assessment) (Seq: 1, Type: N/A) None
      • 54584-8 - PPS Assessment:Type:RptPeriod:^Patient:Nom:CMS Assessment (PPS Assessment) (Seq: 2, Type: N/A) None
      • 58108-2 - Entry &or discharge reporting:Find:RptPeriod:^Patient:Nom:CMS Assessment (Entry/discharge reporting) (Seq: 3, Type: N/A) None
      • 86525-3 - SNF Part A PPS discharge assessment:Find:RptPeriod:^Patient:Ord:CMS Assessment (Is this a SNF Part A PPS Discharge Assessment?) (Seq: 4, Type: N/A) None
    • 87216-8 - Date on existing record to be modified or inactivated:-:RptPeriod:^Patient:-:CMS Assessment (Date on existing record to be modified/inactivated) (Seq: 8, Type: N/A) None
      • 54593-9 - Assessment reference date - observation end date:Date:RptPeriod:^Patient:Qn:CMS Assessment (Assessment Reference Date) (Seq: 1, Type: N/A) {mm/dd/yyyy}
        • 52525-3 - Discharge date (Seq: 1, Type: N/A) {mm/dd/yyyy}
        • 45453-8 - Date of last day of MDS observation period:Date:Pt:^Patient:Qn:MDS (Seq: 1, Type: N/A) None
        • 50786-3 - Date of entry:TmStp:Pt:^Patient:Qn: (Entry Date) (Seq: 2, Type: N/A) {mm/dd/yyyy}
        • 45454-6 - Original or corrected copy of form:Num:Pt:^Patient:Ord:MDS (Seq: 2, Type: N/A) None
        • 58200-7 - Correction number:Num:RptPeriod:^Patient:Qn:CMS Assessment (Seq: 3, Type: N/A) {#}
      • 52525-3 - Discharge date (Discharge Date) (Seq: 2, Type: N/A) {mm/dd/yyyy}
      • 50786-3 - Date of entry:TmStp:Pt:^Patient:Qn: (Entry Date) (Seq: 3, Type: N/A) {mm/dd/yyyy}
    • 87209-3 - Correction attestation section:-:RptPeriod:^Patient:-:CMS Assessment (Correction Attestation Section) (Seq: 9, Type: N/A) None
      • 58200-7 - Correction number:Num:RptPeriod:^Patient:Qn:CMS Assessment (Correction Number) (Seq: 1, Type: N/A) {#}
      • 87217-6 - Reasons for modification:Type:RptPeriod:^Patient:Nom:CMS Assessment (Reasons for Modification) (Seq: 2, Type: N/A) None
      • 87225-9 - Reasons for inactivation:Type:RptPeriod:^Patient:Nom:CMS Assessment (Reasons for Inactivation) (Seq: 3, Type: N/A) None
      • 87218-4 - RN asessment coordinator attestation of completion:-:RptPeriod:^Patient:-:CMS Assessment (RN Assessment Coordinator Attestation of Completion) (Seq: 4, Type: N/A) None
        • 87219-2 - Attesting individual first name:Pn:RptPeriod:Provider:Nom:CMS Assessment (Attesting individual's first name) (Seq: 1, Type: N/A) None
        • 87220-0 - Attesting individual last name:Pn:RptPeriod:Provider:Nom:CMS Assessment (Attesting individual's last name) (Seq: 2, Type: N/A) None
        • 87221-8 - Attesting individual title:Type:RptPeriod:Provider:Nom:CMS Assessment (Attesting individual's title) (Seq: 3, Type: N/A) None
        • 87222-6 - Attestation date:Date:RptPeriod:^Patient:Qn:CMS Assessment (Attestation date) (Seq: 4, Type: N/A) {mm/dd/yyyy}
        • 70127-6 - Signature verifying assessment completion:Pn:Pt:^Patient:Nom: (Signature:) (Seq: 4, Type: N/A) None
          • 30947-6 - Date form completed (Date RN Assessment Coordinator signed assessment as complete:) (Seq: 2, Type: Question, expects user entry) {mm/dd/yyyy}
        • 87222-6 - Attestation date:Date:RptPeriod:^Patient:Qn:CMS Assessment (Attestation date) (Seq: 5, Type: N/A) {mm/dd/yyyy}