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Opportunities for Engaging Long-Term and Post-Acute Care Providers in Health Information Exchange Activities: Exchanging Interoperable Patient Assessment Information

Publication Date

Michelle Dougherty, MA, RHIA, CHP
AHIMA Foundation

Jennie Harvell
Office of the Assistant Secretary for Planning and Evaluation
U.S. Department of Health and Human Services


This report was prepared under contracts #HHSP23320074303EC and #HHSP23320110006EC between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the American Health Information Management Association.  For additional information about this subject, you can visit the DALTCP home page at http://aspe.hhs.gov/_/office_specific/daltcp.cfm or contact the ASPE Project Officer, Jennie Harvell, at HHS/ASPE/DALTCP, Room 424E, H.H. Humphrey Building, 200 Independence Avenue, S.W. , Washington , D.C. 20201 .  Her e-mail address is: Jennie.Harvell@hhs.gov.

The opinions and views expressed in this report are those of the authors.  They do not necessarily reflect the views of the Department of Health and Human Services, the contractor or any other funding organization.


 

Study Acknowledgements And Contributors

Bob Dolin, MD
Lantana Consulting Group

Gaye Giannone Dolin, MSN, RN
Lantana Consulting Group

Sue Mitchell, RHIA, Consultant

Margaret Williams
AHIMA Foundation

Cyndi Lundberg, RN, BSN
SNOMED Terminology Solutions
College of American Pathologists

Daniel Vreeman, PT, DPT, MSc
Regenstrief Institute, Inc.

Keystone Beacon Community

James Walker, MD, FACP

James Younkin
Geisinger Health System

I. Background

Each year about 12 million medically complex and/or functionally impaired Americans need long-term and post-acute care (LTPAC) services in nursing homes, home health, or other settings. Persons receiving LTPAC services typically have multiple health care encounters with physicians and other clinicians. Transitions to and from LTPAC settings to emergency rooms and hospitals are common.

The need to improve care and care coordination for LTPAC patients is great. For example, about one in four Medicare beneficiaries discharged from a hospital to a skilled nursing facility is readmitted within 30 days.1 Clinical trials suggest that 20-50 percent of rehospitalizations are preventable. Preventable rehospitalizations and other suboptimal health care outcomes are detrimental to LTPAC patients and costly for federal and state governments as Medicare and Medicaid programs are the primary payers of LTPAC services.2 Most persons who receive formal LTPAC services are insured by these programs.

Definition of Interoperability

Interoperability in health care is the ability of different information technology systems and software applications to communicate, to exchange data accurately, effectively and consistently, and to use the information that has been exchanged.

National Alliance for Health Information Technology

Health information technology (HIT) and health information exchange (HIE) among providers have the potential to improve the overall quality and continuity of care of LTPAC patients, reduce rehospitalizations, and control health care spending. Yet LTPAC providers do not have robust, interoperable HIT capabilities to support the electronic exchange and use of clinical information. Without these HIT capabilities, LTPAC providers face significant barriers in accessing patients' clinical information from other providers; further, hospitals, primary care professionals, caregivers and other providers cannot obtain timely and important LTPAC information. Ultimately, LTPAC providers' limited HIT capacity and engagement in HIE activities:

  • Impedes care coordination and effective transitions of care;
  • Retards improvements in the delivery of quality health care;
  • Contributes to higher costs for payers and patients, and poor outcomes; and
  • Will eventually stymie eligible professionals' and hospitals' ability to qualify for incentives for the meaningful use of HIT.3

Both the Patient Protection and Affordable Care Act (ACA) and the Health Information Technology for Economic and Clinical Health Act (HITECH) aim to improve the quality and efficiency of health care. Many health care reform provisions depend on health care providers' ability to electronically exchange and use clinical information. Although HITECH supports the development of a nationwide HIT infrastructure for the electronic exchange and use health information, to date, limited resources have been directed to support LTPAC providers' participation in HIE activities. Although HITECH did not include financial incentives for LTPAC providers, market-driven pressures arising from payment and delivery reforms are expected to require investments in technology to coordinate care and exchange information with other providers to deliver high quality care in a safe and efficient manner. These pressures will extend to eligible providers (e.g., physicians and short-term acute care hospitals) as they attempt to qualify for their meaningful use electronic health record (EHR) incentive payments; as well as to providers ineligible for such incentives, including nursing homes and home health agencies, as they seek to position themselves in a reformed health delivery environment.

To achieve national health care reform goals, HIT policies and initiatives to advance the electronic use and exchange of health information must include LTPAC. This report describes the:

  • Policy rationale for engaging certain LTPAC providers (specifically nursing homes and home health agencies) in HIT activities, and describes activities underway that seek to engage these providers.

  • Opportunities to leverage federally mandated assessment instruments as an entrance point for engagement.

  • Tools to assist LTPAC providers in expanding their HIT capabilities.

Substantial gains in health care quality, efficiency, and outcomes will be potentially delayed if LTPAC providers do not adopt and use HIT and exchange capabilities. Concrete steps are needed to engage nursing homes and home health agencies and enable them to use HIT that supports electronic exchange across providers. As described later in this report, there is support for adding to future stages of meaningful use requirements that eligible professionals and hospitals have two-way electronic exchanges of clinical information with other providers -- including LTPAC -- in order for those eligible providers to qualify for federal incentives and avoid financial penalties. As hospitals and physicians -- both important referral sources for LTPAC providers -- increase their use of HIT they will exert more pressure on LTPAC providers to use standards-based technology to exchange information and coordinate care.

This report identifies opportunities and tools to support HIT adoption and use among LTPAC providers, particularly nursing homes and home health agencies by leveraging federally required assessment instruments used and electronically transmitted by almost 100 percent of these providers in the United States. The analysis and approach for engaging LTPAC providers in HIE activities result from a four-year study sponsored by the Office of the Assistant Secretary for Planning and Evaluation (ASPE) in the U.S. Department of Health and Human Services (HHS) and undertaken by the American Health Information Management Association (AHIMA) Foundation that involved input and technical expertise from a variety of public and private sector LTPAC stakeholders and experts in HIT and HIE.

The central opportunity presented in this report to engage LTPAC in HIE activities is to apply HIT vocabulary and document exchange standards to existing federally required patient assessment content thus enabling their interoperable exchange and re-use. Clinical and other experts consulted as part of this study indicated that:

  • Exchanging patient assessment information could improve communication between care providers and provides an important snapshot of an individual's clinical status at the time the assessment was completed.

  • Exchanging a summary of the patient's clinical status derived from each assessment completed provides allows for tracking and trending changes in condition over time and is useful to clinicians and case managers.

  • Exchanging a summary of an assessment completed prior to transition may be dated but still provides valuable information since some information is better than no information. (See discussion in the Exchanging Standardized Assessment Content for Patient Assessment Summary Documents section regarding the Keystone Beacon Community Program.)

  • Re-using some assessment content could provide clinically useful information to support more complex shared care and transition processes. (See discussion in Opportunities to Re-Use Standardized Patient Assessment Content and Link with Other Data section regarding the inclusion of assessment information in the creation and exchange of the Uniform Transfer Form in Massachusetts, and the creation and exchange of the home health plan of care in New York.)

In summary, an approach to accelerate LTPAC providers' adoption of more sophisticated types of information exchange and sharing capabilities would support meaningful use requirements. The exchange of patient assessment instruments (PAIs) and the re-use of assessment content could serve as the initial foundation for expanding LTPAC providers' HIT capabilities and participation in more sophisticated HIE activities. This report includes the following information and makes available a set of technical tools for LTPAC providers to begin participating in HIE.

  • Section II describes the methods and approaches used to conduct this study.

  • Section III describes the national policy priorities and the policy rationale for engaging LTPAC providers in electronic HIE activities, highlighting relevant parts of the ACA and HITECH.

  • Section IV provides an overview of the HIT capabilities in LTPAC and reviews existing PAIs.

  • Section V describes how standardized PAIs and content could be used to engage LTPAC providers in HIE activities. This section describes how interoperable PAIs and content could be used to accelerate LTPAC providers' readiness and ability to participate in the nationwide HIT infrastructure through the interoperable exchange of PAIs and patient assessment summary documents. This section also describes how standardized assessment content is being re-used in a variety of HIE activities.

  • Section VI describes the technical infrastructure needed to support an interoperable nationwide health information infrastructure that includes LTPAC and outlines the tools available to facilitate interoperable exchange.

  • Section VII discusses opportunities for expanding beyond patient assessments and advancing to more sophisticated types of HIE.

  • Section VIII, describes opportunities and options for next steps that could be undertaken to increase the LTPAC sector's and states' awareness of impending demands for electronic clinical information exchange.

II. Study Methods

In 2007, ASPE/HHS contracted with the AHIMA Foundation to advance the interoperable use of HIT and EHRs by LTPAC providers by leveraging federal requirements for the electronic submission of PAIs. The study, building on work that had been undertaken by the Consolidated Health Informatics Initiative and endorsed by the National Committee on Vital and Health Statistics (NCVHS),4 involved the identification and application of HIT standards to the Minimum Data Set (MDS) and Outcome and Assessment Information Set (OASIS) instruments, development of technical tools to support interoperable exchange of assessment instruments and the re-use of assessment content for patient assessment summary documents, identification of opportunities to support the widespread adoption and use of interoperable patient assessment information, and steps needed to advance HIE with and by LTPAC providers.

The AHIMA Foundation subcontracted with several technical experts to assist in linking recognized vocabulary standards to PAIs, develop implementation guides for the interoperable exchange of PAIs, and identify issues that need to be addressed to enable the interoperable exchange of patient assessment summary documents. These technical experts included:

  • Lantana Consulting Group, Bob Dolin, MD, and Gaye Giannone Dolin, MSN, RN
  • Sue Mitchell, RHIA, HIM and Standards Consultant
  • Cyndi Lundberg, RN, BSN, SNOMED Terminology Solutions, College of American Pathologists
  • Daniel Vreeman, PT, DPT, MSc, Regenstrief Institute, Inc.
  • Keystone Beacon Community, Jim Walker, MD, CMIO and Jim Younkin, Director, Keystone Health Information Exchange
  • LTPAC and industry stakeholders as noted in: Appendix A: Stakeholder Interview Summary, and Appendix J: Patient Assessment Summary for Health Information Exchange

To support the opportunities outlined in this report, AHIMA developed 13 Appendices that offer essential background information and technical tools developed as part of the four-year study. Study methods included:

  • Conducting stakeholder interviews to discuss incentives for and barriers to HIT adoption and HIE by LTPAC providers. The interviews also explored implications of limited HIT interoperability and gathered insights on how to advance the use and exchange of electronic clinical information in LTPAC settings (see Appendix A: Stakeholder Interview Summary). The stakeholder interviews were instrumental in identifying and developing the opportunities identified in this report.

  • Engaging experts to determine a technical approach and interoperability tools for content and exchange standards to be applied to the MDS Version 3 (MDS 3.0) and OASIS.

  • Mapping HIT content standards to assessment items and developing a "Rosetta Stone" as a resource for assessment items and their standard representations.

  • Engaging experts to identify a subset of assessment content for a summary to provide a clinically relevant snapshot of an individual's status.

  • Testing the premise of the study to re-use assessment content to support HIE with a provider and HIE organization.

In addition to the technical tools in Appendices A-L, a list of Terms and Acronyms was compiled that readers may find useful when reading the report (Appendix M: Terms and Acronyms).

III. National Policy Priorities

National policy promotes the use of HIT to advance health care delivery, payment and outcomes. LTPAC providers are a vital part of the health care system and an important part of the nationwide HIT infrastructure. The HITECH of 2009 and the ACA of 2010 establish important goals for the exchange and use of HIT to reform health care. This study collected and analyzed data from multiple sources to generate the findings and opportunities described in this report.

As described in this section, national policy is reforming the health care system with the goals of better quality care, health care outcomes and efficiency. The policy framework uses HIT as a tool that aids improvements in care coordination and transitions of care. National policymakers also have promoted HIT as a critical tool to support new health care delivery and payment systems that will make marked improvements in quality, safety, efficiency, population health and health outcomes. Key strategies to advance the technical HIT infrastructure in the United States include spurring adoption of EHRs, using technical standards and vocabularies, and establishing a mechanism to exchange clinical information electronically. These policies stemmed from the need to accelerate health care providers' EHR adoption and use including HIE.

In the health care system, LTPAC providers deliver specialized care to elderly, frail or disabled patients and to individuals who require ongoing treatment or care following an acute health episode. Figure 1 identifies some of the most common LTPAC providers. Typical services include rehabilitation, medical management, skilled nursing services, and assistance with activities of daily living due physical and/or cognitive impairments. This study specifically focused on two of those LTPAC providers -- nursing facilities/skilled nursing facilities and home health agencies.

  FIGURE 1. Common Types of Long-Term and Post-Acute Care (LTPAC) Providers  
  • Nursing facilities or skilled nursing facilities
  • Home health agencies
  • Hospice providers
  • Inpatient rehabilitation facilities (IRFs) " Long-term acute care hospitals
  • Assisted living facilities
  • Continuing care retirement communities
  • Home and community-based services
  • Adult day service providers

The Federal Health IT Strategic Plan lays a foundation for HHS to support adoption of HIT/EHRs in LTPAC by leveraging the 2009 HITECH and the 2010 ACA. Figure 2 provides an excerpt from the Office of the National Coordinator for Health Information Technology's (ONC's) Federal Health IT Strategic Plan.5 The next subsections review the policy goals of HITECH and the ACA and their meaning for LTPAC providers.

FIGURE 2: Federal HIT Strategic Plan Excerpt related to LTPAC

HHS will build on meaningful use to adopt electronic standards for the exchange of clinical data among facilities and community-based LTPAC settings, including, where available, standards for messaging and nomenclature. ONC will leverage the State HIE and Beacon Community grant programs in demonstrating methods for which the electronic exchange of information with LTPAC entities can improve care coordination.

In addition, HHS will identify opportunities in the ACA to support the use of HIE technologies by LTPAC and behavioral health providers to improve quality of care and care coordination.

Improving LTPAC providers' capacity to participate in HIE could contribute to the success of both the HITECH EHR Meaningful Use Incentives Program and systemic improvements envisioned in health care reform. As observed in the Federal Health IT Strategic Plan 2011-2015:6

  • The Medicare and Medicaid EHR Incentive program (under HITECH) incentivizes eligible professionals and hospitals to electronically exchange information and states that "requirements for sharing information electronically across provider settings will grow stronger in future stages [of the Meaningful Use Program]."

  • The ACA is "an even more important potential driver of provider motivation to exchange information." The delivery system reforms and quality improvements envisioned in the ACA will require richer and timelier information to provide more efficient and coordinated care. These efforts, as well as likely future stages of meaningful use, will rely on emerging HIE models. The strategic plan reflects that: "Eventually, as digital health information becomes more widely available, exchanging it will be more natural and incentives will become less relevant. Several challenges also exist to creating a national infrastructure."

HITECH Focuses on Key Priorities for HIT

To support the development and adoption of a nationwide HIT infrastructure, Congress enacted and President Obama signed the HITECH of 2009. The Act seeks to substantially expand the electronic use and exchange of health information to:

  • Improve the quality and continuity of health care, the delivery of health care services, patient health outcomes, and population health;
  • Increase efficiencies;
  • Decrease costs; and
  • Increase overall health care value.

HITECH resources to accelerate the adoption of HIT and EHRs primarily target physicians and acute care hospitals. Several HITECH programs support the electronic exchange and use of health information. These include state-level HIEs and Beacon Community initiatives. A few grantees in both programs are making a deliberate effort to engage nursing homes and home health agencies.7

The law also enables eligible professionals (primarily physicians) as well as eligible hospitals to receive Medicare and Medicaid incentive payments for the meaningful use of certified EHR technology. A core goal of meaningful use is the two-way exchange of clinical information among the spectrum of health care providers. Once providers establish electronic exchange of basic clinical information, they can progress to exchanging other clinical information like advance directives and obtaining prescription information for medication reconciliation. Accordingly, meaningful use objectives for electronic exchange become more rigorous each year. To qualify for Stage 1 meaningful use incentives, eligible professionals and hospitals must meet certain measures regarding the electronic exchange of clinical information. Objectives for electronic clinical information exchange are expected to ratchet up in Stages 2 and 3.

Even though LTPAC providers are not eligible for EHR incentive payments, their capacity to exchange health information electronically is likely to impact eligible professionals' and eligible hospitals' ability to qualify for meaningful use incentives. Figure 3 identifies meaningful use Stage 1 objectives that eligible professionals and hospitals could have trouble meeting if LTPAC providers have limited EHR and electronic exchange capabilities. These challenges will likely increase as meaningful use thresholds increase in future stages. Further, beginning in 2015, Medicare eligible professionals and hospitals that do not meet the meaningful use requirements will be subject to downward payment adjustments.

  FIGURE 3: Meaningful Use Objectives for Eligible Professionals and Hospitals Impacted by LTPAC Electronic Exchange Abilities  
  • Electronically exchange (i.e., send and receive) key clinical information among providers of care.
  • Provide a summary care record for each transition of care (ToC) or referral.
  • Perform medication reconciliation for individuals who transition into care of an eligible professional or eligible hospital.
  • Record advance directive status upon admission of patients 65 and older in an eligible hospital.

ONC recognizes the importance of including the wide array of health care providers in the emerging nationwide HIE infrastructure. A May 2011 Blog8 posted by the ONC states that:

"ONC's core mission includes promoting the meaningful use of health information technology nationwide. By one definition, "meaningful users" are those who qualify to receive funding under the Medicare and Medicaid Electronic Health Records Incentive Programs under the HITECH…. But the incentives do not apply to everyone…[including] mental health providers…[and] long-term and post-acute care providers.

For ONC, the fact that not all providers are eligible for payments under HITECH is a reminder that meaningful use is not only a financial incentive program; it is also a goal. Meaningful use is the idea that all of our nation's health care system will benefit from an IT infrastructure in which electronic health information can be collected, exchanged, and innovatively deployed to improve the safety, quality, and cost-effectiveness of American health care. ONC has several programs and resources to help providers and hospitals that do not happen to be eligible for incentive payments nevertheless use health IT to improve their patients' care."

There are several initiatives underway to engage LTPAC providers in HIT, EHR, and HIE activities at the federal, state and regional level. Some of these initiatives are described below:

  • ONC Challenge Grants: In January 2011, ONC announced an additional $16 million in "Challenge Grants" to ten states/SDEs focusing on certain clinical areas, including "improving long-term and post-acute care transitions." The funding for the Challenge Grants supplemented the $547 million in funds that ONC awarded to each state and qualifying Territories to support electronic HIE primarily by Eligible Professionals and Eligible Hospitals participating in the Meaningful Use Program. Through the Challenge Grant program, ONC awarded almost $7 million to the following four states focusing on transitions in nursing homes and/or home health.

    • Colorado: Colorado Regional Health Information Organization is focusing on connecting communities and developing tools to support the workflow for information exchange including LTPAC providers.

    • Oklahoma: Oklahoma is focusing on the technology infrastructure across the state to facilitate the HIE workflow that will avoid unnecessary transfers and coordinate advanced directives.

    • Maryland: Maryland will leverage an operational statewide HIE to share critical pieces of clinical information in real-time as residents of the state's long-term care facilities (LTCFs) transition from one care setting to another. The goal is to connect all 235 LTCFs to the statewide HIE.

    • Massachusetts: Massachusetts is leveraging its state HIE and implementing the Improving Massachusetts Post-Acute Care Transfers (IMPACT) program. The program is developing tools to support decision-making and information sharing at the point of transfer to reduce unnecessary hospitalizations. IMPACT is planning to leverage the ONC Standards and Interoperability (S&I) Framework TOC initiative to coordinate standards development for development of a universal transfer form (UTF) set and the re-use of interoperable, standards-based assessment content to engage LTPAC providers in HIE.

  • ONC Beacon Communities: Under the Beacon Community Program, ONC provided grant funding to 17 communities to support building and strengthening their HIT infrastructure and exchange for improved care coordination, quality, and economic efficiency.9 Some of the communities have specific initiatives to engage LTPAC providers.

One Beacon Community -- Keystone in Danville, Pennsylvania -- has leveraged the work of this study to engage the nursing home and home care agencies in their community. Their HIE efforts are described in the following section: Exchanging Standardized Assessment Content for Patient Assessment Summary Documents.

In summary, HITECH did not include significant support for the use of EHRs and exchange of health information by LTPAC providers, even though eligible professionals and hospitals will increasingly need electronic clinical information from LTPAC providers to qualify for meaningful use incentives and deliver high quality health care. In the very near term, an approach to accelerate LTPAC providers' adoption of more sophisticated types of information exchange and sharing capabilities could contribute to the development of the technical infrastructure that could support the more robust clinical information exchange anticipated through the meaningful use requirements.

ACA Priorities for Care Coordination Depend on Electronic Exchange of Information

The ACA of 2010 sets in motion changes to reform the United States health care system, improve the quality of care and control costs. Both health care delivery and payment structures are two ACA focal points. Specifically, ACA provisions aim to reduce care fragmentation by promoting delivery and payment improvements that support the continuity and quality of care as patients transition across care settings, reduce hospital readmissions, and curb unnecessary costs. Many ACA provisions seek to enhance collaboration among providers and promote mutual accountability by aligning incentives.10 Table 1 highlights some of the ACA activities that advance the electronic information exchange and the use of HIT including EHRs by LTPAC providers.

TABLE 1. Key ACA Provisions that Impact LTPAC Providers
ACA
  Section  
Program
2701 Adult health quality measures for Medicaid eligible adults
2704 Evaluate integrated care around a hospitalization
3004 Quality reporting for long-term care hospitals, inpatient rehabilitation hospitals, and hospice programs
3006 Plans for value-based purchasing program for skilled nursing facilities and home health agencies including development, selection and modification of measures
3021 Establishment of Center for Medicare and Medicaid Innovation within the Centers for Medicare and Medicaid Services (CMS) (test and demonstrate new payment and delivery models)
3022 Medicare shared savings program (accountable care organizations)
3023 National pilot program on payment bundling and determination of the assessment instrument (such as Continuity Assessment Record and Evaluation (CARE)) to be used in the pilot program
3024 Independence at home demonstration program
3025 Hospital readmission reduction program
3026 Community-based care transitions program
3502 Community health teams to support the patient-centered medical home
6114 National demonstration projects on culture change and use of information technology in nursing homes
6703 Grant program for adoption and use of certified EHRs by LTCFs (e.g., nursing homes)
6703 Support participation of LTCFs and state HIE programs
6703 Secretary shall adopt and implement content and messaging standards for the exchange of clinical data by LTCFs

A number of ACA reforms extend across the health care continuum to stimulate coordination of care, especially after an acute episode. Service delivery and payment changes will encourage or require hospitals, physicians and post-acute care settings to work together to improve overall health care quality, reduce rehospitalizations and control health care spending.

LTPAC providers play a significant role in achieving ACA goals relating to care coordination and avoidable hospital readmissions because:

  • Over a third of all Medicare patients discharged from acute hospitals receive LTPAC services (almost 80 percent are either discharged to skilled nursing facilities or sent home with home health services).11

  • A significant portion -- almost one-quarter of Medicare beneficiaries -- discharged to a skilled nursing facility was readmitted to the hospital within 30 days.12

ACA Technology-Related Strategies to Improve Coordination and Reduce Rehospitalizations

  • Information exchange
  • Quality and outcome metrics
  • Improved communication
  • Payment bundling

Research is demonstrating that improved information sharing and coordination can impact hospital readmission rates.13 Accordingly, the ACA explicitly couples many reforms with the use of HIT and EHRs throughout the health care system, including LTPAC providers. A number of ACA provisions require, when feasible, the electronic exchange of patient clinical information. Other ACA sections mandate use of patient clinical data to measure quality and rely on or encourage the use of HIT to facilitate information sharing and improve care coordination and transitions in care. New Medicare and Medicaid payment methods will use electronic patient clinical data from many different provider types including: skilled nursing facilities, home health agencies, long-term care hospitals, IRFs, hospice and others.

These ACA provisions are expected to create market pressures on LTPAC to improve the quality, continuity, and efficiency of care; and the use of HIT and electronic HIE is expected to be a key enabler of these reforms.

IV. Hit Capabilities in LTPAC

Almost all nursing homes, home health agencies and IRFs are capable of electronically transmitting (one-way) non-interoperable PAIs required by the Federal Government. In addition, some of these LTPAC providers have adopted additional HIT functionality, although few have robust, interoperable EHRs systems with the ability to electronically exchange clinical information with other providers. As a result, LTPAC providers are unlikely to become full participants in the nationwide HIT infrastructure unless steps are taken to engage the sector.

Federally Required Assessment Instruments

As summarized in Table 2, CMS requires three LTPAC providers to complete and electronically transmit specific PAIs (i.e., records with clinical, demographic and other information about a patient). Providers and CMS use data from these instruments for payment, quality monitoring and reporting, patient assessment, and care planning. A fourth instrument is being demonstrated and evaluated.

TABLE 2. Existing Patient Assessment Instruments by Type of LTPAC Provider
  LTPAC Type     Patient Assessment Instrument  
Nursing Homes Minimum Data Set Version 3.0 (MDS 3.0)
Home Health Agencies Outcome and Assessment Information Set (OASIS)
Inpatient Rehabilitation Facilities Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI)  
Comprehensive assessment for post-acute care payment reform demonstration   Continuity Assessment Record and Evaluation (CARE) (demonstration)

The assessment instruments for nursing homes, home health agencies and IRFs are required by CMS to be completed on patients/individuals at various intervals of their stay. The instruments are required to be electronically transmitted each time they are completed in a format specified by CMS. As a result, almost 100 percent of these providers automate and transmit assessments, however, transmission formats are not interoperable (i.e., they do not adhere to accepted HIT formats and content standards) thus limiting the ability to exchange and re-use assessment content.

As part of a Deficit Reduction Act of 2005 demonstration on post-acute care payment reform, CMS developed the CARE instrument for use in this demonstration as a "single standardized patient assessment instrument…to measure functional status and other factors."14 In June 2011, CMS is required to report the demonstration results to Congress. The ACA also references the use of CARE or a similar instrument to support the national pilot program on payment bundling. Providers would use the instrument to evaluate a patient's condition and help determine the most appropriate care setting.15

Electronic Information System Capabilities in Nursing Homes and Home Health Agencies

Federal assessment requirements have resulted in LTPAC providers having the information technology capacity to support the maintenance and transmission of required assessments. This section describes what is known about electronic systems capabilities in nursing home and home health agencies. Little research is available regarding the HIT capabilities for IRFs.

FIGURE 4. Nursing Home Electronic Information System Capability in the United States by Percentage of Adoption (2004)
Bar Chart: Any EIS (99.4), MDS (96.4), Billing (95.4), Admission (79.6), Personnel (58.7), Dietary (51.2), Medication Orders (51.1), Physician Orders (48.5), Medical Records (42.8), Laboratory (41.4), Medication (38.1), Staff/Scheduling (37.2), Daily Care (17.6).
SOURCE: Resnick, H.E., Manard, B.B., Stone, R.I., Alwan, M. "Use of Electronic Information Systems in Nursing Homes: United States, 2004." Journal of the American Medical Informatics Association (JAMIA), 2009, 16: 179-186. Abstract available online at: http://jamia.bmj.com/content/16/2/179.abstract

Nursing homes and home health providers currently use electronic information systems to support some administrative and clinical processes. Figure 4 and Figure 5 illustrate the most common HIT capabilities and adoption percentages. An analysis shows that nursing homes and home health agencies use electronic information systems to support a variety of internal processes. However, findings also show a significant underuse of the clinical capabilities in EHRs once acquired16 thus widespread use of full functioning EHRs is not yet prevalent in this sector.

FIGURE 5. Home Health Electronic Information System Capability in Home Health and Hospice by Percentage of Adoption (2007)
Bar Chart: OASIS -- All (79), Home Health Only (93.3), Mixed (98.2). Email with Staff -- All (73.7), Home Health Only (71.9), Hospice Only (88.9), Mixed (65). Scheduling appointments -- All (72), Home Health Only (75.6), Hospice Only (62.8), Mixed (69.9). CPOE -- All (63.2), Home Health Only (67.7), Hospice Only (48.9), Mixed (64.2). CDSS -- All (63), Home Health Only (70.3), Hospice Only (53.2), Mixed (51). Test results -- All (25), Home Health Only (21.1), Hospice Only (25.7), Mixed (35.2). Test reminders -- All (23.9), Hospice Only (21.9), Mixed (31.9).
SOURCE: Resnick, H.E., Alwan, M. "Use of Health Information Technology in Home Health and Hospice Agencies: United States, 2007." Journal of the American Medical Informatics Association (JAMIA), 2010, 17: 389-395. Abstract available online at: http://jamia.bmj.com/content/17/4/389.abstract.

* Estimate should be interpreted with caution.

There is growing awareness of the importance of fully interoperable HIT capabilities.17 LTPAC leaders are conscious of the need for the sector to participate in the growing nationwide HIT infrastructure. Since 2005, a group of LTPAC associations and leaders (known as the LTPAC Health IT Collaborative) has been working together to set priorities, advance HIT, and align the LTPAC sector with national policy priorities. The collaborative publishes recommendations for action for LTPAC providers, policymakers and other stakeholders every two years. The 2010-2012 priorities are as follows:18

  • Leverage existing programs and policies to engage LTPAC providers.

  • Certify EHR vendor solutions for LTPAC providers to promote interoperability.

  • Advance adoption and use of HIT and EHRs.

  • Foster HIE that includes LTPAC.

  • Prioritize technology that supports ToC and electronic prescribing to promote care coordination and continuity of care.

  • Focus on person-centered health and health care.

  • Showcase valuable and effective use of HIT to the LTPAC sector.

  • Promote and disseminate research and best practices.

HIT and EHR Certification for Ltpac

HITECH requires the use of certified EHR technology for certain providers (e.g., physicians and short-term acute care hospitals) to qualify for incentive payments under the Medicare and Medicaid EHR Incentive Programs ("Meaningful Use Programs"). For purposes of the Meaningful Use Programs, two types of certifications can be issued to EHR technology that meets certification criteria adopted by the Secretary of HHS: (1) Complete EHR, or (2) EHR Module. To be eligible for meaningful use incentive payments, eligible hospitals (EHs) and eligible professionals (EPs) must use EHR technology that has been certified by an entity authorized by ONC. To date, six ONC-Authorized Testing and Certification Bodies (ONC-ATCBs) have been authorized to test and certify EHR technology that can be used by eligible professionals and hospitals in the Meaningful Use Programs.19 For example, EHR certification criteria include (but are not limited to) vocabulary standards (e.g., Systematized Nomenclature of Medicine (SNOMED), International Classification of Diseases (ICD), Logical Observation Identifiers Names and Codes (LOINC)) and content exchange standards (e.g., Clinical Document Architecture (CDA) and Continuity of Care Document (CCD)).

While some EHR technology certification criteria used for the Meaningful Use Program for EPs and EHs would be applicable to the workflow in LTPAC setting, there is growing concern and awareness that not all of the certification criteria are applicable to EHR technology used by LTPAC providers. For example, the capability to plot growth charts or submit to immunization registries would not be a typical feature of a LTPAC EHR technology. Additionally, the adopted EHR technology certification criteria do not reflect the requirements that are uniquely needed by LTPAC providers.

For several years, the LTPAC provider and vendor community worked with Health Level 7 (HL7) (a Standards Development Organization) to produce an EHR Functional Profile for LTPAC. This Profile was used by LTPAC stakeholders and the Certification Commission for Health Information Technology (CCHIT) to identify LTPAC EHR certification criteria.20 It should be noted that the CCHIT LTPAC EHR Certification Program has not been recognized by ONC. While there is significant overlap in the EHR criteria that have been adopted for the Meaningful Use Program and the LTPAC EHR Certification Criteria, there are also differences in the criteria that have been identified in these two programs. This misalignment has created confusion and uncertainty among LTPAC providers regarding whether they should purchase certified EHRs and if so, what type of certified EHR product would support the workflow of the LTPAC provider. ONC is aware of the uncertainties and questions regarding EHR certification confronting LTPAC and other providers that are ineligible under the Meaningful Use Programs and is working with stakeholders to better understand their EHR technology needs.

During the discussion at the 2011 LTPAC HIT Summit at the session on "Moving LTPAC Providers in the Nationwide Health IT Infrastructure," providers and vendors concluded that there is likely a core set of EHR criteria that will be common across all EHR products (e.g., requirements related to privacy/security, medication reconciliation, problem list, etc.).21 During this discussion, providers and vendors suggested that ONC consider: (1) meeting with LTPAC providers and vendors to identify what EHR certification criteria are needed to support the workflow in LTPAC; and (2) working with the Meaningful Use Workgroup of the Health IT Policy Committee to identify the types of HIE activities that are needed in and from LTPAC. The Longitudinal Coordination of Care Workgroup (LCCWG) created through the ONC-sponsored S&I Framework (described in more detail below) is beginning to examine the HIT standards needed to support HIE on behalf of persons receiving LTPAC. The HIE activities targeted in this S&I effort are expected to advance the meaningful use of EHRs and shed some light on some of the EHR certification criteria needed by LTPAC providers.

As discussed in the section further in this report "Leverage and Standardize Assessment Content to Engage LTPAC Providers in HIE," experts interviewed noted that there is growing discussion about the need to integrate LTPAC providers in HIE activities to support quality, continuity, and collaborative care (Appendix A: Stakeholder Interview Summary). To support efficient and interoperable HIE, some LTPAC providers and EHR vendors believe that it is important to use EHR products that support at least some of the standards incorporated in certification criteria for the Meaningful Use Incentive Program. As reported at the 2011 LTPAC HIT Summit, some vendors expressed an interest in obtaining certification for their EHR products as either: (1) meeting the meaningful use requirements; and/or (2) complying with the LTPAC CCHIT comprehensive EHR criteria.22 At least one LTPAC vendor has obtained hospital modular EHR certification (through an ONC-ATCB) for their product to support the interoperable and secure exchange of health information such as demographics, problem lists, physician order entry, medication lists, medication reconciliation, and advance directives. This LTPAC HIT vendor and one other have also obtained LTPAC CCHIT EHR certification.23

To support widespread adoption of appropriate and interoperable EHRs for LTPAC, the LTPAC HIT Collaborative recommended in the LTPAC 2010-2012 Health IT Roadmap24 that policy guidance be provided for the EHR certification criteria needed to enable the exchange of health information between hospitals, physicians and LTPAC providers. The members of the Collaborative believe that such criteria would facilitate HIE with and by LTPAC providers, support the meaningful use of EHRs by a wide array of health care providers, and support the emerging nationwide HIT infrastructure.

At this time the ONC has not established a specialty EHR certification program (e.g., a certification and testing program for EHR products for LTPAC providers (or other specialty providers)) or identified EHR certification criteria that are unique to the workflow requirements in LTPAC or other specialty providers. Establishing such a program or identifying EHR certification criteria is complex, could be costly, and requires careful consideration of the advantages and disadvantages. An objective in the draft roadmap of the recently established LCCWG under the ONC-sponsored S&I Framework is to "develop certification requirements for EHR and LTPAC vendors in anticipation of LTPAC pilots."25

V. Opportunities for Engaging LTPAC Providers in HIE Using Patient Assessments

The approach examined in this report would engage LTPAC providers in developing their capacity to exchange and use electronic clinical information in support of health care reform. It uses the federally required PAIs to establish an initial foundation for interoperability and electronic exchange. Laying the foundation will require developing a technical infrastructure and increasing LTPAC stakeholders' awareness of forthcoming demands.

As described below, the approach described in this report is built upon an existing asset -- the MDS 3.0, OASIS and electronic transmission capacity -- to jump-start the involvement of LTPAC providers in HIE activities. Applying HIT standards to widely used assessment documents and the individual data elements in these instruments creates opportunities for LTPAC to engage in interoperable HIE by re-using and exchanging standardized content in an assessment summary other types of documents.

Federally required PAIs can become an entrance point for LTPAC providers to participate in HIE activities and jump-start their use of more sophisticated interoperable EHRs.

Leverage and Standardize Assessment Content to Engage LTPAC Providers in HIE

As described earlier in this report, LTPAC providers currently use limited but not interoperable information systems for clinical and administrative processes. Further, the sector lacks widespread awareness of the need to invest in and use interoperable EHRs that can support HIE. Experts identified two significant barriers for LTPAC providers to participate in HIE (Appendix A: Stakeholder Interview Summary):

  • Most LTPAC providers are not ready and able to participate in interoperable electronic exchange of health information.

  • The absence of funding and mandates for HIT/EHR adoption and use by LTPAC providers reduces the business case for investing in HIT. Specifically, stakeholders reported insufficient capital to upgrade existing systems or acquire new products that support electronic exchange of health information. Stakeholders expressed that the exclusion of LTPAC from federal HIT funding and mandates will result in a slower uptake of technology in LTPAC settings.

An alternative approach to jump-starting LTPAC providers' use of more sophisticated, interoperable EHRs is necessary because Congress did not make HITECH EHR Incentive funding available to this sector.

A starting point could be to build upon federally required PAIs that are in an electronic format and are electronically transmitted by LTPAC providers and apply accepted HIT vocabulary and exchange standards to these instruments. The nursing home and home health assessment instruments were selected for this study. The IRF-PAI was not selected given intellectual property constraints associated with the content of the instrument (see Appendix B: Using Patient Assessments to Advance Electronic Use and Exchange of Clinical Data). A benefit of this approach is that it builds on existing capabilities and would engage the majority of LTPAC providers. Once engaged, these LTPAC stakeholders could focus on building and using the technical infrastructure to support more sophisticated types of information exchange and sharing. The technical infrastructure for standardizing assessment content and exchanging this information is discussed in Supporting an Interoperable Nationwide Health Information Infrastructure that includes LTPAC.

Exchanging Standardized Assessment Content for Patient Assessment Summary Documents

While leveraging patient assessment content and making it interoperable might be a low-cost and opportunistic approach to engaging LTPAC provides in HIE activities, it is not perfect for summary information needed at ToC. These assessments are completed at prescribed points in time during a person's LTPAC episode. Nursing home assessments can be up to 89 days old and home health agency assessments can be as old as 59 days. The concept of exchanging not just the full MDS 3.0 and OASIS, but also a more concise summary document (a subset of the most clinically relevant items) emerged from on the expert interviews and discussions with the Keystone Beacon Community.

Clinical advisers to this study indicated that: (1) having dated information was better than having no information; and (2) assessment documents include data elements that are likely to be stable over time and clinically relevant at times of transitions/shared care. While less ideal for ToC, submitting patient assessment summary information to an HIE organization each time the MDS and OASIS is completed provides valuable information to support care coordination, shared care and case management processes.

Content for the MDS and OASIS assessment summary was identified as part of this study with input from clinicians (i.e., nursing home and home health agency providers, representatives from hospitals and integrated delivery systems, physicians, and nurses) (see Appendix J: Patient Assessment Summary for Health Information Exchange). The Keystone Beacon Community will be piloting the exchange of interoperable patient assessment summary documents using the HIT content standards identified and linked, under this study, to the MDS 3.0 and OASIS. Document exchange specifications for the exchange of assessment summary documents are under development at Keystone Beacon Community and their vendor partner GE, as well as in the ONC S&I Initiative LCCWG. The Keystone Beacon Community and the ONC S&I Initiative LCCWG are using the MDS 3.0 and OASIS Rosetta Stone resources developed under this study (see Appendix D: MDS Rosetta Stone Spreadsheet, Appendix E: OASIS Rosetta Stone Spreadsheet, Appendix K: MDS Assessment Summary Rosetta Stone, and Appendix L: OASIS Assessment Summary Rosetta Stone).

Diagram 1 illustrates the information flow for bringing almost all nursing homes and home health agencies into HIE activities in a cost-effective manner. In this scenario, non-HIT sophisticated LTPAC providers (they do not presently use interoperable HIT/EHR products) could transmit the federally required PAIs to the HIE organization who could transform it into an interoperable document and/or assessment summary that would be made available to authorized users.

  DIAGRAM 1. Exchanging Interoperable Assessment Content by a Non-HIT Sophisticated LTPAC Provider  
Diagram 1 is described in text.

The top half of Diagram 1 shows the current state of HIE for most nursing homes and home health providers where federally required assessments are electronically transmitted to CMS. This exchange uses a format specified by CMS rather than industry-accepted HIT content and exchange standards (i.e., the assessment exchange is not interoperable).

The bottom half of Diagram 1 shows:

  • How the LTPAC provider could transmit the same non-interoperable patient assessment document that is transmitted to CMS to a HIE organization.

  • The HIE Organization could:

    • Transform the non-standard CMS assessment document into an interoperable assessment document (i.e., link the assessment items with HIT content standards); and/or
    • Generate an interoperable Patient Assessment Summary Document (a subset of assessment items that clinical experts indicate would be clinically useful to exchange at times of transitions in care and/or shared care).
  • The HIE Organization could make available the standardized assessment document and/or the Patient Assessment Summary Document to authorized entities (such as physicians, hospitals, other LTPAC providers, patients/family members).

Opportunities to Re-Use Standardized Patient Assessment Content and Link with Other Data

HIE activities are emerging in federal programs, state and private-sector initiatives that involve LTPAC providers. Some of these activities are using resources developed under this study by re-using standardized assessment content to support other types of interoperable HIE. These activities, briefly described below, can provide steps to increasingly sophisticated HIT use by LTPAC providers building from standardized assessment content:

  • Exchange of Transfer Documents. Massachusetts received a Challenge Grant from ONC to advance interoperable HIE on behalf of LTPAC providers. Through this Challenge Grant, Massachusetts is leveraging their state HIE and implementing the IMPACT program. The program is developing tools to support decision-making and information sharing at the point of transfer to reduce unnecessary hospitalizations. The Massachusetts IMPACT program is working with the Longitudinal Care Coordination Workgroup of the ONC S&I Initiative to identify standards needed for the exchange of an interoperable UTF. The Massachusetts IMPACT program anticipates re-using a subset of interoperable MDS and OASIS assessment content to partially populate the interoperable UTF. The re-use of assessment content is expected to support HIE when individuals transfer from LTPAC providers to acute care hospitals, and between LTPAC providers. In addition, the Massachusetts IMPACT program envisions re-using a subset of standardized MDS 3.0 and OASIS assessment data to support HIE with patients and family members.26

  • Exchange of Home Health Plan of Care. The New York e-Health Collaborative is advancing work in collaboration with Visiting Nurse Services of New York (VNSNY), physician practice groups, and other stakeholders to create an interoperable plan of care document for home care that would be continuously updated and shared between the home care agency and a physician. The plan of care document that will be standardized in the NY project is the "485 form" formerly required by CMS and remains in widespread use by home health agencies. Although originating in New York, this project is gaining state and vendor support around the United States. The project is advancing its work through the Longitudinal Care Coordination Workgroup of the ONC S&I Initiative to identify and harmonize vocabulary and exchange standards. The VNSNY anticipates re-using a subset of interoperable OASIS assessment content to partially populate the interoperable home health plan of care.

  • Detecting potential adverse drug reactions (ADRs). The University of Pittsburgh in Pennsylvania developed and evaluated a consensus list of laboratory, pharmacy, and MDS signals that can be used by EHR systems in nursing homes to detect potential ADRs. The results suggest that ADRs can be detected in nursing homes with a high degree of accuracy using an electronic clinical event monitor that employs a set of signals created from electronic laboratory, pharmacy, and MDS data.27 This type of clinical decision support tool uses lab, pharmacy and MDS data to generate alerts of potential ADRs. While this electronic clinical decision tool has not been standardized, content standards are available for medications, laboratory results and as described in this study, MDS data.28 The availability for content standards for lab results, medications and MDS data, could be used to develop standardized clinical decision support tools targeting ADR monitoring and prevention.

As LTPAC providers become more sophisticated in their HIT use (they use interoperable HIT/EHRs), it is anticipated that standardized assessments, assessment summaries and other information will be exchanged. Diagram 2 depicts how nursing homes and home health agencies could exchange interoperable assessment documents/summaries and supplement it with additional EHR data (e.g., medication information) as their use of standardized technology becomes more mature.

  DIAGRAM 2. Exchanging Interoperable Assessment Content by a More HIT Sophisticated LTPAC Provider  
Diagram 2 is described in text.

The top part of Diagram 2 shows the same current state of HIE for most nursing homes and home health providers as depicted in Diagram 1 (i.e., electronic transmission of non-interoperable federally required assessments from the provider to CMS). The middle of Diagram 2 depicts the "more HIT sophisticated" LTPAC provider using their software to:

  • Transform the non-standard CMS assessment document into an interoperable assessment document by linking the assessment items with HIT content standards and transforming it into the HL7 CDA format (an industry-accepted exchange format).

  • Generate a Patient Assessment Summary Document (using accepted HIT content and exchange standards) and possibly linking additional EHR data (such as medication data) to the Patient Assessment Summary Document.

  • Transmit these documents to the HIE Organization or directly to the receiving provider/patient/family member. If transmitted to the HIE Organization, the organization would make this information available to authorized entities.

Building on the standardized assessment content and exchange formats developed under this study, LTPAC providers will be positioned to more readily implement the advancements envisioned by the Massachusetts IMPACT program, New York e-Health Initiative and others to improve information sharing and re-use.

VI. Supporting an Interoperable Nationwide Health Information Infrastructure That Includes LTPAC

In order for the interoperable exchange of assessment content to occur in the manner illustrated in Diagram 1 and Diagram 2 above, a technical approach and tools would have to be developed consistent with HITECH requirements and industry standards. This study, in consultation and collaboration with several technical experts (see Study Methods for names of experts), examined and identified both content and exchange format standards for the MDS and OASIS instruments and content for patient assessment summary documents that could be an entrance point for interoperable HIE on behalf of LTPAC providers. The standards are explained in the next subsections.

To leverage the MDS or OASIS assessment instrument, LTPAC providers need a technical infrastructure and tools that are consistent with HITECH requirements and existing industry standards.

Content Standards for MDS and OASIS Assessment Instruments

For the MDS or OASIS content to be interoperable (machine-readable), the assessment instruments must be linked to existing content standards and vocabularies. Interoperable content facilitates the efficient re-use of assessment data in different EHR systems and across different applications in a single EHR product. Experts reviewed the MDS and OASIS and identified the following content standards applicable data elements in the instruments:

  • Logical Observation Identifiers Names and Code (Clinical LOINC®), used for common laboratory tests and clinical observations.

  • Systematized Nomenclature of Medicine - Clinical Terms (SNOMED CT), a comprehensive clinical terminology.

  • International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM); for future implementation, ICD-10 relates to the 10th edition.

  • HL7 administrative code sets for gender and marital status.

The content standards mapped (linked) to the individual MDS and OASIS items were compiled in a Rosetta Stone spreadsheet for each instrument (Appendix D: MDS Rosetta Stone Spreadsheet, and Appendix E: OASIS Rosetta Stone Spreadsheet). The Rosetta Stones used the CMS data dictionary for the assessment items and provides a reference by MDS and OASIS item to the applicable LOINC name and code, SNOMED concept and code, ICD-9-CM code and/or ICD-10-CM code. The process and mapping rules for developing the Rosetta Stones are discussed in detail in Appendix C: Rosetta Stone Mapping Guidelines and Heuristics.

Clinical experts used the MDS and OASIS Rosetta Stones to identify a clinically relevant subset of items for the Patient Assessment Summary Documents. Stakeholders were solicited to identify an initial set of items which were validated through a consensus process. The process for identifying and validating the subset of items in the assessment summary is discussed in Appendix J: Patient Assessment Summary for Health Information Exchange. Based on the input from clinical stakeholders and experts, Rosetta Stones were also created for the MDS and OASIS Patient Assessment Summary Documents (Appendix K: MDS Assessment Summary Rosetta Stone, and Appendix L: OASIS Assessment Summary Rosetta Stone).

Exchange Architecture for the MDS and OASIS

The ability to exchange patient assessment information will require LTPAC providers to use the standardized exchange formats that are widely accepted by the industry. Lantana Consulting Group was engaged to recommended and develop technical tools to support the exchange of interoperable MDS and OASIS assessment content. There are two primary exchange formats recommended for the MDS and OASIS:

  • Health Level 7 Clinical Document Architecture (HL7 CDA) is a standard that allows clinical documents and its content to be exchanged.

  • Health Level 7 Continuity of Care Document (HL7 CCD) is a form of the CDA standard that is focused on the most relevant administrative, demographic, and clinical information about a patient. It is based on the American Society for Testing and Materials E2369-05 Standard Specification for Continuity of Care Record and provides a means for one health care provider to summarize patient data and forward it to another provider to support continuity of care.

To enable the interoperable exchange of assessment instruments, Lantana Consulting Group facilitated the development and balloting of a new HL7 CDA standard for assessment instruments (HL7 Implementation Guide for CDA Release 2: CDA Framework for Questionnaire Assessments, Release 1 standard29). This implementation guide highlights the application of this standard to the MDS 3.0 as an example.

To ensure providers and vendors are able to properly convert and validate non-interoperable MDS 3.0 to an interoperable format consistent with the HL7 CDA implementation guide for Patient Assessments, Lantana developed technical tools focusing on the MDS 3.0.

Lantana Consulting Group provided guidance on using the CCD exchange format for summary records. Although technical tools were not developed under this study, the work is being advanced by the Keystone Beacon Community and under the S&I Framework Longitudinal Coordination of Care Patient Assessment Summary Document Sub-Workgroup (see Advancing the Technical Infrastructure through the S&I Framework for more information on the initiative).

 

Summary of Technical Tools and Resources Developed

This study developed several tools, highlighted in Table 3, to facilitate the application, widespread use, and dissemination of content standards related to the MDS or OASIS assessment information.

TABLE 3. Resources to Support Application of Content and Exchange Standards to MDS and OASIS
  Implementation Resource     Description     Appendix  
Content Standardization
Rosetta Stone Mapping Guidelines and Heuristics This resource offers the guidelines and rules that were used to map recognized HIT vocabularies -- specifically, LOINC® and SNOMED CT -- to the MDS and OASIS assessments, and the use of coded vocabularies in an HL7 messaging standard (the CDA Patient Assessment Questionnaire Implementation Guide) to enable the interoperable transmission of these assessments. The exchange standard enables assessments to be represented as intended by assessment developer (using a "model of use" format) and enables the re-use of assessment content (i.e., using the model of meaning format). C: Rosetta Stone Mapping Guidelines and Heuristics
MDS 3.0 Rosetta Stone This resource maps each MDS 3.0 question and answer to applicable terminologies and code sets including LOINC®, SNOMED, ICD-9-CM and ICD-10. This is expected to be a useful reference for nursing home EHR vendors and HIE organizations. D: MDS 3.0 Rosetta Stone
The MDS value set of diagnosis concepts file provides a set of SNOMED concepts to illustrate how the MDS problem/diagnosis section could be semi-populated from the EHR. D: MDS Value Set of Diagnosis Concepts
OASIS Rosetta Stone This resource maps each OASIS question and answer to applicable terminologies and code sets including LOINC®, SNOMED, ICD-9-CM and ICD-10. This is expected to be a useful reference for home health EHR vendors and HIE organizations. E: OASIS Rosetta Stone
Rosetta Stone for MDS Assessment Summary A technical resource in Excel which identifies the MDS item selected for the summary, the related SNOMED concept, LOINC code, CCD Section, and analyzed compatibility with HITSP C32 requirements. K: MDS Assessment Summary Rosetta Stone
Rosetta Stone for OASIS Assessment Summary A technical resource in Excel which identifies the OASIS item selected for the summary, the related SNOMED concept, LOINC code, CCD Section, and analyzed compatibility with HITSP C32 requirements. L: OASIS Assessment Summary Rosetta Stone
Exchange Format Standardization
Current Standards Landscape A discussion about the current standards and their application to assessment content and enabling re-use of health information. This resource could be used by LTPAC providers and vendors to facilitate their awareness and understanding. F: Current Standards Landscape
Interoperability Toolkit This appendix document provides a summary of the technical tools available in the toolkit. G: Interoperability Toolkit
HL7 CDA Implementation Guide This guide describes how to represent questions and answers in PAIs as an HL7 CDA document. The implementation guide represents the MDS 3.0 as an example of a CDA patient assessment document. G: Interoperability Toolkit CDA Implementation Guide for Assessment Instruments
MDS Conversion/ Validation Utilities Various tools for transforming the MDS from a CDA format to the CMS transmission format and tools to validate the conversion. G: MDS Transform Tool and Validator
CCD Guidance and Considerations This document provides general information on how to design a valid CCD document using patient assessment content from the MDS. G: MDS CCD Design Document
Standards Development and Adoption Recommendations Provides recommendations for advancing and accelerating the use of HIT and EHRs in the LTPAC industry based on existing standards and known gaps. Discusses the relationship of existing and potential national policy strategies in relating to the standards recommendations. H: Standards Development and Adoption Recommendations

Advancing the Technical Infrastructure through the S&I Framework

The content and exchange standards that have been applied to PAIs and the resources summarized in Table 3 are being used in the ONC S&I Initiative. The LCCWG has been created as a community-led initiative to support HIE on behalf of LTPAC stakeholders and address potential gaps in the S&I Transitions of Care work products to support engagement of LTPAC providers in HIE activities. The LCCWG has established three sub-workgroups. Each of these three sub-workgroups has expressed their intent to re-use standardized MDS and/or OASIS assessment data to support their use. The following describes the workgroup charges:

  1. Patient Assessment Summary Document Sub-Workgroup30

    1. Validate and refine, as needed, a subset of MDS 3.0 and OASIS content that could be clinically useful to exchange with hospitals, physicians, other LTPAC providers, and/or family members. The subset that of MDS 3.0 and OASIS content that will be targeted is that which was identified through this ASPE study (see Appendix K: MDS Summary Rosetta Stone; and Appendix L: OASIS Summary Rosetta Stone).
    2. Re-use the standardized MDS 3.0 and OASIS assessment content provided by this ASPE study (see Appendix D: MDS 3.0 Rosetta Stone; and Appendix E: OASIS Rosetta Stone).
    3. Provide input and guidance on the transformation tool being developed by the Geisinger Keystone Beacon Community to transform the non-interoperable MDS 3.0 and OASIS into an interoperable clinical document that can be made available for HIE.
    4. Develop a CDA implementation guide and schema leveraging work under way by the Geisinger Keystone Beacon Community to enable the interoperable exchange of Patient Assessment Summary Documents.
    5. Ensure that work undertaken by this Sub-Workgroup is coordinated with HL7.
  2. Longitudinal Care Plan Sub-Workgroup31

    1. Validate and refine, as needed, the content that is to be included on the home care POC (formerly 485-form).
    2. Identify content and format standards needed to represent content of the home care POC (formerly 485-form). The Sub-Workgroup will take into account and re-use previous standards identified through the ToC Initiative for the home care POC (formerly 485-form).
    3. Re-use, as feasible, standardized OASIS assessment content provided by this ASPE study (see Appendix E: OASIS Rosetta Stone).
    4. Keep aware of and provide feedback on the standards being identified and piloted by the VNSNY, home care electronic medical record vendors, home care agencies, and hospitals/physicians exchanging an interoperable home care POC (formerly 485-form).
    5. Develop a CDA implementation guide and schema leveraging work under way by the VNSNY home care POC pilot to enable the interoperable exchange of home care POC (formerly 485-form).
    6. Ensure that work undertaken by this Sub-Workgroup is coordinated with HL7.
  3. LTPAC Care Transition Sub-Workgroup32

    1. Develop a priority list of acute/post-acute transitions based on volume, clinical instability and acuity of the required information.
    2. Develop standard clinical content defined by the receiving clinicians for all high-priority transitions.
    3. Develop resources to support interoperability of all clinical content across all sites of care.
    4. Re-use of selected data elements from OASIS and MDS to populate the transitions data sets from home health agencies and skilled nursing facilities/extended care facilities.

The three sub-workgroups of the Longitudinal Coordination of Care initiative are expected to use standardized content from assessment instruments to support LTPAC's inclusion in HIE and improve shared care and transitions. Standardizing the MDS and OASIS creates the foundation for LTPAC providers and vendors to build more sophisticated, interoperable HIT systems.

Issues Requiring Further Consideration

Individuals served by LTPAC providers often have chronic illnesses and disabilities resulting in physical and cognitive functional limitations. They interact routinely with multiple providers. The ability to communicate functional status between providers and caregivers is crucial to ongoing care planning and treatment. This study calls out an important gap that could be addressed by the industry.

Currently there is not a uniform definition, assessment method or scale for functional status to be communicated consistently across care settings. This creates challenges for representing functional status in a standardized vocabulary to support continuity of care, information exchange and re-use. Functional status information is important to assessing an individual's level of functioning and providing appropriate and needed health and supportive services. Functional status impacts the individual's quality of life, wellness, and ability to care for self, and is often a factor in public and private payment methodologies as well as in quality management and clinical outcome measurement.

Work is needed to enable the inclusion of functional status content to support the meaningful use of EHRs across the health care continuum. Specification of the HIT content and messaging standards related to functional status will enable the exchange of critical information to support quality and continuity of care.

Appendix I: Recommendations for Functional Status provides more specific suggestions for addressing the standards related to functional status.

VII. Next Steps - Engaging States And LTPAC Providers

This report describes many important initiatives under way that are building the infrastructure for LTPAC providers to become meaningful users of HIT and participate in HIE activities.

National Governors Association (NGA) Issue Brief: HIT Integration in Long-Term Care

There is great promise for electronic exchange of health information to reduce fragmentation, especially for long-term care patients. It can improve the quality of care delivery and is a potential mechanism for reducing health care costs by reducing duplicative tests and services. Many LTCFs already use technology in their care settings, but connecting with broader state HIE efforts is just beginning. Although states understand the value of integrating HIT and long-term care, many challenges remain.33

ASPE is funding additional work, to be completed in 2012, of the HIE activities underway in state and other programs that target LTPAC (and behavioral health) providers and identify gaps, barriers, and opportunities to advance HIE and the use of HIT by these providers. This work includes:

  • Conducting an environmental scan of ONC State HIE grant and Beacon Community Programs, state Medicaid programs, and other initiatives to identify HIE activities underway and/or needed that focus on LTPAC (and behavioral health) providers, including identifying opportunities that could support quality and continuity of care through the efficient re-use of standardized assessment content.

  • Identifying and supporting the adoption of content and messaging standards, implementation specifications and EHR certification criteria needed to engage LTPAC and behavioral health providers.

  • Using the HIT Policy and Standards committees and ONC's standard-setting framework (the S&I Framework) to support and accelerate electronic HIE and use by LTPAC and behavioral health providers.

  • Identifying a method/mechanism to maintain and update HIT standards linked to PAIs as these instruments and standards evolve over time.

  • Identifying and addressing gaps in HIT standards needed to support HIE on behalf of LTPAC and behavioral health patients (e.g., functional and cognitive status).

Additional activities to advance HIE on behalf of LTPAC providers include understanding and overcoming the issues and challenges states and LTPAC providers face.

Engage States

The changes on the horizon for delivery and payment of health care services including LTPAC necessitate changes in how information is shared across the health care spectrum. A number of efforts are underway to support states' ability to engage LTPAC in exchange activities and address the challenges discussed above. A number of state grant programs highlight the need to address LTPAC or focus funding.

  • ONC State HIE Cooperative Agreement Program: Through ONC, states were eligible for grants to facilitate the secure movement of health information using nationally recognized standards. The grants supported the development and implementation of a state HIT plan to support the exchange and use of health information in the state and focus efforts primarily on those provides eligible for meaningful use incentive payments. Fifty-six states and territories were eligible and received grants.34

  • ONC Challenge Grants: As described in section III: HITECH Focuses on Key Priorities for HIT, ONC issued four Challenge Grants to states to focus on improving LTPAC transitions. These efforts can provide a model to other states for engaging LTPAC in HIE.35

  • ONC Beacon Community Cooperative Agreement Program: As described in section III: HITECH Focuses on Key Priorities for HIT, ONC awarded 17 grants to several communities to use HIT and HIE capabilities to improve care coordination, quality of care and slow growth of care spending. A few Beacon Community Programs -- Rhode Island, Maine and Pennsylvania -- include a focus on LTPAC providers. Pennsylvania's Geisinger Keystone Beacon is focusing on connecting their community including nursing homes and home health agencies to improve care coordination, quality and efficiency by using the Patient Assessment Summary discussed in section V: Exchanging Standardized Assessment Content for Patient Assessment Summary Documents.36

  • CMS State Medicaid HIT Plans (SMHPs): As part of the HITECH Medicaid Incentive Program, state Medicaid agencies were directed to begin conversations with a range of stakeholders to develop solutions for how the Medicaid EHR Incentive Program will operate in the context of larger health systems and statewide efforts. States were asked to develop an SMHP which serves as the Medicaid HIT vision document. The SMHP integrates the statewide HIT plan developed under the ONC grant program and contains at least four components: A current landscape assessment, a vision of the state's HIT future, specific actions necessary to implement the EHR incentive program, and an HIT roadmap. To accomplish this plan, states will initiate discussions and activities with a diverse group of individuals, organizations and institutions from within the state government (including long-term care) and with persons outside the state government.37

Other tools and resources have been developed or are under development to assist states with addressing how to engage LTPAC in HIT plans and HIE activities. ONC posted a "Vulnerable Population Report" on the State HIE Resources web site.38 The Vulnerable Population Report, produced by ASPE and private sector representatives, describes LTPAC (and behavioral health) population and providers, how states could engage these providers and support the meaningful use program and eligible providers and eligible hospitals.

Further, ONC sponsored a five-year study with the NGA Center for Best Practices to better understand the states' HIE needs with respect to long-term care. NGA conducted a technical expert panel meeting and coordinated meetings with state HIT officials in conjunction with ONC Regional Extension Center and Beacon Communities meetings. NGA published an issue brief summarizing the findings and concluded that there is great promise for electronic exchange of health information for improving quality and potentially reducing health care costs once LTCFs begin connecting to broader state HIE activities.39 The NGA issue brief highlighted the following common challenges identified by states to integrate long-term care into HIE efforts:40, 41

  • Lack of funding/payment incentives to adopt HIT and EHRs: States have generally prioritized their focus on incentivized providers. Although they understand the value of engaging LTPAC providers, the path to greater integration is largely unclear and not uniform among states.

  • Inaccessibility of data: Inadequate information in an inconsistent structure is a significant barrier. Clinical data in LTPAC is often fragmented due to antiquated record systems that collect only a portion of a patient's health information. Information such as the MDS is reported to CMS in real-time, but that data cannot be shared across care providers and may not include all relevant information.

  • Workforce issues: To effectively use and deploy HIT, staff in LTPAC settings need to be skilled and well trained. The ability to attract skilled information technology workers is a challenge. The information technology workforce in LTPAC frequently has high turnover rates and typically lower education and health care training.

  • Lack of standardization of EHRs: There is a lack of standardized data collection methods in the various LTPAC settings that leads to challenges in care coordination functions such as treatment history, referrals and transfers. CCHIT has certified EHR programs unique to LTPAC but adoption by LTPAC vendors has been low.

  • Multiple and competing state health initiatives running in parallel: States are coordinating multiple initiatives including sustaining Medicaid, implementing health care reform, and controlling health care costs. As a result, state HIT efforts have largely focused on the meaningful use incentive program for eligible providers and hospitals. The result has been fewer resources for ineligible providers such as LTPAC.

As part of its study on integrating long-term care in HIT, the NGA noted that despite the challenges, states are taking steps to engage LTPAC providers and made the following recommendations to states:42

  • Understand the LTPAC Environment and Engage Stakeholders: NGA recommended that states conduct an environmental scan of LTC facilities, providers, care centers and others to understand their landscape and key challenges. For example, some states have conducted a survey of the LTPAC providers and their readiness/interest in HIE activities. States could bring LTPAC stakeholders into workgroups and planning efforts to identify specific actions for change.

  • Incorporate Long-Term Care into Ongoing State Strategic HIT Plans: States could look for opportunities to establish goals and bring LTPAC into their state strategic and operational plans as well as their HIE outreach plans.

  • Utilize Regulatory and Policy Levers: States could use their regulatory process to develop and advance HIE across the state including LTPAC; attempt to drive the market using purchasing from state programs and Medicaid; and convene payers to make a case for better integration of long-term care and HIE to help push the market toward adoption.

In addition, ONC has convened meetings to raise awareness about the need to exchange health information across the health care enterprise, including the LTPAC sector. ONC convened a town hall meeting at the 2011 LTPAC HIT Summit43 to make available information regarding state HIE activities that include LTPAC providers. In October 2011, ONC and private sector foundations hosted a working meeting -- Putting the IT in TransITions44 -- of innovators, policymakers, and HIT experts, providers, and others to identify how HIT could be used to support some of the challenges in transitions in care. In addition, in November 2011, ONC hosted a meeting for State Health IT Coordinators, Beacon Communities, and other entities. A session during this meeting was focused on increasing awareness of and opportunities and methods for engaging LTPAC providers in HIE activities.

The work developed under this study and described in this report provides important information, resources and tools that states could leverage to address some of the challenges identified by the NGA and advance HIE on behalf of LTPAC patients and providers. As described, the MDS 3.0 and OASIS are electronic data sets collected on persons served by most nursing homes and home health agencies. When content and exchange standards are applied to the MDS 3.0 and OASIS assessments, the data can be re-used and shared with other health care providers in an efficient and cost-effective manner. The ability to exchange other clinical information (such as medication information) beyond the MDS and OASIS is a critical step, and can be linked with widely available assessment information to support more robust HIE opportunities.

Engage LTPAC Providers

As the NGA observed in their issue brief, "many LTC facilities already use technology in their care settings, but connecting with broader state HIE efforts is just beginning."45 The lack of availability, adoption and use of interoperable EHRs by the LTPAC providers is a critical barrier. The stakeholder experts interviewed as part of this study believe HITECH and the ACA will alter market pressures and eventually force LTPAC providers to adopt EHRs and HIT, albeit at a slower rate than had incentives been made available to these providers (Appendix A: Stakeholder Interview Summary). At this time, LTPAC providers have limited awareness of ongoing HIT activities and the anticipated increase in HIE demands. This lack of understanding could threaten quality and continuity of care improvements envisioned in health care reform and ultimately the viability of the LTPAC provider in the new emerging health care delivery systems.

CMS recognizes the need to support LTPAC providers in the adoption and use HIT. Towards this end, CMS is planning a special project as part of its 10th scope of work for the quality improvement organization program. The special project will seek to support the use of HIT by health care providers that are ineligible for EHR incentive payments. The project will support and encourage the meaningful use of HIT to improve quality and continuity of care.

In addition, the LTPAC HIT Collaborative46 and its member organizations are considering and/or pursuing several activities to address some of the challenges the LTPAC sector is experiencing. The Collaborative is:

  • Engaging provider, professional, and vendor associations that serve the LTPAC community to prioritize interoperable HIT and HIE for their members through several activities including:

    • Development and implementation of strategic initiatives that focus on participation in national, state and local HIT/HIE activities; and
    • Delivery of educational efforts that focus on EHR use and the imperative for engaging in HIE.
  • Connecting with policymakers (federal and state) to align the HIT and HIE priorities including advancing the:

    • Use of certified EHRs for and by LTPAC providers; and
    • Interoperable HIE on behalf of persons who receive LTPAC services.
  • Publishing an updated LTPAC Health IT Roadmap for 2012-2014 that promotes the use of HIT/EHRs and participation in HIE activities to support quality, continuity and coordination of care. The Collaborative will advance the new Roadmap and priorities at the 2012 annual LTPAC HIT Summit. The updated Roadmap will:

    • Align priorities and activities in the ONC 2011-2015 Federal Health IT Strategic Plan;
    • Advance the readiness of the LTPAC sector in using technology to support health care reform goals; and
    • Serve to inform public and private sector entities engaged in health care reform activities about how technology can be used to support the inclusion of LTPAC in service delivery system changes and quality improvement activities.

VIII. Conclusion

The value of LTPAC providers adopting HIT and engaging in HIE is widely accepted yet challenges must be overcome. While the LTPAC provider is presently not eligible for CMS EHR incentive payments, it is arguably in the interests of eligible hospitals and eligible professionals to exchange information with LTPAC providers (in order to meet meaningful use requirements). Further, it is in the interests of LTPAC providers to participate in HIE activities to support quality and continuity of care, and engage in new service delivery models emerging through health care reform. The ONC and ASPE continue to direct resources to advance the participation in HIE activities by LTPAC providers, including supporting the dissemination and use of the free tools developed under this study. Work is needed to extend these tools and enable additional opportunities for the re-use of standardized assessment content to improve quality and continuity of care in LTPAC.

The goals of HITECH and ACA cannot be achieved without successfully engaging LTPAC providers in HIT and HIE policies and initiatives. Leveraging federally required PAIs and patient assessment summary documents provides a cost-effective entrance point for this sector to participate in interoperable HIE through the nationwide HIT infrastructure and build a pathway towards more sophisticated HIE and meaningful use of EHRs. There will be some costs of converting the non-interoperable assessments into interoperable assessment documents and/or re-using interoperable assessment content for various purposes, and at this time it is unclear who will bear these costs. These costs could be borne by the provider and/or organizational HIE entities (e.g., state HIT grantees, Beacon Community programs, etc.). The HIE entity may (or may not) charge a fee for the transformation and exchange of this content. Nonetheless, because this approach builds from currently available electronic health information the cost is expected to be relatively modest.

Implementation of the approach and interoperability tools provided in this report creates an opportunity and strong foundation for LTPAC providers to begin using modern technologies to take steps to improve the quality and coordination of care in today's fragmented health care environment and achieve the seamless information sharing envisioned with health care reform.

Appendices

The appendices provide essential background information, documentation, and tools to support the approach proposed in this report. Several provide the research and in-depth technical analyses that form the backbone of this study. These include a summary of stakeholder interviews (Appendix A) and the environmental assessment of the existing standards landscape (Appendix F). Appendices B through E offer the methods and results of careful technical analyses of existing standards for application with PAIs. Two appendices (Appendix H and Appendix I) provide more details about the recommendations for needed HIT standards. Appendix G is a practical implementation toolkit for LTPAC providers and vendors. Appendices J through L provide guidance on the patient assessment summary. Appendix M provides a glossary of key terms and abbreviations used in this report.

A: Stakeholder Interview Summary

Summary of stakeholder interviews conducted to discuss incentives for and barriers to adoption. The interviews also explored implications of limited HIT interoperability and gathered insights on how to advance the use and exchange of electronic clinical information in LTPAC settings. The stakeholder interviews were instrumental in developing the approach identified in this report.

B: Background Report on Intellectual Property and the Dissemination of Standardized Federally Required Patient Assessments

This report identifies and evaluates potential intellectual property issues that emerge and need to be considered with the application of HIT content standards to federally required assessment instruments. Assessment instrument developers should consider intellectual property implications that will arise with the free dissemination of HIT content standards that will be necessary to facilitate re-use and exchange of assessment information.

C: Rosetta Stone Mapping Guidelines and Heuristics

This resource offers the guidelines and rules that were used to map recognized HIT vocabularies -- specifically, LOINC® and SNOMED CT -- to the MDS and OASIS assessments, and the use of coded vocabularies in an HL7 messaging standard (the CDA Patient Assessment Questionnaire Implementation Guide) to enable the interoperable transmission of these assessments. The exchange standard enables assessments to be represented as intended by assessment developer (using a "model of use" format) and enables the re-use of assessment content (i.e., using the model of meaning format).

D: MDS Rosetta Stone Spreadsheet

This resource maps each MDS 3.0 question and answer to applicable terminologies and code sets including LOINC®, SNOMED, ICD-9-CM and ICD-10. This is expected to be a useful reference for nursing home EHR vendors and HIE organizations.

MDS Value Set of Diagnosis Concepts

The MDS value set of diagnosis concepts file provides a set of SNOMED concepts to illustrate how the MDS problem/diagnosis section could be semi-populated from the EHR.

E: OASIS Rosetta Stone Spreadsheet

This resource maps each OASIS question and answer to applicable terminologies and code sets including LOINC®, SNOMED, ICD-9-CM and ICD-10. This is expected to be a useful reference for home health EHR vendors and HIE organizations.

F: Current Standards Landscape

A discussion about current standards and their application to assessment content and enabling re-use of health information. This resource could be used by LTPAC providers and vendors to facilitate their awareness and understanding.

G: LTPAC Interoperability Toolkit and Tools

This appendix document provides a summary of the technical tools available in the toolkit.

CDA Assessment Implementation Guide for MDS and Tools

This guide describes how to represent questions and answers in PAIs as an HL7 CDA document. The implementation guide represents the MDS 3.0 as an example of a CDA patient assessment document.

MDS Transform Tools and Validator

Various tools for transforming the MDS from a CDA format to the CMS transmission format and tools to validate the conversion.

MDS CCD Design Guide

This document provides general information on how to design a valid CCD document using patient assessment content from the MDS.

H: Standards Development and Adoption Recommendations

Provides recommendations for advancing and accelerating the use of HIT and EHRs in the LTPAC industry based on existing standards and known gaps. Discusses the relationship of existing and potential national policy strategies in relating to the standards recommendations.

I: Recommendations for Functional Status

Defines functional status in the context of HIT standards and the importance of the data to support the continuity of care for persons with chronic illnesses and disabilities. Recommends an approach for addressing gaps in standards to address functional status content and representation.

J: Patient Assessment Summary for Health Information Exchange

Describes the project and methodology for developing a patient assessment summary for the MDS and OASIS in collaboration with Keystone Beacon Community.

K: MDS Assessment Summary Rosetta Stone

A technical resource in Excel which identifies the MDS item selected for the summary, the related SNOMED concept, LOINC code, CCD Section, and analyzed compatibility with HITSP C32 requirements.

L: OASIS Assessment Summary Rosetta Stone

A technical resource in Excel which identifies the OASIS item selected for the summary, the related SNOMED concept, LOINC code, CCD Section, and analyzed compatibility with HITSP C32 requirements.

M. Terms and Acronyms

A resource that lists the terms and acronyms used in this report.

Appendix A: Stakeholder Interview Summary

Summary

Expert interviews were conducted via conference call in May and June 2010 to gather input from stakeholder groups pivotal to advancing the use and exchange of electronic clinical information in LTPAC settings. Participants in the interviews included:

  • Post-acute and long-term care (LTPAC) providers.

  • Integrated delivery system providers.

  • Clinical information system software vendor representatives.

  • Staff from the Centers for Medicare and Medicaid Services.

  • Members of the federal advisory committees (FACAs) and workgroups addressing Health IT (i.e., the HIT Policy Committee and its committee workgroups and the HIT Standards Committee and its committee workgroups -- Participants did NOT speak for the FACA Committees, the Committee Workgroups, or the ONC).

  • Representatives of state-level health information exchange initiatives.

  • Staff and committee members from the National Quality Forum.

The following topics were addressed with all stakeholder groups and are detailed more fully in of this appendix:

  • Meaningful Use
  • Health Information Exchange
  • CDA for Transfer of Care
  • Data Re-Use
  • CDA Tools
  • Standards
  • Quality Measures
  • Functional Status

High level themes that emerged across the stakeholder interviews include:

  1. There is an overall lack of readiness and ability to participate in electronic exchange of health information on the part of LTPAC providers.

  2. The exclusion of LTPAC from federal HIT funding and mandates will result in a much slower uptake of technology in this care setting. Absent funding and mandates, LTPAC providers generally do not feel they have the capital to invest in upgrading existing systems or acquiring new products that support electronic exchange of health information.

  3. There are competing views regarding whether LTPAC providers will want to electronically exchange information if it cannot be reused in their systems. General consensus over several discussion groups was that, even if LTPAC providers are only able to view information, it is a starting point and there is value in the information exchange. However, the information must be efficiently consumable by the clinician.

  4. LTPAC is an important component to achieving meaningful use (MU) and distributed health information exchange.

  5. Although there are neither direct financial incentives nor MU requirements for LTPAC participation in electronic exchange of information, changing payment models (e.g., bundling, Accountable Care Organizations (ACOs)) and wider use of technology by Eligible Hospitals/Eligible Professionals will create other business drivers for HIT adoption in this care setting.

  6. A number of LTPAC organizations operate multiple facilities located in different counties or states. When faced with exchanging electronic information with multiple HIEs, the importance of standardized information becomes critical to any scalability within these organizations.

A more detailed accounting of themes identified through the expert interview sessions are found in this appendix.

Interview Process And Participants

Expert interviews were conducted via a series of 60 minute conference calls in May and June 2010. The investigation team identified categories of stakeholders knowledgeable about advancing the use and exchange of electronic clinical data in LTPAC settings. Key experts from the various stakeholder groups were then identified and contacted to participate in the interview process. The stakeholder groups and interview participants are listed below in Table A-1.

TABLE A-1: Stakeholders and Interview Participants
Stakeholder Group -- Post-Acute and Long Term Care (LTPAC) Providers
Tom Check
Senior Vice-President & Chief Information Officer
Visiting Nurse Service of New York
John Derr, RPh
Strategic Technology Consultant
Golden Living
Peter Kress
Vice President & Chief Information Officer
ACTS Retirement-Life Communities, Inc.
Bill Russell, MD
Vice-President & Corporate Medical Director
Erickson Living
Renae Spohn, MBA, RHIA, CPHQ, FAHIMA, FNAHQ
Director of Clinical Applications
The Evangelical Lutheran Good Samaritan Society
Rustan (Rusty) Williams
Vice President, Information Services/Technology Systems and Chief Information Officer
The Evangelical Lutheran Good Samaritan Society
Stakeholder Group -- Integrated Delivery System (IDS) Providers
Denni McColm
Chief Information Officer
Citizen's Memorial
Jim Walker, MD, FACP
Chief Health Information Officer
Geisinger Health System
Stakeholder Group -- Clinical Information System Software Vendors
Andy Brigant
Chief Product Officer
Point Click Care
Dan Cobb
Chief Technology Officer
Health MedX
Robert C. Davis
CEO
Optimus EMR
Doc DeVore
Vice President - Product Strategy
MDI Achieve
Dave Wessinger
Chief Technology Officer
Point Click Care
 
Stakeholder Group -- Centers for Medicare and Medicaid Services (CMS)
Judy Tobin, MBA, PT
Project Officer, CARE Instrument Development
Office of Clinical Standards and Quality
Quality Measurement and Health Assessment Group
Stakeholder Group -- Federal Advisory Committees (FACAs) and Their Workgroups Addressing Health IT
Christopher G. Chute, MD, Dr PH
Professor & Chair, Biomedical Informatics
Mayo Clinic College of Medicine
Member, Health IT Standards Committee
John Derr, RPh
Strategic Technology Consultant
Golden Living
Member, Health IT Standards Committee
Scott White
Assistant Director, HIT Policy Labor Representative
1199 SEIU Training and Employment Fund
Member, Health IT Policy Committee
Larry Wolf, MS
Health IT Strategist
Kindred Healthcare
Alternate for Richard Chapman (Kindred Healthcare), Health IT Policy Committee
NOTE: These participants did NOT speak for the FACA Committees, the Committee Workgroups, or the ONC.
Stakeholder Group -- State-Level Health Information Exchange (HIE) Initiatives
Phil Magistro
Deputy Director, Program Implementation
State Government HIT Coordinator
Governor's Office of Health Care Reform Pennsylvania
Chris Manning
Director of External Affairs
Delaware Health Information Network
Andrew VanZee, MHA, FACHE
Statewide Health IT Director
Indiana
 
Stakeholder Group -- National Quality Forum (NQF)
Don Casey, MD, MPH, MBA, FACP
Chief Medical Officer and VP Quality
Chief Research and Academic Officer
Atlantic Health
David Gifford, MD, MPH
Director of Health
Rhode Island Department of Health
Howard Goldberg, MD
Director, Clinical Informatics Development
Partners Healthcare
Gerri Lamb, PhD, RN
Emory University
Nell Hodgson Woodruff School of Nursing
Atlanta, GA
Larry Wolf, MS
Health IT Strategist
Kindred Healthcare
 

The investigation team identified the following topics to be addressed with all stakeholder groups:

  • Meaningful Use
  • Health Information Exchange
  • Clinical Document Architecture (CDA) Standard for Transfer of Care
  • Data Re-Use
  • CDA Tools
  • Standards
  • Quality Measures
  • Functional Status

Investigators anticipated that the nature and focus of the discussions would vary across each stakeholder group. Thus, a slate of open-ended questions related to these topics was then crafted to capture the unique perspectives of each stakeholder group (see Table A-2 for a sample slate of questions). The topics and questions were presented to the participants for their review prior to the interview.

TABLE A-2: Sample Slate of Interview Topics and Questions: Providers
Topic Questions
Meaningful Use
  • Do you anticipate that hospital and physician requirements for MU measures will impact LTPAC?
    • If so, how?
Health Information Exchange
  • How do you see that HIT can best help your institution(s) streamline information exchange and reporting?
  • What information is important for an LTPAC organization to exchange (send and receive)?
  • What are the barriers/challenges that keep LTPAC from exchanging information with unaffiliated providers and/or HIE organizations now?
    • What steps/activities are needed to overcome these barriers/challenges?
CDA for Transfer of Care
  • Do you currently send and receive electronic clinical and summary documents? If yes, are they standardized for exchange?
  • Have you thought about standardizing transfer of care patient summary documents?
    • Do you think it is important to use a CDA template/CCD for the creation and exchange of a transfer of care summary document with other providers?
    • To what extent does your EHR have a CDA application?
    • If no current CDA application, what priority is this being given?
Data Re-Use
  • Should MDS or OASIS data be reused in a transfer of care CDA/CCD?
    • If yes, which content in an MDS/OASIS would be most relevant to reuse in a transfer of care CDA/CCD? If no, why not?
  • Should EHR data be reused in a transfer of care summary CDA/CCD?
    • If yes, which EHR data content would be most relevant to reuse in a transfer of care CDA/CCD? If no, why not?
  • Can you reuse transfer of care/summary information that you've received from another provider in the EHR?
    • In the MDS/OASIS? Which content?
CDA Tools
  • What technical assistance and/or other support do you need for the interoperable exchange of assessments and summary documents?
Standards
  • Are there gaps in the CCD standard that impedes the exchange of important LTPAC content for a transfer of care summary?
  • What are the areas where LTPAC needs assistance/guidance in implementing a CCD?
  • In your view, are there gaps in HIT standards for LTPAC that need to be addressed?
  • In your view, what are the barriers to implementing existing HIT standards for LTPAC?
Quality Measures  
Functional Status
  • What are your current challenges to capturing functional status information?
    • What steps/activities are needed to overcome these barriers/challenges?
  • What are your current challenges to capturing cognitive function information?
    • What steps/activities are needed to overcome these barriers/challenges?
  • What type of functional status/cognitive function information do you want to see in a CCD?
  • In addition to questions from the MDS or OASIS, what additional functional status information do you use or need?
  • In addition to questions from MDS or OASIS, what additional cognitive status information do you use or need?
  • Is there a framework for representing functional status and cognitive functioning concepts?
  • Given that there is no single definition of functional status and that multiple concepts are used, what steps are needed to identify a nationally accepted definition of “functional status” and advance the interoperable exchange of content related to functional and cognitive status?

A separate 60 minute conference call was conducted for each stakeholder group interview (a total of eight calls were conducted). A member of the investigation team facilitated participants’ discussion of the slate of topics and open-ended questions. Follow-up questions from investigation team members and interview participants were encouraged.

Discussions by Topic

Topic: Meaningful Use

Stakeholders were asked to discuss their opinions regarding the impact on the LTPAC provider community of the CMS Meaningful Use (MU) requirements for Eligible Hospitals (EH) and Eligible Professionals (EP).

Themes from stakeholder group discussions are as follows:

TABLE A-3: Meaningful Use
Stakeholder Group Discussion Themes
LTPAC Providers Although Stage 1 MU criteria do not require EP/EH to electronically exchange information with LTPAC providers, opportunities exist for:
  • LTPAC providers to solicit information exchange with hospitals/physicians if the interoperability standards required by MU are deployed by the LTPAC clinical information system.
  • LTPAC providers to work with acute care providers, HIEs, and hospital/ambulatory EHR vendors to gain agreement on relevant information to be made available electronically during transitions of care across provider settings.
IDS Providers While there is no direct financial incentive to electronically exchange information in the LTPAC setting:
  • As EP/EH adopt technology, there will be more requests for LTPAC providers to exchange information electronically.
  • Efficiencies experienced by participants in electronic exchange of information will push the curve for adoption.
  • As a by-product of MU, there will be more electronic exchange of data at transfers of care with providers not affiliated with the IDS -- both in-bound and out-bound.
  • New, low-cost exchange models will emerge that recognize the benefits to providers of intermediate steps in information exchange (e.g., providers can view information even if they don’t contribute information to the exchange; clinic notes can be typed in Word and submitted to an HIE to apply a CCD wrapper).
Software Vendors
  • The exclusion of LTPAC providers from MU will have a negative impact on the adoption of technology in this care setting.
    • LTPAC providers are a very pragmatic group -- most actions are the result of a mandate, an incentive, or a compelling business driver.
    • The fastest way to promote electronic exchange of information is with money and education.
  • Despite the absence of federal incentives for adoption of technology, forward looking LTPAC providers will recognize the need to prove viability in a changing landscape:
    • Participation in electronic exchange of information is an indicator of a progressive provider.
    • Deployment of technology will impact the ability of a provider to recruit younger staff (who will expect and want computers).
    • Efficiency is critical with the ever increasing demands to do more with fewer dollars.
  • There are competing views regarding whether LTPAC providers will want to electronically exchange information if it cannot be reused in their systems. Even if LTPAC providers are only able to view information, it is a starting point and there is value in the information exchange.
CMS
  • The readiness of LTPAC providers to participate in electronic information exchange is very low.
    • Information garnered through the Continuity Assessment Record and Evaluation (CARE) Health Information Exchange Project (HIEP) -- a project engaging three advanced health information organizations (HIOs) with many members -- shows there is very little exchange of data amongst providers.
      • HIO members were surveyed regarding readiness to exchange information and what type of data they had the ability to either send or consume. Results showed minimal readiness or ability to exchange information.
  • The exclusion of LTPAC from federal HIT funding and mandates will result in a much slower uptake of technology in this care setting.
    • Absent funding and mandates, LTPAC providers generally do not feel they have the capital to invest in upgrading existing systems or acquiring new products that support the electronic exchange of health information.
FACAs
  • LTPAC is an important component to achieving the advantages of meaningful use and distributed health information exchange such as:
    • avoiding errors,
    • reducing complications,
    • anticipating treatments and interventions,
    • reducing resource expenditures (e.g., re-hospitalization, Emergency Room utilization and similar types of metrics)
  • Absent federal financial incentives, it is important to look for other motivators or enablers that promote HIT adoption and electronic exchange of information by LTPAC providers such as:
    • New payment models (e.g. Accountable Care Organizations (ACOs), payment bundling) necessitate accurate and timely communication of health information for efficient and effective coordination of care.
    • Resources such as the open-source versions of all IHE (Integrating the Healthcare Enterprise) components which allow vendors to easily embed those technologies in their products and reduce the cost of product development.
    • Incremental deployment of technology, (e.g., deploying the ability to receive and read a CCD even though a system does not have the data and/or ability to create a CCD).
State-Level HIEs Though LTPAC providers are excluded from meaningful use, inclusion of these providers in electronic information exchange is important due to:
  • The significant impact of LTPAC on health care costs and quality (e.g. re-hospitalizations, Emergency Room visits).
  • The need to support MU criteria such as medication reconciliation, transfer of care record and certain quality measures that where LTPAC data is needed for computation of the measure.
NQF
  • Though LTPAC providers are excluded from meaningful use, inclusion of these providers in electronic information exchange is important due to:
    • MU criteria that look at the exchange of information,
    • National focus on transitions of care
    • Payment reform models that look at bundled payments, ACOs, etc.
  • While process metrics that measure the occurrence of CCD/information exchange are likely for the foreseeable future, the metrics need to transition to outcome measures to be truly meaningful.

Topic: Health Information Exchange

Stakeholders were asked to discuss their opinions regarding what information was important to exchange and the benefits/challenges to exchanging the information. Themes from stakeholder group discussions are as follows:

TABLE A-4: Health Information Exchange
Stakeholder Group Discussion Themes
LTPAC Providers
  • Standards are needed to support the exchange of information of particular interest to LTPAC providers such as:
    • Reason for referral
    • Treatment goals
    • Actual treatment orders
  • While exchange of medication information is a high-value action, challenges related to data messaging and data content still exist that preclude automation of the reconciliation process such as:
    • Differences in the completeness of data made available when different versions of NCPDP standards are used by providers, pharmacies, data aggregators, etc. to transport medication information
    • Lack of information on medications that are not part of the pharmacy enterprise (e.g., OTC medications purchased out-of-pocket)
    • NDC codes
IDS Providers
  • Points of divergence regarding the value of exchanging computable information versus human readable information:
    • Making human-readable information available gets you 85% of the value of an electronic exchange proposition -- most clinicians feel a human-readable, current document is far better than nothing.
    • Questionable value to receiving an electronic “viewable only” form of information that is currently provided as hardcopy. If all the provider receives is electronically viewable information, it stills needs to be reduced to paper/printed for inclusion in the resident record in accordance with standards of practice for recordkeeping.
Software Vendors
  • Currently there is very little electronic information exchange -- especially with transfers of care.
  • Providers see the value of information exchange -- the sell needs to be on “standardized” exchange. Vendors get many requests for one-off interfaces.
  • High value information to exchange for LTPAC providers includes:
    • demographics,
    • medications,
    • reason for hospitalization (diagnoses), and
    • plan/orders for services on discharge
  • Barriers to LTPAC participation in electronic information exchange include:
    • Technical complexity and ambiguity of some aspects related to exchange of a CCD. (NOTE: Since the interviews were conducted initiatives are underway such as the Green CDA to reduce the complexity)
    • Lack of a standardized approach for electronic information exchange across individual HIEs becomes very problematic for large multi-state national chains.
    • Vocabulary standards are currently inadequate and not readily deployable.
CMS
  • Proof of concept trial launched with Regenstrief, Healthbridge, and MedVirginia to move Continuity Assessment Record and Evaluation (CARE) data from an HIE to CMS.
    • A subset of CARE data is exchanged using HITSP C83.
    • Data collection for the demonstration slated for June through December 2010.
FACAs
  • Regarding incremental interoperability (such as a Level 1 CDA with an embedded pdf), the following philosophies from the Mayo Clinic Beacon project were shared:
    • Exchanged electronic data must be put in front of the physician in the context of their native EMR, which means the data must be machineable, manipulatable, and manageable.
    • Physicians involved in routine primary care are fearful of receiving non-standard, difficult to interpret, unfamiliar layout, information.
    • High value information such as labs, meds, allergies and problems, MAY be appropriate to exchange in a human readable format -- but it must be efficiently consumable by the clinician.
State-Level HIEs
  • New efforts underway in Delaware, Indiana and Pennsylvania to explore how LTPAC providers can be included and serviced by the HIEs.

Topic: CDA to Transfer of Care

Stakeholders were asked to discuss the use of CDAs for transfer of care. Themes from stakeholder group discussions are as follows:

TABLE A-5: CDA to Transfer of Care
Stakeholder Group Discussion Themes
LTPAC Providers
  • LTPAC Providers need to closely look at how electronically exchanged information is identified, reconciled, and incorporated into the workflow of the interdisciplinary team. In the instance of a CCD, three key use cases to address in relation to workflow are:
    • Transfer of care
    • Shared care
    • Exchange with the consumer
Software Vendors
  • LTPAC clients have not requested CCD functionality from participant vendors.
  • One of four participating vendors had the capability of generating a CCD -- all other vendors had road mapped the functionality.

Topic: Data Reuse

Stakeholders were asked to discuss the reuse of MDS/OASIS data for transfer of care summaries. Themes from stakeholder group discussions are as follows:

TABLE A-6: Data Reuse
Stakeholder Group Discussion Themes
Software Vendors
  • Concern was voiced over the latency of MDS data
    • If MDS content is used in populating the CCD, the MDS date would need to be front and center so that recipient would be clearly aware if the information was 3 months old.
    • If MDS question(s) are replicated elsewhere in EMR system, there - may be a more current response to use in populating the CCD
    • MDS questions could be useful for CCD but probably not sufficient

Topic: Standards

Stakeholders were asked to discuss any gaps or other issues that impede the deployment of HIT standards.  Themes from stakeholder group discussions are as follows:

TABLE A-7: Standards
Stakeholder Group Discussion Themes
LTPAC Providers
  • A number of LTPAC organizations operate multiple facilities located in different counties or states. When faced with exchanging electronic information with multiple HIEs, the importance of standardized information becomes critical to any scalability within these organizations.
Software Vendors
  • LTPAC vendors and providers will require guidance and assistance with the deployment of standard terminologies such as LOINC and SNOMED.

Topic: Quality Measures

In light of the quality measures incorporated into the Meaningful Use rule, participants were asked to discuss the state of quality measures in the LTPAC setting. Themes from stakeholder group discussions are as follows:

TABLE A-8: Quality Measures
Stakeholder Group Discussion Themes
National Quality Forum (NQF)

Appendix B: Background Report on Intellectual Property Issues and the Dissemination of Standardized Federally-Required Patient Assessments

The research described in this report was conducted by library staff of the Foundation of the American Health Information Management Association for the Office of the Assistant Secretary for Planning and Evaluation (ASPE) of the U.S. Department of Health and Human Services (HHS), under contract no. HHSP2332007430EC.

The content of this publication does not necessarily reflect the views or policies of ASPE or HHS.

Executive Overview

In 2007, the Office of the Assistant Secretary for Planning and Evaluation (ASPE) of the U.S. Department of Health and Human Services (HHS) contracted with the AHIMA Foundation to perform several activities related to standardizing federally-required post-acute care (PAC) assessments to support interoperable health information exchange. A primary goal of the project was the application of health information technology (HIT) standards adopted by the Consolidated Health Informatics (CHI) Initiative to two of the assessment tools currently mandated by the Centers for Medicare and Medicaid Services (CMS) for reimbursing PAC. These instruments are:

  1. the Resident Assessment Instrument (RAI), including the Minimum Data Set (MDS), used in nursing facilities, and
  2. the Outcome and ASsessment Information Set (OASIS), used by home health agencies (HHAs).

These two instruments, along with the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI), used by CMS for payment in inpatient rehabilitation facilities (IRFs), are standard data collection tools for particular care settings, designed to collect and submit information to CMS according to the agency's electronic submission requirements. The data collected, however, are not comparable across settings, are not standardized using interoperable vocabularies in support of health information exchange, require different and sometimes proprietary formats for reporting based on care setting, and frequently do not interface with a patient’s electronic health record (EHR).

The CHI Initiative, which was transferred to the Federal Health Architecture (FHA) within the Office of the National Coordinator for Health Information Technology (ONC) in 2006, was an effort to establish messaging and vocabulary standards allowing federal agencies to exchange information efficiently and effectively in order to provide better care and lower administrative costs. CHI standards were considered for use through the public/private processes of the Healthcare Information Technology Standards Panel (HITSP), convened by the American National Standards Institute (ANSI) in 2005 under contract to HHS to administer ONC's standards harmonization initiative.

In 2006, the CHI recommended for adoption, across the federal health enterprise, HIT standards defining requirements for exchanging and reusing standardized, federally-required patient/client assessments for functioning and disability. These recommended standards were subsequently approved by the National Committee on Vital and Health Statistics (NCVHS) and the Secretary of the HHS, and forwarded to ONC. The adoption of the CHI-endorsed standards for disability and patient assessment (along with ones for allergy and multi-media) in federal HIT systems was announced in a Federal Register notice published in late 2007.a

The purpose of the specific project task addressed in this report was to explore the intellectual property (IP) issues associated with the three assessment tools mandated by CMS for PAC reimbursement, investigate the implications of disseminating CHI-standardized MDS, OASIS and IRF-PAI assessment data sets, and develop recommendations for the future dissemination of HIT-encoded instruments.

IP issues with respect to these three assessment instruments vary as to the degree of restriction placed on the use of the data sets and tools within them. All three data sets were initially created with the aid of grant or contract money from the U.S. government. The developers of these data sets claim, or have in the past claimed, some ownership in the assessment instruments. Although work created under grant from or contract with the U.S. government can be copyrighted by the award recipient, government agencies generally reserve the right to use the work for government business, and to authorize others to do so.b

The RAI/MDS is in the public domain, but only in the United States. Version 2.0 of the RAI/MDS, currently in use, was developed by the Hebrew Rehabilitation Center for Aged (HRCA) under a contract with the Health Care Financing Administration (HCFA), predecessor to the CMS. Lead authors on the 1995 edition of the User's Manual for the RAI version 2.0 were from HRCA and HCFA.c The 2002 update to the User's Manual for 2.0 appears to have originated within CMS. A number of individuals are acknowledged, many of whom appear to have been members of the MDS Coordinating Team within CMS.d Outside of the United States, the interRAI Association, a group of researchers in the field of long-term health care, claim the copyrights to version 2.0 of the RAI/MDS. InterRAI registered the copyright to the 1995 edition of the user manual for version 2.0, although they allow it to be used and copied freely within the United States. Version 3.0 of the MDS, currently scheduled for implementation in October 2010, represents a major revision to the assessment tool. This version appears to have originated within CMS, with considerable input from outside experts in long-term care (LTC) issues. The tool was evaluated and validated through a contract with the RAND Corporation, with principal investigators from RAND and the Harvard Medical School Department of Health Care Policy. The final version of the MDS 3.0 item set and data specifications were published by CMS in October 2009. Parts of the RAI manual for version 3.0 were published in November 2009 with the complete manual expected to be available in early 2010.e While CMS has reported there will be no restrictions on the use of the MDS 3.0 and accompanying tools for the purpose of reporting to assessment data to CMS, it is unclear whether other IP issues might arise. Two screening tools that are integrated into MDS 3.0 are copyrighted. The Regenstrief Institute has received permission from the copyright holder of the Confusion Assessment Method (CAM) tool to incorporate that tool into the Logical Observation Identifiers Names and Codes (LOINC) database, and has previously worked with Pfizer in order to incorporate the Patient Health Questionnaire (PHQ) depression scales into LOINC.f

Early versions of the OASIS (OASIS A, B, B-1) were developed by the Center for Health Services and Policy Research at the University of Colorado with funding from HCFA, the Robert Wood Johnson Foundation, and later the New York State Department of Health. Prior to 2008, rights to the OASIS instrument were retained by the Center for Health Services and Policy Research. As of late 2007, the OASIS data set had moved into the public domain, and permission to copy or use was no longer required. CMS contracted with Abt Associates and subcontractors at the University of Colorado Health Sciences Center and Case Western Reserve University in 2006 to revise the OASIS data set, resulting in OASIS-C, which HHAs began using in January 2010.g While it appears there are no longer any IP issues attached to the OASIS data set itself, some of the tools available, but not required, for use with OASIS-C are copyrighted, in particular the Pfizer PHQ depression scales.h As mentioned in relation to the MDS, Regenstrief Institute has worked with Pfizer in the past to secure permission to use the PHQ screening tools in LOINC.

MDS and OASIS data sets currently in use are available through the Unified Medical Language System (UMLS) of the National Library of Medicine (NLM) and Regenstrief Institute's LOINC database. There are slight differences in the license agreements for using these two instruments through the UMLS, primarily related to the additional restrictions placed on the use of the RAI/MDS outside of the United States. The copyright claims to the MDS and OASIS data sets as represented in LOINC are spelled out in the RELMA (Regenstrief LOINC mapping assistant). The versions of MDS and OASIS in the UMLS Metathesaurus are extracted from LOINC and not necessarily an exact representation of the original source. Since MDS and OASIS are updated in each Metathesaurus release along with LOINC, it is expected that MDS 3.0 and OASIS-C will be available when the version of LOINC containing the new versions of OASIS and MDS is available.i

The IRF-PAI was developed and validated through a combination of government grants, contracts, and license agreements with the University of Buffalo Foundation Activities, Inc. (UBFA) and the RAND Corporation. HCFA contracted with RAND to evaluate the feasibility of using the Functional Independence Measure (FIMj) as the foundation piece for the prospective payment system (PPS) for IRFs. UDSMR®, a division of UBFA, claims exclusive ownership of the Functional Independence Measure (FIM), the core of the IRF-PAI, trademark rights to FIM®, and compilation rights to the IRF-PAI training manual.k Due to UDSMR®ownership claims, anyone other than a facility subject to the Medicare payment system who wishes to use the IRF-PAI can only do so through a license agreement with UDSMR®. The FIM has not been incorporated into either the UMLS or LOINC.

Both interRAI and UDSMR® have created assessment instruments for additional PAC settings, and are clearly aware of government mandates to utilize instruments that can work across multiple settings. Also, the recent revision of the OASIS data set was undertaken in part so that the data collected are more in alignment with the assessment data collected in other PAC settings. Given additional mandates arising out of the CHI Initiative, particularly the one requiring future federalhealth information acquisitions be based on CHI standards, instrument developers may be interested in participating in HIT standardization activities in order to remain relevant as the movement toward interoperability and standardization continues to gather steam.

References

CENDI Copyright Task Group. (2002). Frequently Asked Questions About Copyright: Issues Affecting the U.S. Government. Oak Ridge, TN: CENDI Secretariat, Information International Associates, Inc. Retrieved from http://www.cendi.gov/publications/04-8copyright.html#41.

CHI (2006). Standards Adoption Recommendation -- Functioning and Disability. Accessed January 2008 at http://www.ncvhs.hhs.gov/061011p2b.pdf.

HHS. "Additional Consolidated Health Information (CHI) Health Information Technology Standards" 72 Federal Register71413-14 (December 17, 2007). Accessed January 2008 at http://a257.g.akamaitech.net/7/257/2422/01jan20071800/edocket.access.gp….

Kramer, Andrew, et al. Case Studies of Electronic Health Records in Post-Acute and Long-Term Care. (Washington, DC: HHS, ASPE, Office of Disability, Aging and Long-Term Care Policy, 2004. Accessed January 2008 at http://aspe.hhs.gov/daltcp/reports/ehrpaltc.htm.

Wark, Cynthia G., et al. "Government Issue: CHI Lays the Groundwork for Federal Data Exchange." Journal of AHIMA75, No.8 (September 2004): 36-38. PubMed link http://www.ncbi.nlm.nih.gov/pubmed/15455567.

Introduction And Background

Federal Efforts at Defining Interoperability Standards

The CHI Initiative was a federal effort with a goal of establishing messaging and vocabulary standards to allow federal agencies to exchange health information efficiently and effectively in order to provide better care and lower administrative costs.1 In 2006, the CHI Initiative was transferred to the FHA within the ONC, now an agency of the HHS. The FHA worked closely with the Health IT Policy Council (HITPC), which brought together entities within HHS and other federal agencies to advance short and long-term HIT policy.

In 2006, the CHI recommended for adoption, across the federal health enterprise, HIT standards defining requirements for exchanging and reusing standardized federally-required patient/client assessments for functioning and disability. The HIT standards approved were then presented to and approved by the NCVHS, and were subsequently approved by the Secretary of HHS, who forwarded them to the ONC.2

In late 2007, the adoption of the Disability and Assessments standards were one of three new domain areas and associated clinical standards announced in the Federal Register:

Disability and Assessments:

  • Regenstrief Institute, Inc LOINC© (Logical Observation Identifiers Names and Codes©)l representation and codes for questions and answers on federally-required assessment forms;
  • CHI-endorsed semantic vocabulary matches linked with the LOINC© assessment questions and answers; and
  • HL7© [Health Level Seven] v2.4 and higher messaging standard and the HL7© CDA (Clinical Document Architecture (CDA))m for exchanging standardized federally-required assessment content.3

In conjunction with other federal initiatives, the HITSP, convened by the American National Standards Institute (ANSI) in 2005 under contract to HHS, led efforts to identify and harmonize HIT standards, including those endorsed by the CHI Initiative. Despite the change in presidential administration in 2009, HITSP remained under contract to ONC through January 2010 and continued to play a role in addressing interoperability standards in alignment with the goals of the American Recovery and Reinvestment Act (ARRA) of 2009. ARRA established two new oversight bodies within the ONC, the HIT Policy Committee and the HIT Standards Committee. These committees report to the National Coordinator and are tasked with helping develop HIT data standards and implementation specifications, and with recommending the “meaningful use” criteria for EHR systems to be subsidized by CMS through incentive payments under ARRA.

Post-Acute Care Assessment and Interoperability

Currently, there are three federally-mandated assessment tools used by the CMS for the purpose of compensating and assessing PAC4 -- the RAI, including the MDS, used in nursing facilities and swing-bed settings, the IRF-PAI, used in IRFs, and the OASIS, used by HHAs. Each of these instruments is a data collection tool designed to collect information in a format specified by CMS that can be submitted according to CMS’s electronic submission requirements. However, the assessment instruments require information that is not comparable across settings, require different and sometimes proprietary formats for reporting based on care setting, do not use standardized, interoperable HIT vocabularies, do not support standardized health information exchange (e.g., using HL7 messaging standards), and frequently are incapable of interfacing with an individual patient’s EHR.5

A 2004 report studying EHRs in LTPAC settings outlined some of the issues that make the collection and subsequent use of this data burdensome:

A final limitation to interoperability that also could be improved by standards development is the integration between the EHR maintained in the various LTPAC sites and the government-mandated data sets: MDS, OASIS, and IRF-PAI. In every case, the information systems for the mandated data set were completely distinct from the EHR. None of the sites was able to import information from the comprehensive clinical assessments contained in the EHR and populate mandated data sets. In most cases, the process for completing the mandated data sets was separate from the process used to maintain the EHR. Thus, the lack of integration between mandated assessments and the clinical information recorded in the EHR was a major impediment to integrated care delivery. Further, the EHR was dominated by orders and assessments written by the physician and/or nurse practitioner, and by nursing and therapy reports of medical care issues such as medications, vital signs, and treatments. However, linkage of mandated data sets and the EHR requires standardized content and messaging not only for the EHR, but also for the federally mandated data sets.6

A 2006 report on the viability of a uniform PAC assessment system, prepared for CMS and the Iowa Foundation for Medical Care, explained that the "domains, actual items, item definitions, scoring methods, and metrics differ across tools." Differences in the tools are partially due to the outcomes of care emphasized in a particular setting, so that "even when the domains of health and function are consistent across tools, many of the items used to measure them differ." This study further found that “None of the three existing CMS assessment tools for PAC (MDS, OASIS, IRF-PAI) adequately covers the spectrum of patients and the necessary domains to be used across settings, and mapping across instruments is complex.”7

A 2008 study attempting to map between the MDS and IRF-PAI, confirmed the difficulty of evaluating and tracking changes in functional status from one setting to another due to the lack of a single comprehensive assessment instrument for measuring patient outcomes, but noted that attempts to change or replace measures currently in place would face strong resistance from practitioners and administrators who use and rely on these instruments on a daily basis.8

In 2009, CMS published in the Federal Register ([74FR10050 (March 9)] and [74FR22208 (May 12]) plans for using revised versions of the OASIS and MDS data sets starting in 2010.9 In outlining plans for using a revised OASIS data set for HHAs, CMS stated:

In accordance with long-standing federal objectives, CMS ultimately plans to create a standard patient assessment instrument that can be used across all post-acute care settings. The revision of the OASIS instrument is an opportunity to consider various components of quality care and how patients might be better served as they (and information about them and their care) move among health care settings.10

In January 2009, anticipating the imminent move to a substantially revised version of MDS, the American Association of Homes and Services for the Aging, in a joint letter with other stakeholders, sent a letter to President-elect Obama’s transition team urging them not to go forward with a proprietary format for reporting MDS 3.0 data.11

In response to the Federal Register notices concerning OASIS and the MDS, a number of organizations reiterated concerns about the continued use of proprietary software for submitting data to CMS.

The National Association for Homecare and Hospice addressed the interoperability issues in comments co-signed by a number of other stakeholder parties:

The implementation of an updated OASIS data set is a unique opportunity to advance interoperability and make a significant impact on home care agencies/EHR products which is the direction healthcare is heading with a goal of widespread, interoperable electronic health records by 2014. The accepted standards exist, but CMS currently does not plan to adopt them for OASIS-C. Instead, CMS plans to continue to collect OASIS-C data using proprietary data exchange formats that are not interoperable -- this is inconsistent with the national agenda to advance EHRs and is short sighted in recognizing the opportunity with the OASIS-C rollout.12

AHIMA, in comments to CMS on proposed changes to the Skilled Nursing Facilities Inpatient Prospective Payment Systems published in the May 12, 2009 Federal Register [74FR22208], again addressed concerns about the continued use of proprietary resources for reporting data to CMS:

The proposed rule currently calls for custom transmission of MDS versus the use of HHS accepted standards. By requiring custom transmission of MDS, vendors and providers will be forced to slow their participation in national health information exchange initiatives by diverting resources and focus and develop programs for CMS compliance first, then focusing their efforts on health information exchange.13

CMS published the final rules for the skilled nursing facilities (SNFs) PPS [74FR40287, August 11, 2009] and HHAs PPS [74FR58077, November 10, 2009] and confirmed the 2010 implementation dates for MDS 3.0 and OASIS-C. In the final rule for the SNF PPS, CMS responded to stakeholder concerns by saying “CMS appreciates the comments that were submitted with regard to HIT standards and will consider these comments as the MDS 3.0 is implemented.”14

As CMS continues to improve upon PAC assessment instruments, it is clear that more work needs to be done in standardizing the data and data exchange formats to support continuity of care and interoperability of patient information maintained by the various care facilities.

Prospective Payment Systems for Post-Acute Care

Implementation of a PPS in inpatient acute care facilities in 1983, while exempting most PAC settings,n contributed to the spiraling costs of PAC, as patients were sometimes moved from one facility to another based on reimbursement policies rather than where they might receive the best care. Because of the PPS, there was impetus to move patients out of acute care facilities at a quicker rate. The growth in federally-funded post-acute health care expenditures led to the Balanced Budget Amendment (BBA) of 1997, which required that PPS be created for nursing homes, rehabilitation hospitals, home health care, and long-term care hospitals (LTCHs).15 PPS for these PAC settings, three of which are based on setting-specific assessment instruments, were implemented between 1998 and 2002.

Significant legislative activity since the BBA has included the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act (BBRA) of 1999,16 the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000,17 and the Deficit Reduction Act (DRA) of 2005.18 Both BIPA and the DRA contained requirements that HHS develop instruments to assess PAC that would be compatible across settings. BIPA required the Secretary of HHS to report to Congress on the "development of instruments to assess the health and functional status of beneficiaries using post-acute care and other specified services…. The assessment instruments required by BIPA are to have readily comparable, statistically compatible, common data elements and include only those elements necessary to meet program objectives.”19 The BIPA legislation also specified that the standardized instruments developed were to supersede currently-mandated assessment tools:

SEC. 545. DEVELOPMENT OF PATIENT ASSESSMENT INSTRUMENTS.

(a) DEVELOPMENT.--

(1) IN GENERAL.--Not later than January 1, 2005, the Secretary of Health and Human Services shall submit to the Committee on Ways and Means and the Committee on Commerce of the House of Representatives and the Committee on Finance of the Senate a report on the development of standard instruments for the assessment of the health and functional status of patients, for whom items and services described in subsection (b) are furnished, and include in the report a recommendation on the use of such standard instruments for payment purposes.

(2) DESIGN FOR COMPARISON OF COMMON ELEMENTS.--The Secretary shall design such standard instruments in a manner such that--

(A) elements that are common to the items and services described in subsection (b) may be readily comparable and are statistically compatible;

(B) only elements necessary to meet program objectives are collected; and

(C) the standard instruments supersede any other assessment instrument used before that date.

(3) CONSULTATION.--In developing an assessment instrument under paragraph (1), the Secretary shall consult with the Medicare Payment Advisory Commission, the Agency for Healthcare Research and Quality, and qualified organizations representing providers of services and suppliers under Title XVIII.20

The DRA (Section 5008) charged HHS with developing a single comprehensive assessment to be used upon discharge from inpatient hospitals and in all post-acute sites. A demonstration program was to explore uniform patient assessment and develop payment groups based on severity of illness and resource utilization across post-acute settings.21 The Office of Management and Budget (OMB) clearance package supporting the development of the instrument mandated by DRA 2005 claimed: “The lack of a uniform post-acute assessment tool is one of the major limitations to understanding variation in post-acute outcomes, cost-effectiveness, and Medicare payments.”22

Despite regulatory activity, the three currently mandated assessment tools are not likely to be replaced in the very near term due to the fact that each instrument presently supports setting-specific payment methods, and they are considered by representatives of the individual care settings to be best at supporting clinical care decisions, resource-based reimbursement, and quality improvement initiatives.

Intellectual Property Issues and Mandated Assessment Instruments

The primary intent of this report is to review known IP issues that may affect the ability to use assessment instrument content in an increasingly interoperable environment. Developers or contributors to portions or all of the three PAC assessment instruments under review, the MDS RAI, the OASIS, and the IRF-PAI, claim or have in the past claimed ownership to all or parts of these instruments. Typically, the developers copyrighted the instrument to maintain the quality and integrity of the instrument and the data derived there from, although as these instruments have become integral to reimbursement mechanisms, financial interests may also have played a role. Though likely not with outright intent, instrument developers have employed a two-pronged strategy in encouraging acceptance and then reliance on the instrument, first to promote the use of the instrument as being the most appropriate for the required use, and then to protect the instrument from unauthorized use, either for financial or quality control issues. This continues to hold true with the developers of the MDS/RAI 2.0 and the IRF-PAI.

Although there has been some momentum towards a single comprehensive assessment tool,23 it is unlikely one will be developed, approved, and implemented in the near term that will completely replace all of the content in the existing instruments. Therefore the need exists to apply HIT standards to the setting-specific assessment data sets currently mandated by CMS. Since third party claims of ownership to all or part of these assessment instruments will likely persist, questions have arisen about the ability and inclination of standards development organizations (SDOs) to link HIT codes to assessment content without first settling the ownership issues and reconciling the IP issues. There are further questions, if HIT codes are linked to legitimately-copyrighted assessment content, as to whether and under what conditions or restrictions the coded assessment content can be disseminated.

It is not clear to what extent simply associating HIT codes with assessment content would constitute an infringing activity under the copyright laws. The copyright owners may argue that the creation of this association in and of itself is a derivative work, which only the copyright owner would have the right to create. In addition, dissemination of HIT coded assessments by a standard setting entity may infringe upon the copyright of an assessment instrument that a third party claims to own, because it could violate the copyright owner’s exclusive right to reproduce, distribute and prepare derivative works based on the assessment instrument.

It also is not clear that claims to exclusive rights to some of the content of these instruments, or the instruments themselves, are always entirely legitimate, as IP issues are frequently complex. However, if non-government ownership of assessment instrument content is established, before undertaking the process of linking HIT codes to assessment content, standard setting entities may need to negotiate agreements and/or licenses with the owners of the assessments to lawfully distribute the HIT codes. Some of these issues have been addressed previously by the NLM in relation to the UMLS. A post on the Integrating the Healthcare Enterprise (IHE) collaborative web site (wiki) asserted that “UMLS is aware of the IP issues and challenges in general, and is exploring ways to address them.”24

It is evident that the creators or developers of all or parts of the MDS/RAI and the IRF-PAI are cognizant of the goal of having an assessment instrument that works across care settings, as both are developing additional, but compatible assessment instruments for use in settings other than that for which their assessment instrument is currently mandated. Carl Granger, representing UDSMR in comments to CMS regarding the adoption of the Continuity Assessment Record and Evaluation (CARE) tool [72FR55225, September 28, 2007], suggests CMS should consider that “using the AlphaFIM® instrument in acute care settings, the FIMTM instrument in SNF, IRF, and LTCH settings, and the OmegaFIMTM instrument (augmented with the LIFEwareSM System) in HHAs would be a more appropriate choice.”25 Brant Fries, president of interRAI, in testimony before the National Commission for Quality in Long-Term Care, promoted the use of the assessment system created by interRAI, covering most of the LTC settings, including “frail elderly in the community, home care, assisted living, nursing homes, post-acute care, (for example, rehabilitation hospitals), palliative care, acute care, and inpatient and community-based mental health; with additional systems underway for intellectual disability and younger persons with disabilities.”26

Intellectual Property Issues and Government Contracts and Grants

Rules concerning rights to works created under government grants or contracts are not black-and-white.27 Competing rights of the contracting agency and the grant or contract recipient need to be weighed. Generally, for work created under contract to or grant by the U.S. government, the award recipient may copyright any work subject to copyright, but the U.S. government reserves the right to use the work for government business, and to authorize others to do so. If the grant or contract recipient is to retain exclusive IP rights, that is most appropriately spelled out in the terms of the contract or grant.28 This does not appear to be the case, at least in the initial stages of development, of the instruments under review in this report. Copyright claimants to all or portions of the MDS/RAI and the IRF-PAI have asserted that their work is copyrightable. They emphasize the award recipient's rights but minimize the broad rights given to the Federal Government.29 Since the Functional Independence Measure was developed as the result of a grant from the U.S. Department of Education, contractors for the IRF-PAI base their copyrights on OMB Circular no. A-110, which allows non-profit organizations that are recipients of grants or cooperative agreements, to copyright content created under the grant or agreement.

The text from OMB Circular no. A-110 reads:

36. Intangible property.

(a) The recipient may copyright any work that is subject to copyright and was developed, or for which ownership was purchased, under an award. The federal awarding agency(ies) reserve a royalty-free, nonexclusive and irrevocable right to reproduce, publish, or otherwise use the work for federal purposes, and to authorize others to do so.

(b) Recipients are subject to applicable regulations governing patents and inventions, including government-wide regulations issued by the Department of Commerce at 37 CFR part 401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements."

(c) The Federal Government has the right to:

(1) obtain, reproduce, publish or otherwise use the data first produced under an award; and

(2) authorize others to receive, reproduce, publish, or otherwise use such data for federal purposes.30

IP rights to works created under contract with federal government agencies are guided by the data rights sections of the Federal Acquisition Regulations (FARs).31 Under the rights in general provisions, unless provided otherwise in the contract, the government has unlimited rights to all data first produced under contract with civilian agencies of the Federal Government. Contractors can claim copyright in published articles, symposia proceedings, or the like, based on or containing content produced under the contract, but ordinarily must obtain permission from the contracting officer before asserting further rights to work produced through the contract. In cases where the contractor asserts rights to works produced under contract, the government customarily includes a contract clause granting the government agency a license to reproduce, prepare derivative works, distribute, perform and display the copyrighted work:

48 CFR §52.227-14 (c) Copyright--

(1) Data first produced in the performance of this contract.

The prior, express written permission of the Contracting Officer is required to establish claim to copyright subsisting in all other data first produced in the performance of this contract. When claim to copyright is made, the Contractor shall affix the applicable copyright notices of 17 U.S.C. 401 or 402 and acknowledgment of government sponsorship (including contract number) to the data when such data are delivered to the government, as well as when the data are published or deposited for registration as a published work in the U.S. Copyright Office. For data other than computer software the Contractor grants to the government, and others acting on its behalf, a paid-up, nonexclusive, irrevocable worldwide license in such copyrighted data to reproduce, prepare derivative works, distribute copies to the public, and perform publicly and display publicly, by or on behalf of the government.

(2) Data not first produced in the performance of this contract. The contractor shall not, without prior written permission of the Contracting Officer, incorporate in data delivered under this contract any data not first produced in the performance of this contract and which contains the copyright notice of 17 U.S.C. 401 or 402, unless the contractor identifies such data and grants to the government, or acquires on its behalf, a license of the same scope as set forth in subparagraph (c)(1) of this clause…

The FAR special works contract clausegives the government the right to control the release and use of data delivered under contract and in all data first produced under contract. The government also has the right to limit the release of the data and can circumscribe the right to establish copyright.32 As with the general rights in data clause, under the special works clause the contractor, with permission from the government, can incorporate previously copyrighted works into the data being delivered if the government gets the same scope of rights that it would get otherwise.

Agreements entered into in the past between the federal agencies and the award recipients who created the data sets upon which the assessment instruments are based, indicate that both the agencies and the developers took a narrow view of what appear to be the government’s rights to the works created under contract or grant, either by mandating how CMS can use the work, or by placing requirements on how and where ownership claims must be displayed. Although not addressing assessment instruments, one analyst wrote concerning copyrights and federally-funded research:

It also appears that the Federal Government does not protect their [sic] reserved rights, much less diligently exercise them on behalf of the public. OMB Circular A-110and its related CFR provisions represent a significant source of latent federal authority that could be used to enhance access to STM [Scientific, Technical and Medical] works.33

An understanding of the terms of the contracts under which the assessment instruments were developed is vital to determining whether special provisions may have been included in the contracts, statements of work, or other written agreements regarding IP issues. Without access to the language of the contracts, in particular the FAR provisions concerning rights in the data produced through the contracts, it is difficult to determine whether this narrowing of the government's general rights in works created under contract was intentional and written into the contract, approved through written agreement with the contracting officer, or simply asserted beyond the provisions of the contracts.

The push towards interoperable health information systems may give rise to additional IP issues. In December 2007, the Department of HHS informed the public by means of a Federal Register notice of the adoption of the CHI Patient Assessment standards (as well as standards for Multimedia and Allergy) and announced that the “Federal Government will require all future federal health information acquisitions to be based on CHI standards…”.34 As CMS moves towards implementing new assessment instruments (e.g., the CARE instrument) it does so with the recognition that new assessments will have to be implemented using the HIT requirements for exchanging and reusing standardized federally required patient/client assessments. CMS included a requirement that the instrument comply with CHI standards in its contract to develop the CARE instrument.35 Applying CHI standards to federally required patient assessments will support interoperability of health information if this standardized information can be exchanged and re-used across settings. However, as previously noted, IP claims often constrain the ability to freely disseminate standardized patient assessment content.

The following pages will outline the history and development of the three PAC assessment instruments currently mandated by CMS for reimbursement purposes, and will describe known IP issues. The summaries will address what the instruments are and what they are used for. Regulatory background concerning how and why the instruments were created and mandated for use will be reviewed, as well as how and by whom the instruments came to be created, and how and by whom the instruments have since been developed. Where known, the report will cover how IP issues that have previously arisen have been addressed. Understanding how federally-required patient assessments were developed in the past and the resultant IP claims may provide policy makers and others with information to support the development and standardization of patient assessment instruments for free and widespread use in an increasingly interoperable healthcare environment.

Resident Assessment Instrument/Minimum Data Set

The RAI, which includes the MDS, is a standardized data collection instrument designed to assess and screen care given to residents in nursing facilities. The RAI is mandated for all residents in Medicare or Medicaid-certified nursing facilities in the United States. The assessment items that make up the core MDS are considered the minimum elements required to provide a comprehensive picture of a resident’s functional status.36 The MDS was designed to standardize assessment data nursing homes were collecting already as part of their routine business.37 While the primary use of data collected through the MDS was to direct and improve clinical care, the MDS has also become the basis for setting payment levels and monitoring quality of care, in addition to directing certain state survey and certification activities for nursing homes.38

Full MDS data must be collected on all nursing home residents within fourteen days of admission and either annually thereafter, or when there is a significant change in condition. Data from the MDS are used to trigger specialized Resident Assessment Protocols (RAPs), through which individual care plans for at-risk patients are developed. A subset of MDS data must be collected on a quarterly basis to assess how well the care plan is working. The MDS, RAPs, and utilization guidelines, instructions on when and how to use the RAI, are the three core components of the RAI. In version 3.0 of the RAI, scheduled for implementation in October 2010, the Care Area Assessment (CAA) process replaces the RAPs.

MDS assessments must be encoded and electronically transmitted from the care facility to the CMS contractor in the state government. This data is then forwarded to CMS. In the FY 2010 proposed rule for SNF PPS published May 12, 2009 [74FR222208], CMS proposed that LTC facilities be required to transmit MDS data directly to the national CMS System, instead of to the states. The transmission file of MDS data must meet the data specification standards set by CMS. CMS makes available free software (RAVEN) that Medicare and Medicaid nursing facilities may use to electronically transmit MDS assessments.39

Regulatory Background (40)

The Omnibus Budget Reconciliation Act (OBRA) of 1987 included a sweeping set of regulatory reforms for nursing homes. Even prior to, but particularly when Medicare began reimbursing for post-acute nursing home care and Medicaid began paying for long-term nursing home care, there were complaints about the quality of care. These complaints led to a class action lawsuit filed in the late 1970s against the HCFA to ensure nursing homes met regulatory standards.41 In 1983, Congress directed HCFA to study how to improve nursing home regulation. HCFA contracted with the Institute of Medicine (IOM) of the National Academy of Sciences to investigate the quality of care in nursing homes, and to study and recommend changes to existing regulations to ensure quality care. Concurrently, HCFA funded a number of demonstration projects to assess regulatory alternatives for improving the quality of care.42

Prior to OBRA of 1987, the Conditions of Participation for nursing homes were based on the facility’s potential to provide care more than the actual quality of care provided.43 One of the major findings in the IOM study published in 1986 was that a uniform comprehensive assessment of each nursing home resident was essential to improving the quality of care. OBRA of 1987 incorporated many of the recommendations in the IOM report, including amending the Social Security Act to require that the Secretary of HHS specify a minimum data set for use in conducting comprehensive assessments and to designate one or more resident assessment instruments based on the minimum data set. Regulations mandating the completion of the RAI for every nursing home resident went into affect on October 1, 1990, although implementation was postponed until the spring of 1991.44 A revised RAI/MDS 2.0 was implemented across all nursing homes in 1996, and a significantly revised MDS 3.0 is scheduled to be implemented nationally on October 1, 2010.45

In addition to the quality issues addressed by OBRA of 1987, spiraling costs of federally-funded PAC, partially attributable to the implementation of a PPS for acute care in 1983 while exempting PAC facilities, were addressed in the BBA of 1997, which dictated cuts in Medicare spending growth and changes in the way PAC was reimbursed.46 The PPS for nursing facilities, using Resource Utilization Groups (RUGs) based on data collected in the MDS, went into affect in July 1998. In some states Medicaid payments also are based on MDS data. Electronic submission of MDS data to a national repository housed at CMS to facilitate payment and quality evaluation was made mandatory in July 1998.47

Creation and Development of the Minimum Data Set

Based on recommendations in the 1986 IOM study, in 1988 the HCFA's Health Standards and Quality Bureau contracted with a project team led by the Research Triangle Institute (RTI), with subcontractors from the Social Gerontological Research Center, HRCA (Boston), the Center for Gerontology and Health Care Research, Brown University (Providence, Rhode Island), and the Institute of Gerontology, University of Michigan (Ann Arbor) to develop and evaluate a national assessment instrument and data system for nursing home assessment in the United States.48 The Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS) and the RAPs, which are triggered by MDS assessment items or combinations of items, were developed through this contract. An expert panel representing a wide variety of clinical disciplines and professional organizations involved in geriatrics served in an advisory role. From 1989 to 1991, these experts participated at every stage of the design and testing of the MDS.49

Version 2.0 of the RAI/MDS was developed under a second contract awarded by HCFA in 1994 to the HRCA, a subcontractor on the original contract.50 The 1995 training manual for version 2.0 was written by HRCA in conjunction with HCFA. The 2002 and 2007 updates to the manual appear to have been written by CMS (HCFA’s successor agency) staff. The interRAI web site states that members of interRAI developed the RAI and the RAPs for the MDS version 2.0, and calls the RAI "The interRAI LTCF".51 InterRAI refers to the RAPs as Clinical Assessment Protocols (CAPs), "in recognition of their applicability to more populations than nursing home residents alone."52 While it is undoubtedly true that those who were major contributors to MDS 2.0 are or were also members of the interRAI, a 2001 letter to the editor of The Gerontologist from an employee at HCFA made it clear that in terms of the contract for developing MDS 2.0, there was no direct relationship between HCFA and interRAI.53

The MDS 3.0 revision appears to have originated within the Office of Clinical Standards and Quality at CMS and revised based on comments received from the nursing home industry, professional groups, individual providers and expert panels. To initiate the revision, CMS worked with stakeholders in identifying objectives, chief of which was to improve clinical relevance.54 CMS’ goal with respect to the revision was to reduce provider burden and improve clinical items such that data collected would be clinically relevant, accurate, and useful. CMS also sought to limit the data submitted to information the Federal Government needed to know, such as issues surrounding payment, quality, and regulatory oversight.55 The data collection form was restructured for greater usability, and items that were confusing or unnecessary were deleted. Another goal of MDS 3.0 was improving user satisfaction and increasing the efficiency of collecting data for reporting purposes. Long-term goals include moving toward standardized nomenclature and integration of the assessment into EHRs.56

A draft MDS 3.0 was released in April 2003 for public comment. At the same time, CMS awarded a contract to the RAND Corporation to evaluate the revision, including validating new and revised sections of the draft in community populations and facilities. Areas of emphasis in the revision include diagnostic coding, delirium, pain, falls, depression, behavior disorders, quality of life, and palliative care. Key changes include basing assessments, when possible, on resident interview, and also a focus on improving accuracy and efficiency.57 The Commonwealth Fund provided RAND with grant money to convene a panel of nursing home experts to provide input.58

The evaluation team, in addition to RAND, included the Harvard Medical School Department of Health Care Policy, the Colorado Foundation for Medical Care (a Quality Improvement Organization), Carelink (for developing the Instructions and Guides), the Kleinmann Group, and RSS Consulting Services.59 In December 2003, the scope of the project was expanded when CMS signed a Memorandum of Understanding (MOU) with the Veterans Health Administration (VHA) to work together to improve the MDS 3.0. In October 2004, VHA Health Services Research and Development (VHA HSR&D) initiated a large research project to validate changes in MDS 3.0 in VA nursing homes, in order to contribute to the 3.0 revision.60

As part of the RAND study, a workgroup was assembled to review the instruction manual developed for MDS 3.0. This workgroup included representatives from the RAI Coordinator Group, the American Association of Nurse Assessment Coordinators, the American Health Care Association, the American Association of Homes & Services for the Aging, and the VHA. The RAND contract for evaluating MDS 3.0 ended March 31, 2008, and the report was released in April 2008.61

Initially, MDS 3.0 appeared to be on a fast track, with a revision expected to be available by December 2004.62 However, a coalition of stakeholder organizations in LTC submitted a letter of concerns, including the need for development of MDS 3.0 to be coordinated with activities promoting HIT and HIT standards.63 In August 2004, HHS's ASPE and CMS co-funded a project through which Apelon Systems, a medical terminology and vocabulary contractor, would attempt to apply HIT standards to a sample of the MDS to demonstrate how standardization would support the use of content and messaging standards and assure that patient data be interoperable and comparable across settings.64 As noted above, these HIT content and messaging standards were approved by the Secretary of HHS as accepted CHI standards and announced in a Federal Register notice in 2007.65 In 2007, the AHIMA Foundation, with subcontractors from Regenstrief (LOINC), Apelon Systems, and Altshuler Associates (HL7), began work on a contract with ASPE to apply content and exchange standards to the full MDS, starting with the MDS 2.0 data set and moving to MDS 3.0 when CMS made clear their intent to implement the revised assessment tool and data set.

Based partially on concerns voiced by a number of stakeholders regarding how data submitted to CMS under the MDS 3.0 would work with electronic records and the limited time available to implement system updates and provide staff training from the time when materials would be ready to the proposed implementation date, CMS extended the original implementation date from October 2009 to October 2010. The American Association of Homes and Services for the Aging wrote a letter to President-elect Obama's transition team encouraging the delay in order to make the MDS 3.0 interoperable, arguing that CMS could achieve interoperability under the MDS by adopting certain standards instead of CMS’ proprietary data exchange formats.66 Others voiced similar concerns after the proposed rule for implementing MDS 3.0 was published in May 2009.

In the FY 2010 proposed rule for skilled nursing facility (SNF) PPS [74FR222208], CMS acknowledged the concerns about interoperability issues, and announced they would implement MDS 3.0 using the LOINC representation of the MDS 3.0 data set. CMS considered use of the HL7 Clinical Document Architecture (CDA) for exchanging standardized assessment content, but did not feel comfortable with its adoption without further study to gauge the impact of its use on such a large scale process as the submission of MDS data, which numbers approximately 30 million submissions annually. Similarly, CMS studied the use of the Systematized Nomenclature of Medicine-Clinical Terms (SNOMED-CT), but did not feel the semantic matching to MDS data was sufficient for CMS' payment, survey, and quality measurement needs. CMS indicates they have no plans to include the HL7 Clinical Document Architecture (CDA), messaging standards, or SNOMED-CT in the October 2010 release of MDS 3.0. CMS is considering the use of HL7 messaging standards with the CARE tool, but stated, “We are soliciting comments on the most appropriate clinical standards to use for clinical assessment instruments.”67 In the final 2010 SNF PPS rule [74FR40288], the issue of interoperability standards was not addressed.

The final version of the MDS 3.0 item set, data specifications and resident assessment manual, also was delayed to provide time to work on pieces such as the care area assessments, which replace the RAPs, the RAI user’s manual, quality measurements, and CMS’ Five Star Quality Rating System for nursing homes. Portions of The Long-Term Care Facility Resident Assessment Instrument User’s Manual for Version 3.0 were released in November 2009 and the complete manual was expected to be available sometime in early 2010. Copyright information contained in the RAI manual indicate it is a public document and may be copied freely. The manual recognizes a number of organizations and stakeholders, LTC experts, contractors, and CMS staff for their contributions to the “development, testing, writing, formatting, and review of the MDS 3.0 RAI Manual, MDS 3.0 Data Item Set, and MDS 3.0 Data Specifications.”68 The RUG Version IV (RUG-IV), a new classification system designed for use with MDS 3.0, was developed through the CMS-sponsored STRIVE (Staff Time and Resource Intensity Verification) project carried out by the Iowa Foundation for Medical Care of West Des Moines, Iowa.69

The development of MDS 3.0, though separate from, is linked to the development of a new assessment tool, the CARE instrument, and MDS expertise has been shared with the developers of CARE. The principal investigator on the MDS 3.0 project is also an advisor to the CARE demonstration project.70 CMS is developing a roadmap to address the future, and a strategic vision for the assessment instruments, including CARE and MDS. Despite the delays, MDS 3.0 is now on schedule for implementation in October 2010, while a report to Congress with the results from the CARE demonstration is required in 2011.71

Intellectual Property Issues

The copyright notice for RAI/MDS 2.0 on the CMS web site states: “Please note that InterRAI [sic] holds the copyright to Version 2.0 of the RAI for long-term care outside of the US. Therefore, this revised Version 2.0 of the RAI/MDS manual should not be reproduced outside of the United States without permission of InterRAI [sic]. Within the US, Version 2.0 is in the public domain.”72

The RAI/MDS Version 2.0, currently in use, and related training materials were developed by the HRCA under a contract with HCFA. Lead authors on the 1995 edition of the User's Manual for Version 2.0 were John N. Morris and Katharine Murphy from HRCA and Sue Nonemaker from HCFA.73 The 2002 and 2007 revisions to the User's Manual for Version 2.0 appear to have originated within CMS. A number of individuals are acknowledged, many of whom appear to have been members of the MDS Coordinating Team within CMS.74

IP issues with respect to the RAI/MDS are complicated because the assessment instrument and data set have always been considered to be in the public domain, but only in the United States. Beyond United States borders, interRAI claims rights to version 2.0 of the RAI and MDS, and use of the RAI/MDS requires a license agreement with interRAI. IP issues are futher complicated by the fact that the 1995 edition of the user's manual for version 2.0, written for and with HCFA, has been copyrighted by interRAI with the U.S. Copyright Office, which is unusual for a work considered to be in the public domain.

InterRAI is an international consortium of researchers in the area of LTC systems, formed in 1992, whose aim is to use MDS data to study LTC in individual countries and to enable cross-national comparisons.75 Brant Fries, a founding member of interRAI and an investigator for the HCFA contracts, described interRAI in testimony before the National Commission for Quality Long-Term Care in 2005:

Let me say a few words about interRAI, and then about what it has developed. interRAI is a cross-national collaboration of 47 expert clinicians, researchers and policy-makers from 26 nations spanning the globe. We develop assessment systems that can accomplish the tasks I have been describing. As a non-profit corporation that holds the copyrights, interRAI gives its assessment systems for free to any government or caregiving organization around the world.76

The interRAI web site indicates that use is granted freely to government agencies worldwide. However, issues concerning use of the MDS outside of the United States, including barriers, were addressed in a 2003 Milbank Memorial Fund report, entitled Implementing The Resident Assessment Instrument: Case Studies Of Policymaking For Long-Term Care In Eight Countries. This report made it clear that "free" did not necessarily mean unhindered. Regarding Ontario, Canada, the report indicated there were a variety of factors that made introducing MDS 2.0 a challenge, including the fact that there was not a “pre-existing working relationship with interRAI, the international research group that developed and owns the rights to the MDS." Also, the government had mandated that data be submitted electronically, “but interRAIhad not licensed any software vendors to sell MDS software in Canada." About Japan, it was written: "The fact that the MDS items were protected by copyright presented another hurdle to the adoption of an MDS-based instrument. The government would have had to negotiate with interRAI if any changes had been necessary, which the government was unwilling to do." The Japan report goes on to say: "If MDS items had been used in the assessment form, they would have been embedded in the LTCI [long-term care insurance] and integrated with care planning. This might have been possible if interRAI had adopted a more flexible attitude toward the copyright issue, because the government’s concern lay in maintaining a free hand in negotiation rather than actually making substantive revisions." In Spain, Spanish translations were completed, software was created to support the data collection needs, and “the software company formalized a contract with interRAI to produce and distribute RAI-NH software commercially." In Italy, the pharmaceutical company Pfizer obtained an interRAI license for the RAI for home care, and financed its “translation, computerization, and implementation.”77

Fairly extensive copyright and licensing information for use of the set of RAI instruments is provided on the interRAI web site.78 InterRAI claims copyright to version 2.0 of the RAI/MDS outside of the United States, and a set of additional assessment instruments, presumably both within and outside United States borders. The interRAI web site lists these major clauses as part of their royalty-free license agreements:

  • the instrument is not to be changed substantially (excepting individual identifiers and demographics);
  • the license is limited to non-commercial use (i.e., the instrument will not be incorporated into products to be sold to others);
  • no royalties will be charged;
  • the organization will make appropriate efforts to inform others of the copyright status of the instrument;
  • interRAI's logo and copyright notice are to appear on the form;
  • authors, author institutions, and translators (as appropriate) are to be acknowledged in any document where authors would regularly be indicated (e.g., publication of a training manual);
  • publication of any training manual is limited to the period until a commercially-published version is available;
  • data from use of the instrument are to be shared with interRAI, subject to existing laws on confidentiality.79

Licensing for commercial use generally requires that royalties be paid to interRAI. All of the clauses that apply to royalty-free licenses apply to licenses for commercial use as well, although interRAI indicates they may omit the requirement that data collected using the instrument be shared with interRAI.

InterRAI’s policies concerning collaboration and instrument development include willingness in “contract negotiations to acknowledge the participation of individuals or organizations which have played a substantial role in getting the instrument to the point of implementation.”80 InterRAI and the Ontario Joint Policy and Planning Committee, a partnership of the Ontario Ministry of Health and Long Term Care and the Ontario Hospital Association, collaborated, beginning in 1996, on a RAI for mental health (RAI-MH). A research team based in Ontario led the effort. Those two organizations share copyright ownership with interRAI for that particular instrument, and use without additional license agreement in Canada is allowed. The copyright notice for that instrument reads: “The RAI-MH is a copyrighted instrument that is owned jointly by the Ontario Ministry of Health, the Ontario Hospital Association, and interRAI.”81

The other instruments in the suite of data collection tools for assessing across the continuum of care, for example home care, assisted living, palliative care, and acute care, appear to be solely the IP of interRAI, and their use subject to licensing agreements with interRAI. InterRAI has promoted the complete set of assessment instruments as suitable for assessing all PAC patients.82

Since publication of the Milbank report, Canada, or at least the province of Ontario, appears to have developed a close working relationship with interRAI. A number of assessments from the interRAI suite are used in Canada, and three have been adopted by the Canadian Institute for Health Information (CIHI) as national standards,83 with interRAI retaining ownership rights. On the CIHI web site, interRAI’s ownership of MDS 2.0 is prominently displayed. Manuals for RAI MDS 2.0 and RAPs Canadian Version: User’s Manual are available electronically for free downloading from the web site for LTC facilities, but must be ordered.84 Samples of other copyright notices from English-speaking countries using the RAI are available on the interRAI web sites from the United Kingdomo, Australiap, and Hong Kongq.85

IP issues with respect to the MDS are known to the NLM and the Regenstrief Institute, the owner of Clinical LOINC, an HL7-approved coding system for observation identifiers and a CHI-endorsed standard for federally-required assessment forms.86 The NLM and Regenstrief have negotiated with, presumably, interRAI, to incorporate MDS 2.0 into LOINC and the UMLS. Contact information for MDS 2.0 in the UMLS does not mention interRAI, but instead names Brant Fries at the Institute of Gerontology of the University of Michigan, who is also president of the interRAI consortium.

The designation for the MDS in the UMLS is LNC_MDS20 -- Minimum Set 2.0, Institute of Gerontology, University of Michigan, 300 North Ingalls, Ann Arbor, Michigan 48109-2007 USA. Use of the MDS 2.0 through the UMLS is subject to category 3 (for non-United States users) and category 4 (for United States users) restrictions, as outlined below:

Category 3:

LICENSEE's right to use material from the source vocabulary is restricted to internal use at the LICENSEE's site(s) for research, product development, and statistical analysis only. Internal use includes use by employees, faculty, and students of a single institution at multiple sites. Notwithstanding the foregoing, use by students is limited to doing research under the direct supervision of faculty. Internal research, product development, and statistical analysis use expressly excludes: use of material from these copyrighted sources in routine patient data creation; incorporation of material from these copyrighted sources in any publicly accessible computer-based information system or public electronic bulletin board including the Internet; publishing or translating or creating derivative works from material from these copyrighted sources; selling, leasing, licensing, or otherwise making available material from these copyrighted works to any unauthorized party; and copying for any purpose except for back up or archival purposes.

LICENSEE may be required to display special copyright, patent and/or trademark notices before displaying content from the vocabulary source. Applicable notices are included in the list of UMLS Metathesaurus Vocabulary sources, that is part of this Agreement.

Category 4:

LICENSEE is prohibited from translating the vocabulary source into another language or from altering the vocabulary source content. 12.4.2. LICENSEE's right to use the vocabulary source is restricted to use in the United States by LICENSEE's employees, contractors, faculty, students, clients, patients, or constituents within electronic systems or devices built, purchased, licensed, or used by LICENSEE for United States governmental purposes or for any health care, public health, research, educational, or statistical use in the United States. Use by students is limited to research or educational activities under the direct supervision of faculty. 12.4.3. LICENSEE has the right to distribute the vocabulary source in the United States, but only in combination with other UMLS Metathesaurus content. Further, LICENSEE's right to distribute is restricted to: 1. Electronic distribution to LICENSEE's direct United States affiliates, or to other United States entities that have signed the UMLS license, in order to facilitate use of the vocabulary for health care, public health, research, educational or statistical purposes in the United States only. 1. LICENSEE must take reasonable precautions to prevent distribution of the vocabulary source to non-US entities. 2. LICENSEE must include in its annual report a list of all United States affiliates or other United States entities to whom it has distributed content from the vocabulary source. 2. Distribution of encoded patient level data sets or knowledge encoded in the vocabulary source by LICENSEE to any United States entity for use in the United States only. 3. Inclusion of encoded records or content from the vocabulary source in: (1) free publicly accessible retrieval systems or (2) fee-based retrieval systems that are accessible within the United States only, provided that these systems do not permit users to copy or extract any significant portion of the vocabulary source. 12.4.4. DEFINITIONS 1. United States is defined as all United States states, territories, and the District of Columbia; any United States government facility or office, whether permanent or temporary, wherever located; and access to a system in any of these locations by United States government employees, designated representatives or contractors, wherever located, for United States government purposes. 2. United States entity is defined as (i) for government entities, an agency or department of the United States government, (ii) for corporations, as a corporation incorporated and operating in the United States and (iii) for other entities as an entity organized under the laws of the United States.87

The LOINC database is a public-use set of codes accessible in the United States and internationally. MDS information in LOINC, including supplemental material added to LOINC representations, cannot be reproduced without interRAI permission outside of the United States.

Generic agreement text on the LOINC web site reads:

third party content is either used with permission or under the applicable terms of use. In all such cases, we have included the copyright notice. This third party content is highlighted in the program as follows: When such copyright content appears in the RELMA [Regenstrief LOINC mapping assistant] look-up grid, RELMA will highlight the row containing that content by printing in a different background color and using italics. It will also include a link in the (EXT (C)) column. By clicking on that link, users will get to the copyright notice and to the terms of use for the content of those LOINC-mapped terms. In the case of a LOINC database (e.g., the tab delimited file and the LOINC Access database) we include the copyright notice (up to 250 characters).88

RELMA provides the following language concerning the interRAI MDS copyright claim:

As a not for profit corporation under the U.S. Tax Code, interRAI holds the copyright to a number of assessment systems, including the Resident Assessment Instrument (RAI) for long-term care facilities outside of the United States (the RAI is in the public domain within the United States), as well as the assessment systems for Home Care (HC), Assisted Living (AL), Palliative Care.89

An IP issue that may have been addressed although, if so, it is not clear how it was resolved, regards the creation of scales based on the MDS. Copyright information on the interRAI web site includes the statement: "The scales, algorithms, and case-mix measures based on these assessment instruments cannot be copyrighted and are thus available to everyone (although the individual items on which they are based are usually copyrighted).”90 Presumably, this refers to scales created by interRAI, since LTCQ, Inc. claims ownership rights to the Cognitive Performance Scale (CPS), a well-known scale based on the MDS. It is unclear whether claiming copyright to the MDS-based CPS is in direct conflict with the terms on the interRAI web site. LTCQ, a consulting company formed in 1992 by other participants in the HCFA MDS contracts, has patented or trademarked Data Integrity Audit, Performance Portfolio, RiskRx, and Q-Metrics. In addition to the CPS, LTCQ claims copyrights to the Pain Scale (PS), Pressure Ulcer RAP Items [scale], Pressure Ulcer Risk Model [scale], Depression Rating Scale (DRS), and the Social Engagement Scale, all of which are based on v.2.0 MDS data.91

A large number of organizations, government agencies, contractors, and industry experts have been involved in the creation and development of the third revision of the MDS item set along with associated pieces such as the data specifications, resident assessment instrument and user manual, care area assessments, and RUGs classification. At this point, there do not appear to be restrictions on the use of any of the parts of the version of the RAI scheduled for implementation in 2010. MDS 3.0 incorporates screening tools for depression (PHQ-9©) and delirium (CAM©), that are copyrighted, but presumably fall under the rights in general provisions of the FARs which states that a Contractor may not, without permission of the Contracting Officer, incorporate any copyrighted material unless the Contractor grants to the Government, or acquires on its behalf, a license to use the material. The CMS indicates copyright permission for the PHQ-9© and the CAM extends to any use of the instrument made in connection with reporting to CMS, as long as the copyright symbol is present.92 The CARE tool displays the statement, "Copyright©1990 Annals of Internal Medicine. All rights reserved. Adapted with permission."

Use not associated with reporting to CMS and any replication of the CAM requires this acknowledgement:

Adapted from: Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Confusion Assessment Method: Training Manual and Coding Guide, Copyright 2003, Sharon K. Inouye, M.D., MPH.93

Information concerning the CAM© in the Agency for Healthcare Research and Quality's (AHRQ) National Quality Measures Clearinghouse is contradictory. According to the copyright statement on the NQMC web site, no copyright restrictions apply,94 but the measure availability statement states: "Please note that the CAM is copyright protected, therefore you must apply for permission to replicate the CAM within your facility."

While it is not know what restrictions might be placed on the use of these tools by third parties in the future, the Regenstrief Institute has made arrangements with Pfizer in the past to resolve IP issues in relation to incorporation of the PHQ tools into LOINC and has also received permission from the copyright holder of the CAM to include that tool in the worldwide LOINC distribution.95

Outcome And Assessment Information Set (OASIS)

The OASIS is a data collection instrument designed to measure adult, non-maternity patient outcomes in the home health care setting. The data elements "represent core items of a comprehensive assessment for an adult home care patient; and form the basis for measuring patient outcomes for purposes of outcome-based quality improvement (OBQI)."96 While the primary objectives of creating the OASIS were to support both systematic collection of data and quality improvement initiatives to benefit HHAs and their patients, secondary objectives were to meet the needs of payers, regulators, and the government.

OASIS data must be collected on all home health patients at the initial visit and at certain other episodic and periodic time points, including time of discharge.97 The complete OASIS assessments must be electronically transmitted within 30 days of assessment completion date to the state health agency (or Medicare contractor) for storage in an electronic database, and are then forwarded to the CMS.

CMS makes available free software (HAVEN) which Medicare and Medicaid HHAs may use to electronically transmit MDS assessments.98

CMS expects to continue to collect data using OASIS for the foreseeable future, but indicates that priorities like pay for performance, standardizing assessment and quality measurement, integration of measures of process and systems, and EHRs may impact future use of OASIS.99

Regulatory Background (100)

Since mid-1999, the CMS and its predecessor agency, the HCFA have required all certified HHAs to systematically use the OASIS to measure functional status and medical conditions of Medicare beneficiaries receiving home health care and to send assessment data to a central repository. The Conditions of Participation for Home Health Agencies were revised in 1999 to reflect the regulation first published in the Federal Register (64 FR 3764) that stated each patient must receive from the HHA a "patient-specific, comprehensive assessment that accurately reflects the patient's current health status and includes information that may be used to demonstrate the patient's progress toward achievement of desired outcomes. The comprehensive assessment must identify the patient's continuing need for home care and meet the patient's medical, nursing, rehabilitative, social, and discharge planning needs." (CFR 42 §484.55). The Conditions of Participation also require that the comprehensive assessment "incorporate the use of the current version of the OASIS items, using the language and groupings of the OASIS items, as specified by the Secretary." (CFR 42 §484.55).

A second rule, published concurrently with the initial regulations requiring the use of OASIS, provided guidelines for the electronic transmission of the OASIS data set, set out the responsibilities of the state agency or HCFA Medicare contractor in collecting and transmitting the information to HCFA, and set forth rules concerning the privacy of patient identifiable data generated by OASIS, all of which were required in order to create a PPS for HHAs.

Since October 2000, OASIS data has served as the basis for the PPS for reimbursing home health services. Since 2003, data collected through the OASIS instrument have been used by CMS to support home health care quality initiatives. OASIS data are also used by CMS to assess compliance with the Pay for Reporting requirements of the DRA of 2005. CMS views the use of the same data to support both quality monitoring and payment as their way of ensuring HHAs are not maximizing reimbursement at the expense of quality outcomes. In March 2009, CMS published a request for comments in the Federal Register regarding the use of a revised OASIS, and in July 2009 received the OMB approval to use OASIS-C. In August 2009 CMS published the final rule which established January 1, 2010 as the required date for HHAs to begin using OASIS-C.

Creation and Development of OASIS

In the late 1980s, the HCFA, along with the Robert Wood Johnson Foundation and later the New York State Department of Health, provided funding to the Center for Health Services and Policy Research at the University of Colorado to assess the feasibility and usefulness of measuring the outcomes of home health care.

The OASIS data set, which allowed HHAs who were already collecting assessment data to do so in a more precise form, was developed over a period of years. The original 73-item data set was first published in a report by the Research Center in 1994. The data set has gone through several iterations of expanding and refining since then, as it was anticipated at the time of initial implementation that OASIS would evolve to reflect changes in quality measurement, health research, health policy, reimbursement, and standards of care. Shortly after the data set was first published, a task force of home care experts convened by HCFA reviewed the items and recommended additional items considered essential for patient assessment. In 1995, incorporating input from the task force, the Research Center revised and rearranged the items into a data set that was called OASIS-A. This data set was used and tested in two demonstration programs in 1995 and 1996. The demonstration programs suggested select refinements which resulted in OASIS-B. Subsequently, OASIS-B was modified slightly to take into account HCFA's needs for data management and administration. The version containing these modifications was released in 1998 and was referred to as OASIS B-1. Further revisions were made to OASIS B-1 in 2007 to support the revised PPS effective January 1, 2008.

As of December 31, 2005, the Colorado Outcome Reporting and Enhancement (CORE) Research Partnership, which appears to have been an extension of the Research Center's (now the Center for Health Services Research) work with OASIS, ceased operations.101

Development of modifications to the OASIS-B1 instrument began in 2005 following input from a variety of stakeholders that included industry feedback, recommendations from the National Quality Forum (NQF), and an expert panel who identified best practice process measures. In September 2006, CMS contracted with Abt Associates and subcontractors from the University of Colorado Health Sciences Center and Case Western University to help CMS refine the OASIS data set.102 Earlier recommendations, along with a major effort to align OASIS measures with those of other assessment instruments, including the Minimum Data Set (MDS) and the Continuity of Care Record Evalution (CARE) tool, formed the basis of the OASIS revisions. CMS viewed the revision as an opportunity to address quality of care across the health care continuum as patients moved among health care settings.

OASIS-C testing was completed in 2008 and a revised instrument revision posted in November 2008. After a comment period that ended in January 2009, a revised final version was submitted to the OMB in compliance with the Paperwork Reduction Act, and after receiving OMB approval, posted to the CMS web site August 12, 2009.103

Intellectual Property Issues

Prior to 2008, rights to the OASIS instrument were retained by the Center for Health Services and Policy Research in Denver, Colorado. The Research Center, however, granted the right to use the OASIS tool freely, as evidenced by the copyright notice on the CMS web site,104 and previous agreements that were reached with the NLM105 and LOINC.106

The OASIS implementation manual was originally developed in 1999 and has been revised several times to reflect changes to the OASIS data set. A revised manual was released in September 2009 as part of the project to upgrade the instrument to OASIS-C.

The designation for the OASIS in the UMLS is LNC221_OASIS_2002 -- the OASIS. The owner of the data set is the University of Colorado Center for Health Services Research (UCHSC) in Denver, Colorado. Contact information for the OASIS is Andrew Kramer, MD at UCHSC. Use of the OASIS through the UMLS is subject to category 3restrictions, referenced in the section on the MDS, above.

The OASIS is also represented in the LOINC database. The text of the agreement concerning third party content in the LOINC database is referenced in the section on the MDS, above.

RELMA provides the following language concerning the OASIS copyright claim:

RIGHT TO COPY, REPRINT, AND USE OASIS.

The Outcome and ASsessment Information Set (OASIS) is the intellectual property of the Center for Health Services Research, Denver, Colorado, and may not be copyrighted by any other party. It is our intent to permit the free use of OASIS by home care providers and related organizations, businesses, and individuals, to be incorporated into patient or client assessment forms or software. To this end we grant all such organizations or individuals the nonexclusive right to copy or reprint the contents of the OASIS and to incorporate OASIS items into printed forms, software, or other products. No royalty or use fee is required, but acknowledgement of authorship is expected.107

As of late 2007, Copyright information on the CMS OASIS web site indicated that OASIS B-1 was now in the public domain. Copyright information on the CMS web site reads: "The Outcome and ASsessment Data Set (OASIS) B1 (1/2008) is in the public domain and may not be copyrighted. No permission is needed to copy and use the data set." Similar text is in the OASIS Implementation Manual: Appendix B, dated January 2008.108 There is no information with regard to copyright and OASIS-C on the CMS web site, and the issue is not addressed in the OASIS-C guidance manual.

CMS requires that state health agencies transmit encoded OASIS data in a format conforming to the CMS standard electronic record layouts, edit specifications, and data dictionary. The HAVEN system, developed by CMS, supports the data transmission requirements, but other software programs conforming to CMS requirements have also incorporated OASIS into their programs for the purpose of transmitting the data to CMS. There is no indication IP issues were ever a barrier.

Samples of paper assessment forms sold by the Briggs Medical Services Company over the years claim copyright to the forms, but also note that the OASIS data set is the IP of the Center for Health Services and Policy Research, and was being used with permission.109

Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI)

The IRF-PAI is a data collection instrument used to document the effectiveness and efficiency of rehabilitation care. It is used in IRFs and in distinct rehabilitation units of acute care facilities. IRF-PAI was developed for the CMS and is based in large part on the Functional Independence Measure (FIM), a tool comprised of eighteen assessment items related to motor activities and cognitive skills, each item being accompanied by a rating scale of one to seven, designating level of dependence.110 The sum of item scores describes severity of disability and reflects how much assistance is required to complete activities of daily living (ADLs). As severity of disability changes during rehabilitation, FIM® data can be used to track changes and analyze outcomes of treatment. The FIM® tool, by design, includes a minimum number of items. It was originally created to support research and to improve the quality of care in rehabilitation facilities. However, as described in more detail below, in 1995, HCFA entered into a licensing agreement that gave HCFA permission to use the FIM in the IRF-PAI, and for classifying patients into case-mix groups for reimbursing IRFs for Medicare Part A-covered services. Since the scale rates patients according to their need for assistance to perform a particular activity, the need for assistance translates to the time and energy another individual must spend to serve the needs of the functionally-impaired individual.

Admission FIM® scores must be collected during the first three calendar days after admission to an IRF. Scores are based on activities performed during the entire three-day period. The discharge assessment includes activities performed on the day of discharge and two days preceding.

Both admission and discharge IRF-PAI items must be completed before data records are transmitted to the CMS.111 Completion of all items in the IRF-PAI, except the sections for Medical Needs and Quality Indicators, is mandatory. For reimbursement, federal regulations require that patient data be collected within the facility and submitted electronically using the free software (IRVENr) available from the CMS web site. The data collected by CMS are used also to develop an analytical database for monitoring and assessing the implementation of the payment system.

Regulatory Background (112)

The Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 amended the Medicare statute by placing limits on payments for patients discharged from IRFs. Amendments to the Social Security Act in 1983 established a PPS for hospitals, but specifically excluded most PAC settings. TEFRA remained the payment system for IRFs from 1982 to 2001. TEFRA reimbursed PAC providers on a cost basis, based on reasonable costs incurred while providing services. However, costs were limited to a base-line facility-specific target amount per discharge, which sometimes led to disparities in reimbursements between older and newer rehabilitation facilities.

Significant congressional action affecting reimbursement for IRFs since TEFRA includes the BBA of 1997, the BBRA of 1999, the BIPA of 2000, all of which are referenced in the Introduction and Background section of this report, and the Medicare, Medicaid, and SCHIP Extension Act (MMSEA) of 2007.

The BBA of 1997 (Public Law 105-33) required the development of PPS for PAC settings, including implementation of a PPS for medical rehabilitation hospitals by October 1, 2000. The BBRA of 1999 (Public Law 106-113) required the Secretary of HHS to use the discharge as the payment unit for IRFs and to establish classes of patient discharges by Functional Related Groups (FRGs). The BIPA of 2000 (Public Law 106-554) allowed rehabilitation facilities to elect how they wanted to be paid during the transition period between TEFRA and the IRF PPS.113

The IRF PPS utilizes information collected in the IRF-PAI to classify patients into distinct groups based on clinical characteristics and expected resource needs. Separate payments are calculated for each group, with adjustments for case and facility level.114 CMS' goal for facilities to qualify as an IRF under the PPS was that by July 1, 2008, at least 75% of the inpatients in the facility had to be being treated for at least one of a number of qualifying medical conditions.115 However, the Medicare, Medicaid, and SCHIP Extension Act of 2007 stipulated that CMS could set the compliance rate at no higher than 60%.

The Proposed Rule establishing the IRF PPS was published in the November 3, 2000 Federal Register. At the time the rule was published, HCFA entered into agreements with both the UBFA and CareData.com, Inc. to obtain UDSMR® and Clinical Outcomes System patient assessment data, both based on the Functional Independence Measure (FIM). In the Final Rule, published in the August 7, 2001 Federal Register, the agency, now the CMS,referred to this assessment data collectively as "FIM data."116 In the proposed rule, HCFA had proposed adoption of the MDS-PAC as the instrument to be used for patient assessment. However, following a comparison study of MDS-PAC with the FIM, and responding to concerns expressed about the length of time it took to complete the MDS-PAC and the burden of collecting data using a separate instrument, given that some facilities were already using the FIM for accreditation purposes, CMS announced in the Final Rule that the assessment instrument would be based on the FIM. The instrument was termed "a slightly modified version of the UDSMR patient assessment instrument", which was to be incorporated into the IRF-PAI to serve as the data collection instrument on which the PPS would be based.117

The Final Rule for a Prospective Payment System for Inpatient Rehabilitation Facilities was published August 7, 2001. In the rule, along with the announcement that the assessment instrument would be based on the Functional Independence Measure, HCFA wrote: "We have by no means abandoned our goal of ultimately establishing a common system to assess patient characteristics and care needs for all post-acute care services and pursing [sic] more integrated approaches to their payment and delivery."118

Electronic submission of data, using software provided by HCFA, was also required in the final rule. Assessment data was to be submitted via the Medicare Data Collection Network (MDCN). In compliance with the Paperwork Reduction Act, the "Notice of New System of Records," for the IRF PAI was published in the Federal Registeron November 9, 2001.119

Creation and Development of the IRF-PAI

The IRF-PAI was created for use by facilities subject to CMS’s payment system for Medicare inpatient rehabilitation services. The Functional Independence Measure (FIM), on which it is largely based, was developed prior to that, as a standardized way of measuring the progress of patients undergoing medical rehabilitation.

In 1983, the American Congress of Rehabilitation Medicine (ACRM) and the American Academy of Physical Medicine and Rehabilitation (AAPM&R) appointed a national task force of experts in the medical rehabilitation field to develop a uniform medical rehabilitation data system for documenting outcomes and costs of medical rehabilitation.120 The work of the task force was originally funded by the National Association of Rehabilitation Facilities (NARF). In order to facilitate the mission of the task force, ACRM and AAPM&R endorsed applying for a development grant from the National Institute of Handicapped Research of the U.S. Department of Education.121 The grant for developing and field-testing a functional independence measure was applied for and coordinated through the State University of New York at Buffalo. The grant work was supported by 12 national organizations in various rehabilitation specialties who either sponsored, endorsed, or participated in the development of the data system.122

Since the aim was to create a uniform medical rehabilitation data "system," the grant was intended to support both the development of the assessment instrument and the creation of a data management service.

Although the assessment instrument was designed primarily to measure functional status to inform rehabilitative care, it was envisioned that the data system would be useful for purposes beyond clinical care. The project overview read:

The principal uses of such data are expected to be justification for payment of services, accreditation, quality assurance, evaluation of service innovations based on research and development, estimation of cost benefit and cost effectiveness of rehabilitation services, and more uniform and objective education and training of rehabilitation practitioners.123

The task force identified and reviewed both published and unpublished existing functional assessment instruments in order to come to a consensus on a common data set and measure of disability.124 From the beginning, there were concerns about the proprietary nature of existing tools, because acceptance of the instrument by rehabilitation facilities and a willingness on their part to submit data to a centralized location for storage and analysis was vital to the vision of a uniform national data system."125 The task force and representatives from the sponsoring organizations concurred on a need for a common repository to store information supplied by individual facilities, but how this was to be accomplished and regulated was a concern.

NARF, the American Hospital Association, and the National Easter Society co-authored a letter to project staff expressing their concern over the development of another proprietary software system, although they understood that without the means for collecting the data in a centralized location, it would be impossible to implement a uniform national data system. The task force was also concerned about the issues of public domain, access to data, impact on the industry, and copyrights to the data management system.126

In the grant proposal, it was envisioned that a sub-contractor for the data management service would be identified through a Request for Proposal (RFP). However, instead of putting out an RFP, the Task Force recommended that the project office for the grant proposal at the State University of New York at Buffalo create the data management system.127 It was anticipated that it would be three years before the data system could operate independently of grant support, at which time care facilities would bear the costs of maintaining the data service. The grant proposal stated: "It is likely that successful long-term maintenance of the national data system will be best achieved when one of several appropriate advocacy or regulating bodies assumes sponsorship of the system."128

Although there is significant dispute about whether the Task Force or researchers at the University of Buffalo "authored" the Functional Independence Measure, many accounts, as reflected by the literature in the rehabilitation field, as well as evidence produced in an the trademark case for the FIM, attribute a key role to the members of the task force.129 The minutes from the February 26, 1984 meeting of the Joint Task Force read: "At this point the Task Force split into three groups. The first group worked on identifying the demographics and supplemental measures to be collected, and coding system and instructions…. The second group of the Task Force members met to review available published functional assessment instruments, determine the most common functional status items and recommend items for a national data system, decide on how the functional status items should be grouped and whether additional optional items could be added, and to review functional status rating scales and recommend a common rating scale."130 Testimony in support of the Applicant (UBFA, Inc.) in the FIM trademarks case before the Trademark Trial and Appeal Board of the U.S. Patents and Trademarks Office, appears to contradict the meeting notes: "The National Advisory Committee was made up of representatives within the field of rehabilitation medicine selected and invited by UDSMR to function solely in an advisory capacity. The National Advisory Committee had no relationship with UB Foundation Activities, Inc. UDSMR is a division of UB Foundation Activities, Inc."131

Testimony on behalf of the Foundation in the trademark case credited Dr. Granger with being the primary creator and developer of the assessment instrument and the person who coined the term FIM. The American Medical Rehabilitation Providers Association (AMRPA), the Opposer in the trademark case to granting trademark status to the FIM, disputed the claims that the task force served only an advisory role.132

Text in the grant proposal read: "The proposed Uniform National Data System for Medical Rehabilitation will be developed by a Task Force of recognized experts in rehabilitation care, administration, research and evaluation, and coordinated through the resources of the State University of New York at Buffalo." Dr. Carl Granger, of the University at Buffalo was the Project Director, and Dr. Byron Hamilton, of the Rehabilitation Institute in Chicago was the Principal Investigator. The grant proposal stated that Dr. Granger and Dr. Hamilton "will draft, pilot, and field test the instrument and then refine it based on consultation in Chicago with the panel of experts." The grant proposal also stated that "The ACRM/AAPM&R Task Force (of which Dr. Granger was co-chair) and the ASIA/Spinal Cord Injury Model System consultants … will be responsible for developing the instrument and for subsequent revisions."133

The grant and its extension for the development and implementation of the Functional Independence Measure and the creation of a data management service ran from September 30, 1984 to September 29, 1987. The development of the software and the data management system were envisioned to take place during the second and third years of the project, but staff at the University of Buffalo had already begun working on the software prior to the end of the first year of the contract.134 The data management system created was originally called the Uniform Data System (UDS), and subsequently became UDSMR®.

As with other PAC assessment instruments, the history of the FIM is closely entwined with the history of the PPS for the care setting. For a quick summary, the Functional Independence Measure was developed in the middle 1980s, with funding from the U.S. Department of Education, to address the functional status of patients in rehabilitation facilities. In 1987, under contract to HCFA, RAND and the Medical College of Wisconsin investigated UDSMR® data and found that functional status instead of diagnoses alone did a better job of explaining total costs of caring for rehabilitation patients. In 1993, FRGs were developed by researchers at the VA Medical Center in Los Angeles as a possible basis for a PPS.135 In 1994, researchers at the University of Pennsylvania refined the FRGs by applying them to a large database of patient rehabilitation data maintained by UDSMR®.136 In 1995, RAND, again under contract to HCFA, used UDSMR® data to study the FRGs and found that they remained stable over time and could be used as a case mix methodology for a PPS.137 In 1997, HCFA published the criteria for a IRF PPS, and the Secretary of HHS established case mix groups, required IRFs to submit data to establish and administer the PPS, provided a computerized data system for group patients for payment, and provided software for data transmission. In 1999, the BBRA refined the PPS for IRFs, amending the Social Security Act to require the Secretary of HHS to base the case-mix groups on criteria deemed "appropriate to improve the explanatory power of functional independence measure-function related groups.138 Also in 1999, MedPAC issued a report urging Congress to implement an IRF-PPS as soon as possible and recommended that the PPS be based on the "FIM-FRG classification system."139

Intellectual Property Issues

UDS (later UDSMR®), a division of UBFA, was formed on October 1, 1987. UBFA, a New York not-for-profit corporation, claims exclusive ownership of the Functional Independence Measure (FIM® instrument). The Research Foundation of the State University of New York (SUNY) originally claimed ownership of the FIM, with rights being transferred to UBFA "in order to facilitate proper protection and licensing of the FIM System."140 UDSMR® provides teaching workshops and data management services through their FIM® System. Most IRFs in the United States subscribe to UDSMR® services.141

Any use of the FIM, other than for reimbursement from CMS authorized through license agreements signed between UBFA and HCFA (in 1995) and CMS (in 2002), requires a license agreement with UDSMR®. Vendors who incorporate the FIM® portions of the IRF-PAI into products may do so only with a license agreement with UDSMR®.142 UDSMR® offers a number of different kinds of licenses for use of the FIM® instrument, all of which, including use of the FIM for research purposes, require a license fee. Academics who want to use the FIM for research or educational purposes need to sign research licenses with UDSMR®, identify the FIM as required by UDSMR®, and present the results of their research to UDSMR® for review. Research letters of agreement are available for students, as well as for large-scale or collaborative research projects carried out by researchers in the field. In order to qualify for a research license to use the FIM for research or educational purposes, UDSMR® requires the individual or entity to complete and return to UDSMR® a research tracking form, including an abstract or description of the project along with the proposed use of the FIM in the project. If the request is approved by the UDSMR® research committee, the licensee:

will be asked to conform to established criteria regarding use of service marks and trademarks, as well as established standards with respect to references to materials copyrighted or registered by UDSMR. The entity will also be required to sign a written agreement that serves to protect intellectual property rights as well as formally establish responsibilities of both parties with respect to use and dissemination of UDSMR data and copyrighted materials.

A licensing fee is assessed for each research request approved. Also, licensees using the FIM are required when reporting results to indicate whether they have taken and passed the UDSMR mastery level test.143

UDSMR® offers annual licenses to health care facilities for use of the FIM® instrument and data collection software. A limited license for a defined period of time is also available to facilities not currently subscribing to UDSMR® services, with the expectation that a long-term relationship would develop. This license allows a facility to test the FIM® System to determine clinical usefulness. There are fees associated with license agreements for these pilot projects. Subscribers are required to acknowledge that UDSMR® owns the FIM.144

Geographical areas also can license the FIM® system. Territorial licenses include training and distribution agreements for marketing and distributing FIM® materials and for provision of FIM® training for UDSMR® subscribers in that region. Licensing arrangement with countries also may include a database license for the purpose of using the FIM® instrument for aggregating data and providing statistical reports within the country.145

Software companies who have licensed the FIM for use have been given permission to use the FIM as long as software screen pages properly incorporate the FIM® service and trademarks. A typical letter agreement between UDSMR® and a software company states:

You have asked for UDSMR’s permission to incorporate descriptive and definitional elements of the FIM System. UDSMR is willing to grant to you permission to use and incorporate the FIM System into your software upon the terms and conditions set forth in this letter agreement…

1. UDSMR hereby grants to you the right to incorporate some or all of the description, definitional and other terms comprising the FIM System…

2. In consideration of and as a condition to the rights granted to you pursuant to this letter agreement, you shall take all steps reasonable and necessary to acknowledge UDSMR’s ownership rights to the FIM System. Without limiting the generality of the preceding sentence, a notice substantially in the form set forth should be incorporated into and appear (a) on introductory screen displays as well as any screens which make specific reference to or which introduce any sub-routines that incorporate any elements of the FIM System and (b) in any manuals or documentation relating to said software…. “The Uniform Data Set and the Functional Independence Measure are proprietary products of UB Foundation Activities, Inc.”

3. You shall provide to UDSMR upon request, samples of proposed screen layouts and other portions of text containing elements of the FIM® System or containing the foregoing notice.146

The requirement regarding furnishing UDSMR® with screen displays of the acknowledgments of copyright, trademarks, and service marks continues to be part of the License Agreement with UDSMR® for incorporation of the FIM into software.

In a 2002 Addendum to the 1995 License Agreement with HCFA, UDSMR® agreed to develop and update on a periodic basis the IRF-PAI Training Manual. UDSMR® claims compilation rights to the manual, and also provides training and help desk support for IRF-PAI issues, presumably under contract with CMS.147

The “FIM® system,” including the data set, definitions, documentation, and software for storing and analyzing the data, is maintained by UDSMR®, which has licensed the system since 1994. The number of subscribers in 1994 was 622, which by 2009 had grown to 1400. Revenues for use of the FIM and "the FIM® System" goods and services are in the seven million dollar range.148

UDSMR® requires that in order to be called “FIM® data,” the data must be collected by trained clinicians and sent to UDSMR® for analysis.

Data management services are performed by UDSMR. To include facility data in the aggregate reports, UDSMR requires that the data be credentialed through a two-step process that requires clinicians who are reporting data to demonstrate understanding of rating with the FIM instrument by passing a mastery test and by subjecting the data to analysis of each subscribing facility for outlier variables.149

Facilities retain ownership in the data they send to UDSMR®, but there are limitations to the uses they can make of UDSMR®-analyzed data:

When facilities subscribing to UDSMRSM compare results of their own programs with those of the national aggregate, they should be aware that the aggregated regional and national data from their UDSMR reports are copyrighted and owned by the University at Buffalo Foundation Activities, Inc., State University of New York at Buffalo, and must be used according to the UDSMR service agreements and contracts.150

Unlike the MDS and OASIS, neither the FIM® data set nor the IRF-PAI assessment instrument is represented in either UMLS or LOINC.

Intellectual Property Notices Displayed by the CMS

CMS accepts the assertion by the University at Buffalo Foundation Activities, Inc. (UBFA) that they own the Functional Independence Measure (FIM). UBFA’s copyright notice appears in the final rule for the IRF PPS published in the Federal Register August 7, 2001. The copyright notice also appears on the CMS web site.151 The text of the copyright notice reads as follows:

The FIM data set, measurement scale and impairment codes incorporated or referenced in the IRF PAI are the property of UB Foundation Activities, Inc.© 1993, 2001 UB Foundation Activities, Inc. The FIM mark is owned by UBFA, Inc.

UBFA's copyright notice also appears on every page of the 244-page training manual available for download from the UDSMR web site.152 The text of the copyright notice in the training manual reads as follows:

Copyright © 2001-2004 UB Foundation Activities, Inc. (UBFA, Inc.) for compilation rights; no copyrights claimed in U.S. government works included in Section I, portions of Section IV, Appendices I and K, and portions of Appendices B, C, E, G, H and J. All other copyrights are reserved to their respective owners. Copyright © 1993-2001 UB Foundation Activities, Inc. for the FIM Data Set, Measurement Scale, Impairment Codes, and refinements thereto for the IRF-PAI, and for the Guide for the Uniform Data Set for Medical Rehabilitation, as incorporated or referenced herein. The FIM mark is owned by UBFA, Inc.

Intellectual Property Notices Displayed by UDSMR®

The UDSMR® web site displays the following copyright notice:

The Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities Inc., is the developer and sole owner of the copyrighted assessment tool known as the FIM™ Instrument. As the owner, UDSMR only grants permission to use the FIM™ instrument though a variety of licensing arrangements. The intended use of the instrument dictates the level of licensure and the associated rights and fees.153

UBFA License Agreements with HCFA and CMS

In September 1995, UBFA and HCFA entered into a agreement that allowed HCFA to study the Functional Independence Measures as a basis for the IRFs PPS. Addenda to the September agreement were signed in November 1995, and again in February 2002. The license had two distinct phases -- one was to evaluate the FIM® System as the basis for the PPS. The second phase covered the terms of the agreement should HCFA decide to use the FIM for the PPS.

The license agreement gave HCFA the right to use the FIM® instrument and related materials in the development, design, and evaluation of the PPS. As interpreted by UBFA, the agreement permitted "HCFA to sublicense hospitals to use the FIMTMinstrument and related materials 'without fee or obligation to UDSMR' as part of the Medicare-payment system."154

The agreement did not limit the use of the FIM to reimbursement, but the use had to be related to the payment system. Clause 2(b)(iv) gave HCFA the right "to use the Licensed System for other HCFA program needs related to the Payment System, including quality assurance, hospital certification and research." In the agreement, the parties also agreed "that discharge data, provider data, or other data and products derived from and specifically related to the Payment System, including but not limited to data or other products relating to quality assurance, hospital certification, or research derived from or relating to the Payment System, shall be subject to public disclosure and use for purposes of the Payment System, notwithstanding that such data or products incorporate any portion of the Licensed System."155

UDSMR® viewed the agreement as giving HCFA the "right to use the FIM instrument and related materials and to license one or more third-parties to use UDS system 'in connection with the development, design, implementation, maintenance, operation, and evaluation of the [Medicare] Payment System.' Specifically, the License Agreement permits HCFA to sublicense hospitals to use the FIMTM instrument and related materials 'without fee or obligation to UDSMR' as part of the Medicare-payment system." [emphasis theirs]156

In a 2002 clarification letter to an employee at HHS/ASPE regarding legitimate use of the FIM, the Director of UDSMR® wrote:

Under the License Agreement, the only authorized users of the portions of the Training Manual contributed by UDSMR are CMS, UDSMR and the inpatient rehabilitation facilities subject to the payment system. UDSMR has made these materials available to CMS and the facilities on a completely royalty-free basis. However, the right to use them does not extend to the 'regulatory community' in general, as AMRPA erroneously states.157

The letter continued:

As you may be aware, UDSMR worked closely with CMS’s attorneys to develop the copyright notice for the Training Manual. It has been carefully crafted to indicate that some sections and appendices of the Training Manual have been wholly developed by either UDSMR or CMS, while others reflect contributions from both and/or other parties.

The AMRPA had suggested that the copyright notice was confusing and that it was not necessary to put it on every page of the training manual.

In response, the Director of UDSMR® wrote:

AMRPA’s letter highlights the need for a brief explanation of the ownership issues relating to the Training Manual and the related Inpatient Rehabilitation Assessment Instrument on CMS’s website. We have made this suggestion to CMS on numerous occasions. We believe that many of AMRPA’s concerns would be addressed if CMS were to place a notice similar to the following on its website:

"The Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) and the IRF-PAI Training Manual were created for use by facilities subject to CMS’s payment system for Medicare inpatient rehabilitation services. The IRF-PAI and the Training Manual contain proprietary material that was incorporated with the express permission of the owners. Anyone other than a facility subject to the payment system who wishes to use the IRF-PAI or the Training Manual should contact such owners prior to any such use."158

Portions of the license agreements between HCFA (and subsequently CMS) and UBFA, which limited how and for what purposes the FIM could be used, appear to be in direct contradiction to the Code of Federal Regulations and OMB Circular A-110 grant rules under which the FIM was developed, and rules to which UDSMR® points as justification of their copyrights.159

The 1995 license gave HCFA the right to modify the instrument. The amended license signed in 2002 limited CMS's (HCFA's successor) rights to modify the instrument without first consulting with UDSMR®, and asserted that "any such modification shall only be for the purpose of carrying out CMS’s tasks relating to the Payment System…."160

The IP rights section of the 1995 agreement outlines how HCFA must acknowledge UDSMR® ownership of the FIM:

5. Intellectual property

(a) HCFA acknowledges that all right, title and interest in and to the Licensed System, the Marks, and all copyrights shall remain the sole and exclusive property of UDSMR. To the extent permitted by federal law, HCFA's use of the Licensed System and the Marks shall inure to the benefit of UDSMR, and this Agreement shall not operate to transfer or convey to HCFA or to any Third Party any ownership interest whatsoever in the Licensed System, the Marks or any derivative works thereof created by UDSMR.

(b) HCFA shall take all steps reasonable and necessary to acknowledge UDSMR's ownership and copyright rights to the Licensed System and the Marks. Without limiting the generality of the preceding sentence, notices substantially in the forms set forth below or any successor notices shall be incorporated into and appear in any printed or published documentation or other tangible materials relating to or resulting from the exercise by HCFA of its rights and licenses under this Agreement insofar as any such materials refer to or incorporate any portion of the Licensed System.

"The FIMSM data set, measurement scale and impairment codes incorporated or referenced herein are the property of UB Foundation Activities, Inc."

"The FIMSM service mark is owned by UB Foundation Activities, Inc.

In addition, any such materials which substantially reproduce the Data Set, the Adult FIM Scale or the Impairment Codes from the Guide, or any other copyrighted UDSMR materials, shall contain the following copyright notice: "Copyright 1993 UB Foundation Activities, Inc.", or any successor notice.

(c) To the extent HCFA has the requisite right and license, and the authority to grant such right and license, HCFA agrees to grant to UDSMR an unconditional, irrevocable and nonexclusive right and license to use, to modify and to sublicense others to use and modify any modifications, enhancements, improvements or other derivative works made to, or based upon, the Licensed System by HCFA or any of its sub licensees."161

The 2002 addendum to the agreement added the following sentence to Section 5(b) of the 1995 license. "CMS shall also include the copyright notice contained in the Training Manual in any reproduction of the Training Manual in whole or in part, regardless of the medium in which such reproduction is made."162

Between the time that UDSMR® and HCFA signed the 1995 license agreement, and while awaiting the report from RAND, with whom CMS contracted to analyze the Functional Independence Measure and Function Related Groups (FRGs) for use in the PPS, UDSMR® issued a position statement, prompted by concerns expressed by the rehabilitation community that UDSMR® was standing in the way of a PPS based on the FIM and the FIM/FRGs. UDSMR® was reticent to let the RAND study be published without UDSMR® edits, based on what they saw as the unauthorized publication of proprietary information:

The present issue with HCFA over publication of the RAND reports involves the protection of UDSMR's intellectual property rights under its agreements with HCFA. The premature dissemination of the draft reports without UDSMR's consent has already led to improper commercial exploitation by third parties of the information contained in those reports, and UDSMR seeks only to avoid further breaches of its proprietary rights. UDSMR has requested deletion of certain information for purposes of general publication, and had agreed to make the full reports available subject to appropriate terms and conditions. [emphasis theirs]163

In the position statement, UDSMR® writes:

Although Dr. Granger has always believed strongly in the free flow of ideas among researchers and others, UDSMR has had no choice but to take steps to protect the FIM instrument and data so valuable to the field and to UDSMR's subscribers.

Analysis of IRF-PAI Intellectual Property Issues

Sorting out the IP issues with respect to the IRF-PAI is not easy. The IRF-PAI is a government document, based largely on the Functional Independence Measure (FIM) of which UBFA claims ownership. Whether the claim is legitimate or not is a matter of dispute. HCFA's agreement to “license” the FIM and to print UBFA’s copyright claims on their web site, in the Federal Register final rule, and on every page of the IRF-PAI user’s manual, lends legitimacy to the ownership claims. As Trosow writes, "once copyright attaches to a work, there can be significant negative consequences for downstream access to that work."164

On the coding form, UBFA claims copyrights to all parts of the IRF-PAI except for the medical needs and quality indicators sections. The copyrighted portions include Identification Information, Admission Information, Payer Information, Medical Information, Function Modifiers, FIMTM Instrument, and Discharge Information.

Ownership of the FIM has been challenged in at least two legal cases. A challenge to the trademarking of FIM was settled by the Trademark Trial and Appeal Board of the U.S. Patent and Trademark Office in UBFA’s favor, giving them the right to trademark FIM® and the FIM system®.165 A dispute before the Federal District Court in Western New York has been ongoing since 2003 and, barring an unlikely settlement between the parties, is slated to come to a jury trial in 2010. The original defendant in the case (there has been a countersuit) claims UBFA has admitted they don't own the copyright to the FIM, although it is not clear that has been stipulated by the plaintiff. The dispute now appears to be focused more on restraint of trade and monopolization issues, but ownership of the FIM is a key issue. Part of the problem in these cases appears to be an expanding definition of what is being claimed as IP, whether it was the data collected and analyzed using the FIM® instrument, the software used to collect and store the data, the user and training manuals (which at some point began adding "including the FIM® instrument" to the title), the "FIM system®," or the FIM® data set itself. Over the years, the definition appears to have grown to include all of the above.166 A 2006 study by the Division of Health Care Policy and Research at the University of Colorado at Denver and Health Sciences Center described the system as such: "The UDSMR® consists of four components: (1) a data set used to assess disability severity and medical rehabilitation outcomes; (2) computer software; (3) a data management service for subscribing facilities; and (4) a training program for users."167

From the beginning, a complicating factor was the fact that one of the co-chairs of the Task Force was the project director on the grant and also a faculty member in the Department of Rehabilitation Medicine at the State University of New York at Buffalo, the recipient of the grant from the U.S. Department of Education. Another complicating factor was the intention in the grant proposal to issue an RFP for a software company to create software designed for locating, interpreting, and reporting the data. However, the RFP was never issued because the task force decided that the University at Buffalo was equipped to carry out the task.168 As the assessment tool was accepted, data accumulated, and software developed, the analysis of which became a profitable business, ownership rights to the software and analyzed data became entangled with ownership rights to the FIM itself, since the FIM was not only integral to the software and related documentation, but also to derivative products created by UDSMR® (e.g., FIMware®, weeFIM®).169

Also confusing the issue were conflicting statements from UDSMR® concerning who owned the tool and whether it was in the public domain. Reviewing contemporary correspondence and other materials produced as evidence in the Trademarks case, it is unclear when UBFA began to assert their IP rights, but it is clear that, from the beginning, this was an issue hovering below the surface. In the grant extension proposal in 1985, under the "Inventions and Copyrights" section, the proposal states: "It was too early to consider copyrighting the National Data Set."170

An undated draft of a UDSMR brochure entitled “Why Uniform Data Now?” stated:

With the development of the Uniform Data System for Medical Rehabilitation (UDSMR) clinicians are now able to document the severity of patient disability and results of the medical rehabilitation process. The national task force which created the much-needed system is co-sponsored by the American Congress of Rehabilitation Medicine and American Academy of Physical Medicine and American Academy of Physical Medicine and Rehabilitation.171

Other statements made during this period include a 1986 letter by Carl Granger in which he wrote:

I certainly confirm that the coding sheet of the Uniform Data System (UDS) is in the public domain. We have worked very diligently to obtain national consensus regarding the assessment items and have a detailed and scientifically rigorous method for evaluating the reliability, validity, and precision of the Functional Independence Measure (FIM) component. Therefore, we have copyrighted the coding sheet to preserve its integrity while we promote its use as widely as possible.172

In correspondence with a company called Formations in Health care, Inc., UDSMR®, through their attorney wrote:

With respect to the "FIM" mark, it is neither descriptive nor generic, but rather a coined phrase which UDSMR has adopted and is using in connection with its business. This is legally protectable trademark use which UDSMR intends to enforce as its exclusive right for its business purposes. There are no barriers to its claim to ownership. …With respect to copyrightability of the Functional Independence Measure itself, it is clear under the Copyright Act that the measurement device, and the manner of its definition, including the instrument and item definitions are copyrightable subject matter under Section 102 of that Act, as original works of authorship in the category of literary works. It is equally clear that ownership of those copyrights is properly and legitimately claimed by the Research Foundation of the State University of New York and/or by the UDSMR division of the UB Foundation Activities, Inc., as their respective rights may appear.173

A document presented for exhibit in the case before the Trademark Trial and Appeal Board, stated:

All copyrights, service marks and trademarks relating to the FIM SystemSM are owned by UBFA and none of the FIM SystemSM is or has ever been in the public domain. Any unauthorized or unlicensed incorporation of portions of copyrighted works relating to the FIM SystemSM into other works, any modification of any such modified works by third parties and any unauthorized or unlicensed use of any such copyrighted works or of the UDSMR or FIM service marks or trademarks are and remain inproper and in violation of UDSMR's intellectual property rights. (Trademark dispute case, p.207 OPP-47.)

Correspondence between Kenneth Aitchinson, chair of an AMRPA PPS Task Force and Carl Granger in April 1998 included this exchange:

Aitchinson: "We are in a very critical period in the development of a PPS for rehab and AMRPA is, as you know, mounting a major campaign to influence the outcome. We need to be sure that there be no misunderstanding…." At the Task Force meeting on January 19, Jim [Phillips, of UDSMR] was asked specifically… whether [UDS] would assert proprietary rights to the FIM or portions thereof if it was used by HCFA, in whole or in part, as an element of a new MDS instrument. Jim assured us that there was no problem… and the HCFA had complete license to use the FIM or items therefrom. Based on those assurances AMRPA developed the policy position set forth in the attachment."174

Granger's response was: "We are in communication with John Morris, the HCFA contractor, for the MDS-PAC and these issues are being discussed and analyzed. He understands that no barriers exist under the license agreement between UDSMR and HCFA.175

In a 1999 letter, UDSMR® made the statement that:

…the FIMTM instrument and all other aspects of the FIM system is owned by UDSMR, and that no part of the FIM system is or ever has been in the public domain. UDSMR has entered into numerous licensing arrangements granting licensees the right to use the FIM instrument and related materials for a variety of purposes. Unfortunately, UDSMR must from time to time take action with respect to researchers and service providers who are ignorant of, or choose to ignore, UDSMR's ownership rights in the FIM System.176

E-mail correspondence between the VA and UDSMR® with the subject line "copyright question," indicates that the VA was confused about the proprietary nature of the FIM. A response from UDSMR® to an e-mail inquiry from the VA with the subject line "Copyright question" read:

I am sending this email to you in response to a question you had given to Dr. Carl Granger regarding UDSMR's ownership in the IRF-PAI. In answer to your concerns, CMS (formerly HCFA) has a license agreement with UDSMR under which CMS has UDSMR's permission to use elements of the FIM[TM] instrument in connection with the IRF-PAI. UDSMR, however, retains all ownership rights in and to the FIM[TM] instrument.177

The VA Medical System subscribes to the FIM®instrument and UDSMR®.178 However, the VA User's Manual for the FIM, developed for use with the the VA's electronic health care system, VistA, dated May 2003, makes no mention of the copyright issue, or of UDSMR® or UBFA, Inc.179

The Functional Independence Measure (FIM) is likely copyrightable, but it is unclear that UDSMR® has exclusive rights as to how the FIM can be used. If UBFA has legitimately copyrighted the FIM, based on rules published in the OMB circular (A-110) and title 34 of the Code of Federal Regulations concerning "intangible property" created through government grants (in this case, the U.S. Department of Education), it is unclear, based on the same rules, how they have justified the restrictions they have placed on HCFA's and CMS's use, unless it is simply a technical matter that the grant was through the U.S. Department of Education and not the HHS.

UBFA, Inc. has not had an easy time asserting their exclusive rights to the FIM. That being the case, it is hard to surmise whether they would be inclined to permit the creation and dissemination of HIT-coded versions of the FIM, simply because the policing of unauthorized use could prove to be burdensome. Despite the ubiquitous copyright notices, it appears that many continue to be unaware, or doubtful of the legitimacy of UBFA's claims to the FIM, even though most people in the rehabilitation field are likely familiar with UDSMR® and their data services.

While it is not possible with currently available documentary evidence to sort out the ownership claims and counterclaims to determine the IP issues that will arise if standards organization wish to apply HIT standards to the instrument and disseminate a standardized IRF-PAI, some further analysis of where we have been and how we got here as described in "Medicare Funding for Inpatient Rehabilitation: How Did We Get to This Point and What Do We Do Now?" may be informative.180 It should be noted however, that the work underway in CMS to develop a new patient assessment instrument, the CARE instrument, may eliminate the need to rely on the FIM® data elements for Medicare payment purposes if the data elements in the CARE instrument are found to support appropriate Medicare payment algorithms for IRFs.

Follow Up And Additional Research

Additional discussions and research may provide further insight into the various IP issues addressed above. Conversations with the leadership at the NLM, the Regenstrief Institute, the interRAI consortium, UDSMR®, and the Center for Health Services Research at the University of Colorado, may prove helpful for future development and standardization of federally-required assessment instruments. It would be instructive to understand how the Regenstrief Institute was able to address interRAI’s international licensure constraints when incorporating the MDS into LOINC and whether any other IP issues remain in applying and disseminating accepted HIT standards to MDS patient assessments. Further, these conversations could shed light on issues that will likely be faced should there be an effort to apply CHI standards to the IRF-PAI. These discussions maysuggest useful steps that could be taken to minimize or eliminate IP issues in the development of future assessment instruments.

The terms of past contracts under which assessment instruments and related documentation were developed may inform how future contracts could be written so that data collection instruments developed for government use remain in the public domain. In particular, incorporating the "special works" clause of the Federal Acquisitions Regulations (FAR) into contracts would give the government the ability to limit the contractor's rights to claim ownership in content first produced through the contract. It would also allow the contracting agency to direct the contractor to establish a copyright claim and assign the copyright to the government, which would give the government unlimited rights in how the instruments are released and used.181

Preliminary conversations indicate that CMS is fully aware of many of the issues that can arise when federally-required assessment instruments are not freely available in the public domain, including concerns that IP claims may constrain the application of HIT standards to these instruments and limit the dissemination of HIT-enabled standardized assessments. Obtaining guidance from those with expertise in applying and disseminating CHI-accepted standards to current assessment instruments developed under federal contracts or grants will facilitate the application and dissemination of HIT standards to emerging assessment instruments, and support the goal of health information exchange and system interoperability.

A number of organizations have commented to CMS on the non-interoperable nature of the specifications for the electronic transmission of patient assessment data, and have recommended that code formats be consistent across the various assessment instruments, encouraging CMS, for example, to adopt the HL7 Patient Assessment Questionnaire and Clinical Document Architecture (CDA) instead of using a custom-designed data transmission tool, stating “Rather than developing a custom based data transmission process,… CMS [should] reevaluate the benefits and usage of CDA for the MDS 3.0 including the applicable content standards (LOINC and SNOMED-CT).182

Efforts are underway to create a system for all PAC assessments using consistent terminology. The instrument being developed is the CARE which aims to harmonize data elements across the three assessment tools CMS currently requires. The National Quality Forum is also calling for harmonization of assessment items in the areas they are addressing as part of their quality initiatives.

A major piece of legislation from 2009 with broad implications for health care delivery and health information exchange was the ARRA, also known as the “stimulus bill.” Provisions in the HITECH section of the Act address incentives for the adoption of HIT by health care providers. Although care assessments are not addressed specifically in the wide-ranging act, the Act is likely to significantly impact health information exchange and the use of certified EHRs. The stimulus plan provides significant funding for EHR adoption by some healthcare providers. While ARRA's definition of health care providers includes SNFs, nursing facilities, home health entities and other LTC facilities, these providers are not yet slated to receive the same incentive payments physicians and hospitals will be eligible for if they are able to demonstrate "meaningful use" of HIT. However, with the ONC investigating how to expand HIT adoption incentives to other providers and industry movement towards certification of PAC electronic records, significant opportunities exist to leverage federally mandated functional assessment tools to drive the interoperability required in the stimulus bill. Standardizing the data sets in these assessments is an important first step towards achieving that interoperability.

Acronym List

AAPM&R   American Academy of Physical Medicine and Rehabilitation
ACRM   American Congress of Rehabilitation Medicine
AMRPA   American Medical Rehabilitation Providers Association
ARRA   American Recovery and Reinvestment Act
ASIA   American Spinal Injury Association
ASPE   Office of the Assistant Secretary for Planning and Evaluation of the U.S. Department of Health and Human Services  
 
BBA   Balanced Budget Amendment of 1997
BBRA   Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999
BIPA   Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000  
 
CAM   Confusion Assessment Method
CARE   Continuity Assessment Record and Evaluation
CFR   Code of Federal Regulations
CHI   Consolidated Health Informatics Initiative
CIHI   Canadian Institute for Health Information
CMS   Centers for Medicare and Medicaid Services of the U.S. Department of Health and Human Services (formerly HCFA)  
CoP   Medicare Conditions of Participation
CPS   Cognitive Performance Scale
 
DRA   Deficit Reduction Act of 2005  
 
EHR   Electronic health record  
 
FAR   Federal Acquisition Regulations
FHA   Federal Health Architecture
FIM®   Functional Independence Measure  
FR   Federal Register
FRGs   Functional Related Groups
 
HCFA   Health Care Financing Administration (predecessor to CMS)  
HHA   Home health agency
HHS   U.S. Department of Health and Human Services
HIT   Health information technology
HITPC   Health IT Policy Council
HITSP   Healthcare Information Technology Standards Panel
HL7   Health Level Seven
HRCA   Hebrew Rehabilitation Center for Aged
 
IHE   Integrating the Healthcare Enterprise (HIMSS)
interRAI   inter[national]RAI. These are the developers of the MDS.
IOM   Institute of Medicine
IP   Intellectual property
IRF   Inpatient Rehabilitation Facility
IRF-PAI   Inpatient Rehabilitation Facility-Patient Assessment Instrument  
 
LOINC   Logical Observation Identifiers Names and Codes  
LTC   Long-term care
LTCH   Long-term care hospital
LTCI   Long-term care insurance [Japan]
 
MDS   Minimum Data Set
MDS-PAC   Minimum Data Set-Post-Acute Care  
 
NARF   National Association of Rehabilitation Facilities
NCVHS   National Committee on Vital and Health Statistics  
NLM   National Library of Medicine
 
OASIS   Outcome and ASsessment Information Set
OBQI   Outcome-Based Quality Improvement
OBRA   Omnibus Budget Reconciliation Act of 1987
OMB   U.S. Office of Management and Budget
ONC   Office of the National Coordinator for Health Information Technology  
 
PAC   Post-acute care
PHQ   Patient Health Questionnaire
PPS   Prospective Payment System  
 
RAI   Resident Assessment Instrument
RAI-MH   Resident Assessment Instrument for Mental Health
RAI-NH   Resident Assessment Instrument for Nursing Homes [Spain]  
RAP   Resident Assessment Protocol
RELMA   Regenstrief LOINC mapping assistant
RFP   Request for Proposal
RTI   Research Triangle Institute
RUG   Resource Utilization Group
 
SDO   Standards development organization
SNF   Skilled nursing facility
SNOMED-CT   Systematized Nomenclature of Medicine-Clinical Terms  
 
TEFRA   Tax Equity and Fiscal Responsibility Act of 1982  
 
UBFA   University of Buffalo Foundation Activities, Inc.
UDS   Uniform Data System (later became UDSMR)  
UDSMR   Uniform National Data System for Medical Rehabilitation
UMLS   Unified Medical Language System
USPTO   U.S. Office of Patents and Trademarks
 
VA   U.S. Veteran's Administration  

Copyrights And Trademarks

Please note that failure to register a copyright does not mean forfeiture of rights in copyrightable works.

MDS/RAI

Copyrights:

A number of individuals and publishers have claimed copyrights to what appear to be derivative works that include or reference the MDS (e.g., forms, compilations with added texts, training and reference manuals). The following are the only copyrights registered by interRAI.

InterRAI. (1995) Long Term care Resident Assessment Instrument User's Manual: Version 2.0. (Authorship on application: coauthors: John N. Morris, Katherine M. Murphy, Brant E. Fries… et al.; Basis of Claim: New Matter: revisions, additions.)

InterRAI. (1997) RAI-home care (RAI-HC) Assessment Manual. (Authorship on application: co-authors of text: John N. Morris, Brant E. Fries, Roberto Bernabei, R. Knight Steel, pseud., Naoki Ikegami, G. Iain Carpenter & Ruedi Gilgen; Basis of Claim: New Matter: substantial text added to preexisting assessment program.)

Trademarks:

To date, it does not appear that interRAI has sought trademark or service mark protection for any of their instruments.

OASIS

Copyrights:

The following are copyrights registered by the Center for Health Policy Research:

Center for Health Policy Research. (1994a). Measuring Outcomes of Home Health Care: Vol. 1: Final Report, September 1994. Denver: Center for Health Policy Research.

Center for Health Policy Research. (1994b). Objective Review Criteria for Abstracting Data for Clinical Record Review of Home Health Care: Vol. 3, Final Report.

Center for Health Policy Research. (1994c). Technical Appendices to the Report on Measuring Outcomes of Home Health Care: Final Report, September 1994.

Trademarks:

Registrant: Center for Health Services and Policy Research. Word Mark: OASIS GENIE. Goods and Services: "Computer software for use to enter and track information on patient demographics, functional status, and health status, and instruction manuals used in connection therewith." Type of Mark: Trademark. Date of Registration: July 23, 2002.

Irf-pai

Copyrights:

The following are copyrights registered by University of Buffalo Foundation Activities, Inc. (UBFA):

Guide for the Uniform Data Set for Medical Rehabilitation. (1995).

Guide for the Uniform Data Set for Medical Rehabilitation & 2 Other Titles. (1995).

The UDS-PRO System Software and Software Guide, Version 2.0.

UB Foundation Activities, Inc. (1997). Guide for the Uniform Data Set for Medical Rehabilitation (adult FIM®): Ver. 5.1.

UB Foundation Activities, Inc. (1999). Revised appendices A and B for the Guide for the uniform data set for medical rehabilitation (Adult FIM®): Version 5.1. (Registration Number/Date: TX0005665330/2002-10-21)

UDSPRO Source.txt.

UDS-PRO System Software and Software Guide 3.01.

UDS-PRO: Software.

Uniform Data System for Medical Rehabilitation. (1998). LIFEware Software.

Uniform Data System for Medical Rehabilitation. (2005). UDS-PRO HL7.

Uniform Data System for Medical Rehabilitation, UB Foundation Activities, Inc., & UB Foundation Activities, Inc. Uniform Data System for Medical Rehabilitation. (2002). IRF-PAI Training Manual.

Uniform Data System for Medical Rehabilitation, UB Foundation Activities, Inc., & UB Foundation Activities, Inc. Uniform Data System for Medical Rehabilitation. (supplement to item registered in 2002). IRF-PAI Training Manual.

Uniform Data System for Medical Rehabilitation, UB Foundation Activities, Inc., & UB Foundation Activities, Inc. Uniform Data System for Medical Rehabilitation. (2005). The UDS-PRO System Software and Software Guide, Version 1.1.

Uniform Data System for Medical Rehabilitation, & UB Foundation Activities, Inc. Uniform Data System for Medical Rehabilitation. (2003). The UDS-PRO Software Data Specification Guide.

University at Buffalo Foundation Activities, Inc. (1994). Guide for the Uniform Data Set for Medical Rehabilitation (adult FIM®): Version 4.0.

US [sic] Foundation Activities, Inc. (2001). The UDS-PRO System (including the FIM® Instrument): Clinical Guide, Version 1.0. (Registration Number/Date: TX0005877639/2002-05-27)

WeeFIM® II Software

Trademarks:

Trademark for the mark "FIM". Originally, the registration of FIM was turned down by the U.S. Office of Patents and Trademarks. When UDSMR® provided further evidence, the USPTO approved the registration of FIM. Subsequently, the American Medical Rehabilitation Providers Association (AMRPA) challenged the trademarking of FIM, but the USPTO ruled in UDSMR's favor in 2009. UBFA claims the following trademarks:

AlphaFIM®, AlphaFIM Analyzer®, FIM®, FIM-PAITM, FIMware®, The FIM System®, Mini-FIMTM, LIFEware®, LIFEwareSM, PAR-PROTM, PAR-PROSM, Piece of the PAI®, UDSMR®, UDS CentralTM, UDS-FIMiTM, UDSFIM CentralTM, UDSPRO CentralTM , UDS-PRO®, UDS-PROi®, UDS-PROiSM, WeeFIM®, WeeFIM®, WeeFIM II®, WeeFIMwareTM

http://www.udsmr.org/Documents/Trademark-service%20mark.pdf

MDS Stakeholder Letters

July 25, 2003

Barbara Paul, MD
Director
Quality Measurement and Health Assessment Group
Centers for Medicare & Medicaid Services
7500 Security Boulevard
Baltimore, MD 21244-1850

Dear Dr. Paul:

The undersigned organizations, representing key constituencies in the Resident Assessment Instrument (RAI) process, would like to request a meeting with you and any staff members you choose to include.

We believe it is critical that we discuss a number of issues regarding revision of the MDS as soon as possible. From our vantage point, the current direction for the instrument’s evolution appears to be leading toward a tool that is increasingly driven primarily by program support needs. We firmly believe that the MDS must retain a resident focus and that the paramount objective in redesign must be to improve the quality of information to facilitate accurate, comprehensive resident assessment and care planning, consistent with the law, current regulations, current standards of practice and the best available science on quality care for the populations served in nursing homes.

While keeping this goal primary in our minds, we must also strive to ensure that the critical information is being collected not only to support current quality measurement and payment needs, but also to ensure that revisions to the system give us the capacity to improve and strengthen these systems in the future through the collection of better data that provides more robust information for these purposes.

Specifically, we would like to address the following issues with you:

  • The need to re-assess the major goals for the instrument and engage with key stakeholder groups in a clear articulation of a unified vision and objectives for the MDS.

  • The need to assess the current charge for the contract team engaged to work with CMS on this effort, in light of a clear consensus on vision and direction, as well as whether the resources devoted to this effort and the timeline for its completion are realistic.

  • The need to coordinate this activity with the rapidly unfolding HHS efforts to facilitate improved information technology capacity and the widespread adoption of electronic health information systems.

We are very concerned that if these key issues are not addressed prior to finalizing major MDS 3.0 design decisions, the new instrument will fall short of its potential and lack stakeholder support. Given the investment of significant resources on the part of all concerned parties to make this transition, it would be most unfortunate if this historic opportunity to significantly improve the process were lost.

We are eager to meet with you prior to the planned August 25-26 meeting of the Technical Expert Panel that will be advising the contract team on their work. We would like to suggest a date sometime during the weeks of August 4th or 11th.

Please contact Ruta Kadonoff at (202) 508-9450, rkadonoff@aahsa.orgor, during the week of July 28-August 1, Evvie Munley at (202) 508 9478, emunley@aahsa.org, who will be happy to work with you or a member of your staff to coordinate a mutually convenient date and time. We look forward to your response.

Sincerely,

American Association of Homes and Services for the Aging
American Association of Nurse Assessment Coordinators
American Hospital Association
American Health Care Association
Catholic Health Association
National Association of Directors of Nursing Administration in Long-Term Care
National Association of Subacute and Post-Acute Care
National Citizens Coalition for Nursing Home Reform
National Hospice and Palliative Care Association

Cc: Tom Scully, CMS Administrator

May 21, 2004

Sean Tunis, MD
Chief Clinical Officer and Director, Office of Clinical Standards and Quality
Centers for Medicare & Medicaid Services
7500 Security Boulevard
Baltimore, MD 21244-1850

Dear Dr. Tunis:

The undersigned organizations, representing key constituencies in the Resident Assessment Instrument (RAI) process, would like to express our continuing concerns about plans for development of the Minimum Data Set (MDS), version 3.0. We would appreciate the opportunity to meet with you and key staff working on this project as soon as possible.

As you are likely aware, we approached CMS in August of last year to voice our concerns with regard to the direction of the MDS 3.0 development process and to make recommendations on revising the project in order to better meet the needs of key stakeholders.

We appreciate the update that was provided on April 7th of this year, detailing CMS work since August, primarily on one of the key issues that was raised in our August meeting. We are pleased with the extensive efforts to better coordinate the MDS revision process with concurrent work on development of electronic medical records technology and standards. Ultimately, the seamless integration of the MDS with electronic medical records systems will greatly reduce the paperwork burden on professional nursing care staff and improve quality of care for residents as well as accurate information for CMS program objectives. CMS efforts to ensure that the next iteration of the MDS helps to begin moving providers in the direction of this ultimate goal are critical to fostering these evolving technologies and their diffusion in the long-term care setting.

We remain concerned, however, that other key issues that we raised in our August meeting do not seem to be figuring prominently in the current plans, as conveyed to us on April 7th.

We reiterate our firm belief that the MDS must be resident-focused and that the paramount objective in making revisions must be to improve the quality of information collected to facilitate accurate, comprehensive resident assessment and care planning, consistent with the law, current regulations, current standards of practice and the best available science on quality care for the populations served in nursing homes.

While keeping this goal primary in our minds, we must also strive to ensure that the critical information is being collected not only to support current quality measurement and payment needs, but also to ensure that revisions give us the capacity to improve and strengthen these systems in the future through the collection of better data that provides more robust information for these purposes.

In particular, the following three issues, which we raised with CMS last August, do not appear to be a part of the current work plans as we understand them.

  • The vision, goals and objectives for the MDS must be clearly defined. Objectives must be prioritized, in order to ensure that decisions about items that are/are not to be included are based on a clear and rational set of criteria specifying how competing priorities are to be reconciled. The methodology that will be used for achieving and maintaining the clinical relevance of the MDS in accordance with evolving standards of care must also be defined.

  • The current effort fails to take into account and prioritize all of the purposes that the MDS data are expected to serve. The first step in the process of re-design should be to pose open-ended questions about what information, if collected, could improve the instrument’s utility for one or more of its primary or secondary purposes -- assessment, care planning, quality measurement, payment, support of regulatory activities, and research.

  • We must strive to improve the instrument’s ability to meet the needs of specific types of residents (e.g., long-term, post-acute, end-of-life/palliative care, non-elderly adults, pediatric) by targeting specific questions through the use of skip patterns or a modular approach to the form. The diverse residents in nursing homes are not well-served by a one-size-fits-all approach to assessment.

Finally, we would like to see CMS working in greater collaboration with key stakeholders. The time span between our initial meeting in August of 2003 and the first follow-up in April of 2004 concerns us, as does the latest communication we received from Bob Connolly. In his recent e-mail to our group, Connolly notes that an every-other-month or quarterly schedule of calls/meetings had been proposed by many of the stakeholders on the April 7th call. He went on to state that, “we likely won’t have much to report in the next 2-3 months,” and that CMS would not yet be scheduling another follow-up.

We urge CMS to engage more directly with our groups and other stakeholders as partners in this effort. We would appreciate being a part of design and planning efforts, with an opportunity to engage in dialogue and planning with CMS rather than merely reacting to reports on the work completed. We believe this would also be to CMS’ advantage, in that it would help to guide this effort in a direction that will be more likely to achieve the support and buy-in from the ultimate users and beneficiaries of this work, which will be critical to its acceptance.

We continue to be very concerned that if the key issues we have raised are not addressed prior to finalizing major decisions about the design of MDS 3.0, the new instrument will fall short of its potential and lack support. Given the investment of significant resources on the part of all concerned parties to make this transition, it would be most unfortunate if this historic opportunity to significantly improve the process were lost.

Accompanying this letter are our thoughts on proposed vision and mission statements for MDS, as well as a copy of the memo we provided at our August meeting, which summarizes our issues and makes specific recommendations as to how they might be addressed. We continue to believe that these recommendations outline critical steps that must take place prior to investment in field testing of an instrument. Key questions remain unaddressed in the process as we have seen it unfold to date -- what information do we need, about which residents, for what purposes? We need experts in clinical care, quality measurement and payment/resource utilization to come to consensus on answers to these questions first, then identify how each of the needed elements should ideally be collected -- via the MDS, via some other data collection tool (e.g., an independent, quality of life/satisfaction resident survey), or via electronic health records at a point when they are widely adopted.

We would appreciate the opportunity to meet with you as soon as possible to discuss these issues and develop plans for how they might be addressed. Please contact Ruta Kadonoff at (202) 508-9450, rkadonoff@aahsa.org, who will be happy to work with you or a member of your staff to coordinate a mutually convenient date and time. We look forward to your response.

Sincerely,

American Association of Homes and Services for the Aging
American Association of Nurse Assessment Coordinators
American Health Care Association
American Hospital Association
American Medical Directors Association
Catholic Health Association
National Association of Directors of Nursing Administration in Long-Term Care
National Citizens’ Coalition for Nursing Home Reform
National Hospice and Palliative Care Organization

Cc: Trent Haywood
Lisa Hines

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Endnotes

  1. Wark, Cynthia G., et al. "Government Issue: CHI Lays the Groundwork for Federal Data Exchange." Journal of AHIMA 75, no.8 (September 2004): 36-38.

  2. Consolidated Health Informatics (2006). Standards Adoption Recommendation -- Functioning and Disability. http://www.ncvhs.hhs.gov/061011p2b.pdf; NCVHS’s letter to the Secretary and Secretary Leavitt’s response are available on the NCVHS web site at http://www.ncvhs.hhs.gov/sssmemb.htm.

  3. U.S. Department of Health and Human Services. "Additional Consolidated Health Information (CHI) Health Information Technology Standards" 72 Federal Register 71413-14 (December 17, 2007) Accessed January 2008 at http://a257.g.akamaitech.net/7/257/2422/01jan20071800/edocket.access.gp….

  4. For purposes of this report, post-acute care services are defined as services received after patients are discharged from hospital stays to a skilled nursing facility (SNF), a home health agency (HHA), and/or a rehabilitation hospital/unit -- inpatient rehabilitation facility (IRF).

  5. Kramer, Andrew, et al. Case Studies of Electronic Health Records in Post-Acute and Long-Term Care. Washington, DC: U.S. Dept. of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Disability and Long-Term Care Policy, 2004. http://aspe.hhs.gov/daltcp/reports/ehrpaltc.htm.

  6. Kramer. Case Studies. (2004).

  7. Gage, Barbara, and Jeremy Green. "The State of the Art: Current CMS PAC Instruments" Uniform Patient Assessment for Post-Acute Care (Aurora, CO: Division of Health Care Policy and Research, University of Colorado at Denver and Health Sciences Center, 2006), accessed at http://www.bu.edu/hdr/documents/QualityPACFullReport.pdf.

  8. Wang, 2008.

  9. 74 Federal Register 10050 (March 9, 2009) and 74 Federal Register 22208 (May 12, 2009).

  10. 74 FR 10050 (March 9, 2009).

  11. See http://www.nasl.org/files/members/IT/mds3-1-15-09.pdf.

  12. National Association for Home Care and Hospice, AAHSA, AHIMA, CAST, National Association for the Support of Long Term Care. Response re: Information Collection -- Medicare and Medicaid Programs OASIS Collection Requirements as Part of the CoPs for HHAs and Supporting Regulations in 42 CFR, Sections 484.55, 484.205, 484.245, 484.250 [74FR10050] (April 8, 2009) accessed online at http://www.ahima.org/dc/documents/AHIMArespondstoOMBreviewrequestforCMS…. AHIMA. Comments on the Centers for Medicare & Medicaid Services’ (CMS) proposed changes to the Skilled Nursing Facilities Inpatient Prospective Payment Systems (SBF-PPS) as published in the May 12, 2009 Federal Register [74FR22208].

  13. AHIMA. Comments on the Centers for Medicare & Medicaid Services’ (CMS) proposed changes to the Skilled Nursing Facilities Inpatient Prospective Payment Systems (SBF-PPS) as published in the May 12, 2009 Federal Register [74FR22208].

  14. 74 Federal Register 40287 (August 11, 2009).

  15. Chan, Leighton, Thomas D. Koepsell, Richard A. Deyo, Peter C. Esselman, Jodie K. Haselkorn, Joseph K. Lowery, and Walter C. Stolov. 1997. The Effect of Medicare's Payment System for Rehabilitation Hospitals on Length of Stay, Charges, and Total Payments. N Engl J Med 337, no. 14: 978-985. http://content.nejm.org/cgi/content/abstract/337/14/978.

  16. Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999, Pub.L. 106-113.

  17. Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000, Pub.L. 106–554.

  18. Deficit Reduction Act of 2005 (DRA 2005). Pub.L. 109-171.

  19. Matherlee, Karen. "Implementing the BBA: the Challenge of Moving Medicare Post-Acute Services to PPS." National Health Policy Forum Issue Brief No.743 (Washington, DC: The George Washington University, 1999).

  20. Pub.L. 106-554. Appx F -- Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000. Section 545.

  21. DRA 2005. Accessed at http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=109_cong_public_laws&docid=f:publ171.109.

  22. U.S. Office of Management and Budget. "Data Collection for Administering the Medicare Continuity Assessment Record and Evaluation (CARE) Instrument" Clearance Package Supporting Statement Part A. (Washington, DC: Centers for Medicare and Medicaid Services, July 17, 2007).

  23. Avalere Health LLC. (2009). Post-acute and Long-term Care Reform: Estimating the Federal Budgetary Effects of the AHCA/NCAL/Alliance Proposal. Retrieved July 16, 2009, from http://post-acute.org/bundling/Avalere%20Report%20prepared%20for%20AHCA-NCAL-Alliance%20on%20Post-acute%20and%20Long-term%20Care,%20April%202009.pdf.

  24. Talk: Functional Status Assessments (FSA) Integration Profile Supplement (IHE wiki) accessed at http://wiki.ihe.net/index.php?title=Talk:Functional_Status_Assessments_(FSA)_Integration_Profile_Supplement.

  25. Granger, Carl V. “UDSMR Comment Letter re: CMS CARE tool and PAC-PRD Demonstration”. (September 17, 2007).

  26. Testimony of Brant E. Fries, Professor, Department of Health Management and Policy, University of Michigan School of Public Health, Public Hearing, Reports and Testimony, July 22, 2005. (Washington, DC: National Commission for Quality Long-Term Care) accessed at http://www.qualitylongtermcarecommission.org/meetings/722PH/pdf/txstmtRQIfries07-18-05.pdf.

  27. U.S. Office of Management and Budget Circular A-110 (revised November 19, 1993; as further amended September 30, 1999), codified at 45 CFR §74.36 and 45 CFR §92.34 for the Department of Health and Human Service and 34 CFR §74.36 and 34 CFR §80.34 for the U.S. Department of Education, applies to grants awarded to nonprofit institutions; Federal Acquisition Regulation 52.227 (Rights in Data clauses begin with 227-14), codified at 48 C.F.R. §52.227-14-18 applies to data rights in the performance of contracts with federal agencies.

  28. CENDI Copyright Task Group. Frequently Asked Questions About Copyright: Issues Affecting the U.S. Government. (Oak Ridge, TN: CENDI Secretariat, Information International Associates, Inc., 2002; updated August 2007) accessed at http://www.cendi.gov/publications/04-8copyright.html#41.

  29. OMB Circular A-110 is codified at 45 CFR §74.36 and 45 CFR §92.34 for the Department of Health and Human Service and 34 CFR §74.36 and 34 CFR §80.34 for the U.S. Department of Education.

  30. U.S. Office of Management and Budget. Circular A-110 (revised November 19, 1993; as further amended September 30, 1999) http://www.whitehouse.gov/omb/circulars/a110/a110.html#36l . Text from earlier versions of Circular A-110, in affect at the time of the contract or grant awards, is available in the relevant sections of the Code of Federal Regulations, referenced above. See also "The Federal Grant and Cooperative Agreement Act" (31 USC 6301-08), available at http://www.access.gpo.gov/uscode/title31/subtitlev_chapter63_.html for further guidance on the use of contracts, grants, and cooperative agreements.

  31. Federal Acquisition Regulation. 48 CFR §27 (Patents, Data, and Copyrights). Solicitation provisions and contract clauses are addressed at 48 CFR §52.227-14 (Rights in Data -- General); §52.227-17 (Rights in Data -- Special Works); §52.227-18 (Rights in Data -- Existing Works).

  32. FAR 52.227-17(c)(1).

  33. Trosow, Samuel E.I. Copyright Protection for Federally Funded Research: Necessary Incentive or Double Subsidy? (draft paper September 7, 2003). Accessed at http://publish.uwo.ca/~strosow/Sabo_Bill_Paper.pdf.

  34. 72 Federal Register 71413-14 (December 17, 2007).

  35. U.S. Centers for Medicare & Medicaid Services (CMS). Data Collection for Administering the Medicare Continuity Assessment Record and Evaluation (CARE) Instrument. (OMB Clearance Package Supporting Statement Part A. (October 23, 2007).

  36. U.S. Centers for Medicare & Medicaid Services (CMS). Revised Long-Term Care Facility Resident Assessment Instrument User’s Manual: version 2.0 (December 2002, revised March 2007).

  37. CMS. RAI 2.0 User's Manual.

  38. Wunderlich, G.S., & Kohler, P.O. “Information Systems for Monitoring Quality” Improving the Quality of Long-Term Care (Washington, DC: National Academies Press, 2001).

  39. Information about RAVEN software is accessible at http://www.cms.hhs.gov/MinimumDataSets20/07_RAVENSoftware.asp.

  40. Regulations are available on the Federal Register web site at http://www.gpoaccess.gov/fr/index.html. These regulations have been codified at 42 CFR 483.20 (Public Health, Requirements for States and Long Term Care Facilities, Resident Assessment). CFR 483.75 covers the confidentiality issues. Other relevant legislation affecting the MDS includes the Omnibus Budget Reconciliation Act of 1987. P.L. 100-203. Subtitle C: Nursing Home Reform. (OBRA 1987) and the Balanced Budget Act of 1997 (BBA 1997) (establishing the PPS system). Section 1819 of the Social Security Act contains the regulations for skilled nursing facilities participating in the Medicare program and section 1919 contains the regulations for nursing facilities participating in the Medicaid program. Annual updates to the prospective payment system (PPS) rates for skilled nursing facilities (SNFs) are required by section 1888(e) of the Social Security Act, added by section 4432 of the Balanced Budget Act of 1997 (BBA), and amended by the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (BBRA), the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA), and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA).

  41. Smith vs. O'Halloran, 55i F Supp. 289 (Denver, Colorado Circuit, in 1983.), reversed subnom. Smith vs, Heckler, i37 F2nd 583 (10th Cir 1984) see Spector, W.D., & Drugovich, M.L. (1989). "Reforming Nursing Home Quality Regulation: Impact on Cited Deficiencies and Nursing Home Outcomes." Medical Care, 27, 789-801.

  42. Morris, J.N., Hawes, C., Fries, B.E., Phillips, C.D., Mor, V., Katz, S., et al. (1990). "Designing the national resident assessment instrument for nursing homes." The Gerontologist, 30, 293-307.

  43. Institute of Medicine. Committee on Nursing Home Regulation. Improving the Quality of Care in Nursing Homes. (Washington, DC: National Academy Press, 1986).

  44. Hawes, C., Mor, V., Phillips, C.D., Fries, B.E., Morris, J.N., Steele-Friedlob, E., et al. (1997). "The OBRA-87 nursing home regulations and implementation of the Resident Assessment Instrument: effects on process quality." J Am Geriatr Soc, 45, 977-85.

  45. U.S. Centers for Medicare & Medicaid Services. "Minimum Data Set (MDS) 3.0 Timeline" accessed at http://www.cms.hhs.gov/NursingHomeQualityInits/downloads/MDS302010Imple….

  46. Cotterill, P.G., & Gage, B.J. (2002). "Overview: Medicare post-acute care since the Balanced Budget Act of 1997." Health Care Financ Rev, 24, 1-6.

  47. 63 FR 26252-26316 ( May 12, 1998).

  48. "Development of Resident Assessment System and Data Base for Nursing Home Residents," Health Care Financing Administration (#500-88-0055); October 1988; 4 years, $3.5 million (extended to 6 years, $4.9 million) to Research Triangle Institute, with Brown University, Hebrew Rehabilitation Center for the Aging and The University of Michigan. See Fries, Brant. "Curriculum Vitae" Accessed January 2008 at http://www.sph.umich.edu/faculty/pdf/bfries.pdf.

  49. Morris (1990).

  50. "Revision of Resident Assessment Instrument (RAI) and Development of Resident Assessment Protocols (RAPs)," Centers for Medicare and Medicaid Systems (#500-94-0058); September 30, 1994; 6 years, $465,000 to Hebrew Rehabilitation Center for Aged; Principal Investigator: J. Morris; Co-Principal Investigator [Brant Fries]. Refine Version 2 and develop Version 3 of the National Nursing Home Resident Assessment Instrument, develop the RAI-PAC assessment instrument for post-acute care, and evaluate the nursing home population under age 65." See Fries, "Curriculum Vitae".

  51. interRAI web site. "Long Term Care Facility". Accessed January 2008 at http://www.interrai.org/section/view/?fnode=17.

  52. See Fries et al. letter to the editor, Journal of the American Geriatrics Society, July 2007.

  53. The letter to the editor from Lisa Hines at the Office of Clinical Standards and Quality of the Health Care Financing Administration objected to the use by the authors, who were also investigators associated with contractors or subcontractors on the HCFA MDS contracts, of the designation "InterRAI-HCFA" in describing the work that was being done under contract to HCFA. The author of the letter wanted to make it clear that the contract was not with interRAI, and that whatever relationship the authors had with interRAI, their work on the contract had nothing to do with that relationship but due to the fact that they were experts in the field. Hines, L. (2001). Response to "Pain in U.S. nursing homes: validating a pain scale for the Minimum Data Set". The Gerontologist, 41(4), 553.

  54. U.S. Centers for Medicare & Medicaid Services. MDS 3.0 Town Hall Meeting Conference Call. Transcript (June 3, 2003) Accessed at http://www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp.

  55. U.S. Centers for Medicare & Medicaid Services. [MDS 3.0]: Phase 1 -- 2003 Stakeholder and Expert Review. Accessed at http://www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp.

  56. U.S. Centers for Medicare & Medicaid Services. Draft Minimum Data Set, Version 3.0 (MDS 3.0) For Nursing Home Resident and Care Screening. (July 31, 2006) http://www.cms.hhs.gov/NursingHomeQualityInits/Downloads/MDS30Draft.pdf.

  57. RAND Health. "The MDS 3.0: Improving Assessment." Special Open Door Forum, January 24, 2008.

  58. U.S. CMS [MDS 3.0]: Phase 1 -- 2003 Stakeholder and Expert Review.

  59. RAND Health. "Evaluating Revisions to the Minimum Data Set for Nursing Homes" Presentation at CMS Town Hall Meeting on the MDS 3.0 (June 2, 2003).

  60. U.S. Centers for Medicare & Medicaid Services. [MDS 3.0]: Phase 2 -- VA Validation Protocol Research. Accessed at http://www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp.

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  63. Letter to Barbara Paul, MD, Director, Quality Measurement and Health Assessment Group at CMS. Signees were the American Association of Homes and Services for the Aging, the American Association of Nurse Assessment Coordinators, the American Hospital Association, the American Health Care Association, the Catholic Health Association, the National Association of Directors of Nursing Administration in Long-Term Care, the National Association of Subacute and Post-Acute Care, the National Citizens Coalition for Nursing Home Reform, and the National Hospice and Palliative Care Association.

  64. Apelon Inc., Making MDS 3.0 Compliant with CHI Standards: Project Summary (August 2005). Accessed at http://aspe.hhs.gov/daltcp/reports/MDSprjsum.htm.

  65. 72 Federal Register 71413-14 (December 17, 2007).

  66. PPS Alert for Long-Term Care, May 2009, p.7.

  67. 74 Federal Register 22208 (May 12, 2009).

  68. MDS 3.0 RAI Manual (November 2009). http://www.cms.hhs.gov/NursingHomeQualityInits/Downloads/MDS30RAIManual.zip.

  69. See https://www.qtso.com/strive.html.

  70. U.S. Centers for Medicare & Medicaid Services. "Special Open Door Forum on Minimum Data Set 3.0 (MDS 3.0)." Transcript, January 24, 2008. Accessed at http://www.cms.hhs.gov/OpenDoorForums/05_ODF_SpecialODF.asp.

  71. Connolly, Robert. "MDS 3.0 Implementation Plans." Presented at the National Academy for State Health Policy's 20th Annual State Health Policy Conference in Denver, Colorado (October 2007).

  72. U.S. Centers for Medicare & Medicaid Services. "Nursing Home Quality Initiatives: MDS 2.0 for Nursing Homes" accessed January 2008 at http://www.cms.hhs.gov/NursingHomeQualityInits/20_NHQIMDS20.asp.

  73. Morris, John N., Katharine Murphy, and Sue Nonemaker. Long Term Care Facility Resident Assessment Instrument (RAI) User's Manual. (HCFA, October 1995).

  74. U.S. Centers for Medicare & Medicaid Services. Revised Long-Term Care Facility Resident Assessment Instrument User's Manual: Version 2.0. (December 2002; revised March 2007).

  75. Murphy, Katharine M., and John N. Morris. "The resident assessment instrument: Implications for quality, reimbursement and research." Generations, Winter95, Vol. 19 Issue 4, p43-46.

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  77. Implementing The Resident Assessment Instrument: Case Studies Of Policymaking For Long-Term Care In Eight Countries (New York: Milbank Memorial Fund, 2003). Accessed at http://www.milbank.org/reports/interRAI/030222interRAI.html.

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  79. interRAI. "Licensing".

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  82. Fries, B. E. (2005, July 22). Testimony of Brant E. Fries, Professor, Department of Health Management and Policy, University of Michigan School of Public Health. Public Hearing, Reports and Testimony, National Commission for Quality Long-Term Care. Accessed at: http://www.qualitylongtermcarecommission.org/meetings/722PH/pdf/txstmtRQIfries07-18-05.pdf.

  83. Hirdes, J. P. (2006). "Addressing the health needs of frail elderly people: Ontario's experience with an integrated health information system." Age Ageing, 35, 329-331.

  84. Canadian Institute for Health Information. (2005) Resident Assessment Instrument (RAI) -- MDS 2.0©and RAPs Canadian Version, Second Edition, March 2005. Ordering information available at http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=bl_ccrs_29apr2005_e.

  85. See http://www.kent.ac.uk/chss/interrai/develop/what_is_interrai.htm, http://www.interrai-au.org/authorisation.htm, and http://ageing.hku.hk/interrai/index.html.

  86. Integrating the Healthcare Enterprise (IHE) wiki. "Follow-ups to 2/15 call from Tom White" http://wiki.ihe.net/index.php?title=Talk:Functional_Status_Assessments_(FSA)_Integration_Profile_Supplement#Follow-ups_to_2.2F15_call_from_Tom_White.

  87. U.S. National Library of Medicine. National Institutes of Health. (2007) "License Agreement for Use of the UMLS® Metathesaurus®." Accessed January 2008 at http://wwwcf.nlm.nih.gov/umlslicense/snomed/license.cfm.

  88. LOINC. "LOINC and RELMA Terms of Use." Accessed January 2008 at http://www.regenstrief.org/medinformatics/loinc/terms-of-use.

  89. Copyright information concerning sources in the LOINC database is available from the full RELMA download available at http://www.regenstrief.org/medinformatics/loinc/downloads/files/loinc-and-relma-complete-download/gotoCopyrightedFile. In the loinccdb MS Access database, see the Source Organization table.

  90. interRAI web site accessed at http://www.interrai.org/section/view/?fnode=32.

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  92. CMS. Open Door Forum, held December 9, 2009.

  93. See http://elderlife.med.yale.edu/pdf/The%20Confusion%20Assessment%20Method….

  94. See http://www.qualitymeasures.ahrq.gov/summary/summary.aspx?ss=1&doc_id=369.

  95. Personal communication between staff at the Regenstrief Institute and the Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services.

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  100. Regulations published are available at the Federal Register web site: 64 FR 3748 (January 25, 1999), 64 FR 3764 (January 25, 1999), 64 FR 32983 (June 18, 1999), 64 FR 32992 (June 18, 1999), 66 FR 66903 (December 27, 2001), 70 FR 76199 (December 23, 2005), and 72 FR 49761 (August 29, 2007). Regulations have been codified at: CFR 42 §484 Public Health. Chapter IV-Health Care Financing Administration, Department of Health and Human Services. Part 484 -- Conditions of Participation: Home Health Agencies http://www.access.gpo.gov/nara/cfr/waisidx_06/42cfr484_06.html and CFR 42 §488 Public Health. Chapter IV-Health Care Financing Administration, Department of Health and Human Services. Part 488 -- Survey, Certification, and Enforcement Procedures. Sections relevant to OASIS include: CFR 42 §484.20 - Reporting OASIS Information; CFR 42 §484.11 -- Release of patient identifiable OASIS information; CFR 42 §484.55 -- Comprehensive Assessment of Patients, and CFR 42 §488.68 -- State agency responsibilities for OASIS collection and data base requirements. Other relevant legislation includes: the Social Security Act §1861(o) which required the establishment of a Home Health Prospective Payment System (HHPPS); the Social Security Act §1891(d) which required the Secretary of HHS to designate an assessment instrument for home health agencies to use; the Balanced Budget Act of 1997, which authorized the Secretary of HHS to require that home health agencies submit information for the purpose of implementing a prospective payment system (PPS) for HHAs, and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), which temporarily suspended the requirements in CFR §484.55 requiring comprehensive assessments for non-Medicare/non-Medicaid patients.

  101. Center for Health Services Research. Division of Health Care Policy and Research. University of Colorado Health Sciences Center. Accessed December 2007 at https://www2.uchsc.edu/chsr/index.shtml.

  102. "Home Health Quality Measures and Data Analysis". Contract # HHSM 500-2005-000181 T.O. #2. (Awarded September 2006).

  103. U.S. Centers for Medicare & Medicaid Services. Outcome and ASsessment Information Set : OASIS-C Guidance Manual. September 2009. Accessed at http://www.cms.hhs.gov/homehealthqualityinits/14_hhqioasisusermanual.asp.

  104. Center for Health Services and Policy Research. "Right to Copy, Reprint, and Use Oasis". Accessed December 2007 at http://www.cms.hhs.gov/HomeHealthQualityInits/downloads/HHQIOASISDataSetPermit.pdf.

  105. Appendix to the License Agreement for Use of the UMLS®Metathesaurus LNC_OASIS_2002 (new) -- The Outcome and Assessment Information Set (OASIS), 2002, Center for Health Services Research, UCHSC, Denver, CO. Accessed at http://www.nlm.nih.gov/research/umls/metaa1.html.

  106. LOINC. "LOINC and RELMA Terms of Use." Accessed January 2008 at http://www.regenstrief.org/medinformatics/loinc/terms-of-use.

  107. Copyright information concerning sources in the LOINC database is available from the full RELMA download available at http://www.regenstrief.org/medinformatics/loinc/downloads/files/loinc-and-relma-complete-download/gotoCopyrightedFile. In the loinccdb MS Access database, see the Source Organization table.

  108. U.S. Centers for Medicare & Medicaid Services. OASIS Data Set. Accessed February 2008 at http://www.cms.hhs.gov/HomeHealthQualityInits/12_HHQIOASISDataSet.asp.

  109. "Comprehensive Adult Nursing Assessment Including SOC/ROC Elements with CMS 485 Information" (Briggs Medical Service Company, 2003). Accessed December 2007 at http://shop.briggscorp.com/pdf/3491P.pdf.

  110. Carter, G.M., & et al. (2002). Analyses for the Initial Implementation of the Inpatient Rehabilitation Facility Prospective Payment System. Retrieved from http://www.rand.org/pubs/monograph_reports/MR1500/.

  111. "Item-by-Item IRF-PAI Coding Instructions" The Inpatient Rehabilitation Facility -- Patient Assessment Instrument (IRF-PAI) Training Manual: Effective 4/01/04. (Buffalo, NY: UB Foundation Activities, Inc., 2004), p. II-1. Accessed February 2008 at http://www.udsmr.org/pdfs/irfpaimanual040104%20(1).pdf.

  112. Regulatory notices can be found at "Medicare Program; Prospective Payment System for Inpatient Rehabilitation Facilities; Proposed Rule" 65 FR 66303-66442 (November 3, 2000) and "Medicare Program; Prospective Payment System for Inpatient Rehabilitation Facilities; Final Rule" 66 FR 41316-430. Updates to the Medicare Conditions of Participation for Inpatient Rehabilitation Facilities have been codified at 42 CFR, sections 412.610, 412.614 and 412.602. In order to participate in the Medicare program, hospitals must comply with Medicare Conditions of Participation, which are found at CFR 42 482 and subparts. Before performing an assessment using the IRF-PAI, a patient must be given several documents outlining their privacy rights, based on the Privacy Act of 1974 and HIPAA (1996).

  113. 66 FR 41317 (August 7, 2001).

  114. U.S. Centers for Medicare & Medicaid Services. (2002) IRF-PAI Training Manual. "Appendix J: Relative Weights for Case-Mix Groups (CMGs)".

  115. A list of qualifying conditions is available at http://www.cms.hhs.gov/InpatientRehabFacPPS/Downloads/IRF_PPS_75_percent_Rule_060807.pdf. This requirement has been one of the most controversial aspects of the IRF PPS. Implementation of the 75 percent rule was delayed several times and is being gradually phased in. For the last extension of the phase-in period for the 75 percent rule, see 44292 FR 72 (August 7, 2001) accessable at http://a257.g.akamaitech.net/7/257/2422/01jan20071800/edocket.access.gp….

  116. 66 FR 41323 (August 7, 2001).

  117. 66 FR 41326 (August 7, 2001).

  118. 66 FR 41325 (August 7, 2001).

  119. 66 FR 56681-56687.

  120. Trela, Patricia. "IRF PPS Coding Challenges." Journal of AHIMA 78, no.5 (May 2007): 70-71.

  121. ACRM/AAPM&R Task Force, Uniform National Data System, Meeting Minutes (Las Vegas, NV, February 26, 1984).

  122. Hamilton BB, Granger CV, Sherwin FS, Zielezny M, Tashman JS. "A uniform national data system for medical rehabilitation," in Fuhrer MJ (ed): Rehabilitation Outcomes: Analysis and Measurement. Baltimore, MD: Paul H Brookes Publishers, 1987, pp 137-147.

  123. The Research Foundation of State University of New York, SUNY at Buffalo. "Proposal for Field Initiated Research Project: Development of a Uniform National Data System for Medical Rehabilitation." Submitted to the National Institute of Handicapped Research, Office of the Assistant Secretary for Special Education and Rehabilitative Services, U.S. Department of Education by the State University of New York at Buffalo, Department of Rehabilitation Medicine, Carl V. Granger, M.D., Project Director, Byron B. Hamilton, M.D., Principal Investigator. (May 21, 1984).

  124. ACRM/AAPM&R Task Force, Uniform National Data System, Meeting Minutes (Las Vega, NV, February 26, 1984).

  125. A letter from Carl Granger to the American Hospital Association Section for Rehabilitation Hospitals and Programs suggesting how to respond to developers of existing assessment instruments included the text: "Several developers of disability assessment and rehabilitation outcome instruments and/or reporting systems have recommended that the Task Force adopt their products as a national system. The Task Force has noted the recommendations and implications of these requests and as a result has developed a position statement (appended) intended for wide dissemination concerning proprietary interests and development of the National Data System for Medical Rehabilitation…. The Task Force is attempting to anticipate the needs of the marketplace by developing an unbiased, valid, and reliable minimum data set." [Letter from Forer and Granger, signed only by Granger; no copy of the position statement found.] The Task Force rejected a system in place at the University of Pittsburgh, saying "Although the HUP system is perhaps the best available patient data base for medical rehabilitation, it has some shortcomings. It is an abstracting service with the usual reports to each hospital, but many rehabilitation units do not want to subscribe to such a service even if they are willing to contribute data for the purpose of establishing national norms." (Research Foundation, SUNY-Buffalo. "Proposal," 1984.)

  126. The National Task Force on a Uniform National Data System for Medical Rehabilitation, Minutes September 28-29, 1985, Kansas City, MO.

  127. The National Task Force on a Uniform National Data System for Medical Rehabilitation, Minutes for Meeting held in Baltimore, MD, October 20, 1986.

  128. Research Foundation, SUNY-Buffalo. "Proposal," 1984.

  129. The dispute over FIM ownership is at the heart of the FIM trademark case, in which UBFA, Inc. is the claimant and AMRPA the opposer. AMRPA argues in their opposition: “Applicant is aware that others in the field contributed to the research and development of the assessment tool known as the FIM, and that the assessment tool was not developed solely by or for Applicant but was the product of an industry-wide Task Force.” ("Notice of Opposition" American Medical Rehabilitation Providers Association, Opposer v UB Foundation Activities, Inc., Applicant" In The United States Patent and Trademark Office Before the Trademark Trial and Appeal Board, November 7, 2003). The UBFA applicant-respondent's trial brief (September 21, 2007) reads: "Dr. Carl Granger, the Director of Uniform Data System for Medical Rehabilitation ("UDS" or UDSMR") and a physician with an extensive background and experience in rehabilitation medicine, began to develop a medical-rehabilitation-assessment tool in 1970. In early 1984, Dr. Granger became a member of a task force to look at rehabilitation tools. Three months later, in May 1984, the Research Foundation of the State University of New York applied for a grant to the National Institute of Handicapped Research within the U.S. Department of Education. The grant's purpose was to develop a uniform national-data system for medical rehabilitation. Dr. Granger was the grant's Project Director. Contrary to repeated statements in AMRPA's Brief, the Task Force did not apply for or receive the grant; indeed the Task Force is explicitly identified in the grant application as nothing more than a consultant. As Dr. Granger testified, the Task Force played an advisory role. In 1985, the Research Foundation of the State University of New York filed a further application to continue the grant. The FIMTM instrument was developed as part of the work under the grant; it was not completed before the grant was completed. All rights in the FIMTM instrument were owned by the Research Foundation of the State University of New York, and were assigned to University at Buffalo Foundation Activities, Inc." ("Applicant-Respondent's Trial Brief" American Medical Rehabilitation Providers Association, Opposer-Petitioner, v UB Foundation Activities, Inc., Applicant-Respondent" The United States Patent and Trademark Office Before the Trademark Trial and Appeal Board, September 21, 2007).

  130. ACRM/AAPM&R Task Force minutes (February 26, 1984).

  131. American Medical Rehabilitation Providers Association, Opposer-Petitioner, v UB Foundation Activities, Inc., Applicant-Respondent" The United States Patent and Trademark Office Before the Trademark Trial and Appeal Board.

  132. The grant extension proposal also suggested a greater role for the task force: "The AAPM&R Task Force reviewed a draft of the demographic characteristics and functional behavior items at the October 20 meeting held in conjunction with the annual meeting in Boston… Over the course of a full day's deliberations, decisions were made with respect to the items. A major decision was to measure functional behavior on a four-point rather than a five-point scale. The instrument is called the Functional Independence Measure." "Steven Forer [task force co-chair] developed the demographic items for review by the project personnel as well as a code sheet. Both were adopted with some modifications." ("Continuation of Field Initiated Research Project; Development of a Uniform National Data System for Medical Rehabilitation". Submitted to: The National Institute of Handicapped Research, Office of the Assistant Secretary for Special Education and Rehabilitation Services. Submitted by: The State University of New York at Buffalo, Department of Rehabilitation Medicine, Carl V. Granger, MD, Project Director, Byron B. Hamilton, MD, Principal Investigator, January 18, 1985).

  133. Research Foundation, SUNY-Buffalo. "Proposal," 1984.

  134. Research Foundation, SUNY-Buffalo. "Continuation of Field Initiated Research Project," 1985.

  135. Harada, N.D., G. Kominski, and S. Sofaer (1993). "Development of a Resource-Based Classification for Rehabilitation" Inquiry. 30(1): 54-63.

  136. Stineman, M.G. et al. (1994) "A Case Mix Classification System for Medical Rehabilitation." Medical Care 32 (4):366-79.

  137. Carter, G.M., D.A. Relles, B.O. Wynn, et al., (2000) Interim Report on an InpatientRehabilitation Facility Prospective Payment System, Santa Monica, CA: RAND, MR-1503-CMS. Accessed at http://www.rand.org/pubs/drafts/DRU2309/.

  138. P.L. 106-113.

  139. Medicare Payment Advisory Commission: Post-Acute Care Providers: Moving Toward Prospective Payment. Report to Congress: Medicare Payment Policy. Washington, DC. March 1999.

  140. UDSMR. "Statement of Ownership of the FIM System." (n.d.) The Statement went on to read: "Any incorporation of portions of the Guide or other copyrighted works relating to the FIM System into other works, any modification of any such modified works by third parties, and any use of any such copyrighted works of the FIM service marks owned by UDSMR, without a license from UDSMR, is and remains improper and in violation of UDSMR's intellectual property rights."

  141. Tesio L, Granger CV, Perucca L, Franchignoni FP, Battaglia MA, Russell CF: "The FIM(TM) instrument in the United States and Italy: A comparative study." Am J Phys Med Rehabil 2002;81:168-176.

  142. Letter from Kathleen Wall, Partner HodgsonRuss Attorneys LLP (counsel to UDSMR) to Mr. John Shinn, President, PPS Plus Software (December 5, 2002). [interestingly, this letter goes on to say that there is no comparison to MDS and OASIS, because those two, unlike the FIM, are not proprietary.]

  143. UDSMR. Center for Functional Assessment Research. "Research Policy: Use of Instruments" http://www.udsmr.org/instruments.php. [Note December 21, 2009: the research policy is no longer available on the UDSMR web site. A view of an archived edition of the policy is available here -- http://web.archive.org/web/20050930205127/http://www.udsmr.org/instruments.php.]

  144. "UDSMR International: General Information".

  145. UDSMR states that countries, including Italy, Sweden, Finland, Israel, and Japan have implemented parts of the FIM system under license and standards developed by UDSMR. (Tesio, "The FIM Instrument".)

  146. License Agreement Letter between UDSMR and Integrated Voice Solutions, dated July 12, 1994.

  147. The Inpatient Rehabilitation Facility -- Patient Assessment Instrument (IRF-PAI) Training Manual: Effective 4/01/04. (UB Foundation Activities, Inc. 2004). Accessed at http://www.udsmr.org/pdfs/irfpaimanual040104%20(1).pdf.

  148. UB Foundation Activities, Inc. "Briefs on Merits for Defendant" before the Trademark Trial and Appeal Board, in the U.S. Patent and Trademark Office. (September 21, 2007); KPMG LLP. University at Buffalo Foundation, Inc. and Affiliates. Consolidated Financial Statements, June 30, 2009 and 2008 (With Independent Auditor's Report Theron). (October 30, 2009). Accessed at http://www.ubfoundation.buffalo.edu/drpl/node/456.

  149. Tesio. "The FIM Instrument" (2002).

  150. Fiedler, Roger C., Granger, Carl V. and Carol F. Russell. (2000) “UDSMRSM: Follow-Up Data on Patients Discharged in 1994-1996” American Journal of Physical Medicine & Rehabilitation 79:2, March/April 2000, pp. 184-192.

  151. 66 FR 41334; U.S. Centers for Medicare & Medicaid Services. "IRF Patient Assessment Instrument" accessed at http://www.cms.hhs.gov/InpatientRehabFacPPS/04_IRFPAI.asp#TopOfPage.

  152. See http://www.cms.hhs.gov/InpatientRehabFacPPS/downloads/irfpaimanual040104.pdf.

  153. UDSMR. "UDSMR International: General Information" accessed at http://www.udsmr.com/WebModules/International/int_About.aspx.

  154. UB Foundation Activities, Inc. "Briefs on Merits for Defendant" before the Trademark Trial and Appeal Board, in the U.S. Patent and Trademark Office. (September 21, 2007) License Agreement between UBFA, Inc. and HCFA, dated September 21, 1995.

  155. License Agreement between UBFA, Inc. and HCFA, dated September 21, 1995.

  156. American Medical Rehabilitation Providers Association, Opposer-Petitioner, vs. UB Foundation Activities, Inc., Applicant-Respondent. "Applicant-Respondent's Trial Brief". Trademark Trial and Appeal Board, U.S. Patent and Trademark Office, deposited September 21, 2007. http://ttabvue.uspto.gov/ttabvue/ttabvue-91158512-OPP-70.pdf.

  157. Letter from Richard T. Linn, Director, UDSMR, to Christy Schmidt, Executive Coordinator, Regulatory Reform Initiative, ASPE, dated April 17, 2002. ASPE apparently had put out a request for input to which AMRPA had responded.

  158. Richard Linn letter, April 17, 2002.

  159. The text of the OMB circular at the time of the FIM grants was slightly different from what it is currently, but basically states the same thing. As codifed in 34 CFR 74.145 (revised as of July 1, 1984), the text read: "Copyrights. (a) Works under grants. Unless otherwise provided by the terms of the grant, when copyrightable material is developed in the course of or under a grant, the grantee is free to copyright the material or permit others to do so… (c) ED rights. If any coyrightable material is developed in the course of or under an ED grant or subgrant, ED shall have a royalty-free, nonexclusive, and irrevocable right to reproduce, publish, or otherwise use, and to authorize others to use, the work for Federal Government purposes."

  160. "Addendum to September 21, 1995 License Agreement Between Uniform Data System for Medical Rehabilitation and Department of Health and Human Services, the Centers for Medicare & Medicaid Services, dated February 1, 2002.

  161. 1995 License Agreement.

  162. 2002 License Agreement Addendum.

  163. UDSMR Position Statement Concerning HCFA/RAND Reports on the Development of a Prospective Payment System for Medical Rehabilitation (dated September 1997).

  164. Trosow, Samuel E. I. Copyright Protection for Federally Funded Research: Necessary Incentive or Double Subsidy? (draft paper September 7, 2003).

  165. U.S. Patent and Trademark Office. Trademark Trial and Appeal Board. American Medical Rehabilitation Providers Association v. UB Foundation Activities, Inc. September 23, 2008. Accessed at http://ttabvue.uspto.gov/ttabvue/ttabvue-91158512-OPP-78.pdf.

  166. For example, Herndon, in the Handbook of Neurologic Rating Scales 2nd ed.(Demos Medical Publishing, 2006) indicates that the 7-point scale is under copyright, but later writes that "The FIM has become proprietary."

  167. Holthaus, Danielle, and Andrew Kramer. "Introduction, Background, and Objectives" Uniform Patient Assessment for Post-Acute Care (Aurora, CO: Division of Health Care Policy and Research, University of Colorado at Denver and Health Sciences Center, 2006). Accessed at http://www.bu.edu/hdr/documents/QualityPACFullReport.pdf.

  168. The National Task Force on a Uniform National Data System for Medical Rehabilitation, Minutes for Meeting held in Baltimore, MD, October 20, 1986.

  169. UDSMR web site.

  170. Research Foundation, SUNY-Buffalo. "Continuation of Field Initiated Research Project," 1985.

  171. UDSMR. "Why Uniform Data Now?" (n.d.) Document appears to be a draft of a brochure.

  172. Letter marked "Draft" from Carl V. Granger, M.D. to Carolyn Zollar (dated August 8, 1986). This letter was in response to a letter from Carolyn Zollar, General Counsel to the National Association of Rehabilitation Facilities (NARF), dated June 29, 1986.

  173. Letter re: UDSMR/Formations in Health Care, Inc. dated August 16, 1994, from Tricia T. Semmelhack to Laura Dickinson Lee.

  174. Letter from Kenneth W. Aitchison, President, Kessler Rehabilitation Corporation to Carl V. Granger, M.D., UDSMR, dated April 7, 1998. (A copy of the AMRPA position statement was not located.)

  175. Letter from Carl V. Granger, Professor Rehabilitation Medicine, and Director, CFAR & UDSMR to Kenneth V. Aitchison, President, Kessler Rehabilitation Corporation, dated April 28, 1998.

  176. Letter from Marisa Smith, Paralegal, UDSMR to Robert M. Rowe, Director of Information Services, InterLink Rehab Services, dated October 22, 1999.

  177. Email response from Marisa Smith, Legal Services Supervisor at UDSMR to Dr. Michael Yoshida at the VA, dated April 08, 2002.

  178. Velozo, C.A., Byers, K.L., & Joseph, B.R. (2007). Translating measures across the continuum of care: Using Rasch analysis to create a crosswalk between the Functional Independence Measure and the Minimum Data Set. Journal of Rehabilitation Research and Development. 44(3): 467-478.

  179. The VA user's manual for the FIM is available at http://www.va.gov/vdl/documents/Clinical/Func_Indep_Meas/fim_user_manual.pdf.

  180. Braddom, Randall L. "Medicare Funding for Inpatient Rehabilitation: How Did We Get to This Point and What Do We Do Now?" Archives of Physical Medicine and Rehabilitation Volume 86, Issue 7, July 2005, Pages 1287-1292.

  181. 17 U.S.C. §105 http://www.copyright.gov/title17/92chap1.html#105.

  182. AHIMA Comments on CMS SNF PPS for Skilled Nursing Facilities (June 30, 2009). http://www.ahima.org/dc/documents/AHIMACommentsonCMSSNFPPSforSkilledNur….

Notes

  1. 72 Federal Register 71413-14 (December 17, 2007).

  2. CENDI Copyright Task Group. (2002, updated 2007). Frequently Asked Questions About Copyright: Issues Affecting the U.S. Government. Oak Ridge, TN: CENDI Secretariat, Information International Associates, Inc. Retrieved from http://www.cendi.gov/publications/04-8copyright.html#40.

  3. Morris, John N., Katharine Murphy, and Sue Nonemaker. Long Term Care Facility Resident Assessment Instrument (RAI) User’s Manual. (HCFA, October 1995).

  4. U.S. Centers for Medicare & Medicaid Services. Revised Long-Term Care Facility Resident Assessment Instrument User’s Manual: Version 2.0. (December 2002; revised March 2007).

  5. Retrieved from http://www.cms.hhs.gov/Nursinghomequalityinits/25_NHQIMDS30.asp.

  6. Personal correspondence between Regenstrief and ASPE.

  7. CMS. Supporting Statement for Paperwork Reduction Act Submission -- Part A -- revised Form #CMS-R-245 (OMB #0938-0760) -- OASIS C (3/4/2009).

  8. Retrieved from http://www.cms.hhs.gov/HomeHealthQualityInits/Downloads/HHQIResponsesToPublicComments.pdf.

  9. Retrieved from http://www.nlm.nih.gov/research/umls/sourcereleasedocs/2009AA/LNC_OASIS/ and http://www.nlm.nih.gov/research/umls/sourcereleasedocs/2009AA/LNC_MDS/.

  10. The author is aware of the trademark status of FIM and understands that, according to UBFA guidelines (http://www.udsmr.org/Documents/Trademark-service%20mark.pdf), FIM should only be used as an adjective. For the purpose of this report, when FIM is used as a noun, it is used as an abbreviation for the Functional Independence Measure, similar to Graham et al. [including Carl Granger of UDSMR®] (2008), p.861. http://biomed.gerontologyjournals.org/cgi/reprint/63/8/860. When used as an adjective, its registered trademark status will be indicated.

  11. UDSMR® and FIM®are trademarks of Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc. (http://www.udsmr.org/Documents/Trademark-service%20mark.pdf).

  12. "A public use set of codes and names designed to facilitate in particular the electronic transmission and storing of clinical laboratory results.” http://www.openclinical.org/medTermLoinc.html.

  13. "the HL7 Standards -- are essentially freely available and can be used for free. As such, there are no usage licenses required or license fees payable when using the HL7 Standards to implement interfaces.” http://www.hl7.com.au/FAW.htm#Licensing.

  14. These providers continued to be paid based on amendments to the Social Security Act by the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982, and were referred to as TEFRA facilities.

  15. Refer to http://www.kent.ac.uk/chss/interrai/develop/what_is_interrai.htm.

  16. Refer to http://www.interrai-au.org/authorisation.htm.

  17. Refer to http://ageing.hku.hk/interrai/index.html.

  18. Refer to http://www.cms.hhs.gov/InpatientRehabFacPPS/06_Software.asp#TopOfPage.

Appendix C: Rosetta Stone Mapping Guidelines and Heuristics

1. Purpose

The purpose of this project is to:

  1. Develop a Health Level Seven International (HL7) Clinical Document Architecture (CDA) framework for the federally mandated Minimum Data Set 3.0 (MDS3.0) for nursing homes. HL7 CDA Release 2 (CDA R2) is a document markup standard that specifies the structure and semantics of clinical documents for the purpose of electronic health information exchange. CDA provides a mechanism for incremental semantic interoperability. Application of this recognized standard to the MDS 3.0 and the home health Outcome and Assessment Information Set (OASIS-C) assessments will allow health care facilities to communicate assessment content in an interoperable, industry-standard format.

  2. Map the federally mandated MDS3.0 and OASIS-C assessment instruments to the Systematized Nomenclature of Medicine -- Clinical Terms (SNOMED CT) and other health IT vocabularies.

  3. Present the SNOMED CT mapped data in a format that supports:

    1. Inbound receipt of semantically interoperable EHR content applicable to completion of the MDS3.0 or OASIS-C; and
    2. Outbound movement of semantically interoperable assessment content to an HL7 CDA Questionnaire Assessment or Patient Summary Document using the adopted Continuity of Care Document (CCD) standard.

The MDS CDA Implementation Guide (IG):

The HL7 Implementation Guide for CDA R2: CDA Framework for Questionnaire Assessments (Universal Realm) and CDA Representation of the Minimum Data Set Questionnaire Assessment (U.S. Realm), Draft Standard for Trial Use (DSTU), Release 1 was published April 2009. This Implementation Guide specifies a standard for electronic submission of CDA questionnaire assessments that allows health care facilities to communicate assessment documents in an interoperable, industry-standard format.

While not yet published through HL7, a preliminary DSTU Update Release for this implementation guide, based on the CMS MDS3.0 data specifications v1.00.0, October 2009, has been created in conjunction with this study. All references in this heuristics document are to the Implementation Guide for CDA R2: CDA Framework for Questionnaire Assessments (Universal Realm) and CDA Representation of the Minimum Data Set Questionnaire Assessment (U.S. Realm) Draft Standard for Trial Use, Update Release 2 (hereafter referred to as the MDS CDA implementation guide (IG)). In the future, we expect this Guide to be further refined.

2. HL7 CDA Representation Of Questionnaire Assessments

HL7 created a preliminary DSTU update, the MDS CDA Implementation Guide, based on the CMS MDS3.0 data specifications v1.00.0, October 2009. The MDS CDA IG specifies a standard for electronic submission of CDA questionnaire assessments that allows healthcare facilities to communicate assessment documents in an interoperable, industry-standard format. The questionnaire assessments contain multiple questions with specific answers.

The MDS CDA IG defines both a required Model of Use (MoU) representation and an optional Model of Meaning (MoM) representation for each entry in the CDA Body. These models (described below) support both a faithful representation of the exact questions and answers on an assessment questionnaire and a semantically interoperable and reusable representation that encodes their meaning. In addition, the EHR system may have data to determine the answer to a particular form’s question. In such a case, the relevant EHR data can be optionally included in the questionnaire instance as a Supporting Observation(s).

Re-Use of MDS & OASIS Data Through Interoperable, Industry Standard Formats

Model of Use (MoU): MDS and OASIS concepts are represented using LOINC codes that have been developed to convey each question and answer precisely as it was captured on the assessment instrument.

Model of Meaning (MoM): MDS and OASIS concepts are represented using standard vocabulary (e.g., SNOMED CT) and formal CDA clinical statement modeling.

Supporting EHR Observations: MDS and OASIS concepts are represented as standard vocabulary value sets that support re-use of EHR content relevant to assessment questions.

  • Model of Use (MoU) is the representation of question/answer data precisely in the form in which it was captured in the application of origin (i.e., the assessment instrument). A set of Logical Object Identifiers Names and Codes (LOINC) codes have been developed to represent each question and coded answer on the assessment questionnaire.

    • This MoU will support queries of the type “Find all patients with a Response of X to Question Y on Form Z.”

    • See 1.13.1 -- Model of Use Base Pattern and 1.13.2 -- Model of Use Question and Answer Patterns for details on MoU representation in the MDS CDA IG.

  • Model of Meaning (MoM) includes the representation of clinical data or concepts using standard vocabulary and formal CDA Refined Message Information Model (RMIM)-compliant clinical statement modeling. Some or all of the questions and responses on a form are amenable to partial or complete formal modeling using constructs provided by the HL7 Reference Information Model (RIM) coupled with standard terminologies. MoM representation is optional in this specification because many questions are not currently amenable to formal representation using standard terminologies.

    • This MoM will support queries of the type “Find all patients with Condition X, regardless of the form used to collect the data.”

    • See 1.13.3 -- Model of Meaning Representation for details on MoM representation in the MDS CDA IG.

  • Supporting EHR Observations -- Existing electronic health record (EHR) data may be relevant to making the decision about how to answer a particular form's question. In such a case, the MDS CDA IG defines how to optionally include “supporting observations” in the questionnaire instance.

    • See 1.13.4 -- Supporting Observations for details on supporting EHR observation representation in the MDS CDA IG.

3. Rosetta Stone

The Rosetta Stone spreadsheet was designed as a tool to assist health IT vendors of long-term care EHR products in the transition to using LOINC, SNOMED CT and other standard vocabularies as the terminology of choice for the documentation and conveyance of MDS 3.0 (based on CMS MDS3.0 data specifications v1.01.0, December 2010) and OASIS-C (based on CMS OASIS-C data specifications v2.00, Revision 3, October 2009) assessment content. The use of these healthIT standards should be transparent to the end user and the assessment content they are accustomed to seeing would remain unchanged. However, the software application would be enhanced to map the assessment content to standard vocabularies to support interoperable exchange and reuse of the assessment content. The Rosetta Stone is a tool that can be used for various mapping scenarios:

CMS Data Specifications:

Several updates to the CMS MDS3.0 Data Specifications were released over the course of this project. It was out of scope for this project to revise deliverables based on data specification updates released following completion of a tool. Such updates will need to be addressed in the future.

MDS tools created for this study are based on the CMS data specifications as listed below:

  • MDS CDA Implementation Guide Update Release 2: used CMS MDS3.0 data specifications v1.00.0, October 2009
  • MDS Rosetta Stone: used CMS MDS3.0 data specifications v1.01.0 December 2010
  • OASIS Rosetta Stone: used CMS OASIS-C data specifications v2.00, Revision 3, October 2009
  1. Map from MDS3.0 or OASIS-C in CMS format to corresponding Model of Use LOINC representation: In this scenario, for each MDS3.0 or OASIS-C question and answer, there is a corresponding LOINC question and answer code, respectively. For MDS3.0 questions and answers, the CDA pattern to be used when communicating the assessment items in CDA format is also listed. For this scenario, see the Rosetta Stone "Model of Use" tab in the attached Excel spreadsheet.

  2. Map from MDS3.0 or OASIS-C in CMS format to corresponding Model of Meaning representation: In this scenario, for each MDS3.0 question and answer mappable to a standard terminology, there is a corresponding semantically complete representation, based on a complete modeling of the question against the HL7 Reference Information Model, coupled with codes from a standard terminology such as SNOMED CT or code sets such as ICD-9-CM or CVX. For OASIS-C questions and answers, there is a corresponding code from a standard terminology such as SNOMED CT or code set such as CVX.

    MDS3.0 and OASIS-C data elements were also evaluated against other standard terminologies such as RxNorm. However, these other terminologies were not compatible with the data captured in these CMS standardized assessment instruments.

    For this scenario, see the Rosetta Stone “Model of Meaning” tab in the attached Excel spreadsheet for the semantic representation of MDS or OASIS questions and answers.

  3. Map from EHR data element to MDS3.0 element to facilitate semi-automated population of assessments from EHR data: In this scenario, one uses the Rosetta Stone "Supporting EHR Observation" tab and corresponding Access database of "Value Set Members". Where a SNOMED-encoded finding, ICD-9-CM code or ICD-10-CM code in the EHR maps into one of the value sets, it suggests the presence of EHR data that could be used to help fill in the corresponding MDS question.

    Note: Under this scope of work, value sets were only created for MDS3.0 Section I (Active Diagnoses) data elements. Additional work is needed to identify value sets for OASIS-C data elements and data elements for other sections of the MDS3.0.

A separate “Rosetta Stone” has been created for the MDS3.0 and the OASIS-C assessment instruments. Each Rosetta Stone is a spreadsheet with an Overview describing the content of the spreadsheet, and separate tabs for Model of Use and Model of Meaning content. The Rosetta Stone for the MDS3.0 also has a “Supporting EHR Observations” tab for Section I (Active Diagnoses) value sets as described above.

4. Mapping Methodology

4.1. Model of Meaning (MoM) Tab -- Minimum Data Set 3.0/OASIS-C to SNOMED CT Mapping

The MDS3.0 and OASIS-C consist of individual sections containing a series of questions and corresponding answers. Each of the MDS3.0 and OASIS-C data elements contains a coding schema that links a document section to the questions and answers for that section.

General principles guiding the mapping of MDS3.0 and OASIS-C data elements to SNOMED CT include:

  1. Data elements are mapped to active SNOMED CT concepts (SNOMED CT Concept Status code “0”).

  2. The MoM tab reflects the best SNOMED CT Fully Specified name (FSN) or its proximal parent code.

  3. The approach to mapping the OASIS and MDS content is at the level of the answered question, with a primary focus on showing how the completed form is to be represented.

  4. A one-to-one SNOMED CT mapping is selected whenever possible

    EXAMPLE:
    MDS3.0 Data Element: B0600-2 -- No speech -- absence of spoken words  
    SNOMED CT Concept ID: 286371003
    SNOMED CT FSN: Does not speak (finding)
    SNOMED CT Best Match on MoM tab:   286371003 -- Does not speak (finding)
  5. If a one-to-one mapping is not available, the data element is mapped to the SNOMED CT proximal parent that includes all of the possible descendent data elements necessary to represent the MDS/OASIS concept.

    Some MDS/OASIS data elements embody more than one concept (e.g. MDS item I4500 (CVA, TIA, or stroke)). When a one-to-one mapping to SNOMED CT is not available, the data element is mapped to the SNOMED CT code that best represents all concepts embodied in the MDS/OASIS data element.

    EXAMPLE:
    MDS3.0 Data Element: I4500 -- Cerebrovascular accident (CVA), TIA, or stroke)  
    SNOMED CT Concept ID #1 -- “CVA”: 230690007 Child concept to “cerebro-vascular disease (disorder)”
    SNOMED CT FSN #1: cerebrovascular accident (disorder)
    SNOMED CT Concept ID #2 -- “TIA”: 266257000 Child concept to “cerebro-vascular disease (disorder):
    SNOMED CT FSN #2: transient ischemic attack (disorder)
    SNOMED CT Concept ID #3 -- “‘stroke”: 230690007 Child concept to “cerebro-vascular disease (disorder):
    SNOMED CT FSN #3: cerebrovascular accident (disorder)
    SNOMED CT Best Match on MoM tab:   62914000 -- cerebrovascular disease (disorder)   “Cerebro-vascular disease (disorder)” -- parent concept for CVA and TIA
  6. If no comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping, the “Comment” column reflects the reason the data element could not be mapped.

    MDS and OASIS items that are not mapped to SNOMED CT would be represented by LOINC codes found in the MoU tab.

  7. Unique SNOMED CT codes SHALL be used for the question and associated answer(s).

    Representing the structure/content of an assessment item in SNOMED CT will require the use of one of the following coding techniques:

    1. Use of a single SNOMED CT code that fully represents the patient’s status in terms of the question/answer pair (see example in Section 4.1.1 “Rules for SNOMED CT Mapping Using an Assertion Pattern”), or
    2. Use of two SNOMED CT codes: a SNOMED CT code to represent the question and a SNOMED CT code to represent the patient’s performance as measured by the answer (see example below).
    EXAMPLE:
    MDS3.0 Data Element: Question: J0400 (Res pain interview: frequency)  
    SNOMED CT Concept ID:   364631005
    SNOMED CT FSN: pattern of pain (observable entity)
    MDS3.0 Data Element: Response: J0400-1 (Almost constantly)
    SNOMED CT Concept ID: 255238004
    SNOMED CT FSN: continuous (qualifier value)
    MDS3.0 Data Element: Response: J0400-2 (Frequently)
    SNOMED CT Concept ID: 70232002
    SNOMED CT FSN: frequent (qualifier value)
    MDS3.0 Data Element: Response: J0400-3 (Occasionally)
    SNOMED CT Concept ID: 84638005
    SNOMED CT FSN: occasional (qualifier value)
    MDS3.0 Data Element: Response: J0400-4 (Rarely)
    SNOMED CT Concept ID: 89292003
    SNOMED CT FSN: rare (qualifier value)
  8. The same SNOMED CT code MAY be used for more than one response to a question.

    EXAMPLE:
    MDS3.0 Data Element: Question: B0700 (Makes self understood)
    SNOMED CT Concept ID:   288743004
    SNOMED CT FSN: ability to make self understood (observable entity)
    MDS3.0 Data Element: Response: B0700-0 (Understood)
    SNOMED CT Concept ID: 288746007
    SNOMED CT FSN: does make self understood (finding)
    MDS3.0 Data Element: Response: B0700-1 (Usually understood -- difficulty communicating some words or finishing thoughts but is able if prompted or given time)  
    SNOMED CT Concept ID: 288748008
    SNOMED CT FSN: difficulty making self understood (finding)
    MDS3.0 Data Element: Response: B0700-2 (Sometimes understood -- ability is limited to making concrete requests)
    SNOMED CT Concept ID: 288748008
    SNOMED CT FSN: difficulty making self understood (finding)
    MDS3.0 Data Element: Response: B0700-3 (Rarely/never understood)
    SNOMED CT Concept ID: 288747003
    SNOMED CT FSN: does not make self understood (finding)
  9. SNOMED CT grouper concepts SHALL NOT be used to represent the answer to a question if possible

    EXAMPLE:
    OASIS-C Data Element: Question: M1100_PTNT_LVG_STUTN (Patient Living Situation)  
    SNOMED CT Concept ID:   224209007  
    SNOMED CT FSN: residence and accommodation circumstances (observable entity)  
    OASIS-C Data Element: Response: 1 (Patient Lives Alone -- Around the clock) DO NOT code to SNOMED CT parent concept: 365508006 -- finding of residence and accommodation circumstances (finding).

    This is a grouper concept.
    SNOMED CT Concept ID: 105529008
    SNOMED CT FSN: lives alone (finding)
    OASIS-C Data Element: Response: 6 (Patient Lives with Other Person -- Around the clock)
    SNOMED CT Concept ID: 160724009
    SNOMED CT FSN: independent housing, not alone (finding)
    OASIS-C Data Element: Response: 11 (Patient Lives in Congregate Situation -- Around the clock)  
    SNOMED CT Concept ID: 105530003
    SNOMED CT FSN: living in residential institution (finding)
  10. MDS3.0 or OASIS-C demographic data elements:

    • SHALL NOT be mapped to a SNOMED CT concept if they are mapped to a CDA Header element. For example:

      • MDS3.0 Data Elements: A0600A (Social Security Number)
             A0900 (Birthdate)
    • SHALL NOT be mapped to a SNOMED CT concept if the MDS CDA IG instructs that the data element be coded to another code sets. For example:

      • The MDS CDA IG recommends the use of HITSP-recognized HL7 administrative gender codes
      • The MDS CDA IG maps the MDS marital status responses to the HITSP-recognized HL7 marital status codes
      • The MDS CDA IG uses the Ethnicity pattern, modeled per HITSP recommendations, where observation/value is drawn from CDC Race and Ethnicity Code Set
    • SHALL NOT be mapped to SNOMED CT concept if there is no clear relevance/usefulness to other care providers/clinicians. For example:

      • MDS3.0 Data Element: A0310A (Type of assessment: OBRA)

Summary: SNOMED Representations in the Model of Meaning Tab

Available SNOMED representations for the MDS and OASIS are found column G (SNOMED CT code) and column H (SNOMED CT Fully Specified Name) of the Model of Meaning tab in the respective Rosetta Stones. These Rosetta Stones also identify the primary reason that an assessment item is not mapped to a SNOMED concept (see column G in the respective MoM tab). The following statements are used to indicate the reason a concept is not mapped to SNOMED CT.

  • Concept Not Mapped --

    • This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
    • No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
    • Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination*
    • Negated/frequency/qualifier data elements is addressed through the vendor information model or in the CCD
    • Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
    • Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping

*NOTE: This study did not undertake activities to post-coordinate complex, compound MDS data elements.

See Section 6 below for examples of MDS and OASIS data elements relevant to each of the “Concept Not Mapped” statements below.

4.1.1. MoM Tab -- Rules for SNOMED-CT Mapping of MDS3.0/OASIS-C Data Elements

A variety of question/answer formats are found in the MDS3.0 and OASIS-C assessment instruments. Two techniques were used in mapping SNOMED CT concepts for these various question/answer formats:

  • Assertion Pattern
  • Question/Answer Pattern

Assertion Pattern

  1. Typically, MDS and OASIS questions that are in a “yes/no” or “check all that apply format” are represented using an “assertion pattern”.
  2. In an assertion pattern, the question itself is not mapped to SNOMED CT, only the response is represented (e.g. “the resident is comatose”, “the resident does not use hearing aid”).
  3. The SNOMED CT hierarchies used for mapping “assertion patterns” differ slightly from the hierarchies used to map data elements in a “question/answer pattern”.

Rules for SNOMED CT Mapping Using an Assertion Pattern

For items with a CDA MoM representation of “assertion pattern” (typically questions in a “yes/no” or “check all that apply” format):

  1. The question SHALL NOT be mapped to SNOMED-CT

  2. The answers SHALL be mapped to the following SNOMED CT hierarchies:

    • Clinical Findings
    • Situation with Specific Context
    • Procedure
EXAMPLE #1 -- Assertion Pattern (yes/no question format):
1. MDS 3.0 Question B0100 "Comatose"
  • Answer = "No" (B0100-0) -- 271591004 -- Fully conscious (finding)
  • Answer = "Yes" (B0100-1) -- 371632003 -- Coma (disorder)
EXAMPLE #2 -- Assertion Pattern (check all that apply format):
  • MDS 3.0 Item B0900A (Staff asmt mental status: recall current season) -- 225033002 -- Memory recall finding (finding)
  • MDS 3.0 Item B0900B (Staff asmt mental status: recall location of room) -- 165287001 -- Memory: present place known (finding)
  • MDS 3.0 Item B0900C (Staff asmt mental status: recall staff names/faces) -- 285227006 -- Able to remember faces (finding)
  • MDS 3.0 Item B0900D (Staff asmt mental status: recall in nursing home) -- 165287001 -- Memory: present place known (finding)

Question/Answer Pattern

  1. Typically, MDS and OASIS questions that are answered by means of a scale (e.g., 1=adequate, 2=slightly impaired) are represented using a “question/answer pattern”.
  2. Both the question and answer(s) are mapped to SNOMED CT.
  3. The SNOMED CT hierarchies that can be used for mapping questions in a “question/answer” pattern differ slightly from the hierarchies used to map answers in a “question/ answer” pattern.

Rules for SNOMED CT mapping using a Question/Answer Pattern

For items with a CDA MoM representation of “question/answer pattern” (typically questions that have some type of ‘scale’ for the response (i.e., 1=x, 2=y, etc.):

  1. The question SHALL be mapped to the following SNOMED-CT hierarchies:

    • Observable Entity
    • Procedure
  2. The answers MAY be mapped to the following SNOMED CT hierarchies:

    • Clinical Findings
    • Qualifier
    • Procedure
    • Situation with Specific Context
EXAMPLE:
1. MDS 3.0 Question B0200 "Hearing" -- 364019009 -- Ability to hear (observable entity)
  • Answer = "Adequate" (B0200-0) -- 16233902 -- Hearing Normal (finding)
  • Answer = "Minimal Difficulty" (B0200-1) -- 162340000 -- Hearing difficulty (finding)
  • Answer = "Moderate Difficulty" (B0200-2) -- 425091001 -- Difficulty hearing normal speech tones (finding)
  • Answer = "Highly Impaired" (B0200-3) -- 306972000 -- Unable to hear loud voice (finding)
4.2. EHR Observation Tab --- Minimum Data Set 3.0 to SNOMED CT, ICD-9-CM and ICD-10 Mappings

For this project, value sets containing a collection of ICD-9-CM, ICD-10-CM and SNOMED CT codes that could support a given MDS response have been identified for each item in MDS3.0 Section I (Active Diagnoses). For example, the ICD-9-CM value set for MDS item I0100 (Cancer) includes all codes in the range 140-239. The presence of an ICD-9-CM code within this range in the patient’s EHR could flag the user to assess if response I0100 should be marked on the MDS assessment.

For purposes of this project, SNOMED CT, ICD-9-CM and ICD-10 value sets have been developed for data elements in MDS 3.0 Section I (Active Diagnoses) only. Value sets have not been developed for data elements in other sections of the MDS 3.0 or for the OASIS-C.

  1. General principles guiding the value set mapping for SNOMED CT include the following:

    • Value sets are developed at the question level only and are mapped to the following SNOMED CT hierarchies

      • Clinical finding
      • Situation with explicit context
    • The questions are equivalent to the assertion patterns or question/answers patterns in the Rosetta Stone Model of Meaning tab. The value set consist of variations of the Model of Meaning concepts.

    EXAMPLE:
    MDS 3.0 Data Element I3700 -- Arthritis (e.g., degenerative joint disease (DJD), osteoarthritis, and rheumatoid arthritis (RA)
    • Association/Model of meaning: Arthropathy (disorder) Concept ID 399269003
    • Value Set: Osteoarthritis (disorder) 396275006
           Arthritis (disorder) 3723001
           Decedents of Arthropathy (disorder) CID 399269003 within SNOMED CT
  2. The value set mapping for ICD-9-CM and ICD-10-CM identifies relevant codes for the specified conditions found in the 2011 releases of the classification systems.

4.2.1. EHR Observation Tab -- Rules Used for the Development of SNOMED CT Value Sets

The Model of Meaning concept has been imported to the International Health Terminology Standards Development Organization (IHTSDO) Workbench mapping tool with intentional definition rules used to select the appropriate children concept nodes that relate to the Model of Meaning. Those nodes have been extracted and placed into an Access database. The Access database links the MoM to the valueset_name by clicking on the name within the database. The value set consists of the MDS description, MDS code, SNOMED CT concept ID (CID), the Fully Specified Name (FSN) and a comment column.

MDS Section I value set rules used include:

  • Select ALL concepts that are:

    • Descendents of XXXXX
           OR
    • Descendents of YYYYYY
           AND
    • NOT Descendents of ZZZZZZ
  • Concepts come from the following hierarchies:

    • Clinical Findings
    • Situation with specific context
  • Any “history of XX” OR “family history of XX” are excluded from the SNOMED CT situation of specific context hierarchy

5. Rosetta Stone Population

CAP-STS was responsible for entering only the SNOMED CT related concept mappings onto the Rosetta Stone and Value Set spreadsheets, including:

  • Model of Meaning Tab (MDS Rosetta Stone) -- all items in MDS sections A - Q

    • Column G (SNOMED CT Code)
    • Column H (SNOMED CT FSN)
  • Supporting EHR Observation Tab (MDS Rosetta Stone) -- MDS Section I (Active Diagnoses) items

    • Column F (SNOMED CT Value Set Name)
    • Column G (SNOMED CT Value Set File Name)
  • MDS Section I Value Set database with its corresponding value set spreadsheets

  • Model of Meaning Tab (OASIS Rosetta Stone) -- all OASIS items

    • Column G (SNOMED CT Code)
    • Column H (SNOMED CT FSN)

Preliminary SNOMED CT mappings were assigned by CAP-STS to each MDS3.0 and OASIS data element. The SNOMED mappings were then validated with an MDS/OASIS subject matter expert in an item-by-item review process. Any discrepancies were either resolved or referred to a semantic matching expert for additional guidance and final mapping resolution.

5.1. Ongoing Maintenance of SNOMED Mapping

Ongoing maintenance should be performed to keep the assessment mappings up to date with: (i) new releases of the standard terminologies, and (ii) new versions of assessment instruments. The table below shows the release schedules for SNOMED CT.

  Terminology     Update Cycle     When     When  
SNOMED CT   2 x yr Jan July

6. Comments Used For MDS Concepts Not Mappable To Snomed CT

For MDS/OASIS concepts that do not have an equivalent/proximal parent mapping to SNOMED CT, the following comments have been used in the Rosetta Stones (MoM tab, column G) to illustrate why the concept is not mappable.

Rosetta Stone Comment Concept Not Mappable -- MDS Example Concept Not Mappable -- OASIS Example
Concept Not Mapped (Reason #1) --This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians. A0310A -- Type of assessment: OBRA M0010_CCN CMS
Certification Number
Concept Not Mapped (Reason #2) -- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping. H0400 -- Frequently incontinent (2 or more episodes of bowel incontinence, but at least one continent bowel movement) M1055_PPV_RSN_NOT_RCVD_AGNCY
Not indicated; patient does not meet age/condition guidelines for PPV
Concept Not Mapped (Reason #3) -- Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.* K0100C -- Swallow disorder: cough/choke with meals/meds M1100_PTNT_LVG_STUTN
Patient Lives Alone - Around the clock

M2040_PRIOR_MGMT_ORAL_MDCTN
Prior Med Mgmt: Oral Medications
Concept Not Mapped (Reason #4) -- Negated/frequency/qualifier data elements addressed through the vendor information model or in the CCD. G0400A -- No impairment M1240_FRML_PAIN_ASMT
No standardized assessment conducted
Concept Not Mapped (Reason #5) -- Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT. P0100D -- Restraints used in bed: other M1410_RESPTX_NONE
Respiratory Treatments: None of the Above
Concept Not Mapped (Reason #6) -- Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping. A1100B -- Preferred language M1016_CHGREG_ICD1
Regimen Change in Past 14 Days: ICD Code 1
*NOTE: This study did not undertake activities to post-coordinate complex, compound MDS data elements.

7. Resources

CMS Minimum Data Set 3.0 (MDS3.0)   MDS3.0:
CMS Outcome & Assessment Information Set (OASIS-C)     OASIS-C:
Codes for Vaccine Administered (CVX)   CVX codes:
 
International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)   ICD-9-CM codes:
  • Are maintained by the National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services
  • Are updated in October (yearly) and April (if needed)
  • Can be accessed at http://www.cdc.gov/nchs/icd/icd9cm.htm
International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)   ICD-10-CM codes:
  • Are maintained by the National Center for Health Statistics (NCHS)
  • Are not valid for any purpose or use until October 1, 2013 (effective date per HIPAA requirements)
  • Can be accessed at http://www.cdc.gov/nchs/icd/icd10cm.htm
Logical Object Identifiers Names and Codes (LOINC)   LOINC codes:
  • Are maintained by Regenstrief Institute, Inc.
  • Are updated as needed
  • Can be accessed through the Regenstrief LOINC Mapping Assistant (RELMA) at http://loinc.org/relma
Standardized Nomenclature of Medicine - Clinical Terms (SNOMED CT)   SNOMED CT codes:
  • Are maintained by the International Health Terminology Standards Development Organisation (IHTSDO )
  • Are updated twice a year in January and July
  • Can be accessed through a variety of free browsers listed by the Unified Medical Language System (UMLS) at http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html

Appendix D: Rosetta Stone MDS Spreadsheet and MDS Value Set of Diagnosis Concepts

Toolkit Overview of MDS3.0 Rosetta Stone

The Rosetta Stone spreadsheet was designed for the Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation (ASPE) as a tool to assist long term care providers and clinicians in the transition to using Logical Object Identifiers Names and Codes (LOINC) and SNOMED CT as the terminology of choice for the documentation and conveyance of MDS 3.0 assessment content (based on CMS MDS3.0 data specifications v1.01.0, December 2010). The Rosetta Stone is a tool that can be used for various mapping scenarios:

  1. Map from MDS3.0 in CMS format to corresponding Model of Use LOINC representation: In this scenario, one uses the Rosetta Stone "Model of Use" tab. For each MDS3.0 question and answer, there is a corresponding LOINC question and answer code. In addition, the CDA pattern to be used when communicating the assessment items in CDA format is also listed.

  2. Map from MDS3.0 in CMS format to corresponding Model of Meaning representation: In this scenario, one uses the Rosetta Stone "Model of Meaning" tab. For each MDS3.0 question and answer, there is a corresponding semantically complete representation, based on a complete modeling of the question against the HL7 Reference Information Model, coupled with codes from a standard terminology such as SNOMED CT or code sets such as ICD-9-CM or CVX.

    MDS3.0 data elements were evaluated against other standard terminologies such as RxNorm however the terminologies were not compatible with the data captured in the CMS assessment instrument.

  3. Map from EHR data element to MDS3.0 element to facilitate semi-automated population of assessments from EHR data: In this scenario, one uses the Rosetta Stone"Supporting EHR Observation" tab and corresponding Access database of "Value Set Members". Where a SNOMED-encoded finding, ICD-9-CM code, or ICD-10-CM code in the EHR maps into one of the value sets, it suggests the presence of EHR data that can be used to help fill in the corresponding MDS question. (Note: Value sets were only created for MDS3.0 Section I data elements in this work product. Data elements for other sections of the MDS3.0 were not mapped to value sets.)

Rosetta Stone Context*
Tab 1   Overview This tab presents a description of the Rosetta Stone and its content.
Tab 2 Model of Use Using the MDS3.0 section and question ID as the primary sort order, this tab presents MDS3.0 Extract questions and answers (based on the CMS MDS2.0 data specification v1.01.0, December 2010) and corresponding:
  • LOINC representations and codes (provided by Indiana University of Regenstrief Institute, Inc.)
  • CDA pattern per HL7 Implementation Guide for CDA Release 2, CDA Framework for Questionnaire Assessments and CDA Representation of the Minimum Data Set Questionnaire Assessment (hereafter referred to as the MDS CDA Implementation Guide)
Content of this tab is listed below.
  • Columns A - D: MDS3.0 question and answer ID numbers and descriptions based on CMS data specifications v1.01.0, December 2010
    Column A = CMS Section IDs for each MDS3.0 section
    Column B = CMS Question ID for each MDS3.0 data item (This column is the primary sort order for the tab.)
    Column C = CMS Answer ID for each MDS3.0 data item
    Column D = CMS Description for each MDS3.0 data item
  • Column E: Contains some general guidance related to data mapping.
  • Columns F - H: Contain relevant CDA mapping information per the HL7 Implementation Guide for CDA Release 2, CDA Framework for Questionnaire Assessments and CDA Representation of the Minimum Data Set Questionnaire Assessment
    Column F = Contains the Model of Use Question/Answer pattern for each MDS3.0 item in accordance with the MDS CDA Implementation Guide
    Column G = Contains the data type for each MDS3.0 item in accordance with the MDS CDA Implementation Guide
    Column H = Contains the type of unit the MDS3.0 question requires if the data type is Physical Quantity (PQ) in accordance with the MDS CDA Implementation Guide
  • Columns O - Q: Contain LOINC representation of MDS3.0 Extract data items.
    Column O = LOINC question code for each MDS3.0 data item
    Column P = LOINC answer code for each MDS3.0 data item
    Column Q = LOINC answer set object identifier (OID) for each MDS3.0 data item
    Note: LOINC codes were not assigned if the MDS CDA Implementation Guide required the data element be coded to another code sets (e.g. HL7 administrative codes for gender and marital status)
Tab 3 Model of Meaning Using the MDS3.0 section and question ID as the primary sort order, this tab presents MDS3.0 questions and answers (based on the CMS MDS2.0 data specification v1.01.0, December 2010) and corresponding:
  • SNOMED CT (version 20100731) representations and codes for semantically mappable MDS3.0 data items
  • ICD-9-CM (October 1, 2010 update) codes for MDS3.0 Section I (Active Diagnoses) data items
  • ICD-10-CM (2011 release) codes for MDS3.0 Section I (Active Diagnoses) data items
  • CVX (September 30, 2010 update) codes for MDS3.0 vaccination data items
  •  
Content of this tab is listed below.

Note: CAP SNOMED Terminology Solutions provided the SNOMED CT mapping of MDS3.0 data items.
The American Health Information Management Association (AHIMA) provided the ICD-9-CM, ICD-10-CM, and CVX mapping of MDS3.0 data items.

  • Columns A - D: MDS3.0 question and answer ID numbers and descriptions based on CMS data specifications v1.01.0, December 2010
    Column A = CMS Section IDs for each MDS3.0 section
    Column B = CMS Question ID for each MDS3.0 data item (This column is the primary sort order for the tab.)
    Column C = CMS Answer ID for each MDS3.0 data item
    Column D = CMS Description for each MDS3.0 data item
  • Column E: Contains some general guidance related to data mapping.
  • Column F: Contains the pattern used for mapping the SNOMED CT representation of the MDS3.0 data items. SNOMED mapping was based on either an "assertion pattern" or "question & answer pattern".
  • Columns G - H: Contain SNOMED CT representation of semantically mappable MDS3.0 data items
    Column G = SNOMED CT code for each mapped MDS3.0 data item
    Column H = SNOMED CT Fully Specified Name (FSN) for each assigned SNOMED code
  • Column I: Contains ICD-9-CM codes for the MDS3.0 active diagnoses (selected from MDS3.0 Section I data items)
  • Column J: Contains ICD-10-CM codes for the MDS3.0 active diagnoses (selected from MDS3.0 Section I data items)
  • Column K: Contains CDC Race and Ethnicity Codes for the MDS3.0 race/ethnicity data items
  • Column L: Contains Codes for Vaccines Administered (CVX) for the MDS3.0 vaccination data items
Tab 4 Supporting EHR Observation Using the MDS3.0 section and question ID as the primary sort order, this tab presents MDS3.0 Section I questions and answers for Active Diagnoses (data items I0100 thru I8000 based on the CMS MDS3.0 data specification v1.01.0, December 2010) and corresponding:
  • SNOMED CT (version 20100731) value set identifiers
  • ICD-9-CM (October 1, 2010 update) value sets
  • ICD-10-CM (2011 release) value sets
    Notes:
    1. CAP SNOMED Terminology Solutions provided the SNOMED CT value sets for the MDS3.0 Section I (Active Diagnoses) data items. The value set for each Section I data item, found in a separate file named MDS_Value_Set.zip, contains the CMS ID and description of the data item and the corresponding SNOMED CT concept ID (CID) and the Fully Specified Name (FSN) for the members of the value set.
    2. The American Health Information Management Association (AHIMA) provided the ICD-9-CM and ICD-10-CM value sets for the MDS3.0 Section I (Active Diagnoses) data items.
  • Columns A - D: MDS3.0 question and answer ID numbers and descriptions based on CMS data specifications v1.01.0, December 2010
    Column A = CMS Section ID
    Column B = CMS Question ID for each MDS3.0 Section I data item (This column is the primary sort order for the tab.)
    Column C = CMS Answer ID for each MDS3.0 Section I data item
    Column D = CMS Description for each MDS3.0 Section I data item
  • Column E: Contains some general guidance related to data mapping.
  • Columns F - G: Contain the identifiers for the SNOMED CT value sets compiled by CAP SNOMED Terminology Solutions
    Column F = Value Set ID for each Section I data item
    Column G = Value Set name for each Section I data item
  • Column H: Contains the ICD-9-CM codes comprising the value set for each data item in MDS3.0 Section I (Active Diagnoses)
  • Column I: Contains the ICD-10-CM codes comprising the value set for each data item in MDS3.0 Section I (Active Diagnoses)
Tabs correspond to Excel file available at http://aspe.hhs.gov/daltcp/reports/2011/StratEng-D1.xlsx.
Rosetta Stone Resources
CMS Minimum Data Set 3.0 (MDS3.0) MDS3.0:
Codes for Vaccine Administered (CVX) CVX codes:
International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) ICD-9-CM codes:
  • Are maintained by the National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services
  • Are updated in October (yearly) and April (if needed)
  • Can be accessed at http://www.cdc.gov/nchs/icd/icd9cm.htm
International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) ICD-10-CM codes:
  • Are maintained by the National Center for Health Statistics (NCHS)
  • Are not valid for any purpose or use until October 1, 2013 (effective date per HIPAA requirements)
  • Can be accessed at http://www.cdc.gov/nchs/icd/icd10cm.htm
Logical Object Identifiers Names and Codes (LOINC) LOINC codes:
  • Are maintained by Regenstrief Institute, Inc.
  • Are updated as needed
  • Can be accessed through the Regenstrief LOINC Mapping Assistant (RELMA) at http://loinc.org/relma
Standardized Nomenclature of Medicine - Clinical Terms (SNOMED CT) SNOMED CT codes:
  • Are maintained by the International Health Terminology Standards Development Organisation (IHTSDO)
  • Are updated twice a year in January and July
  • Can be accessed through a variety of free browsers listed by the Unified Medical Language System (UMLS) at http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html

MDS3.0 Items Mapping -- Model Of Use

Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
A     Identification Information              
  A0100A   Facility National Provider Identifier (NPI) See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A0100B   Facility CMS Certification Number (CCN) See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A0100C   State provider number See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A0200   Type of provider   Typical pattern CD   54582-2   1.3.6.1.4.1.12009.10.1.61
  A0200 1 Nursing home (SNF/NF)   Typical pattern CD   54582-2 LA10882-1 1.3.6.1.4.1.12009.10.1.61
  A0200 2 Swing bed   Typical pattern CD   54582-2 LA10883-9 1.3.6.1.4.1.12009.10.1.61
  A0310A   Type of assessment: OBRA   Typical pattern CD   54583-0   1.3.6.1.4.1.12009.10.1.60
  A0310A 1 Admission assessment (required by day 14)   Typical pattern CD   54583-0 LA10-4 1.3.6.1.4.1.12009.10.1.60
  A0310A 2 Quarterly review assessment   Typical pattern CD   54583-0 LA15-3 1.3.6.1.4.1.12009.10.1.60
  A0310A 3 Annual assessment   Typical pattern CD   54583-0 LA12-0 1.3.6.1.4.1.12009.10.1.60
  A0310A 4 Significant change in status assessment   Typical pattern CD   54583-0 LA13-8 1.3.6.1.4.1.12009.10.1.60
  A0310A 5 Significant correction to prior comprehensive assessment   Typical pattern CD   54583-0 LA10888-8 1.3.6.1.4.1.12009.10.1.60
  A0310A 6 Significant correction to prior quarterly assessment   Typical pattern CD   54583-0 LA10889-6 1.3.6.1.4.1.12009.10.1.60
  A0310A 99 Not OBRA required assessment/tracking   Typical pattern CD   54583-0 LA10893-8 1.3.6.1.4.1.12009.10.1.60
  A0310B   Type of assessment: PPS   Typical pattern CD   54584-8   1.3.6.1.4.1.12009.10.1.59
  A0310B 1 5-day scheduled assessment   Typical pattern CD   54584-8 LA10894-6 1.3.6.1.4.1.12009.10.1.59
  A0310B 2 14-day scheduled assessment   Typical pattern CD   54584-8 LA10895-3 1.3.6.1.4.1.12009.10.1.59
  A0310B 3 30-day scheduled assessment   Typical pattern CD   54584-8 LA10896-1 1.3.6.1.4.1.12009.10.1.59
  A0310B 4 60-day scheduled assessment   Typical pattern CD   54584-8 LA10897-9 1.3.6.1.4.1.12009.10.1.59
  A0310B 5 90-day scheduled assessment   Typical pattern CD   54584-8 LA10898-7 1.3.6.1.4.1.12009.10.1.59
  A0310B 6 Readmission/return assessment   Typical pattern CD   54584-8 LA10899-5 1.3.6.1.4.1.12009.10.1.59
  A0310B 7 Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment)   Typical pattern CD   54584-8 LA10900-1 1.3.6.1.4.1.12009.10.1.59
  A0310B 99 Not a PPS assessment   Typical pattern CD   54584-8 LA10903-5 1.3.6.1.4.1.12009.10.1.59
  A0310C   Type of assessment: OMRA   Typical pattern CD   54585-5   1.3.6.1.4.1.12009.10.1.65
  A0310C 0 No   Typical pattern CD   54585-5 LA32-8 1.3.6.1.4.1.12009.10.1.65
  A0310C 1 Start of therapy assessment   Typical pattern CD   54585-5 LA12624-5 1.3.6.1.4.1.12009.10.1.65
  A0310C 2 End of therapy assessment   Typical pattern CD   54585-5 LA12625-2 1.3.6.1.4.1.12009.10.1.65
  A0310C 3 Both Start and End of therapy assessment   Typical pattern CD   54585-5 LA12626-0 1.3.6.1.4.1.12009.10.1.65
  A0310D   Swing bed clinical change assessment   Typical pattern CD   58107-4   1.3.6.1.4.1.12009.10.1.62
  A0310D 0 No   Typical pattern CD   58107-4 LA32-8 1.3.6.1.4.1.12009.10.1.62
  A0310D 1 Yes   Typical pattern CD   58107-4 LA33-6 1.3.6.1.4.1.12009.10.1.62
  A0310E   First assessment since most recent entry   Typical pattern CD   54587-1   1.3.6.1.4.1.12009.10.1.62
  A0310E 0 No   Typical pattern CD   54587-1 LA32-8 1.3.6.1.4.1.12009.10.1.62
  A0310E 1 Yes   Typical pattern CD   54587-1 LA33-6 1.3.6.1.4.1.12009.10.1.62
  A0310F   Entry/discharge reporting   Typical pattern CD   58108-2   1.3.6.1.4.1.12009.10.1.66
  A0310F 1 Entry record   Typical pattern CD   58108-2 LA12627-8 1.3.6.1.4.1.12009.10.1.66
  A0310F 10 Discharge assessment - return not anticipated   Typical pattern CD   58108-2 LA12628-6 1.3.6.1.4.1.12009.10.1.66
  A0310F 11 Discharge assessment - return anticipated   Typical pattern CD   58108-2 LA12629-4 1.3.6.1.4.1.12009.10.1.66
  A0310F 12 Death in facility record   Typical pattern CD   58108-2 LA12630-2 1.3.6.1.4.1.12009.10.1.66
  A0310F 99 Not entry/discharge record   Typical pattern CD   58108-2 LA12631-0 1.3.6.1.4.1.12009.10.1.66
  A0410   Submission requirement   Typical pattern CD   54896-6   1.3.6.1.4.1.12009.10.1.23
  A0410 1 Neither federal nor state required submission   Typical pattern CD   54896-6 LA10908-4 1.3.6.1.4.1.12009.10.1.23
  A0410 2 State but not federal required submission (FOR NURSING HOMES ONLY)   Typical pattern CD   54896-6 LA10907-6 1.3.6.1.4.1.12009.10.1.23
  A0410 3 Federal required submission   Typical pattern CD   54896-6 LA10906-8 1.3.6.1.4.1.12009.10.1.23
  A0500A   Resident first name See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A0500B   Resident middle initial See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A0500C   Resident last name See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A0500D   Resident name suffix See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A0600A   Social Security Number See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A0600B   Resident Medicare/railroad insurance number See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A0700   Resident Medicaid number See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A0800   Gender See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A0800 1 Male See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A0800 2 Female See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A0900   Birthdate See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A1000A   Ethnicity: American Indian or Alaska Native   Ethnicity pattern CD       2.16.840.1.113883.1.11.15836
  A1000B   Ethnicity: Asian   Ethnicity pattern CD       2.16.840.1.113883.1.11.15836
  A1000C   Ethnicity: Black or African American   Ethnicity pattern CD       2.16.840.1.113883.1.11.15836
  A1000D   Ethnicity: Hispanic or Latino   Ethnicity pattern CD       2.16.840.1.113883.1.11.15836
  A1000E   Ethnicity: Native Hawaiian/Pacific Islander   Ethnicity pattern CD       2.16.840.1.113883.1.11.15836
  A1000F   Ethnicity: White   Ethnicity pattern CD       2.16.840.1.113883.1.11.15836
  A1100A   Does the resident need or want an interpreter   Typical pattern CD   54588-9   1.3.6.1.4.1.12009.10.1.58
  A1100A 0 No   Typical pattern CD   54588-9 LA32-8 1.3.6.1.4.1.12009.10.1.58
  A1100A 1 Yes   Typical pattern CD   54588-9 LA33-6 1.3.6.1.4.1.12009.10.1.58
  A1100A 9 Unable to determine   Typical pattern CD   54588-9 LA11137-9 1.3.6.1.4.1.12009.10.1.58
  A1100B   Preferred language   Other response data type pattern ED   54899-0    
  A1200   Marital status See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A1200 1 Never married See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A1200 2 Married See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A1200 3 Widowed See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A1200 4 Separated See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A1200 5 Divorced See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A1300A MDCL_REC_NUM Medical record number See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A1300B ROOM_NUM Room number See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A1300C PREFRD_NAME Name by which resident prefers to be addressed See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A1300D   Lifetime occupation(s)   Other response data type pattern ED   45418-1    
  A1500   Resident evaluated by PASRR   Typical pattern CD   54589-7   1.3.6.1.4.1.12009.10.1.57
  A1500 0 No   Typical pattern CD   54589-7 LA32-8 1.3.6.1.4.1.12009.10.1.57
  A1500 1 Yes   Typical pattern CD   54589-7 LA33-6 1.3.6.1.4.1.12009.10.1.57
  A1500 9 Not a Medicaid certified unit   Typical pattern CD   54589-7 LA10921-7 1.3.6.1.4.1.12009.10.1.57
  A1550A   MR/DD status: Down syndrome   Multiple response pattern BL   45422-3    
  A1550B   MR/DD status: Autism   Multiple response pattern BL   45423-1    
  A1550C   MR/DD status: Epilepsy   Multiple response pattern BL   45424-9    
  A1550D   MR/DD status: other organic MR/DD condition   Multiple response pattern BL    45425-6    
  A1550E   MR/DD status: MR/DD with no organic condition   Multiple response pattern BL   45426-4    
  A1550Z   MR/DD status: none of the above   Multiple response pattern BL   45421-5    
  A1600   Entry date (date of admission/reentry in facility) See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A1700   Type of entry   Typical pattern CD   54590-5   1.3.6.1.4.1.12009.10.1.56
  A1700 1 Admission   Typical pattern CD   54590-5 LA10922-5 1.3.6.1.4.1.12009.10.1.56
  A1700 2 Reentry   Typical pattern CD   54590-5 LA54-2 1.3.6.1.4.1.12009.10.1.56
  A1800   Entered from   Typical pattern CD   54591-3   1.3.6.1.4.1.12009.10.1.55
  A1800 1 Community (private home/apt., board/ care, assisted living, group home)   Typical pattern CD   54591-3 LA10924-1 1.3.6.1.4.1.12009.10.1.55
  A1800 2 Another nursing home or swing bed   Typical pattern CD   54591-3 LA10925-8 1.3.6.1.4.1.12009.10.1.55
  A1800 3 Acute hospital   Typical pattern CD   54591-3 LA9928-8 1.3.6.1.4.1.12009.10.1.55
  A1800 4 Psychiatric hospital   Typical pattern CD   54591-3 LA10064-6 1.3.6.1.4.1.12009.10.1.55
  A1800 5 Inpatient rehabilitation facility   Typical pattern CD   54591-3 LA10928-2 1.3.6.1.4.1.12009.10.1.55
  A1800 6 MR/DD facility   Typical pattern CD   54591-3 LA10929-0 1.3.6.1.4.1.12009.10.1.55
  A1800 7 Hospice   Typical pattern CD   54591-3 LA6216-1 1.3.6.1.4.1.12009.10.1.55
  A1800 99 Other   Typical pattern CD   54591-3 LA46-8 1.3.6.1.4.1.12009.10.1.55
  A2000   Discharge date See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A2100   Discharge status See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A2100 1 Community (private home/apt., board/ care, assisted living, group home) See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A2100 2 Another nursing home or swing bed See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A2100 3 Acute hospital See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A2100 4 Psychiatric hospital See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A2100 5 Inpatient rehabilitation facility See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A2100 6 MR/DD facility See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A2100 7 Hospice See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A2100 8 Deceased See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A2100 99 Other See CDA X-Path Mapping
Table 6
Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
  A2200   Previous asmt reference date for signif correction   Other response data type pattern TS   54592-1    
  A2300   Assessment reference date   Other response data type pattern TS   54593-9    
  A2400A   Has resident had Medicare-covered stay   Typical pattern CD   54594-7   1.3.6.1.4.1.12009.10.1.62
  A2400A 0 No   Typical pattern CD   54594-7 LA32-8 1.3.6.1.4.1.12009.10.1.62
  A2400A 1 Yes   Typical pattern CD   54594-7 LA33-6 1.3.6.1.4.1.12009.10.1.62
  A2400B   Start date of most recent Medicare stay   Other response data type pattern TS   54595-4    
  A2400C   End date of most recent Medicare stay   Other response data type pattern TS   54596-2    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
B     Hearing, Speech, and Vision              
  B0100   Comatose   Typical pattern CD   54597-0   1.3.6.1.4.1.12009.10.1.62
  B0100 0 No   Typical pattern CD   54597-0 LA32-8 1.3.6.1.4.1.12009.10.1.62
  B0100 1 Yes   Typical pattern CD   54597-0 LA33-6 1.3.6.1.4.1.12009.10.1.62
  B0200   Hearing   Typical pattern CD   54598-8   1.3.6.1.4.1.12009.10.1.53
  B0200 0 Adequate - no difficulty in normal conversation, social interaction, listening to TV   Typical pattern CD   54598-8 LA10941-5 1.3.6.1.4.1.12009.10.1.53
  B0200 1 Minimal difficulty - difficulty in some environments (e.g., when person speaks softly or setting is noisy)   Typical pattern CD   54598-8 LA10942-3 1.3.6.1.4.1.12009.10.1.53
  B0200 2 Moderate difficulty - speaker has to increase volume and speak distinctly   Typical pattern CD   54598-8 LA10943-1 1.3.6.1.4.1.12009.10.1.53
  B0200 3 Highly impaired - absence of useful hearing   Typical pattern CD   54598-8 LA10944-9 1.3.6.1.4.1.12009.10.1.53
  B0300   Hearing aid   Typical pattern CD   54599-6   1.3.6.1.4.1.12009.10.1.62
  B0300 0 No   Typical pattern CD   54599-6 LA32-8 1.3.6.1.4.1.12009.10.1.62
  B0300 1 Yes   Typical pattern CD   54599-6 LA33-6 1.3.6.1.4.1.12009.10.1.62
  B0600   Speech clarity   Typical pattern CD   54600-2   1.3.6.1.4.1.12009.10.1.52
  B0600 0 Clear speech - distinct intelligible words   Typical pattern CD   54600-2 LA10945-6 1.3.6.1.4.1.12009.10.1.52
  B0600 1 Unclear speech - slurred or mumbled words   Typical pattern CD   54600-2 LA10946-4 1.3.6.1.4.1.12009.10.1.52
  B0600 2 No speech - absence of spoken words   Typical pattern CD   54600-2 LA10947-2 1.3.6.1.4.1.12009.10.1.52
  B0700   Makes self understood   Typical pattern CD   54601-0   1.3.6.1.4.1.12009.10.1.51
  B0700 0 Understood   Typical pattern CD   54601-0 LA71-6 1.3.6.1.4.1.12009.10.1.51
  B0700 1 Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time   Typical pattern CD   54601-0 LA10949-8 1.3.6.1.4.1.12009.10.1.51
  B0700 2 Sometimes understood - ability is limited to making concrete requests   Typical pattern CD   54601-0 LA10950-6 1.3.6.1.4.1.12009.10.1.51
  B0700 3 Rarely/never understood   Typical pattern CD   54601-0 LA74-0 1.3.6.1.4.1.12009.10.1.51
  B0800   Ability to understand others   Typical pattern CD   54602-8   1.3.6.1.4.1.12009.10.1.50
  B0800 0 Understands - clear comprehension   Typical pattern CD   54602-8 LA10952-2 1.3.6.1.4.1.12009.10.1.50
  B0800 1 Usually understands - misses some part/intent of message but comprehends most conversation   Typical pattern CD   54602-8 LA10953-0 1.3.6.1.4.1.12009.10.1.50
  B0800 2 Sometimes understands - responds adequately to simple, direct communication only   Typical pattern CD   54602-8 LA10954-8 1.3.6.1.4.1.12009.10.1.50
  B0800 3 Rarely/never understands   Typical pattern CD   54602-8 LA81-5 1.3.6.1.4.1.12009.10.1.50
  B1000   Vision   Typical pattern CD   54603-6   1.3.6.1.4.1.12009.10.1.49
  B1000 0 Adequate - sees fine detail, including regular print in newspapers/books   Typical pattern CD   54603-6 LA10956-3 1.3.6.1.4.1.12009.10.1.49
  B1000 1 Impaired - sees large print, but not regular print in newspapers/books   Typical pattern CD   54603-6 LA10957-1 1.3.6.1.4.1.12009.10.1.49
  B1000 2 Moderately Impaired - limited vision; not able to see newspaper headlines but can identify objects   Typical pattern CD   54603-6 LA10958-9 1.3.6.1.4.1.12009.10.1.49
  B1000 3 Highly impaired - object identification in question, but eyes appear to follow objects   Typical pattern CD   54603-6 LA10959-7 1.3.6.1.4.1.12009.10.1.49
  B1000 4 Severely impaired - no vision or sees only light, colors or shapes; eyes do not appear to follow objects   Typical pattern CD   54603-6 LA10960-5 1.3.6.1.4.1.12009.10.1.49
  B1200   Corrective lenses   Typical pattern CD   54604-4   1.3.6.1.4.1.12009.10.1.62
  B1200 0 No   Typical pattern CD   54604-4 LA32-8 1.3.6.1.4.1.12009.10.1.62
  B1200 1 Yes   Typical pattern CD   54604-4 LA33-6 1.3.6.1.4.1.12009.10.1.62
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
C     Cognitive Patterns              
  C0100   BIMS: should resident interview be conducted   Typical pattern CD   54605-1   1.3.6.1.4.1.12009.10.1.2
  C0100 0 No (resident is rarely/never understood)   Typical pattern CD   54605-1 LA11150-2 1.3.6.1.4.1.12009.10.1.2
  C0100 1 Yes   Typical pattern CD   54605-1 LA33-6 1.3.6.1.4.1.12009.10.1.2
  C0200   BIMS res interview: repetition of three words   Typical pattern CD   52731-7   1.3.6.1.4.1.12009.10.1.6
  C0200 0 None   Typical pattern CD   52731-7 LA137-2 1.3.6.1.4.1.12009.10.1.6
  C0200 1 One   Typical pattern CD   52731-7 LA6306-0 1.3.6.1.4.1.12009.10.1.6
  C0200 2 Two   Typical pattern CD   52731-7 LA6404-3 1.3.6.1.4.1.12009.10.1.6
  C0200 3 Three   Typical pattern CD   52731-7 LA6395-3 1.3.6.1.4.1.12009.10.1.6
  C0300A   BIMS res interview: able to report correct year   Typical pattern CD   52732-5   1.3.6.1.4.1.12009.10.1.48
  C0300A 0 Missed by > 5 years or no answer   Typical pattern CD   52732-5 LA10965-4 1.3.6.1.4.1.12009.10.1.48
  C0300A 1 Missed by 2-5 years   Typical pattern CD   52732-5 LA10966-2 1.3.6.1.4.1.12009.10.1.48
  C0300A 2 Missed by 1 year   Typical pattern CD   52732-5 LA10008-3 1.3.6.1.4.1.12009.10.1.48
  C0300A 3 Correct   Typical pattern CD   52732-5 LA9960-1 1.3.6.1.4.1.12009.10.1.48
  C0300B   BIMS res interview: able to report correct month   Typical pattern CD   52733-3   1.3.6.1.4.1.12009.10.1.47
  C0300B 0 Missed by > 1 month or no answer   Typical pattern CD   52733-3 LA10969-6 1.3.6.1.4.1.12009.10.1.47
  C0300B 1 Missed by 6 days to 1 month   Typical pattern CD   52733-3 LA10010-9 1.3.6.1.4.1.12009.10.1.47
  C0300B 2 Accurate within 5 days   Typical pattern CD   52733-3 LA9927-0 1.3.6.1.4.1.12009.10.1.47
  C0300C   BIMS res interview: can report correct day of week   Typical pattern CD   54609-3   1.3.6.1.4.1.12009.10.1.46
  C0300C 0 Incorrect or no answer   Typical pattern CD   54609-3 LA9981-7 1.3.6.1.4.1.12009.10.1.46
  C0300C 1 Correct   Typical pattern CD   54609-3 LA9960-1 1.3.6.1.4.1.12009.10.1.46
  C0400A   BIMS res interview: able to recall “sock”   Typical pattern CD   52735-8   1.3.6.1.4.1.12009.10.1.45
  C0400A 0 No - could not recall   Typical pattern CD   52735-8 LA10974-6 1.3.6.1.4.1.12009.10.1.45
  C0400A 1 Yes, after cueing (“something to wear”)   Typical pattern CD   52735-8 LA10126-3 1.3.6.1.4.1.12009.10.1.45
  C0400A 2 Yes, no cue required   Typical pattern CD   52735-8 LA10134-7 1.3.6.1.4.1.12009.10.1.45
  C0400B   BIMS res interview: able to recall “blue”   Typical pattern CD   52736-6   1.3.6.1.4.1.12009.10.1.44
  C0400B 0 No - could not recall   Typical pattern CD   52736-6 LA10974-6 1.3.6.1.4.1.12009.10.1.44
  C0400B 1 Yes, after cueing (“a color”)   Typical pattern CD   52736-6 LA10978-7 1.3.6.1.4.1.12009.10.1.44
  C0400B 2 Yes, no cue required   Typical pattern CD   52736-6 LA10134-7 1.3.6.1.4.1.12009.10.1.44
  C0400C   BIMS res interview: able to recall “bed”   Typical pattern CD   52737-4   1.3.6.1.4.1.12009.10.1.43
  C0400C 0 No - could not recall   Typical pattern CD   52737-4 LA10974-6 1.3.6.1.4.1.12009.10.1.43
  C0400C 1 Yes, after cueing (“a piece of furniture”)   Typical pattern CD   52737-4 LA10125-5 1.3.6.1.4.1.12009.10.1.43
  C0400C 2 Yes, no cue required   Typical pattern CD   52737-4 LA10134-7 1.3.6.1.4.1.12009.10.1.43
  C0500   BIMS res interview: summary score   Other response data type pattern INT   54614-3    
  C0600   Staff asmt mental status: conduct asmt   Typical pattern CD   54615-0   1.3.6.1.4.1.12009.10.1.5
  C0600 0 No (resident was able to complete interview)   Typical pattern CD   54615-0 LA11145-2 1.3.6.1.4.1.12009.10.1.5
  C0600 1 Yes (resident was unable to complete interview)   Typical pattern CD   54615-0 LA11146-0 1.3.6.1.4.1.12009.10.1.5
  C0700   Staff asmt mental status: short-term memory OK   Typical pattern CD   54616-8   1.3.6.1.4.1.12009.10.1.42
  C0700 0 Memory OK   Typical pattern CD   54616-8 LA55-9 1.3.6.1.4.1.12009.10.1.42
  C0700 1 Memory problem   Typical pattern CD   54616-8 LA56-7 1.3.6.1.4.1.12009.10.1.42
  C0800   Staff asmt mental status: long-term memory OK   Typical pattern CD   54617-6   1.3.6.1.4.1.12009.10.1.42
  C0800 0 Memory OK   Typical pattern CD   54617-6 LA55-9 1.3.6.1.4.1.12009.10.1.42
  C0800 1 Memory problem   Typical pattern CD   54617-6 LA56-7 1.3.6.1.4.1.12009.10.1.42
  C0900A   Staff asmt mental status: recall current season   Multiple response pattern BL   54619-2    
  C0900B   Staff asmt mental status: recall location of room   Multiple response pattern BL   54620-0    
  C0900C   Staff asmt mental status: recall staff names/faces   Multiple response pattern BL   54621-8    
  C0900D   Staff asmt mental status: recall in nursing home   Multiple response pattern BL   54622-6    
  C0900Z   Staff asmt mental status: none of above recalled   Multiple response pattern BL   54623-4    
  C1000   Cognitive skills for daily decision making   Typical pattern CD   54624-2   1.3.6.1.4.1.12009.10.1.41
  C1000 0 Independent - decisions consistent/reasonable   Typical pattern CD   54624-2 LA10985-2 1.3.6.1.4.1.12009.10.1.41
  C1000 1 Modified independence - some difficulty in new situations only   Typical pattern CD   54624-2 LA10986-0 1.3.6.1.4.1.12009.10.1.41
  C1000 2 Moderately impaired - decisions poor; cues/supervision required   Typical pattern CD   54624-2 LA10987-8 1.3.6.1.4.1.12009.10.1.41
  C1000 3 Severely impaired - never/rarely made decisions   Typical pattern CD   54624-2 LA10988-6 1.3.6.1.4.1.12009.10.1.41
  C1300A   Signs of delirium: inattention   Typical pattern CD   54628-3   1.3.6.1.4.1.12009.10.1.39
  C1300A 0 Behavior not present   Typical pattern CD   54628-3 LA61-7 1.3.6.1.4.1.12009.10.1.39
  C1300A 1 Behavior continuously present, does not fluctuate   Typical pattern CD   54628-3 LA11143-7 1.3.6.1.4.1.12009.10.1.39
  C1300A 2 Behavior present, fluctuates (comes and goes, changes in severity)   Typical pattern CD   54628-3 LA10993-6 1.3.6.1.4.1.12009.10.1.39
  C1300B   Signs of delirium: disorganized thinking   Typical pattern CD   54629-1   1.3.6.1.4.1.12009.10.1.39
  C1300B 0 Behavior not present   Typical pattern CD   54629-1 LA61-7 1.3.6.1.4.1.12009.10.1.39
  C1300B 1 Behavior continuously present, does not fluctuate   Typical pattern CD   54629-1 LA11143-7 1.3.6.1.4.1.12009.10.1.39
  C1300B 2 Behavior present, fluctuates (comes and goes, changes in severity)   Typical pattern CD   54629-1 LA10993-6 1.3.6.1.4.1.12009.10.1.39
  C1300C   Signs of delirium: altered level of consciousness   Typical pattern CD   54630-9   1.3.6.1.4.1.12009.10.1.39
  C1300C 0 Behavior not present   Typical pattern CD   54630-9 LA61-7 1.3.6.1.4.1.12009.10.1.39
  C1300C 1 Behavior continuously present, does not fluctuate   Typical pattern CD   54630-9 LA11143-7 1.3.6.1.4.1.12009.10.1.39
  C1300C 2 Behavior present, fluctuates (comes and goes, changes in severity)   Typical pattern CD   54630-9 LA10993-6 1.3.6.1.4.1.12009.10.1.39
  C1300D   Signs of delirium: psychomotor retardation   Typical pattern CD   54631-7   1.3.6.1.4.1.12009.10.1.39
  C1300D 0 Behavior not present   Typical pattern CD   54631-7 LA61-7 1.3.6.1.4.1.12009.10.1.39
  C1300D 1 Behavior continuously present, does not fluctuate   Typical pattern CD   54631-7 LA11143-7 1.3.6.1.4.1.12009.10.1.39
  C1300D 2 Behavior present, fluctuates (comes and goes, changes in severity)   Typical pattern CD   54631-7 LA10993-6 1.3.6.1.4.1.12009.10.1.39
  C1600   Acute onset mental status change   Typical pattern CD   54632-5   1.3.6.1.4.1.12009.10.1.62
  C1600 0 No   Typical pattern CD   54632-5 LA32-8 1.3.6.1.4.1.12009.10.1.62
  C1600 1 Yes   Typical pattern CD   54632-5 LA33-6 1.3.6.1.4.1.12009.10.1.62
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
D     Mood              
  D0100   PHQ: should resident mood interview be conducted   Typical pattern CD   54634-1   1.3.6.1.4.1.12009.10.1.2
  D0100 0 No (resident is rarely/never understood)   Typical pattern CD   54634-1 LA11150-2 1.3.6.1.4.1.12009.10.1.2
  D0100 1 Yes   Typical pattern CD   54634-1 LA33-6 1.3.6.1.4.1.12009.10.1.2
  D0200A1   PHQ res: little interest or pleasure - presence   Typical pattern CD   54636-6   1.3.6.1.4.1.12009.10.1.38
  D0200A1 0 No (enter 0 in column 2)   Typical pattern CD   54636-6 LA32-8 1.3.6.1.4.1.12009.10.1.38
  D0200A1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54636-6 LA33-6 1.3.6.1.4.1.12009.10.1.38
  D0200A1 9 No response (leave column 2 blank)   Typical pattern CD   54636-6 LA10996-9 1.3.6.1.4.1.12009.10.1.38
  D0200A2   PHQ res: little interest or pleasure - frequency   Typical pattern CD   54637-4   1.3.6.1.4.1.12009.10.1.37
  D0200A2 0 Never or 1 day   Typical pattern CD   54637-4 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0200A2 1 2-6 Days (Several days)   Typical pattern CD   54637-4 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0200A2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54637-4 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0200A2 3 12-14 Days (Nearly every day)   Typical pattern CD   54637-4 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0200B1   PHQ res: feeling down, depressed - presence   Typical pattern CD   54638-2   1.3.6.1.4.1.12009.10.1.38
  D0200B1 0 No (enter 0 in column 2)   Typical pattern CD   54638-2 LA32-8 1.3.6.1.4.1.12009.10.1.38
  D0200B1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54638-2 LA33-6 1.3.6.1.4.1.12009.10.1.38
  D0200B1 9 No response (leave column 2 blank)   Typical pattern CD   54638-2 LA10996-9 1.3.6.1.4.1.12009.10.1.38
  D0200B2   PHQ res: feeling down, depressed - frequency   Typical pattern CD   54639-0   1.3.6.1.4.1.12009.10.1.37
  D0200B2 0 Never or 1 day   Typical pattern CD   54639-0 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0200B2 1 2-6 Days (Several days)   Typical pattern CD   54639-0 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0200B2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54639-0 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0200B2 3 12-14 Days (Nearly every day)   Typical pattern CD   54639-0 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0200C1   PHQ res: trouble with sleep - presence   Typical pattern CD   54640-8   1.3.6.1.4.1.12009.10.1.38
  D0200C1 0 No (enter 0 in column 2)   Typical pattern CD   54640-8 LA32-8 1.3.6.1.4.1.12009.10.1.38
  D0200C1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54640-8 LA33-6 1.3.6.1.4.1.12009.10.1.38
  D0200C1 9 No response (leave column 2 blank)   Typical pattern CD   54640-8 LA10996-9 1.3.6.1.4.1.12009.10.1.38
  D0200C2   PHQ res: trouble with sleep - frequency   Typical pattern CD   54641-6   1.3.6.1.4.1.12009.10.1.37
  D0200C2 0 Never or 1 day   Typical pattern CD   54641-6 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0200C2 1 2-6 Days (Several days)   Typical pattern CD   54641-6 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0200C2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54641-6 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0200C2 3 12-14 Days (Nearly every day)   Typical pattern CD   54641-6 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0200D1   PHQ res: feeling tired/little energy - presence   Typical pattern CD   54642-4   1.3.6.1.4.1.12009.10.1.38
  D0200D1 0 No (enter 0 in column 2)   Typical pattern CD   54642-4 LA32-8 1.3.6.1.4.1.12009.10.1.38
  D0200D1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54642-4 LA33-6 1.3.6.1.4.1.12009.10.1.38
  D0200D1 9 No response (leave column 2 blank)   Typical pattern CD   54642-4 LA10996-9 1.3.6.1.4.1.12009.10.1.38
  D0200D2   PHQ res: feeling tired/little energy - frequency   Typical pattern CD   54643-2   1.3.6.1.4.1.12009.10.1.37
  D0200D2 0 Never or 1 day   Typical pattern CD   54643-2 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0200D2 1 2-6 Days (Several days)   Typical pattern CD   54643-2 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0200D2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54643-2 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0200D2 3 12-14 Days (Nearly every day)   Typical pattern CD   54643-2 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0200E1   PHQ res: poor appetite or overeating - presence   Typical pattern CD   54644-0   1.3.6.1.4.1.12009.10.1.38
  D0200E1 0 No (enter 0 in column 2)   Typical pattern CD   54644-0 LA32-8 1.3.6.1.4.1.12009.10.1.38
  D0200E1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54644-0 LA33-6 1.3.6.1.4.1.12009.10.1.38
  D0200E1 9 No response (leave column 2 blank)   Typical pattern CD   54644-0 LA10996-9 1.3.6.1.4.1.12009.10.1.38
  D0200E2   PHQ res: poor appetite or overeating - frequency   Typical pattern CD   54645-7   1.3.6.1.4.1.12009.10.1.37
  D0200E2 0 Never or 1 day   Typical pattern CD   54645-7 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0200E2 1 2-6 Days (Several days)   Typical pattern CD   54645-7 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0200E2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54645-7 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0200E2 3 12-14 Days (Nearly every day)   Typical pattern CD   54645-7 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0200F1   PHQ res: feeling bad about self - presence   Typical pattern CD   54646-5   1.3.6.1.4.1.12009.10.1.38
  D0200F1 0 No (enter 0 in column 2)   Typical pattern CD   54646-5 LA32-8 1.3.6.1.4.1.12009.10.1.38
  D0200F1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54646-5 LA33-6 1.3.6.1.4.1.12009.10.1.38
  D0200F1 9 No response (leave column 2 blank)   Typical pattern CD   54646-5 LA10996-9 1.3.6.1.4.1.12009.10.1.38
  D0200F2   PHQ res: feeling bad about self - frequency   Typical pattern CD   54647-3   1.3.6.1.4.1.12009.10.1.37
  D0200F2 0 Never or 1 day   Typical pattern CD   54647-3 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0200F2 1 2-6 Days (Several days)   Typical pattern CD   54647-3 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0200F2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54647-3 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0200F2 3 12-14 Days (Nearly every day)   Typical pattern CD   54647-3 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0200G1   PHQ res: trouble concentrating - presence   Typical pattern CD   54648-1   1.3.6.1.4.1.12009.10.1.38
  D0200G1 0 No (enter 0 in column 2)   Typical pattern CD   54648-1 LA32-8 1.3.6.1.4.1.12009.10.1.38
  D0200G1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54648-1 LA33-6 1.3.6.1.4.1.12009.10.1.38
  D0200G1 9 No response (leave column 2 blank)   Typical pattern CD   54648-1 LA10996-9 1.3.6.1.4.1.12009.10.1.38
  D0200G2   PHQ res: trouble concentrating - frequency   Typical pattern CD   54649-9   1.3.6.1.4.1.12009.10.1.37
  D0200G2 0 Never or 1 day   Typical pattern CD   54649-9 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0200G2 1 2-6 Days (Several days)   Typical pattern CD   54649-9 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0200G2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54649-9 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0200G2 3 12-14 Days (Nearly every day)   Typical pattern CD   54649-9 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0200H1   PHQ res: slow, fidgety, restless - presence   Typical pattern CD   54650-7   1.3.6.1.4.1.12009.10.1.38
  D0200H1 0 No (enter 0 in column 2)   Typical pattern CD   54650-7 LA32-8 1.3.6.1.4.1.12009.10.1.38
  D0200H1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54650-7 LA33-6 1.3.6.1.4.1.12009.10.1.38
  D0200H1 9 No response (leave column 2 blank)   Typical pattern CD   54650-7 LA10996-9 1.3.6.1.4.1.12009.10.1.38
  D0200H2   PHQ res: slow, fidgety, restless - frequency   Typical pattern CD   54651-5   1.3.6.1.4.1.12009.10.1.37
  D0200H2 0 Never or 1 day   Typical pattern CD   54651-5 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0200H2 1 2-6 Days (Several days)   Typical pattern CD   54651-5 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0200H2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54651-5 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0200H2 3 12-14 Days (Nearly every day)   Typical pattern CD   54651-5 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0200I1   PHQ res: thoughts better off dead - presence   Typical pattern CD   54652-3   1.3.6.1.4.1.12009.10.1.38
  D0200I1 0 No (enter 0 in column 2)   Typical pattern CD   54652-3 LA32-8 1.3.6.1.4.1.12009.10.1.38
  D0200I1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54652-3 LA33-6 1.3.6.1.4.1.12009.10.1.38
  D0200I1 9 No response (leave column 2 blank)   Typical pattern CD   54652-3 LA10996-9 1.3.6.1.4.1.12009.10.1.38
  D0200I2   PHQ res: thoughts better off dead - frequency   Typical pattern CD   54653-1   1.3.6.1.4.1.12009.10.1.37
  D0200I2 0 Never or 1 day   Typical pattern CD   54653-1 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0200I2 1 2-6 Days (Several days)   Typical pattern CD   54653-1 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0200I2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54653-1 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0200I2 3 12-14 Days (Nearly every day)   Typical pattern CD   54653-1 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0300   PHQ res: total mood severity score   Other response data type pattern INT   54654-9    
  D0350   PHQ res: safety notification   Typical pattern CD   54655-6   1.3.6.1.4.1.12009.10.1.62
  D0350 0 No   Typical pattern CD   54655-6 LA32-8 1.3.6.1.4.1.12009.10.1.62
  D0350 1 Yes   Typical pattern CD   54655-6 LA33-6 1.3.6.1.4.1.12009.10.1.62
  D0500A1   PHQ staff: little interest or pleasure - presence   Typical pattern CD   54658-0   1.3.6.1.4.1.12009.10.1.62
  D0500A1 0 No (enter 0 in column 2)   Typical pattern CD   54658-0 LA32-8 1.3.6.1.4.1.12009.10.1.62
  D0500A1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54658-0 LA33-6 1.3.6.1.4.1.12009.10.1.62
  D0500A2   PHQ staff: little interest or pleasure - frequency   Typical pattern CD   54659-8   1.3.6.1.4.1.12009.10.1.37
  D0500A2 0 Never or 1 day   Typical pattern CD   54659-8 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0500A2 1 2-6 Days (Several days)   Typical pattern CD   54659-8 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0500A2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54659-8 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0500A2 3 12-14 Days (Nearly every day)   Typical pattern CD   54659-8 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0500B1   PHQ staff: feeling down, depressed - presence   Typical pattern CD   54660-6   1.3.6.1.4.1.12009.10.1.62
  D0500B1 0 No (enter 0 in column 2)   Typical pattern CD   54660-6 LA32-8 1.3.6.1.4.1.12009.10.1.62
  D0500B1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54660-6 LA33-6 1.3.6.1.4.1.12009.10.1.62
  D0500B2   PHQ staff: feeling down, depressed - frequency   Typical pattern CD   54661-4   1.3.6.1.4.1.12009.10.1.37
  D0500B2 0 Never or 1 day   Typical pattern CD   54661-4 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0500B2 1 2-6 Days (Several days)   Typical pattern CD   54661-4 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0500B2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54661-4 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0500B2 3 12-14 Days (Nearly every day)   Typical pattern CD   54661-4 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0500C1   PHQ staff: trouble with sleep - presence   Typical pattern CD   54662-2   1.3.6.1.4.1.12009.10.1.62
  D0500C1 0 No (enter 0 in column 2)   Typical pattern CD   54662-2 LA32-8 1.3.6.1.4.1.12009.10.1.62
  D0500C1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54662-2 LA33-6 1.3.6.1.4.1.12009.10.1.62
  D0500C2   PHQ staff: trouble with sleep - frequency   Typical pattern CD   54663-0   1.3.6.1.4.1.12009.10.1.37
  D0500C2 0 Never or 1 day   Typical pattern CD   54663-0 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0500C2 1 2-6 Days (Several days)   Typical pattern CD   54663-0 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0500C2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54663-0 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0500C2 3 12-14 Days (Nearly every day)   Typical pattern CD   54663-0 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0500D1   PHQ staff: feeling tired/little energy - presence   Typical pattern CD   54664-8   1.3.6.1.4.1.12009.10.1.62
  D0500D1 0 No (enter 0 in column 2)   Typical pattern CD   54664-8 LA32-8 1.3.6.1.4.1.12009.10.1.62
  D0500D1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54664-8 LA33-6 1.3.6.1.4.1.12009.10.1.62
  D0500D2   PHQ staff: feeling tired/little energy - frequency   Typical pattern CD   54665-5   1.3.6.1.4.1.12009.10.1.37
  D0500D2 0 Never or 1 day   Typical pattern CD   54665-5 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0500D2 1 2-6 Days (Several days)   Typical pattern CD   54665-5 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0500D2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54665-5 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0500D2 3 12-14 Days (Nearly every day)   Typical pattern CD   54665-5 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0500E1   PHQ staff: poor appetite or overeating - presence   Typical pattern CD   54666-3   1.3.6.1.4.1.12009.10.1.62
  D0500E1 0 No (enter 0 in column 2)   Typical pattern CD   54666-3 LA32-8 1.3.6.1.4.1.12009.10.1.62
  D0500E1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54666-3 LA33-6 1.3.6.1.4.1.12009.10.1.62
  D0500E2   PHQ staff: poor appetite or overeating - frequency   Typical pattern CD   54667-1   1.3.6.1.4.1.12009.10.1.37
  D0500E2 0 Never or 1 day   Typical pattern CD   54667-1 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0500E2 1 2-6 Days (Several days)   Typical pattern CD   54667-1 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0500E2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54667-1 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0500E2 3 12-14 Days (Nearly every day)   Typical pattern CD   54667-1 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0500F1   PHQ staff: feeling bad about self - presence   Typical pattern CD   54668-9   1.3.6.1.4.1.12009.10.1.62
  D0500F1 0 No (enter 0 in column 2)   Typical pattern CD   54668-9 LA32-8 1.3.6.1.4.1.12009.10.1.62
  D0500F1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54668-9 LA33-6 1.3.6.1.4.1.12009.10.1.62
  D0500F2   PHQ staff: feeling bad about self - frequency   Typical pattern CD   54669-7   1.3.6.1.4.1.12009.10.1.37
  D0500F2 0 Never or 1 day   Typical pattern CD   54669-7 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0500F2 1 2-6 Days (Several days)   Typical pattern CD   54669-7 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0500F2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54669-7 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0500F2 3 12-14 Days (Nearly every day)   Typical pattern CD   54669-7 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0500G1   PHQ staff: trouble concentrating - presence   Typical pattern CD   54670-5   1.3.6.1.4.1.12009.10.1.62
  D0500G1 0 No (enter 0 in column 2)   Typical pattern CD   54670-5 LA32-8 1.3.6.1.4.1.12009.10.1.62
  D0500G1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54670-5 LA33-6 1.3.6.1.4.1.12009.10.1.62
  D0500G2   PHQ staff: trouble concentrating - frequency   Typical pattern CD   54671-3   1.3.6.1.4.1.12009.10.1.37
  D0500G2 0 Never or 1 day   Typical pattern CD   54671-3 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0500G2 1 2-6 Days (Several days)   Typical pattern CD   54671-3 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0500G2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54671-3 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0500G2 3 12-14 Days (Nearly every day)   Typical pattern CD   54671-3 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0500H1   PHQ staff: slow, fidgety, restless - presence   Typical pattern CD   54672-1   1.3.6.1.4.1.12009.10.1.62
  D0500H1 0 No (enter 0 in column 2)   Typical pattern CD   54672-1 LA32-8 1.3.6.1.4.1.12009.10.1.62
  D0500H1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54672-1 LA33-6 1.3.6.1.4.1.12009.10.1.62
  D0500H2   PHQ staff: slow, fidgety, restless - frequency   Typical pattern CD   54904-8   1.3.6.1.4.1.12009.10.1.37
  D0500H2 0 Never or 1 day   Typical pattern CD   54904-8 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0500H2 1 2-6 Days (Several days)   Typical pattern CD   54904-8 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0500H2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54904-8 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0500H2 3 12-14 Days (Nearly every day)   Typical pattern CD   54904-8 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0500I1   PHQ staff: thoughts better off dead - presence   Typical pattern CD   54673-9   1.3.6.1.4.1.12009.10.1.62
  D0500I1 0 No (enter 0 in column 2)   Typical pattern CD   54673-9 LA32-8 1.3.6.1.4.1.12009.10.1.62
  D0500I1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54673-9 LA33-6 1.3.6.1.4.1.12009.10.1.62
  D0500I2   PHQ staff: thoughts better off dead - frequency   Typical pattern CD   54674-7   1.3.6.1.4.1.12009.10.1.37
  D0500I2 0 Never or 1 day   Typical pattern CD   54674-7 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0500I2 1 2-6 Days (Several days)   Typical pattern CD   54674-7 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0500I2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54674-7 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0500I2 3 12-14 Days (Nearly every day)   Typical pattern CD   54674-7 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0500J1   PHQ staff: short-tempered - presence   Typical pattern CD   54675-4   1.3.6.1.4.1.12009.10.1.62
  D0500J1 0 No (enter 0 in column 2)   Typical pattern CD   54675-4 LA32-8 1.3.6.1.4.1.12009.10.1.62
  D0500J1 1 Yes (enter 0-3 in column 2)   Typical pattern CD   54675-4 LA33-6 1.3.6.1.4.1.12009.10.1.62
  D0500J2   PHQ staff: short-tempered - frequency   Typical pattern CD   54676-2   1.3.6.1.4.1.12009.10.1.37
  D0500J2 0 Never or 1 day   Typical pattern CD   54676-2 LA10997-7 1.3.6.1.4.1.12009.10.1.37
  D0500J2 1 2-6 Days (Several days)   Typical pattern CD   54676-2 LA10998-5 1.3.6.1.4.1.12009.10.1.37
  D0500J2 2 7-11 Days (Half or more of the days)   Typical pattern CD   54676-2 LA10999-3 1.3.6.1.4.1.12009.10.1.37
  D0500J2 3 12-14 Days (Nearly every day)   Typical pattern CD   54676-2 LA11000-9 1.3.6.1.4.1.12009.10.1.37
  D0600   PHQ staff: total mood score   Other response data type pattern INT   54677-0    
  D0650   PHQ staff: safety notification   Typical pattern CD   54655-6   1.3.6.1.4.1.12009.10.1.62
  D0650 0 No   Typical pattern CD   54655-6 LA32-8 1.3.6.1.4.1.12009.10.1.62
  D0650 1 Yes   Typical pattern CD   54655-6 LA33-6 1.3.6.1.4.1.12009.10.1.62
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
E     Behavior              
  E0100A   Psychosis: hallucinations   Multiple response pattern BL   54678-8    
  E0100B   Psychosis: delusions     Multiple response pattern BL   54680-4    
  E0100Z   Psychosis: none of the above   Multiple response pattern BL   54681-2    
  E0200A   Physical behav symptoms directed toward others   Typical pattern CD   54682-0   1.3.6.1.4.1.12009.10.1.35
  E0200A 0 Behavior not exhibited   Typical pattern CD   54682-0 LA11005-8 1.3.6.1.4.1.12009.10.1.35
  E0200A 1 Behavior of this type occurred 1 to 3 days   Typical pattern CD   54682-0 LA11006-6 1.3.6.1.4.1.12009.10.1.35
  E0200A 2 Behavior of this type occurred 4 to 6 days, but less than daily   Typical pattern CD   54682-0 LA94-8 1.3.6.1.4.1.12009.10.1.35
  E0200A 3 Behavior of this type occurred daily   Typical pattern CD   54682-0 LA95-5 1.3.6.1.4.1.12009.10.1.35
  E0200B   Verbal behav symptoms directed toward others   Typical pattern CD   54683-8   1.3.6.1.4.1.12009.10.1.35
  E0200B 0 Behavior not exhibited   Typical pattern CD   54683-8 LA11005-8 1.3.6.1.4.1.12009.10.1.35
  E0200B 1 Behavior of this type occurred 1 to 3 days   Typical pattern CD   54683-8 LA11006-6 1.3.6.1.4.1.12009.10.1.35
  E0200B 2 Behavior of this type occurred 4 to 6 days, but less than daily   Typical pattern CD   54683-8 LA94-8 1.3.6.1.4.1.12009.10.1.35
  E0200B 3 Behavior of this type occurred daily   Typical pattern CD   54683-8 LA95-5 1.3.6.1.4.1.12009.10.1.35
  E0200C   Other behav symptoms not directed toward others   Typical pattern CD   54684-6   1.3.6.1.4.1.12009.10.1.35
  E0200C 0 Behavior not exhibited   Typical pattern CD   54684-6 LA11005-8 1.3.6.1.4.1.12009.10.1.35
  E0200C 1 Behavior of this type occurred 1 to 3 days   Typical pattern CD   54684-6 LA11006-6 1.3.6.1.4.1.12009.10.1.35
  E0200C 2 Behavior of this type occurred 4 to 6 days, but less than daily   Typical pattern CD   54684-6 LA94-8 1.3.6.1.4.1.12009.10.1.35
  E0200C 3 Behavior of this type occurred daily   Typical pattern CD   54684-6 LA95-5 1.3.6.1.4.1.12009.10.1.35
  E0300   Overall presence of behavioral symptoms   Typical pattern CD   54685-3   1.3.6.1.4.1.12009.10.1.62
  E0300 0 No   Typical pattern CD   54685-3 LA32-8 1.3.6.1.4.1.12009.10.1.62
  E0300 1 Yes   Typical pattern CD   54685-3 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E0500A   Behav symptoms put res at risk for illness/injury   Typical pattern CD   54686-1   1.3.6.1.4.1.12009.10.1.62
  E0500A 0 No   Typical pattern CD   54686-1 LA32-8 1.3.6.1.4.1.12009.10.1.62
  E0500A 1 Yes   Typical pattern CD   54686-1 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E0500B   Behav symptoms interfere with resident care   Typical pattern CD   54687-9   1.3.6.1.4.1.12009.10.1.62
  E0500B 0 No   Typical pattern CD   54687-9 LA32-8 1.3.6.1.4.1.12009.10.1.62
  E0500B 1 Yes   Typical pattern CD   54687-9 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E0500C   Behav symptoms interfere with social activities   Typical pattern CD   54688-7   1.3.6.1.4.1.12009.10.1.62
  E0500C 0 No   Typical pattern CD   54688-7 LA32-8 1.3.6.1.4.1.12009.10.1.62
  E0500C 1 Yes   Typical pattern CD   54688-7 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E0600A   Behav symptoms put others at risk for injury   Typical pattern CD   54689-5   1.3.6.1.4.1.12009.10.1.62
  E0600A 0 No   Typical pattern CD   54689-5 LA32-8 1.3.6.1.4.1.12009.10.1.62
  E0600A 1 Yes   Typical pattern CD   54689-5 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E0600B   Behav symptoms intrude on privacy of others   Typical pattern CD   54690-3   1.3.6.1.4.1.12009.10.1.62
  E0600B 0 No   Typical pattern CD   54690-3 LA32-8 1.3.6.1.4.1.12009.10.1.62
  E0600B 1 Yes   Typical pattern CD   54690-3 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E0600C   Behav symptoms disrupt care or living environment   Typical pattern CD   54691-1   1.3.6.1.4.1.12009.10.1.62
  E0600C 0 No   Typical pattern CD   54691-1 LA32-8 1.3.6.1.4.1.12009.10.1.62
  E0600C 1 Yes   Typical pattern CD   54691-1 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E0800   Rejection of care: presence and frequency   Typical pattern CD   54692-9   1.3.6.1.4.1.12009.10.1.35
  E0800 0 Behavior not exhibited   Typical pattern CD   54692-9 LA11005-8 1.3.6.1.4.1.12009.10.1.35
  E0800 1 Behavior of this type occurred 1 to 3 days   Typical pattern CD   54692-9 LA11006-6 1.3.6.1.4.1.12009.10.1.35
  E0800 2 Behavior of this type occurred 4 to 6 days, but less than daily   Typical pattern CD   54692-9 LA94-8 1.3.6.1.4.1.12009.10.1.35
  E0800 3 Behavior of this type occurred daily   Typical pattern CD   54692-9 LA95-5 1.3.6.1.4.1.12009.10.1.35
  E0900   Wandering: presence and frequency   Typical pattern CD   54693-7   1.3.6.1.4.1.12009.10.1.35
  E0900 0 Behavior not exhibited   Typical pattern CD   54693-7 LA11005-8 1.3.6.1.4.1.12009.10.1.35
  E0900 1 Behavior of this type occurred 1 to 3 days   Typical pattern CD   54693-7 LA11006-6 1.3.6.1.4.1.12009.10.1.35
  E0900 2 Behavior of this type occurred 4 to 6 days, but less than daily   Typical pattern CD   54693-7 LA94-8 1.3.6.1.4.1.12009.10.1.35
  E0900 3 Behavior of this type occurred daily   Typical pattern CD   54693-7 LA95-5 1.3.6.1.4.1.12009.10.1.35
  E1000A   Wandering: risk of getting to dangerous place   Typical pattern CD   54694-5   1.3.6.1.4.1.12009.10.1.62
  E1000A 0 No   Typical pattern CD   54694-5 LA32-8 1.3.6.1.4.1.12009.10.1.62
  E1000A 1 Yes   Typical pattern CD   54694-5 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E1000B   Wandering: intrude on privacy of others   Typical pattern CD   54695-2   1.3.6.1.4.1.12009.10.1.62
  E1000B 0 No   Typical pattern CD   54695-2 LA32-8 1.3.6.1.4.1.12009.10.1.62
  E1000B 1 Yes   Typical pattern CD   54695-2 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E1100   Change in behavioral or other symptoms   Typical pattern CD   54696-0   1.3.6.1.4.1.12009.10.1.34
  E1100 0 Same   Typical pattern CD   54696-0 LA11009-0 1.3.6.1.4.1.12009.10.1.34
  E1100 1 Improved   Typical pattern CD   54696-0 LA65-8 1.3.6.1.4.1.12009.10.1.34
  E1100 2 Worse   Typical pattern CD   54696-0 LA11011-6 1.3.6.1.4.1.12009.10.1.34
  E1100 9 N/A because no prior MDS assessment   Typical pattern CD   54696-0 LA11012-4 1.3.6.1.4.1.12009.10.1.34
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
F     Preferences for Customary Routine and Activities              
  F0300   Conduct res interview for daily/activity prefs   Typical pattern CD   54697-8   1.3.6.1.4.1.12009.10.1.3
  F0300 0 No (resident is rarely/never understood and family/ significant other not available)   Typical pattern CD   54697-8 LA11149-4 1.3.6.1.4.1.12009.10.1.3
  F0300 1 Yes   Typical pattern CD   54697-8 LA33-6 1.3.6.1.4.1.12009.10.1.3
  F0400A   Res interview: choose clothes to wear   Typical pattern CD   54698-6   1.3.6.1.4.1.12009.10.1.33
  F0400A 1 Very important   Typical pattern CD   54698-6 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0400A 2 Somewhat important   Typical pattern CD   54698-6 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0400A 3 Not very important   Typical pattern CD   54698-6 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0400A 4 Not important at all   Typical pattern CD   54698-6 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0400A 5 Important, but can't do or no choice   Typical pattern CD   54698-6 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0400A 9 No response or non-responsive   Typical pattern CD   54698-6 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0400B   Res interview: take care of personal belongings   Typical pattern CD   54699-4   1.3.6.1.4.1.12009.10.1.33
  F0400B 1 Very important   Typical pattern CD   54699-4 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0400B 2 Somewhat important   Typical pattern CD   54699-4 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0400B 3 Not very important   Typical pattern CD   54699-4 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0400B 4 Not important at all   Typical pattern CD   54699-4 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0400B 5 Important, but can't do or no choice   Typical pattern CD   54699-4 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0400B 9 No response or non-responsive   Typical pattern CD   54699-4 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0400C   Res interview: choose tub, bath, shower, sponge   Typical pattern CD   54700-0   1.3.6.1.4.1.12009.10.1.33
  F0400C 1 Very important   Typical pattern CD   54700-0 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0400C 2 Somewhat important   Typical pattern CD   54700-0 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0400C 3 Not very important   Typical pattern CD   54700-0 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0400C 4 Not important at all   Typical pattern CD   54700-0 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0400C 5 Important, but can't do or no choice   Typical pattern CD   54700-0 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0400C 9 No response or non-responsive   Typical pattern CD   54700-0 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0400D   Res interview: have snacks between meals   Typical pattern CD   54701-8   1.3.6.1.4.1.12009.10.1.33
  F0400D 1 Very important   Typical pattern CD   54701-8 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0400D 2 Somewhat important   Typical pattern CD   54701-8 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0400D 3 Not very important   Typical pattern CD   54701-8 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0400D 4 Not important at all   Typical pattern CD   54701-8 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0400D 5 Important, but can't do or no choice   Typical pattern CD   54701-8 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0400D 9 No response or non-responsive   Typical pattern CD   54701-8 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0400E   Res interview: choose own bedtime   Typical pattern CD   54702-6   1.3.6.1.4.1.12009.10.1.33
  F0400E 1 Very important   Typical pattern CD   54702-6 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0400E 2 Somewhat important   Typical pattern CD   54702-6 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0400E 3 Not very important   Typical pattern CD   54702-6 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0400E 4 Not important at all   Typical pattern CD   54702-6 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0400E 5 Important, but can't do or no choice   Typical pattern CD   54702-6 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0400E 9 No response or non-responsive   Typical pattern CD   54702-6 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0400F   Res interview: discuss care with family/friend   Typical pattern CD   54703-4   1.3.6.1.4.1.12009.10.1.33
  F0400F 1 Very important   Typical pattern CD   54703-4 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0400F 2 Somewhat important   Typical pattern CD   54703-4 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0400F 3 Not very important   Typical pattern CD   54703-4 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0400F 4 Not important at all   Typical pattern CD   54703-4 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0400F 5 Important, but can't do or no choice   Typical pattern CD   54703-4 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0400F 9 No response or non-responsive   Typical pattern CD   54703-4 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0400G   Res interview: use phone in private   Typical pattern CD   54704-2   1.3.6.1.4.1.12009.10.1.33
  F0400G 1 Very important   Typical pattern CD   54704-2 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0400G 2 Somewhat important   Typical pattern CD   54704-2 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0400G 3 Not very important   Typical pattern CD   54704-2 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0400G 4 Not important at all   Typical pattern CD   54704-2 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0400G 5 Important, but can't do or no choice   Typical pattern CD   54704-2 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0400G 9 No response or non-responsive   Typical pattern CD   54704-2 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0400H   Res interview: lock things to keep them safe   Typical pattern CD   54705-9   1.3.6.1.4.1.12009.10.1.33
  F0400H 1 Very important   Typical pattern CD   54705-9 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0400H 2 Somewhat important   Typical pattern CD   54705-9 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0400H 3 Not very important   Typical pattern CD   54705-9 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0400H 4 Not important at all   Typical pattern CD   54705-9 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0400H 5 Important, but can't do or no choice   Typical pattern CD   54705-9 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0400H 9 No response or non-responsive   Typical pattern CD   54705-9 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0500A   Res interview: have books, newspaper, mags to read   Typical pattern CD   54706-7   1.3.6.1.4.1.12009.10.1.33
  F0500A 1 Very important   Typical pattern CD   54706-7 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0500A 2 Somewhat important   Typical pattern CD   54706-7 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0500A 3 Not very important   Typical pattern CD   54706-7 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0500A 4 Not important at all   Typical pattern CD   54706-7 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0500A 5 Important, but can't do or no choice   Typical pattern CD   54706-7 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0500A 9 No response or non-responsive   Typical pattern CD   54706-7 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0500B   Res interview: listen to music   Typical pattern CD   54707-5   1.3.6.1.4.1.12009.10.1.33
  F0500B 1 Very important   Typical pattern CD   54707-5 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0500B 2 Somewhat important   Typical pattern CD   54707-5 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0500B 3 Not very important   Typical pattern CD   54707-5 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0500B 4 Not important at all   Typical pattern CD   54707-5 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0500B 5 Important, but can't do or no choice   Typical pattern CD   54707-5 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0500B 9 No response or non-responsive   Typical pattern CD   54707-5 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0500C   Res interview: be around animals/pets   Typical pattern CD   54708-3   1.3.6.1.4.1.12009.10.1.33
  F0500C 1 Very important   Typical pattern CD   54708-3 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0500C 2 Somewhat important   Typical pattern CD   54708-3 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0500C 3 Not very important   Typical pattern CD   54708-3 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0500C 4 Not important at all   Typical pattern CD   54708-3 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0500C 5 Important, but can't do or no choice   Typical pattern CD   54708-3 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0500C 9 No response or non-responsive   Typical pattern CD   54708-3 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0500D   Res interview: keep up with news   Typical pattern CD   54709-1   1.3.6.1.4.1.12009.10.1.33
  F0500D 1 Very important   Typical pattern CD   54709-1 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0500D 2 Somewhat important   Typical pattern CD   54709-1 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0500D 3 Not very important   Typical pattern CD   54709-1 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0500D 4 Not important at all   Typical pattern CD   54709-1 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0500D 5 Important, but can't do or no choice   Typical pattern CD   54709-1 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0500D 9 No response or non-responsive   Typical pattern CD   54709-1 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0500E   Res interview: do things with groups of people   Typical pattern CD   54710-9   1.3.6.1.4.1.12009.10.1.33
  F0500E 1 Very important   Typical pattern CD   54710-9 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0500E 2 Somewhat important   Typical pattern CD   54710-9 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0500E 3 Not very important   Typical pattern CD   54710-9 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0500E 4 Not important at all   Typical pattern CD   54710-9 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0500E 5 Important, but can't do or no choice   Typical pattern CD   54710-9 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0500E 9 No response or non-responsive   Typical pattern CD   54710-9 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0500F   Res interview: do favorite activities   Typical pattern CD   54711-7   1.3.6.1.4.1.12009.10.1.33
  F0500F 1 Very important   Typical pattern CD   54711-7 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0500F 2 Somewhat important   Typical pattern CD   54711-7 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0500F 3 Not very important   Typical pattern CD   54711-7 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0500F 4 Not important at all   Typical pattern CD   54711-7 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0500F 5 Important, but can't do or no choice   Typical pattern CD   54711-7 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0500F 9 No response or non-responsive   Typical pattern CD   54711-7 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0500G   Res interview: go outside when good weather   Typical pattern CD   54712-5   1.3.6.1.4.1.12009.10.1.33
  F0500G 1 Very important   Typical pattern CD   54712-5 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0500G 2 Somewhat important   Typical pattern CD   54712-5 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0500G 3 Not very important   Typical pattern CD   54712-5 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0500G 4 Not important at all   Typical pattern CD   54712-5 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0500G 5 Important, but can't do or no choice   Typical pattern CD   54712-5 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0500G 9 No response or non-responsive   Typical pattern CD   54712-5 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0500H   Res interview: participate in religious practices   Typical pattern CD   54713-3   1.3.6.1.4.1.12009.10.1.33
  F0500H 1 Very important   Typical pattern CD   54713-3 LA11013-2 1.3.6.1.4.1.12009.10.1.33
  F0500H 2 Somewhat important   Typical pattern CD   54713-3 LA11014-0 1.3.6.1.4.1.12009.10.1.33
  F0500H 3 Not very important   Typical pattern CD   54713-3 LA11015-7 1.3.6.1.4.1.12009.10.1.33
  F0500H 4 Not important at all   Typical pattern CD   54713-3 LA11016-5 1.3.6.1.4.1.12009.10.1.33
  F0500H 5 Important, but can't do or no choice   Typical pattern CD   54713-3 LA11017-3 1.3.6.1.4.1.12009.10.1.33
  F0500H 9 No response or non-responsive   Typical pattern CD   54713-3 LA11018-1 1.3.6.1.4.1.12009.10.1.33
  F0600   Primary respondent: daily/ activities prefs   Typical pattern CD   54714-1   1.3.6.1.4.1.12009.10.1.7
  F0600 1 Resident   Typical pattern CD   54714-1 LA11019-9 1.3.6.1.4.1.12009.10.1.7
  F0600 2 Family or significant other (close friend or other representative)   Typical pattern CD   54714-1 LA11020-7 1.3.6.1.4.1.12009.10.1.7
  F0600 9 Interview could not be completed by resident or family/ significant other (“No Response” to 3 or more items)   Typical pattern CD   54714-1 LA11021-5 1.3.6.1.4.1.12009.10.1.7
  F0700   Conduct staff assessment for daily/activity prefs   Typical pattern CD   54715-8   1.3.6.1.4.1.12009.10.1.1
  F0700 0 No (because Interview for Daily and Activity Preferences (F0400 and F0500) was completed by resident or family/significant other)   Typical pattern CD   54715-8 LA11151-0 1.3.6.1.4.1.12009.10.1.1
  F0700 1 Yes (because 3 or more items in Interview for Daily and Activity Preferences (F0400 and F0500) were not completed by resident or family/significant other)   Typical pattern CD   54715-8 LA11152-8 1.3.6.1.4.1.12009.10.1.1
  F0800A   Staff assessment: choosing clothes to wear   Multiple response pattern BL   54716-6    
  F0800B   Staff assessment: caring for personal belongings   Multiple response pattern BL   54717-4    
  F0800C   Staff assessment: receiving tub bath   Multiple response pattern BL   54718-2    
  F0800D   Staff assessment: receiving shower   Multiple response pattern BL   54719-0    
  F0800E   Staff assessment: receiving bed bath   Multiple response pattern BL   54720-8    
  F0800F   Staff assessment: receiving sponge bath   Multiple response pattern BL   54721-6    
  F0800G   Staff assessment: snacks between meals   Multiple response pattern BL   54722-4    
  F0800H   Staff assessment: staying up past 8PM   Multiple response pattern BL   54723-2    
  F0800I   Staff assessment: discuss care with family/other   Multiple response pattern BL   54724-0    
  F0800J   Staff assessment: use phone in private   Multiple response pattern BL   54725-7    
  F0800K   Staff assessment: place to lock personal things   Multiple response pattern BL   54726-5    
  F0800L   Staff assessment: reading books, newspapers, mags   Multiple response pattern BL   54727-3    
  F0800M   Staff assessment: listening to music   Multiple response pattern BL   54728-1    
  F0800N   Staff assessment: being around animals/pets   Multiple response pattern BL   54729-9    
  F0800O   Staff assessment: keeping up with news   Multiple response pattern BL   54730-7    
  F0800P   Staff assessment: doing things with groups   Multiple response pattern BL   54731-5    
  F0800Q   Staff assessment: participate favorite activities   Multiple response pattern BL   54732-3    
  F0800R   Staff assessment: spend time away from nursing home   Multiple response pattern BL   54733-1    
  F0800S   Staff assessment: spend time outdoors   Multiple response pattern BL   54734-9    
  F0800T   Staff assessment: participate religious activities   Multiple response pattern BL   54735-6    
  F0800Z   Staff assessment: none of above activities   Multiple response pattern BL   54736-4    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
G     Functional Status              
  G0110A1   Bed mobility: self-performance   Typical pattern CD   45588-1   1.3.6.1.4.1.12009.10.1.70
  G0110A1 0 Independent - no help or staff oversight at any time   Typical pattern CD   45588-1 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110A1 1 Supervision - oversight, encouragement or cueing   Typical pattern CD   45588-1 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110A1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Typical pattern CD   45588-1 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110A1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Typical pattern CD   45588-1 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110A1 4 Total dependence - full staff performance every time during entire 7-day period   Typical pattern CD   45588-1 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110A1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Typical pattern CD   45588-1 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110A1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Typical pattern CD   45588-1 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110A2   Bed mobility: support provided   Typical pattern CD   45589-9   1.3.6.1.4.1.12009.10.1.160
  G0110A2 0 No setup or physical help from staff   Typical pattern CD   45589-9 LA105-9 1.3.6.1.4.1.12009.10.1.160
  G0110A2 1 Setup help only   Typical pattern CD   45589-9 LA106-7 1.3.6.1.4.1.12009.10.1.160
  G0110A2 2 One person physical assist   Typical pattern CD   45589-9 LA107-5 1.3.6.1.4.1.12009.10.1.160
  G0110A2 3 Two+ persons physical assist   Typical pattern CD   45589-9 LA108-3 1.3.6.1.4.1.12009.10.1.160
  G0110A2 8 ADL activity itself did not occur during entire period   Typical pattern CD   45589-9 LA109-1 1.3.6.1.4.1.12009.10.1.160
  G0110B1   Transfer: self-performance   Typical pattern CD   45590-7   1.3.6.1.4.1.12009.10.1.70
  G0110B1 0 Independent - no help or staff oversight at any time   Typical pattern CD   45590-7 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110B1 1 Supervision - oversight, encouragement or cueing   Typical pattern CD   45590-7 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110B1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Typical pattern CD   45590-7 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110B1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Typical pattern CD   45590-7 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110B1 4 Total dependence - full staff performance every time during entire 7-day period   Typical pattern CD   45590-7 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110B1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Typical pattern CD   45590-7 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110B1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Typical pattern CD   45590-7 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110B2   Transfer: support provided   Typical pattern CD   45591-5   1.3.6.1.4.1.12009.10.1.160
  G0110B2 0 No setup or physical help from staff   Typical pattern CD   45591-5 LA105-9 1.3.6.1.4.1.12009.10.1.160
  G0110B2 1 Setup help only   Typical pattern CD   45591-5 LA106-7 1.3.6.1.4.1.12009.10.1.160
  G0110B2 2 One person physical assist   Typical pattern CD   45591-5 LA107-5 1.3.6.1.4.1.12009.10.1.160
  G0110B2 3 Two+ persons physical assist   Typical pattern CD   45591-5 LA108-3 1.3.6.1.4.1.12009.10.1.160
  G0110B2 8 ADL activity itself did not occur during entire period   Typical pattern CD   45591-5 LA109-1 1.3.6.1.4.1.12009.10.1.160
  G0110C1   Walk in room: self-performance   Typical pattern CD   45592-3   1.3.6.1.4.1.12009.10.1.70
  G0110C1 0 Independent - no help or staff oversight at any time   Typical pattern CD   45592-3 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110C1 1 Supervision - oversight, encouragement or cueing   Typical pattern CD   45592-3 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110C1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Typical pattern CD   45592-3 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110C1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Typical pattern CD   45592-3 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110C1 4 Total dependence - full staff performance every time during entire 7-day period   Typical pattern CD   45592-3 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110C1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Typical pattern CD   45592-3 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110C1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Typical pattern CD   45592-3 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110C2   Walk in room: support provided   Typical pattern CD   45593-1   1.3.6.1.4.1.12009.10.1.160
  G0110C2 0 No setup or physical help from staff   Typical pattern CD   45593-1 LA105-9 1.3.6.1.4.1.12009.10.1.160
  G0110C2 1 Setup help only   Typical pattern CD   45593-1 LA106-7 1.3.6.1.4.1.12009.10.1.160
  G0110C2 2 One person physical assist   Typical pattern CD   45593-1 LA107-5 1.3.6.1.4.1.12009.10.1.160
  G0110C2 3 Two+ persons physical assist   Typical pattern CD   45593-1 LA108-3 1.3.6.1.4.1.12009.10.1.160
  G0110C2 8 ADL activity itself did not occur during entire period   Typical pattern CD   45593-1 LA109-1 1.3.6.1.4.1.12009.10.1.160
  G0110D1   Walk in corridor: self-performance   Typical pattern CD   45594-9   1.3.6.1.4.1.12009.10.1.70
  G0110D1 0 Independent - no help or staff oversight at any time   Typical pattern CD   45594-9 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110D1 1 Supervision - oversight, encouragement or cueing   Typical pattern CD   45594-9 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110D1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Typical pattern CD   45594-9 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110D1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Typical pattern CD   45594-9 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110D1 4 Total dependence - full staff performance every time during entire 7-day period   Typical pattern CD   45594-9 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110D1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Typical pattern CD   45594-9 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110D1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Typical pattern CD   45594-9 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110D2   Walk in corridor: support provided   Typical pattern CD   45595-6   1.3.6.1.4.1.12009.10.1.160
  G0110D2 0 No setup or physical help from staff   Typical pattern CD   45595-6 LA105-9 1.3.6.1.4.1.12009.10.1.160
  G0110D2 1 Setup help only   Typical pattern CD   45595-6 LA106-7 1.3.6.1.4.1.12009.10.1.160
  G0110D2 2 One person physical assist   Typical pattern CD   45595-6 LA107-5 1.3.6.1.4.1.12009.10.1.160
  G0110D2 3 Two+ persons physical assist   Typical pattern CD   45595-6 LA108-3 1.3.6.1.4.1.12009.10.1.160
  G0110D2 8 ADL activity itself did not occur during entire period   Typical pattern CD   45595-6 LA109-1 1.3.6.1.4.1.12009.10.1.160
  G0110E1   Locomotion on unit: self-performance   Typical pattern CD   45596-4   1.3.6.1.4.1.12009.10.1.70
  G0110E1 0 Independent - no help or staff oversight at any time   Typical pattern CD   45596-4 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110E1 1 Supervision - oversight, encouragement or cueing   Typical pattern CD   45596-4 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110E1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Typical pattern CD   45596-4 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110E1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Typical pattern CD   45596-4 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110E1 4 Total dependence - full staff performance every time during entire 7-day period   Typical pattern CD   45596-4 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110E1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Typical pattern CD   45596-4 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110E1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Typical pattern CD   45596-4 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110E2   Locomotion on unit: support provided   Typical pattern CD   45597-2   1.3.6.1.4.1.12009.10.1.160
  G0110E2 0 No setup or physical help from staff   Typical pattern CD   45597-2 LA105-9 1.3.6.1.4.1.12009.10.1.160
  G0110E2 1 Setup help only   Typical pattern CD   45597-2 LA106-7 1.3.6.1.4.1.12009.10.1.160
  G0110E2 2 One person physical assist   Typical pattern CD   45597-2 LA107-5 1.3.6.1.4.1.12009.10.1.160
  G0110E2 3 Two+ persons physical assist   Typical pattern CD   45597-2 LA108-3 1.3.6.1.4.1.12009.10.1.160
  G0110E2 8 ADL activity itself did not occur during entire period   Typical pattern CD   45597-2 LA109-1 1.3.6.1.4.1.12009.10.1.160
  G0110F1   Locomotion off unit: self-performance   Typical pattern CD   45598-0   1.3.6.1.4.1.12009.10.1.70
  G0110F1 0 Independent - no help or staff oversight at any time   Typical pattern CD   45598-0 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110F1 1 Supervision - oversight, encouragement or cueing   Typical pattern CD   45598-0 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110F1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Typical pattern CD   45598-0 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110F1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Typical pattern CD   45598-0 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110F1 4 Total dependence - full staff performance every time during entire 7-day period   Typical pattern CD   45598-0 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110F1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Typical pattern CD   45598-0 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110F1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Typical pattern CD   45598-0 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110F2   Locomotion off unit: support provided   Typical pattern CD   45599-8   1.3.6.1.4.1.12009.10.1.160
  G0110F2 0 No setup or physical help from staff   Typical pattern CD   45599-8 LA105-9 1.3.6.1.4.1.12009.10.1.160
  G0110F2 1 Setup help only   Typical pattern CD   45599-8 LA106-7 1.3.6.1.4.1.12009.10.1.160
  G0110F2 2 One person physical assist   Typical pattern CD   45599-8 LA107-5 1.3.6.1.4.1.12009.10.1.160
  G0110F2 3 Two+ persons physical assist   Typical pattern CD   45599-8 LA108-3 1.3.6.1.4.1.12009.10.1.160
  G0110F2 8 ADL activity itself did not occur during entire period   Typical pattern CD   45599-8 LA109-1 1.3.6.1.4.1.12009.10.1.160
  G0110G1   Dressing: self-performance   Typical pattern CD   45600-4   1.3.6.1.4.1.12009.10.1.70
  G0110G1 0 Independent - no help or staff oversight at any time   Typical pattern CD   45600-4 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110G1 1 Supervision - oversight, encouragement or cueing   Typical pattern CD   45600-4 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110G1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Typical pattern CD   45600-4 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110G1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Typical pattern CD   45600-4 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110G1 4 Total dependence - full staff performance every time during entire 7-day period   Typical pattern CD   45600-4 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110G1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Typical pattern CD   45600-4 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110G1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Typical pattern CD   45600-4 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110G2   Dressing: support provided   Typical pattern CD   45601-2   1.3.6.1.4.1.12009.10.1.160
  G0110G2 0 No setup or physical help from staff   Typical pattern CD   45601-2 LA105-9 1.3.6.1.4.1.12009.10.1.160
  G0110G2 1 Setup help only   Typical pattern CD   45601-2 LA106-7 1.3.6.1.4.1.12009.10.1.160
  G0110G2 2 One person physical assist   Typical pattern CD   45601-2 LA107-5 1.3.6.1.4.1.12009.10.1.160
  G0110G2 3 Two+ persons physical assist   Typical pattern CD   45601-2 LA108-3 1.3.6.1.4.1.12009.10.1.160
  G0110G2 8 ADL activity itself did not occur during entire period   Typical pattern CD   45601-2 LA109-1 1.3.6.1.4.1.12009.10.1.160
  G0110H1   Eating: self-performance   Typical pattern CD   45602-0   1.3.6.1.4.1.12009.10.1.70
  G0110H1 0 Independent - no help or staff oversight at any time   Typical pattern CD   45602-0 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110H1 1 Supervision - oversight, encouragement or cueing   Typical pattern CD   45602-0 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110H1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Typical pattern CD   45602-0 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110H1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Typical pattern CD   45602-0 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110H1 4 Total dependence - full staff performance every time during entire 7-day period   Typical pattern CD   45602-0 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110H1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Typical pattern CD   45602-0 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110H1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Typical pattern CD   45602-0 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110H2   Eating: support provided   Typical pattern CD   45603-8   1.3.6.1.4.1.12009.10.1.160
  G0110H2 0 No setup or physical help from staff   Typical pattern CD   45603-8 LA105-9 1.3.6.1.4.1.12009.10.1.160
  G0110H2 1 Setup help only   Typical pattern CD   45603-8 LA106-7 1.3.6.1.4.1.12009.10.1.160
  G0110H2 2 One person physical assist   Typical pattern CD   45603-8 LA107-5 1.3.6.1.4.1.12009.10.1.160
  G0110H2 3 Two+ persons physical assist   Typical pattern CD   45603-8 LA108-3 1.3.6.1.4.1.12009.10.1.160
  G0110H2 8 ADL activity itself did not occur during entire period   Typical pattern CD   45603-8 LA109-1 1.3.6.1.4.1.12009.10.1.160
  G0110I1   Toilet use: self-performance   Typical pattern CD   45604-6   1.3.6.1.4.1.12009.10.1.70
  G0110I1 0 Independent - no help or staff oversight at any time   Typical pattern CD   45604-6 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110I1 1 Supervision - oversight, encouragement or cueing   Typical pattern CD   45604-6 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110I1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Typical pattern CD   45604-6 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110I1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Typical pattern CD   45604-6 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110I1 4 Total dependence - full staff performance every time during entire 7-day period   Typical pattern CD   45604-6 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110I1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Typical pattern CD   45604-6 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110I1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Typical pattern CD   45604-6 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110I2   Toilet use: support provided   Typical pattern CD   45605-3   1.3.6.1.4.1.12009.10.1.160
  G0110I2 0 No setup or physical help from staff   Typical pattern CD   45605-3 LA105-9 1.3.6.1.4.1.12009.10.1.160
  G0110I2 1 Setup help only   Typical pattern CD   45605-3 LA106-7 1.3.6.1.4.1.12009.10.1.160
  G0110I2 2 One person physical assist   Typical pattern CD   45605-3 LA107-5 1.3.6.1.4.1.12009.10.1.160
  G0110I2 3 Two+ persons physical assist   Typical pattern CD   45605-3 LA108-3 1.3.6.1.4.1.12009.10.1.160
  G0110I2 8 ADL activity itself did not occur during entire period   Typical pattern CD   45605-3 LA109-1 1.3.6.1.4.1.12009.10.1.160
  G0110J1   Personal hygiene: self-performance   Typical pattern CD   45606-1   1.3.6.1.4.1.12009.10.1.70
  G0110J1 0 Independent - no help or staff oversight at any time   Typical pattern CD   45606-1 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110J1 1 Supervision - oversight, encouragement or cueing   Typical pattern CD   45606-1 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110J1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Typical pattern CD   45606-1 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110J1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Typical pattern CD   45606-1 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110J1 4 Total dependence - full staff performance every time during entire 7-day period   Typical pattern CD   45606-1 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110J1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Typical pattern CD   45606-1 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110J1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Typical pattern CD   45606-1 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110J2   Personal hygiene: support provided   Typical pattern CD   45607-9   1.3.6.1.4.1.12009.10.1.160
  G0110J2 0 No setup or physical help from staff   Typical pattern CD   45607-9 LA105-9 1.3.6.1.4.1.12009.10.1.160
  G0110J2 1 Setup help only   Typical pattern CD   45607-9 LA106-7 1.3.6.1.4.1.12009.10.1.160
  G0110J2 2 One person physical assist   Typical pattern CD   45607-9 LA107-5 1.3.6.1.4.1.12009.10.1.160
  G0110J2 3 Two+ persons physical assist   Typical pattern CD   45607-9 LA108-3 1.3.6.1.4.1.12009.10.1.160
  G0110J2 8 ADL activity itself did not occur during entire period   Typical pattern CD   45607-9 LA109-1 1.3.6.1.4.1.12009.10.1.160
  G0120A   Bathing: self-performance   Typical pattern CD   45608-7   1.3.6.1.4.1.12009.10.1.161
  G0120A 0 Independent - no help provided   Typical pattern CD   45608-7 LA110-9 1.3.6.1.4.1.12009.10.1.161
  G0120A 1 Supervision - oversight help only   Typical pattern CD   45608-7 LA111-7 1.3.6.1.4.1.12009.10.1.161
  G0120A 2 Physical help limited to transfer only   Typical pattern CD   45608-7 LA112-5 1.3.6.1.4.1.12009.10.1.161
  G0120A 3 Physical help in part of bathing activity   Typical pattern CD   45608-7 LA113-3 1.3.6.1.4.1.12009.10.1.161
  G0120A 4 Total dependence   Typical pattern CD   45608-7 LA114-1 1.3.6.1.4.1.12009.10.1.161
  G0120A 8 Activity did not occur during the entire period   Typical pattern CD   45608-7 LA115-8 1.3.6.1.4.1.12009.10.1.161
  G0120B   Bathing: support provided   Typical pattern CD   45609-5   1.3.6.1.4.1.12009.10.1.160
  G0120B 0 No setup or physical help from staff   Typical pattern CD   45609-5 LA105-9 1.3.6.1.4.1.12009.10.1.160
  G0120B 1 Setup help only   Typical pattern CD   45609-5 LA106-7 1.3.6.1.4.1.12009.10.1.160
  G0120B 2 One person physical assist   Typical pattern CD   45609-5 LA107-5 1.3.6.1.4.1.12009.10.1.160
  G0120B 3 Two+ persons physical assist   Typical pattern CD   45609-5 LA108-3 1.3.6.1.4.1.12009.10.1.160
  G0120B 8 ADL activity itself did not occur during entire period   Typical pattern CD   45609-5 LA109-1 1.3.6.1.4.1.12009.10.1.160
  G0300A   Balance: moving from seated to standing position   Typical pattern CD   54749-7   1.3.6.1.4.1.12009.10.1.31
  G0300A 0 Steady at all times   Typical pattern CD   54749-7 LA11031-4 1.3.6.1.4.1.12009.10.1.31
  G0300A 1 Not steady, but able to stabilize without human assistance   Typical pattern CD   54749-7 LA11032-2 1.3.6.1.4.1.12009.10.1.31
  G0300A 2 Not steady, only able to stabilize with human assistance   Typical pattern CD   54749-7 LA11033-0 1.3.6.1.4.1.12009.10.1.31
  G0300A 8 Activity did not occur   Typical pattern CD   54749-7 LA11034-8 1.3.6.1.4.1.12009.10.1.31
  G0300B   Balance: walking (with assistive device if used)   Typical pattern CD   54750-5   1.3.6.1.4.1.12009.10.1.31
  G0300B 0 Steady at all times   Typical pattern CD   54750-5 LA11031-4 1.3.6.1.4.1.12009.10.1.31
  G0300B 1 Not steady, but able to stabilize without human assistance   Typical pattern CD   54750-5 LA11032-2 1.3.6.1.4.1.12009.10.1.31
  G0300B 2 Not steady, only able to stabilize with human assistance   Typical pattern CD   54750-5 LA11033-0 1.3.6.1.4.1.12009.10.1.31
  G0300B 8 Activity did not occur   Typical pattern CD   54750-5 LA11034-8 1.3.6.1.4.1.12009.10.1.31
  G0300C   Balance: turning around while walking   Typical pattern CD   54751-3   1.3.6.1.4.1.12009.10.1.31
  G0300C 0 Steady at all times   Typical pattern CD   54751-3 LA11031-4 1.3.6.1.4.1.12009.10.1.31
  G0300C 1 Not steady, but able to stabilize without human assistance   Typical pattern CD   54751-3 LA11032-2 1.3.6.1.4.1.12009.10.1.31
  G0300C 2 Not steady, only able to stabilize with human assistance   Typical pattern CD   54751-3 LA11033-0 1.3.6.1.4.1.12009.10.1.31
  G0300C 8 Activity did not occur   Typical pattern CD   54751-3 LA11034-8 1.3.6.1.4.1.12009.10.1.31
  G0300D   Balance: moving on and off toilet   Typical pattern CD   54752-1   1.3.6.1.4.1.12009.10.1.31
  G0300D 0 Steady at all times   Typical pattern CD   54752-1 LA11031-4 1.3.6.1.4.1.12009.10.1.31
  G0300D 1 Not steady, but able to stabilize without human assistance   Typical pattern CD   54752-1 LA11032-2 1.3.6.1.4.1.12009.10.1.31
  G0300D 2 Not steady, only able to stabilize with human assistance   Typical pattern CD   54752-1 LA11033-0 1.3.6.1.4.1.12009.10.1.31
  G0300D 8 Activity did not occur   Typical pattern CD   54752-1 LA11034-8 1.3.6.1.4.1.12009.10.1.31
  G0300E   Balance: surface-to-surface transfer   Typical pattern CD   54753-9   1.3.6.1.4.1.12009.10.1.31
  G0300E 0 Steady at all times   Typical pattern CD   54753-9 LA11031-4 1.3.6.1.4.1.12009.10.1.31
  G0300E 1 Not steady, but able to stabilize without human assistance   Typical pattern CD   54753-9 LA11032-2 1.3.6.1.4.1.12009.10.1.31
  G0300E 2 Not steady, only able to stabilize with human assistance   Typical pattern CD   54753-9 LA11033-0 1.3.6.1.4.1.12009.10.1.31
  G0300E 8 Activity did not occur   Typical pattern CD   54753-9 LA11034-8 1.3.6.1.4.1.12009.10.1.31
  G0400A   ROM limitation: upper extremity   Typical pattern CD   54754-7   1.3.6.1.4.1.12009.10.1.36
  G0400A 0 No impairment   Typical pattern CD   54754-7 LA9606-0 1.3.6.1.4.1.12009.10.1.36
  G0400A 1 Impairment on one side   Typical pattern CD   54754-7 LA11036-3 1.3.6.1.4.1.12009.10.1.36
  G0400A 2 Impairment on both sides   Typical pattern CD   54754-7 LA11037-1 1.3.6.1.4.1.12009.10.1.36
  G0400B   ROM limitation: lower extremity   Typical pattern CD   54755-4   1.3.6.1.4.1.12009.10.1.36
  G0400B 0 No impairment   Typical pattern CD   54755-4 LA9606-0 1.3.6.1.4.1.12009.10.1.36
  G0400B 1 Impairment on one side   Typical pattern CD   54755-4 LA11036-3 1.3.6.1.4.1.12009.10.1.36
  G0400B 2 Impairment on both sides   Typical pattern CD   54755-4 LA11037-1 1.3.6.1.4.1.12009.10.1.36
  G0600A   Mobility devices: cane/crutch   Multiple response pattern BL   54756-2    
  G0600B   Mobility devices: walker   Multiple response pattern BL   54757-0    
  G0600C   Mobility devices: wheelchair (manual or electric)   Multiple response pattern BL   54758-8    
  G0600D   Mobility devices: limb prosthesis   Multiple response pattern BL   54759-6    
  G0600Z   Mobility devices: none of the above   Multiple response pattern BL   54760-4    
  G0900A   Resident believes capable of increased independ   Typical pattern CD   55123-4   1.3.6.1.4.1.12009.10.1.58
  G0900A 0 No   Typical pattern CD   55123-4 LA32-8 1.3.6.1.4.1.12009.10.1.58
  G0900A 1 Yes   Typical pattern CD   55123-4 LA33-6 1.3.6.1.4.1.12009.10.1.58
  G0900A 9 Unable to determine   Typical pattern CD   55123-4 LA11137-9 1.3.6.1.4.1.12009.10.1.58
  G0900B   Staff believes res capable of increased independ   Typical pattern CD   45613-7   1.3.6.1.4.1.12009.10.1.62
  G0900B 0 No   Typical pattern CD   45613-7 LA32-8 1.3.6.1.4.1.12009.10.1.62
  G0900B 1 Yes   Typical pattern CD   45613-7 LA33-6 1.3.6.1.4.1.12009.10.1.62
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
H     Bladder and Bowel              
  H0100A   Appliances: indwelling catheter   Multiple response pattern BL   54762-0    
  H0100B   Appliances: external catheter   Multiple response pattern BL   54763-8    
  H0100C   Appliances: ostomy   Multiple response pattern BL   54764-6    
  H0100D   Appliances: intermittent catheterization   Multiple response pattern BL   54765-3    
  H0100Z   Appliances: none of the above   Multiple response pattern BL   54766-1    
  H0200A   Urinary toileting program: has been attempted   Typical pattern CD   54767-9   1.3.6.1.4.1.12009.10.1.58
  H0200A 0 No   Typical pattern CD   54767-9 LA32-8 1.3.6.1.4.1.12009.10.1.58
  H0200A 1 Yes   Typical pattern CD   54767-9 LA33-6 1.3.6.1.4.1.12009.10.1.58
  H0200A 9 Unable to determine     Typical pattern CD   54767-9 LA11137-9 1.3.6.1.4.1.12009.10.1.58
  H0200B   Urinary toileting program: response   Typical pattern CD   54768-7   1.3.6.1.4.1.12009.10.1.30
  H0200B 0 No improvement   Typical pattern CD   54768-7 LA11038-9 1.3.6.1.4.1.12009.10.1.30
  H0200B 1 Decreased wetness   Typical pattern CD   54768-7 LA11039-7 1.3.6.1.4.1.12009.10.1.30
  H0200B 2 Completely dry (continent)   Typical pattern CD   54768-7 LA11040-5 1.3.6.1.4.1.12009.10.1.30
  H0200B 9 Unable to determine or trial in progress   Typical pattern CD   54768-7 LA11041-3 1.3.6.1.4.1.12009.10.1.30
  H0200C   Urinary toileting program: current program/trial   Typical pattern CD   54769-5   1.3.6.1.4.1.12009.10.1.62
  H0200C 0 No   Typical pattern CD   54769-5 LA32-8 1.3.6.1.4.1.12009.10.1.62
  H0200C 1 Yes   Typical pattern CD   54769-5 LA33-6 1.3.6.1.4.1.12009.10.1.62
  H0300   Urinary continence   Typical pattern CD   54770-3   1.3.6.1.4.1.12009.10.1.29
  H0300 0 Always continent   Typical pattern CD   54770-3 LA11042-1 1.3.6.1.4.1.12009.10.1.29
  H0300 1 Occasionally incontinent (less than 7 episodes of incontinence)   Typical pattern CD   54770-3 LA11043-9 1.3.6.1.4.1.12009.10.1.29
  H0300 2 Frequently incontinent (7 or more episodes of urinary incontinence, but at least one episode of continent voiding)   Typical pattern CD   54770-3 LA11044-7 1.3.6.1.4.1.12009.10.1.29
  H0300 3 Always incontinent (no episodes of continent voiding)   Typical pattern CD   54770-3 LA11045-4 1.3.6.1.4.1.12009.10.1.29
  H0300 9 Not rated, resident had a catheter (indwelling, condom), urinary ostomy, or no urine output for entire 7 days   Typical pattern CD   54770-3 LA11046-2 1.3.6.1.4.1.12009.10.1.29
  H0400   Bowel continence   Typical pattern CD   54771-1    1.3.6.1.4.1.12009.10.1.28
  H0400 0 Always continent   Typical pattern CD   54771-1 LA11042-1 1.3.6.1.4.1.12009.10.1.28
  H0400 1 Occasionally incontinent (one episode of bowel incontinence)   Typical pattern CD   54771-1 LA11048-8 1.3.6.1.4.1.12009.10.1.28
  H0400 2 Frequently incontinent (2 or more episodes of bowel incontinence, but at least one continent bowel movement)   Typical pattern CD   54771-1 LA11049-6 1.3.6.1.4.1.12009.10.1.28
  H0400 3 Always incontinent (no episodes of continent bowel movements)   Typical pattern CD   54771-1 LA11050-4 1.3.6.1.4.1.12009.10.1.28
  H0400 9 Not rated, resident had an ostomy or did not have a bowel movement for the entire 7 days   Typical pattern CD   54771-1 LA11051-2 1.3.6.1.4.1.12009.10.1.28
  H0500   Bowel toileting program being used   Typical pattern CD   54772-9   1.3.6.1.4.1.12009.10.1.62
  H0500 0 No   Typical pattern CD   54772-9 LA32-8 1.3.6.1.4.1.12009.10.1.62
  H0500 1 Yes   Typical pattern CD   54772-9 LA33-6 1.3.6.1.4.1.12009.10.1.62
  H0600   Constipation   Typical pattern CD   54773-7   1.3.6.1.4.1.12009.10.1.62
  H0600 0 No   Typical pattern CD   54773-7 LA32-8 1.3.6.1.4.1.12009.10.1.62
  H0600 1 Yes   Typical pattern CD   54773-7 LA33-6 1.3.6.1.4.1.12009.10.1.62
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
I     Active Disease Diagnosis              
  I0100   Cancer (with or without metastasis)   Multiple response pattern BL   54774-5    
  I0200   Anemia   Multiple response pattern BL   54775-2    
  I0300   Atrial fibrillation and other dysrhythmias   Multiple response pattern BL   54776-0    
  I0400   Coronary artery disease (CAD)   Multiple response pattern BL   54777-8    
  I0500   Deep venous thrombosis (DVT), PE, or PTE   Multiple response pattern BL   54778-6    
  I0600   Heart failure   Multiple response pattern BL   54779-4    
  I0700   Hypertension   Multiple response pattern BL   54780-2    
  I0800   Orthostatic hypotension   Multiple response pattern BL   54781-0    
  I0900   Peripheral vascular disease (PVD) or PAD   Multiple response pattern BL   54782-8    
  I1100   Cirrhosis   Multiple response pattern BL   54783-6    
  I1200   Gastroesophageal reflux disease (GERD) or ulcer   Multiple response pattern BL   54784-4    
  I1300   Ulcerative colitis, Crohn’s, inflam bowel disease   Multiple response pattern BL   54785-1    
  I1400   Benign prostatic hyperplasia (BPH)   Multiple response pattern BL   54786-9    
  I1500   Renal insufficiency, renal failure, ESRD   Multiple response pattern BL   54787-7    
  I1550   Neurogenic bladder   Multiple response pattern BL   58111-6    
  I1650   Obstructive uropathy   Multiple response pattern BL   58112-4    
  I1700   Multidrug resistant organism (MDRO)   Multiple response pattern BL   58109-0    
  I2000   Pneumonia   Multiple response pattern BL   54790-1    
  I2100   Septicemia   Multiple response pattern BL   54791-9    
  I2200   Tuberculosis   Multiple response pattern BL   54792-7    
  I2300   Urinary tract infection (UTI) (LAST 30 DAYS)   Multiple response pattern BL   54793-5    
  I2400   Viral hepatitis (includes type A, B, C, D, and E)   Multiple response pattern BL   54794-3    
  I2500   Wound infection (other than foot)   Multiple response pattern BL   54965-9    
  I2900   Diabetes mellitus (DM)   Multiple response pattern BL   54795-0    
  I3100   Hyponatremia   Multiple response pattern BL   54796-8    
  I3200   Hyperkalemia   Multiple response pattern BL   54797-6    
  I3300   Hyperlipidemia (e.g.,  hypercholesterolemia)   Multiple response pattern BL   54798-4    
  I3400   Thyroid disorder   Multiple response pattern BL   54799-2    
  I3700   Arthritis   Multiple response pattern BL   54800-8    
  I3800   Osteoporosis   Multiple response pattern BL   54801-6    
  I3900   Hip fracture   Multiple response pattern BL   54802-4    
  I4000   Other fracture   Multiple response pattern BL   54803-2    
  I4200   Alzheimer's disease   Multiple response pattern BL   54804-0    
  I4300   Aphasia   Multiple response pattern BL   54805-7    
  I4400   Cerebral palsy   Multiple response pattern BL   54806-5    
  I4500   Cerebrovascular accident (CVA), TIA, or stroke   Multiple response pattern BL   54807-3    
  I4800   Dementia   Multiple response pattern BL   54808-1    
  I4900   Hemiplegia or hemiparesis   Multiple response pattern BL   54809-9    
  I5000   Paraplegia   Multiple response pattern BL   54810-7    
  I5100   Quadriplegia   Multiple response pattern BL   54811-5    
  I5200   Multiple sclerosis   Multiple response pattern BL   54812-3    
  I5250   Huntington's disease   Multiple response pattern BL   58113-2    
  I5300   Parkinson's disease   Multiple response pattern BL   54813-1    
  I5350   Tourette's syndrome   Multiple response pattern BL   58114-0    
  I5400   Seizure disorder or epilepsy   Multiple response pattern BL   54814-9    
  I5500   Traumatic brain injury (TBI)   Multiple response pattern BL   54815-6    
  I5600   Malnutrition (protein, calorie), risk of malnutrit   Multiple response pattern BL   54816-4    
  I5700   Anxiety disorder   Multiple response pattern BL    54817-2    
  I5800   Depression (other than bipolar)   Multiple response pattern BL   54818-0    
  I5900   Manic depression (bipolar disease)   Multiple response pattern BL   54819-8    
  I5950   Psychotic disorder (other than schizophrenia)   Multiple response pattern BL   58115-7    
  I6000   Schizophrenia   Multiple response pattern BL   54820-6    
  I6100   Post-traumatic stress disorder (PTSD)   Multiple response pattern BL   54821-4    
  I6200   Asthma (COPD) or chronic lung disease   Multiple response pattern BL   54822-2    
  I6300   Respiratory failure   Multiple response pattern BL   58116-5    
  I6500   Cataracts, glaucoma, or macular degeneration   Multiple response pattern BL   54823-0    
  I7900   None of above active diseases within last 7 days   Multiple response pattern BL   54824-8    
  I8000A   Additional active ICD diagnosis 1   Other response data type pattern CD   54546-7    
  I8000B   Additional active ICD diagnosis 2   Other response data type pattern CD   54547-5    
  I8000C   Additional active ICD diagnosis 3   Other response data type pattern CD   54548-3    
  I8000D   Additional active ICD diagnosis 4   Other response data type pattern CD   54549-1    
  I8000E   Additional active ICD diagnosis 5   Other response data type pattern CD   54550-9    
  I8000F   Additional active ICD diagnosis 6   Other response data type pattern CD   54551-7    
  I8000G   Additional active ICD diagnosis 7   Other response data type pattern CD   54552-5    
  I8000H   Additional active ICD diagnosis 8   Other response data type pattern CD   54553-3    
  I8000I   Additional active ICD diagnosis 9   Other response data type pattern CD   54554-1    
  I8000J   Additional active ICD diagnosis 10   Other response data type pattern CD   54555-8    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
J     Health Conditions              
  J0100A   Pain: been on scheduled pain med regimen   Typical pattern CD   54825-5   1.3.6.1.4.1.12009.10.1.62
  J0100A 0 No   Typical pattern CD   54825-5 LA32-8 1.3.6.1.4.1.12009.10.1.62
  J0100A 1 Yes   Typical pattern CD   54825-5 LA33-6 1.3.6.1.4.1.12009.10.1.62
  J0100B   Pain: received PRN pain medications   Typical pattern CD   54826-3   1.3.6.1.4.1.12009.10.1.62
  J0100B 0 No   Typical pattern CD   54826-3 LA32-8 1.3.6.1.4.1.12009.10.1.62
  J0100B 1 Yes   Typical pattern CD   54826-3 LA33-6 1.3.6.1.4.1.12009.10.1.62
  J0100C   Pain: received non-medication intervention   Typical pattern CD   54827-1   1.3.6.1.4.1.12009.10.1.62
  J0100C 0 No   Typical pattern CD   54827-1 LA32-8 1.3.6.1.4.1.12009.10.1.62
  J0100C 1 Yes   Typical pattern CD   54827-1 LA33-6 1.3.6.1.4.1.12009.10.1.62
  J0200   Should pain assessment interview be conducted   Typical pattern CD   54828-9   1.3.6.1.4.1.12009.10.1.2
  J0200 0 No (resident rarely/never understood)   Typical pattern CD   54828-9 LA11150-2 1.3.6.1.4.1.12009.10.1.2
  J0200 1 Yes   Typical pattern CD   54828-9 LA33-6 1.3.6.1.4.1.12009.10.1.2
  J0300   Res pain interview: presence   Typical pattern CD   54829-7   1.3.6.1.4.1.12009.10.1.27
  J0300 0 No   Typical pattern CD   54829-7 LA32-8 1.3.6.1.4.1.12009.10.1.27
  J0300 1 Yes   Typical pattern CD   54829-7 LA33-6 1.3.6.1.4.1.12009.10.1.27
  J0300 9 Unable to answer   Typical pattern CD   54829-7 LA11054-6 1.3.6.1.4.1.12009.10.1.27
  J0400   Res pain interview: frequency   Typical pattern CD   54830-5   1.3.6.1.4.1.12009.10.1.26
  J0400 1 Almost constantly   Typical pattern CD   54830-5 LA11055-3 1.3.6.1.4.1.12009.10.1.26
  J0400 2 Frequently   Typical pattern CD   54830-5 LA6482-9 1.3.6.1.4.1.12009.10.1.26
  J0400 3 Occasionally   Typical pattern CD   54830-5 LA6483-7 1.3.6.1.4.1.12009.10.1.26
  J0400 4 Rarely   Typical pattern CD   54830-5 LA10066-1 1.3.6.1.4.1.12009.10.1.26
  J0400 9 Unable to answer   Typical pattern CD   54830-5 LA11054-6 1.3.6.1.4.1.12009.10.1.26
  J0500A   Res pain interview: made it hard to sleep   Typical pattern CD   54831-3   1.3.6.1.4.1.12009.10.1.27
  J0500A 0 No   Typical pattern CD   54831-3 LA32-8 1.3.6.1.4.1.12009.10.1.27
  J0500A 1 Yes   Typical pattern CD   54831-3 LA33-6 1.3.6.1.4.1.12009.10.1.27
  J0500A 9 Unable to answer   Typical pattern CD   54831-3 LA11054-6 1.3.6.1.4.1.12009.10.1.27
  J0500B   Res pain interview: limited daily activities   Typical pattern CD   54832-1   1.3.6.1.4.1.12009.10.1.27
  J0500B 0 No   Typical pattern CD   54832-1 LA32-8 1.3.6.1.4.1.12009.10.1.27
  J0500B 1 Yes   Typical pattern CD   54832-1 LA33-6 1.3.6.1.4.1.12009.10.1.27
  J0500B 9 Unable to answer   Typical pattern CD   54832-1 LA11054-6 1.3.6.1.4.1.12009.10.1.27
  J0600A   Res pain interview: intensity rating scale   Other response data type pattern INT   54833-9    
  J0600B   Res pain interview: verbal descriptor scale   Typical pattern CD   54834-7   1.3.6.1.4.1.12009.10.1.25
  J0600B 1 Mild   Typical pattern CD   54834-7 LA6752-5 1.3.6.1.4.1.12009.10.1.25
  J0600B 2 Moderate   Typical pattern CD   54834-7 LA6751-7 1.3.6.1.4.1.12009.10.1.25
  J0600B 3 Severe   Typical pattern CD   54834-7 LA6750-9 1.3.6.1.4.1.12009.10.1.25
  J0600B 4 Very severe, horrible   Typical pattern CD   54834-7 LA11063-7 1.3.6.1.4.1.12009.10.1.25
  J0600B 9 Unable to answer   Typical pattern CD   54834-7 LA11054-6 1.3.6.1.4.1.12009.10.1.25
  J0700   Should staff assessment for pain be conducted   Typical pattern CD   58117-3   1.3.6.1.4.1.12009.10.1.62
  J0700 0 No (J0400=1 thru 4)   Typical pattern CD   58117-3 LA32-8 1.3.6.1.4.1.12009.10.1.62
  J0700 1 Yes (J0200=0 or J0300=9 or J0400=9)   Typical pattern CD   58117-3 LA33-6 1.3.6.1.4.1.12009.10.1.62
  J0800A   Staff pain asmt: non-verbal sounds   Multiple response pattern BL   54835-4    
  J0800B   Staff pain asmt: vocal complaints of pain   Multiple response pattern BL   54836-2    
  J0800C   Staff pain asmt: facial expressions   Multiple response pattern BL   54837-0    
  J0800D   Staff pain asmt: protective movements/postures   Multiple response pattern BL   54838-8    
  J0800Z   Staff pain asmt: none of these signs observed   Multiple response pattern BL   54839-6    
  J0850   Staff pain asmt: frequency of pain   Typical pattern CD   58118-1   1.3.6.1.4.1.12009.10.1.71
  J0850 1 Indicators of pain or possible pain observed 1 to 2 days   Typical pattern CD   58118-1 LA12645-0 1.3.6.1.4.1.12009.10.1.71
  J0850 2 Indicators of pain or possible pain observed 3 to 4 days   Typical pattern CD   58118-1 LA12646-8 1.3.6.1.4.1.12009.10.1.71
  J0850 3 Indicators of possible pain observed daily   Typical pattern CD   58118-1 LA12647-6 1.3.6.1.4.1.12009.10.1.71
  J1100A   Short breath/trouble breathing: with exertion   Multiple response pattern BL   54841-2    
  J1100B   Short breath/trouble breathing: sitting at rest   Multiple response pattern BL   54842-0    
  J1100C   Short breath/trouble breathing: lying flat   Multiple response pattern BL   54843-8    
  J1100Z   Short breath/trouble breathing: none of above   Multiple response pattern BL   54844-6    
  J1300   Current tobacco use   Typical pattern CD   54845-3   1.3.6.1.4.1.12009.10.1.62
  J1300 0 No   Typical pattern CD   54845-3 LA32-8 1.3.6.1.4.1.12009.10.1.62
  J1300 1 Yes   Typical pattern CD   54845-3 LA33-6 1.3.6.1.4.1.12009.10.1.62
  J1400   Prognosis: life expectancy of less than 6 months   Typical pattern CD   54846-1   1.3.6.1.4.1.12009.10.1.62
  J1400 0 No   Typical pattern CD   54846-1 LA32-8 1.3.6.1.4.1.12009.10.1.62
  J1400 1 Yes   Typical pattern CD   54846-1 LA33-6 1.3.6.1.4.1.12009.10.1.62
  J1550A   Problem conditions: fever   Multiple response pattern BL   45701-0    
  J1550B   Problem conditions: vomiting   Multiple response pattern BL   45708-5    
  J1550C   Problem conditions: dehydrated   Multiple response pattern BL   45696-2    
  J1550D   Problem conditions: internal bleeding   Multiple response pattern BL   45703-6    
  J1550Z   Problem conditions: none of the above   Multiple response pattern BL   54848-7    
  J1700A   Fall history: fall during month before admission   Typical pattern CD   54850-3   1.3.6.1.4.1.12009.10.1.27
  J1700A 0 No   Typical pattern CD   54850-3 LA32-8 1.3.6.1.4.1.12009.10.1.27
  J1700A 1 Yes   Typical pattern CD   54850-3 LA33-6 1.3.6.1.4.1.12009.10.1.27
  J1700A 9 Unable to determine   Typical pattern CD   54850-3 LA11054-6 1.3.6.1.4.1.12009.10.1.27
  J1700B   Fall history: fall 2-6 months before admission   Typical pattern CD   54851-1   1.3.6.1.4.1.12009.10.1.27
  J1700B 0 No   Typical pattern CD   54851-1 LA32-8 1.3.6.1.4.1.12009.10.1.27
  J1700B 1 Yes   Typical pattern CD   54851-1 LA33-6 1.3.6.1.4.1.12009.10.1.27
  J1700B 9 Unable to determine   Typical pattern CD   54851-1 LA11054-6 1.3.6.1.4.1.12009.10.1.27
  J1700C   Fall history: fracture from fall 6 month pre admit   Typical pattern CD   54852-9   1.3.6.1.4.1.12009.10.1.27
  J1700C 0 No   Typical pattern CD   54852-9 LA32-8 1.3.6.1.4.1.12009.10.1.27
  J1700C 1 Yes   Typical pattern CD   54852-9 LA33-6 1.3.6.1.4.1.12009.10.1.27
  J1700C 9 Unable to determine   Typical pattern CD   54852-9 LA11054-6 1.3.6.1.4.1.12009.10.1.27
  J1800   Falls since admit/prior asmt: any falls   Typical pattern CD   54853-7   1.3.6.1.4.1.12009.10.1.62
  J1800 0 No   Typical pattern CD   54853-7 LA32-8 1.3.6.1.4.1.12009.10.1.62
  J1800 1 Yes   Typical pattern CD   54853-7 LA33-6 1.3.6.1.4.1.12009.10.1.62
  J1900A   Falls since admit/prior asmt: no injury   Typical pattern CD   54855-2   1.3.6.1.4.1.12009.10.1.22
  J1900A 0 None   Typical pattern CD   54855-2 LA137-2 1.3.6.1.4.1.12009.10.1.22
  J1900A 1 One   Typical pattern CD   54855-2 LA6306-0 1.3.6.1.4.1.12009.10.1.22
  J1900A 2 Two or more   Typical pattern CD   54855-2 LA11073-6 1.3.6.1.4.1.12009.10.1.22
  J1900B   Falls since admit/prior asmt: injury (not major)   Typical pattern CD   54856-0   1.3.6.1.4.1.12009.10.1.22
  J1900B 0 None   Typical pattern CD   54856-0 LA137-2 1.3.6.1.4.1.12009.10.1.22
  J1900B 1 One   Typical pattern CD   54856-0 LA6306-0 1.3.6.1.4.1.12009.10.1.22
  J1900B 2 Two or more   Typical pattern CD   54856-0 LA11073-6 1.3.6.1.4.1.12009.10.1.22
  J1900C   Falls since admit/prior asmt: major injury   Typical pattern CD   54857-8   1.3.6.1.4.1.12009.10.1.22
  J1900C 0 None   Typical pattern CD   54857-8 LA137-2 1.3.6.1.4.1.12009.10.1.22
  J1900C 1 One   Typical pattern CD   54857-8 LA6306-0 1.3.6.1.4.1.12009.10.1.22
  J1900C 2 Two or more   Typical pattern CD   54857-8 LA11073-6 1.3.6.1.4.1.12009.10.1.22
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
K     Swallowing/Nutritional Status              
  K0100A   Swallow disorder: loss liquids/ solids from mouth   Multiple response pattern BL   54858-6    
  K0100B   Swallow disorder: holds food in mouth/cheeks   Multiple response pattern BL   54859-4    
  K0100C   Swallow disorder: cough/ choke with meals/meds   Multiple response pattern BL   54860-2    
  K0100D   Swallow disorder: difficulty or pain swallowing   Multiple response pattern BL   54861-0    
  K0100Z   Swallow disorder: none of the above   Multiple response pattern BL   54862-8    
  K0200A   Height (in inches)   Other response data type pattern PQ [in_i] 3137-7    
  K0200B   Weight (in pounds)   Other response data type pattern PQ [lb_av] 3141-9    
  K0300   Weight loss   Typical pattern CD   54863-6   1.3.6.1.4.1.12009.10.1.21
  K0300 0 No, or unknown   Typical pattern CD   54863-6 LA11074-4 1.3.6.1.4.1.12009.10.1.21
  K0300 1 Yes, on physician - prescribed weight - loss regimen   Typical pattern CD   54863-6 LA11075-1 1.3.6.1.4.1.12009.10.1.21
  K0300 2 Yes, not on physician - prescribed weight - loss regimen   Typical pattern CD   54863-6 LA11076-9 1.3.6.1.4.1.12009.10.1.21
  K0500A   Nutritional approaches: parenteral /IV feeding   Multiple response pattern BL   54864-4    
  K0500B   Nutritional approaches: feeding tube   Multiple response pattern BL   54865-1    
  K0500C   Nutritional approaches: mechanically altered diet   Multiple response pattern BL   54866-9    
  K0500D   Nutritional approaches: therapeutic diet   Multiple response pattern BL   54867-7    
  K0500Z   Nutritional approaches: none of the above   Multiple response pattern BL   54868-5    
  K0700A   Proportion total calories via parenteral/tube feed   Typical pattern CD   54897-4   1.3.6.1.4.1.12009.10.1.20
  K0700A 1 25% or less   Typical pattern CD   54897-4 LA11077-7 1.3.6.1.4.1.12009.10.1.20
  K0700A 2 26-50%   Typical pattern CD   54897-4 LA11078-5 1.3.6.1.4.1.12009.10.1.20
  K0700A 3 51% or more   Typical pattern CD   54897-4 LA11079-3 1.3.6.1.4.1.12009.10.1.20
  K0700B   Average fluid intake per day by IV or tube   Typical pattern CD   54869-3   1.3.6.1.4.1.12009.10.1.19
  K0700B 1 500 cc/day or less   Typical pattern CD   54869-3 LA11080-1 1.3.6.1.4.1.12009.10.1.19
  K0700B 2 501 cc/day or more   Typical pattern CD   54869-3 LA11081-9 1.3.6.1.4.1.12009.10.1.19
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
L     Oral/Dental Status              
  L0200A   Dental: broken or loosely fitting denture   Multiple response pattern BL   54871-9    
  L0200B   Dental: no natural teeth or tooth fragment(s)   Multiple response pattern BL   54872-7    
  L0200C   Dental: abnormal mouth tissue   Multiple response pattern BL   54873-5    
  L0200D   Dental: cavity or broken natural teeth   Multiple response pattern BL   54874-3    
  L0200E   Dental: inflamed/bleeding gums or loose teeth   Multiple response pattern BL   54875-0    
  L0200F   Dental: pain, discomfort, difficulty chewing   Multiple response pattern BL   54876-8    
  L0200G   Dental: unable to examine   Multiple response pattern BL   58119-9    
  L0200Z   Dental: none of the above   Multiple response pattern BL   54877-6    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
M     Skin Conditions              
  M0100A   Risk determination: has ulcer, scar, or dressing   Multiple response pattern BL   54878-4    
  M0100B   Risk determination: formal assessment   Multiple response pattern BL   54879-2    
  M0100C   Risk determination: clinical assessment   Multiple response pattern BL   54880-0    
  M0100Z   Risk determination: none of the above   Multiple response pattern BL   54881-8    
  M0150   Is resident at risk of developing pressure ulcer   Typical pattern CD   54882-6   1.3.6.1.4.1.12009.10.1.62
  M0150 0 No   Typical pattern CD   54882-6 LA32-8 1.3.6.1.4.1.12009.10.1.62
  M0150 1 Yes   Typical pattern CD   54882-6 LA33-6 1.3.6.1.4.1.12009.10.1.62
  M0210   Resident has Stage 1 or higher pressure ulcers   Typical pattern CD   58214-8   1.3.6.1.4.1.12009.10.1.62
  M0210 0 No   Typical pattern CD   58214-8 LA32-8 1.3.6.1.4.1.12009.10.1.62
  M0210 1 Yes   Typical pattern CD   58214-8 LA33-6 1.3.6.1.4.1.12009.10.1.62
  M0300A   Stage 1 pressure ulcers: number present   Other response data type pattern INT   54884-2    
  M0300B1   Stage 2 pressure ulcers: number present   Other response data type pattern INT   55124-2    
  M0300B2   Stage 2 pressure ulcers: number at admit/reentry   Other response data type pattern INT   54886-7    
  M0300B3   Stage 2 pressure ulcers: date of oldest   Other response data type pattern TS   58123-1    
  M0300C1   Stage 3 pressure ulcers: number present   Other response data type pattern INT   55125-9    
  M0300C2   Stage 3 pressure ulcers: number at admit/reentry   Other response data type pattern INT   54887-5    
  M0300D1   Stage 4 pressure ulcers: number present   Other response data type pattern INT   55126-7    
  M0300D2   Stage 4 pressure ulcers: number at admit/reentry   Other response data type pattern INT   54890-9    
  M0300E1   Unstaged due to dressing: number present   Other response data type pattern INT   54893-3    
  M0300E2   Unstaged due to dressing: number at admit/reentry   Other response data type pattern INT   54894-1    
  M0300F1   Unstaged slough/eschar: number present   Other response data type pattern INT   54946-9    
  M0300F2   Unstaged slough/eschar: number at admit/reentry   Other response data type pattern INT   54947-7    
  M0300G1   Unstageable - deep tissue: number present   Other response data type pattern INT   54950-1    
  M0300G2   Unstageable - deep tissue: number at admit/reentry   Other response data type pattern INT   54951-9    
  M0610A   Stage 3 or 4 pressure ulcer longest length   Other response data type pattern PQ cm 52728-3    
  M0610B   Stage 3 or 4 pressure ulcer width (same ulcer)   Other response data type pattern PQ cm 52729-1    
  M0610C   Stage 3 or 4 pressure ulcer depth (same ulcer)   Other response data type pattern PQ cm 57228-9    
  M0700   Tissue type for ulcer at most advanced stage   Typical pattern CD   55073-1   1.3.6.1.4.1.12009.10.1.18
  M0700 1 Epithelial Tissue - new skin growing in superficial ulcer. It can be light pink and shiny, even in persons with darkly pigmented skin.   Typical pattern CD   55073-1 LA11082-7 1.3.6.1.4.1.12009.10.1.18
  M0700 2 Granulation Tissue - pink or red tissue with shiny, moist, granular appearance   Typical pattern CD   55073-1 LA11083-5 1.3.6.1.4.1.12009.10.1.18
  M0700 3 Slough - yellow or white tissue that adheres to the ulcer bed in strings or thick clumps, or is mucinous   Typical pattern CD   55073-1 LA11084-3 1.3.6.1.4.1.12009.10.1.18
  M0700 4 Necrotic Tissue (Eschar) - black, brown, or tan tissue that adheres firmly to the wound bed or ulcer edges, may be softer or harder than surrounding skin.   Typical pattern CD   55073-1 LA11085-0 1.3.6.1.4.1.12009.10.1.18
  M0800A   Worsened since prior asmt: Stage 2 pressure ulcers   Other response data type pattern INT   54953-5    
  M0800B   Worsened since prior asmt: Stage 3 pressure ulcers   Other response data type pattern INT   54954-3    
  M0800C   Worsened since prior asmt: Stage 4 pressure ulcers   Other response data type pattern INT   54955-0    
  M0900A   Pressure ulcers on prior assessment   Typical pattern CD   54957-6   1.3.6.1.4.1.12009.10.1.62
  M0900A 0 No   Typical pattern CD   54957-6 LA32-8 1.3.6.1.4.1.12009.10.1.62
  M0900A 1 Yes   Typical pattern CD   54957-6 LA33-6 1.3.6.1.4.1.12009.10.1.62
  M0900B   Healed pressure ulcers: Stage 2   Other response data type pattern INT   54958-4    
  M0900C   Healed pressure ulcers: Stage 3   Other response data type pattern INT   54959-2    
  M0900D   Healed pressure ulcers: Stage 4   Other response data type pattern INT   54960-0    
  M1030   Number of venous and arterial ulcers   Other response data type pattern INT   54970-9    
  M1040A   Other skin probs: infection of the foot   Multiple response pattern BL   58228-8    
  M1040B   Other skin probs: diabetic foot ulcer(s)   Multiple response pattern BL   54963-4    
  M1040C   Other skin probs: other open lesion(s) on the foot   Multiple response pattern BL   58125-6    
  M1040D   Other skin probs: lesions not ulcers, rashes, cuts   Multiple response pattern BL   54967-5    
  M1040E   Other skin probs: surgical wound(s)   Multiple response pattern BL   54966-7    
  M1040F   Other skin probs: burn(s) (second or third degree)   Multiple response pattern BL   54968-3    
  M1040Z   Other skin probs: none of the above   Multiple response pattern BL   54969-1    
  M1200A   Skin/ulcer treat: pressure reduce device for chair   Multiple response pattern BL   54972-5    
  M1200B   Skin/ulcer treat: pressure reducing device for bed   Multiple response pattern BL   54973-3    
  M1200C   Skin/ulcer treat: turning/ repositioning   Multiple response pattern BL   54974-1    
  M1200D   Skin/ulcer treat: nutrition/ hydration   Multiple response pattern BL   54975-8    
  M1200E   Skin/ulcer treat: ulcer care   Multiple response pattern BL   54976-6    
  M1200F   Skin/ulcer treat: surgical wound care   Multiple response pattern BL   54977-4    
  M1200G   Skin/ulcer treat: application of dressings   Multiple response pattern BL   54978-2    
  M1200H   Skin/ulcer treat: apply ointments/medications   Multiple response pattern BL   54979-0    
  M1200I   Skin/ulcer treat: apply dressings to feet   Multiple response pattern BL   54980-8    
  M1200Z   Skin/ulcer treat: none of the above   Multiple response pattern BL   54981-6    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
N     Medications              
  N0300   Number of days injectable medications received   Other response data type pattern PQ d 54982-4    
  N0350A   Insulin: insulin injections   Other response data type pattern PQ d 58127-2    
  N0350B   Insulin: orders for insulin   Other response data type pattern PQ d 58128-0    
  N0400A   Medications: antipsychotic   Multiple response pattern BL   54984-0    
  N0400B   Medications: antianxiety   Multiple response pattern BL   54985-7    
  N0400C   Medications: antidepressant   Multiple response pattern BL   54986-5    
  N0400D   Medications: hypnotic   Multiple response pattern BL   54987-3    
  N0400E   Medications: anticoagulant   Multiple response pattern BL   54988-1    
  N0400F   Medications: antibiotic   Multiple response pattern BL   58129-8    
  N0400G   Medications: diuretic   Multiple response pattern BL   58130-6    
  N0400Z   Medications: none of the above   Multiple response pattern BL   54989-9    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
O     Special Treatments and Procedures              
  O0100A1   Treatment: chemotherapy - while not resident   Multiple response pattern BL   54992-3    
  O0100A2   Treatment: chemotherapy - while resident   Multiple response pattern BL   54993-1    
  O0100B1   Treatment: radiation - while not resident   Multiple response pattern BL   54994-9    
  O0100B2   Treatment: radiation - while resident   Multiple response pattern BL   54995-6    
  O0100C1   Treatment: oxygen therapy - while not resident   Multiple response pattern BL   54996-4    
  O0100C2   Treatment: oxygen therapy - while resident   Multiple response pattern BL   54997-2    
  O0100D1   Treatment: suctioning - while not resident   Multiple response pattern BL   54998-0    
  O0100D2   Treatment: suctioning - while resident   Multiple response pattern BL   54999-8    
  O0100E1   Treatment: tracheostomy care - while not resident   Multiple response pattern BL   55000-4    
  O0100E2   Treatment: tracheostomy care - while resident   Multiple response pattern BL   55001-2    
  O0100F1   Treatment: vent/respirator - while not resident   Multiple response pattern BL   55002-0    
  O0100F2   Treatment: vent/respirator - while resident   Multiple response pattern BL   55003-8    
  O0100G1   Treatment: BiPAP/CPAP - while not resident   Multiple response pattern BL   55004-6    
  O0100G2   Treatment: BIPAP/CPAP - while resident   Multiple response pattern BL   55005-3    
  O0100H1   Treatment: IV medications - while not resident   Multiple response pattern BL   55006-1    
  O0100H2   Treatment: IV medications - while resident   Multiple response pattern BL   55007-9    
  O0100I1   Treatment: transfusions - while not resident   Multiple response pattern BL   55008-7    
  O0100I2   Treatment: transfusions - while resident   Multiple response pattern BL   55009-5    
  O0100J1   Treatment: dialysis - while not resident   Multiple response pattern BL   55010-3    
  O0100J2   Treatment: dialysis - while resident   Multiple response pattern BL   55011-1    
  O0100K1   Treatment: hospice care - while not resident   Multiple response pattern BL   55012-9    
  O0100K2   Treatment: hospice care - while resident   Multiple response pattern BL   55013-7    
  O0100L2   Treatment: respite care - while resident   Multiple response pattern BL   55015-2    
  O0100M1   Treatment: isolate/quarantine - while not resident   Multiple response pattern BL   55016-0    
  O0100M2   Treatment: isolate/quarantine - while resident   Multiple response pattern BL   55017-8    
  O0100Z1   Treatment: none of above - while not resident   Multiple response pattern BL   59374-9    
  O0100Z2   Treatment: none of above - while resident   Multiple response pattern BL   59373-1    
  O0250A   Was influenza vaccine received   Typical pattern CD   55019-4   1.3.6.1.4.1.12009.10.1.62
  O0250A 0 No   Typical pattern CD   55019-4 LA32-8 1.3.6.1.4.1.12009.10.1.62
  O0250A 1 Yes   Typical pattern CD   55019-4 LA33-6 1.3.6.1.4.1.12009.10.1.62
  O0250B   Date influenza vaccine received.   Other response data type pattern TS   58131-4    
  O0250C   If influenza vaccine not received, state reason   Typical pattern CD   55020-2   1.3.6.1.4.1.12009.10.1.16
  O0250C 1 Resident not in facility during this year's flu season   Typical pattern CD   55020-2 LA12666-6 1.3.6.1.4.1.12009.10.1.16
  O0250C 2 Received outside of this facility   Typical pattern CD   55020-2 LA184-4 1.3.6.1.4.1.12009.10.1.16
  O0250C 3 Not eligible - medical contraindication   Typical pattern CD   55020-2 LA11091-8 1.3.6.1.4.1.12009.10.1.16
  O0250C 4 Offered and declined   Typical pattern CD   55020-2 LA186-9 1.3.6.1.4.1.12009.10.1.16
  O0250C 5 Not offered   Typical pattern CD   55020-2 LA187-7 1.3.6.1.4.1.12009.10.1.16
  O0250C 6 Inability to obtain vaccine due to a declared shortage   Typical pattern CD   55020-2 LA12156-8 1.3.6.1.4.1.12009.10.1.16
  O0250C 9 None of the above   Typical pattern CD   55020-2 LA9-3 1.3.6.1.4.1.12009.10.1.16
  O0300A   Is pneumococcal vaccination up to date   Typical pattern CD   55022-8   1.3.6.1.4.1.12009.10.1.62
  O0300A 0 No   Typical pattern CD   55022-8 LA32-8 1.3.6.1.4.1.12009.10.1.62
  O0300A 1 Yes   Typical pattern CD   55022-8 LA33-6 1.3.6.1.4.1.12009.10.1.62
  O0300B   If pneumococcal vacc not received, state reason   Typical pattern CD   55023-6   1.3.6.1.4.1.12009.10.1.15
  O0300B 1 Not eligible - medical contraindication   Typical pattern CD   55023-6 LA11091-8 1.3.6.1.4.1.12009.10.1.15
  O0300B 2 Offered and declined   Typical pattern CD   55023-6 LA186-9 1.3.6.1.4.1.12009.10.1.15
  O0300B 3 Not offered   Typical pattern CD   55023-6 LA187-7 1.3.6.1.4.1.12009.10.1.15
  O0400A1   Speech-language/audiology: individ minutes   Other response data type pattern PQ min 58218-9    
  O0400A2   Speech-language/audiology: concur minutes   Other response data type pattern PQ min 58133-0    
  O0400A3   Speech-language/audiology: group minutes   Other response data type pattern PQ min 58134-8    
  O0400A4   Speech-language/audiology: number of days   Other response data type pattern PQ d 45760-6    
  O0400A5   Speech-language/audiology: start date   Other response data type pattern TS   55025-1    
  O0400A6   Speech-language/audiology: end date   Other response data type pattern TS   55026-9    
  O0400B1   Occupational therapy: individ minutes   Other response data type pattern PQ min 58219-7    
  O0400B2   Occupational therapy: concur minutes   Other response data type pattern PQ min 58136-3    
  O0400B3   Occupational therapy: group minutes   Other response data type pattern PQ min 58137-1    
  O0400B4   Occupational therapy: number of days   Other response data type pattern PQ d 45762-2    
  O0400B5   Occupational therapy: start date   Other response data type pattern TS   55027-7    
  O0400B6   Occupational therapy: end date   Other response data type pattern TS   55028-5    
  O0400C1   Physical therapy: individ minutes   Other response data type pattern PQ min 58220-5    
  O0400C2   Physical therapy: concur minutes   Other response data type pattern PQ min 58139-7    
  O0400C3   Physical therapy: group minutes   Other response data type pattern PQ min 58140-5    
  O0400C4   Physical therapy: number of days   Other response data type pattern PQ d 45764-8    
  O0400C5   Physical therapy: start date   Other response data type pattern TS   55029-3    
  O0400C6   Physical therapy: end date   Other response data type pattern TS   55030-1    
  O0400D1   Respiratory therapy: number of minutes   Other response data type pattern PQ min 45767-1    
  O0400D2   Respiratory therapy: number of days   Other response data type pattern PQ d 45766-3    
  O0400E1   Psychological therapy: number of minutes   Other response data type pattern PQ min 45852-1    
  O0400E2   Psychological therapy: number of days   Other response data type pattern PQ d 45768-9    
  O0400F1   Recreational therapy: number of minutes   Other response data type pattern PQ min 55035-0    
  O0400F2   Recreational therapy: number of days   Other response data type pattern PQ d 55036-8    
  O0450A   Has therapy resumed NEW RUGs ITEMS            
  O0450B   Therapy resumption date NEW RUGs ITEMS            
  O0500A   Range of motion (passive): number of days   Other response data type pattern PQ d 45859-6    
  O0500B   Range of motion (active): number of days   Other response data type pattern PQ d 45860-4    
  O0500C   Splint or brace assistance: number of days   Other response data type pattern PQ d 45861-2    
  O0500D   Bed mobility training: number of days   Other response data type pattern PQ d 45862-0    
  O0500E   Transfer training: number of days   Other response data type pattern PQ d 45863-8    
  O0500F   Walking training: number of days   Other response data type pattern PQ d 45864-6    
  O0500G   Dressing and/or grooming training: number of days   Other response data type pattern PQ d 45865-3    
  O0500H   Eating and/or swallowing training: number of days   Other response data type pattern PQ d 45866-1    
  O0500I   Amputation/prosthesis training: number of days   Other response data type pattern PQ d 45867-9    
  O0500J   Communication training: number of days   Other response data type pattern PQ d 45868-7    
  O0600   Physician examinations: number of days   Other response data type pattern PQ d 55040-0    
  O0700   Physician orders: number of days   Other response data type pattern PQ d 55041-8    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
P     Restraints              
  P0100A   Restraints used in bed: bed rail   Typical pattern CD   55044-2   1.3.6.1.4.1.12009.10.1.63
  P0100A 0 Not used   Typical pattern CD   55044-2 LA157-0 1.3.6.1.4.1.12009.10.1.63
  P0100A 1 Used less than daily   Typical pattern CD   55044-2 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100A 2 Used daily   Typical pattern CD   55044-2 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100B   Restraints used in bed: trunk restraint   Typical pattern CD   55045-9   1.3.6.1.4.1.12009.10.1.63
  P0100B 0 Not used   Typical pattern CD   55045-9 LA157-0 1.3.6.1.4.1.12009.10.1.63
  P0100B 1 Used less than daily   Typical pattern CD   55045-9 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100B 2 Used daily   Typical pattern CD   55045-9 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100C   Restraints used in bed: limb restraint   Typical pattern CD   55046-7   1.3.6.1.4.1.12009.10.1.63
  P0100C 0 Not used   Typical pattern CD   55046-7 LA157-0 1.3.6.1.4.1.12009.10.1.63
  P0100C 1 Used less than daily   Typical pattern CD   55046-7 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100C 2 Used daily   Typical pattern CD   55046-7 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100D   Restraints used in bed: other   Typical pattern CD   55047-5   1.3.6.1.4.1.12009.10.1.63
  P0100D 0 Not used   Typical pattern CD   55047-5 LA157-0 1.3.6.1.4.1.12009.10.1.63
  P0100D 1 Used less than daily   Typical pattern CD   55047-5 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100D 2 Used daily   Typical pattern CD   55047-5 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100E   Restraints in chair/out of bed: trunk restraint   Typical pattern CD   55048-3   1.3.6.1.4.1.12009.10.1.63
  P0100E 0 Not used   Typical pattern CD   55048-3 LA157-0 1.3.6.1.4.1.12009.10.1.63
  P0100E 1 Used less than daily   Typical pattern CD   55048-3 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100E 2 Used daily   Typical pattern CD   55048-3 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100F   Restraints in chair/out of bed: limb restraint   Typical pattern CD   55049-1   1.3.6.1.4.1.12009.10.1.63
  P0100F 0 Not used   Typical pattern CD   55049-1 LA157-0 1.3.6.1.4.1.12009.10.1.63
  P0100F 1 Used less than daily   Typical pattern CD   55049-1 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100F 2 Used daily   Typical pattern CD   55049-1 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100G   Restraints in chair/out of bed: chair stops rising   Typical pattern CD   55050-9   1.3.6.1.4.1.12009.10.1.63
  P0100G 0 Not used   Typical pattern CD   55050-9 LA157-0 1.3.6.1.4.1.12009.10.1.63
  P0100G 1 Used less than daily   Typical pattern CD   55050-9 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100G 2 Used daily   Typical pattern CD   55050-9 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100H   Restraints in chair/out of bed: other   Typical pattern CD   55051-7   1.3.6.1.4.1.12009.10.1.63
  P0100H 0 Not used   Typical pattern CD   55051-7 LA157-0 1.3.6.1.4.1.12009.10.1.63
  P0100H 1 Used less than daily   Typical pattern CD   55051-7 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100H 2 Used daily   Typical pattern CD   55051-7 LA159-6 1.3.6.1.4.1.12009.10.1.63
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
Q     Participation in Assessment and Goal Setting              
  Q0100A   Resident participated in assessment   Typical pattern CD   55054-1   1.3.6.1.4.1.12009.10.1.62
  Q0100A 0 No   Typical pattern CD   55054-1 LA32-8 1.3.6.1.4.1.12009.10.1.62
  Q0100A 1 Yes   Typical pattern CD   55054-1 LA33-6 1.3.6.1.4.1.12009.10.1.62
  Q0100B   Family/signif other participated in assessment   Typical pattern CD   55074-9   1.3.6.1.4.1.12009.10.1.14
  Q0100B 0 No   Typical pattern CD   55074-9 LA32-8 1.3.6.1.4.1.12009.10.1.14
  Q0100B 1 Yes   Typical pattern CD   55074-9 LA33-6 1.3.6.1.4.1.12009.10.1.14
  Q0100B 9 No family or significant other   Typical pattern CD   55074-9 LA11104-9 1.3.6.1.4.1.12009.10.1.14
  Q0100C   Guardian/legal rep participated in assessment   Typical pattern CD   58221-3   1.3.6.1.4.1.12009.10.1.135
  Q0100C 0 No   Typical pattern CD   58221-3 LA32-8 1.3.6.1.4.1.12009.10.1.135
  Q0100C 1 Yes   Typical pattern CD   58221-3 LA33-6 1.3.6.1.4.1.12009.10.1.135
  Q0100C 9 No guardian or legally authorized representative   Typical pattern CD   58221-3 LA12662-5 1.3.6.1.4.1.12009.10.1.135
  Q0300A   Resident's overall goal   Typical pattern CD   55057-4   1.3.6.1.4.1.12009.10.1.12
  Q0300A 1 Expects to be discharged to the community   Typical pattern CD   55057-4 LA11108-0 1.3.6.1.4.1.12009.10.1.12
  Q0300A 2 Expects to remain in this facility   Typical pattern CD   55057-4 LA11109-8 1.3.6.1.4.1.12009.10.1.12
  Q0300A 3 Expects to be discharged to another facility/institution   Typical pattern CD   55057-4 LA11110-6 1.3.6.1.4.1.12009.10.1.12
  Q0300A 9 Unknown or uncertain   Typical pattern CD   55057-4 LA11107-2 1.3.6.1.4.1.12009.10.1.12
  Q0300B   Information source for resident's goal   Typical pattern CD   55058-2   1.3.6.1.4.1.12009.10.1.73
  Q0300B 1 Resident   Typical pattern CD   55058-2 LA11019-9 1.3.6.1.4.1.12009.10.1.73
  Q0300B 2 If not resident, then family or significant other   Typical pattern CD   55058-2 LA11116-3 1.3.6.1.4.1.12009.10.1.73
  Q0300B 3 If not resident, family or significant other, then guardian or legally authorized representative   Typical pattern CD   55058-2 LA12652-6 1.3.6.1.4.1.12009.10.1.73
  Q0300B 9 None of the above   Typical pattern CD   55058-2 Q0300B-9 1.3.6.1.4.1.12009.10.1.11
  Q0400A   Active discharge plan for return to community   Typical pattern CD   58146-2   1.3.6.1.4.1.12009.10.1.62
  Q0400A 0 No   Typical pattern CD   58146-2 LA32-8 1.3.6.1.4.1.12009.10.1.62
  Q0400A 1 Yes   Typical pattern CD   58146-2 LA33-6 1.3.6.1.4.1.12009.10.1.62
  Q0400B   Determination regarding discharge to community   Typical pattern CD   58147-0   1.3.6.1.4.1.12009.10.1.74
  Q0400B 0 Determination not made   Typical pattern CD   58147-0 LA12653-4 1.3.6.1.4.1.12009.10.1.74
  Q0400B 1 Discharge to community determined to be feasible   Typical pattern CD   58147-0 LA12654-2 1.3.6.1.4.1.12009.10.1.74
  Q0400B 2 Discharge to community determined to be not feasible   Typical pattern CD   58147-0 LA12655-9 1.3.6.1.4.1.12009.10.1.74
  Q0500A   Resident been asked about return to community   Typical pattern CD   58148-8   1.3.6.1.4.1.12009.10.1.75
  Q0500A 0 No   Typical pattern CD   58148-8 LA32-8 1.3.6.1.4.1.12009.10.1.75
  Q0500A 1 Yes--previous response was "no"   Typical pattern CD   58148-8 LA12656-7 1.3.6.1.4.1.12009.10.1.75
  Q0500A 2 Yes--previous response was "yes"   Typical pattern CD   58148-8 LA12657-5 1.3.6.1.4.1.12009.10.1.75
  Q0500A 3 Yes--previous response was "unknown"   Typical pattern CD   58148-8 LA12658-3 1.3.6.1.4.1.12009.10.1.75
  Q0500B   Do you want to talk about returning to community   Typical pattern CD   58149-6   1.3.6.1.4.1.12009.10.1.13
  Q0500B 0 No   Typical pattern CD   58149-6 LA32-8 1.3.6.1.4.1.12009.10.1.13
  Q0500B 1 Yes   Typical pattern CD   58149-6 LA33-6 1.3.6.1.4.1.12009.10.1.13
  Q0500B 9 Unknown or uncertain   Typical pattern CD   58149-6 LA11107-2 1.3.6.1.4.1.12009.10.1.13
  Q0600   Referral been made to local contact agency   Typical pattern CD   58150-4   1.3.6.1.4.1.12009.10.1.77
  Q0600 0 No--determination has been made by the resident and the care planning team that contact is not required   Typical pattern CD   58150-4 LA12659-1 1.3.6.1.4.1.12009.10.1.77
  Q0600 1 No--referral not made   Typical pattern CD   58150-4 LA12660-9 1.3.6.1.4.1.12009.10.1.77
  Q0600 2 Yes   Typical pattern CD   58150-4 LA33-6 1.3.6.1.4.1.12009.10.1.77
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
T     Therapy Supplement for Medicare PPS              
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
V                    
  V0100A   Prior OBRA reason for assessment   Typical pattern CD   54583-0   1.3.6.1.4.1.12009.10.1.60
  V0100A 1 Admission assessment (required by day 14)   Typical pattern CD   54583-0 LA10-4 1.3.6.1.4.1.12009.10.1.60
  V0100A 2 Quarterly review assessment   Typical pattern CD   54583-0 LA15-3 1.3.6.1.4.1.12009.10.1.60
  V0100A 3 Annual assessment   Typical pattern CD   54583-0 LA12-0 1.3.6.1.4.1.12009.10.1.60
  V0100A 4 Significant change in status assessment   Typical pattern CD   54583-0 LA13-8 1.3.6.1.4.1.12009.10.1.60
  V0100A 5 Significant correction to prior comprehensive assessment   Typical pattern CD   54583-0 LA10888-8 1.3.6.1.4.1.12009.10.1.60
  V0100A 6 Significant correction to prior quarterly assessment   Typical pattern CD   54583-0 LA10889-6 1.3.6.1.4.1.12009.10.1.60
  V0100A 99 Not OBRA required assessment/tracking   Typical pattern CD   54583-0 LA10893-8 1.3.6.1.4.1.12009.10.1.60
  V0100B   Prior PPS reason for assessment   Typical pattern CD   54584-8   1.3.6.1.4.1.12009.10.1.59
  V0100B 1 5-day scheduled assessment   Typical pattern CD   54584-8 LA10894-6 1.3.6.1.4.1.12009.10.1.59
  V0100B 2 14-day scheduled assessment   Typical pattern CD   54584-8 LA10895-3 1.3.6.1.4.1.12009.10.1.59
  V0100B 3 30-day scheduled assessment   Typical pattern CD   54584-8 LA10896-1 1.3.6.1.4.1.12009.10.1.59
  V0100B 4 60-day scheduled assessment   Typical pattern CD   54584-8 LA10897-9 1.3.6.1.4.1.12009.10.1.59
  V0100B 5 90-day scheduled assessment   Typical pattern CD   54584-8 LA10898-7 1.3.6.1.4.1.12009.10.1.59
  V0100B 6 Readmission/return assessment   Typical pattern CD   54584-8 LA10899-5 1.3.6.1.4.1.12009.10.1.59
  V0100B 7 Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment)   Typical pattern CD   54584-8 LA10900-1 1.3.6.1.4.1.12009.10.1.59
  V0100B 99 Not PPS assessment   Typical pattern CD   54584-8 LA10903-5 1.3.6.1.4.1.12009.10.1.59
  V0100C   Prior assessment reference date   Other response data type pattern TS   58151-2    
  V0100D   Prior assessment BIMS summary score   Other response data type pattern INT   58152-0    
  V0100E   Prior asmt PHQ res: total mood severity score   Other response data type pattern INT   58153-8    
  V0100F   Prior asmt PHQ staff: total mood score   Other response data type pattern INT   58153-8    
  V0200A01A   CAA-Delirium: triggered   Multiple response pattern BL   58157-9    
  V0200A01B   CAA-Delirium: plan   Multiple response pattern BL   58158-7    
  V0200A02A   CAA-Cognitive loss/dementia: triggered   Multiple response pattern BL   58159-5    
  V0200A02B   CAA-Cognitive loss/dementia: plan   Multiple response pattern BL   58160-3    
  V0200A03A   CAA-Visual function: triggered   Multiple response pattern BL   58226-2    
  V0200A03B   CAA-Visual function: plan   Multiple response pattern BL   58225-4    
  V0200A04A   CAA-Communication: triggered   Multiple response pattern BL   58161-1    
  V0200A04B   CAA-Communication: plan   Multiple response pattern BL   58162-9    
  V0200A05A   CAA-ADL functional/rehab potential: triggered   Multiple response pattern BL   58163-7    
  V0200A05B   CAA-ADL functional/rehab potential: plan   Multiple response pattern BL   58164-5    
  V0200A06A   CAA-Urinary incont/indwell catheter: triggered   Multiple response pattern BL   58165-2    
  V0200A06B   CAA-Urinary incont/indwell catheter: plan   Multiple response pattern BL   58166-0    
  V0200A07A   CAA-Psychosocial well-being: triggered   Multiple response pattern BL   58167-8    
  V0200A07B   CAA-Psychosocial well-being: plan   Multiple response pattern BL   58168-6    
  V0200A08A   CAA-Mood state: triggered   Multiple response pattern BL   58169-4    
  V0200A08B   CAA-Mood state: plan   Multiple response pattern BL   58170-2    
  V0200A09A   CAA-Behavioral symptoms: triggered   Multiple response pattern BL   58171-0    
  V0200A09B   CAA-Behavioral symptoms: plan   Multiple response pattern BL   58172-8    
  V0200A10A   CAA-Activities: triggered   Multiple response pattern BL   58173-6    
  V0200A10B   CAA-Activities: plan   Multiple response pattern BL   58174-4    
  V0200A11A   CAA-Falls: triggered   Multiple response pattern BL   58175-1    
  V0200A11B   CAA-Falls: plan   Multiple response pattern BL   58176-9    
  V0200A12A   CAA-Nutritional status: triggered   Multiple response pattern BL   58177-7    
  V0200A12B   CAA-Nutritional status: plan   Multiple response pattern BL   58178-5    
  V0200A13A   CAA-Feeding tubes: triggered   Multiple response pattern BL   8179-3    
  V0200A13B   CAA-Feeding tubes: plan   Multiple response pattern BL   58180-1    
  V0200A14A   CAA-Dehydration/fluid maintenance: triggered   Multiple response pattern BL   58181-9    
  V0200A14B   CAA-Dehydration/fluid maintenance: plan   Multiple response pattern BL   58182-7    
  V0200A15A   CAA-Dental care: triggered   Multiple response pattern BL   58183-5    
  V0200A15B   CAA-Dental care: plan   Multiple response pattern BL   58184-3    
  V0200A16A   CAA-Pressure ulcer: triggered   Multiple response pattern BL   58185-0    
  V0200A16B   CAA-Pressure ulcer: plan   Multiple response pattern BL   58186-8    
  V0200A17A   CAA-Psychotropic drug use: triggered   Multiple response pattern BL   58187-6    
  V0200A17B   CAA-Psychotropic drug use: plan   Multiple response pattern BL   58188-4    
  V0200A18A   CAA-Physical restraints: triggered   Multiple response pattern BL   58189-2    
  V0200A18B   CAA-Physical restraints: plan   Multiple response pattern BL   58190-0    
  V0200A19A   CAA-Pain: triggered   Multiple response pattern BL   58191-8    
  V0200A19B   CAA-Pain: plan   Multiple response pattern BL   58192-6    
  V0200A20A   CAA-Return to community referral: triggered   Multiple response pattern BL   58193-4    
  V0200A20B   CAA-Return to community referral: plan   Multiple response pattern BL   58194-2    
  V0200B2   CAA-Assessment process signature date   Other response data type pattern TS        
  V0200C2   CAA-Care planning signature date   Other response data type pattern TS        
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
X                    
  X0100   Correction: type of transaction   Typical pattern CD   58198-3   1.3.6.1.4.1.12009.10.1.159
  X0100 1 Add new record   Typical pattern CD   58198-3 LA12663-3 1.3.6.1.4.1.12009.10.1.159
  X0100 2 Modify existing record   Typical pattern CD   58198-3 LA12664-1 1.3.6.1.4.1.12009.10.1.159
  X0100 3 Inactivate existing record   Typical pattern CD   58198-3 LA12665-8 1.3.6.1.4.1.12009.10.1.159
  X0150   Correction: type of provider   Typical pattern CD   54582-2   1.3.6.1.4.1.12009.10.1.61
  X0150 1 Nursing home (SNF/NF)   Typical pattern CD   54582-2 LA10882-1 1.3.6.1.4.1.12009.10.1.61
  X0150 2 Swing bed   Typical pattern CD   54582-2 LA10883-9 1.3.6.1.4.1.12009.10.1.61
  X0200A   Correction: resident first name   Other Response Data Type Pattern ED   54503-8    
  X0200C   Correction: resident last name   Other Response Data Type Pattern ED   54503-8    
  X0300   Correction: resident gender   Typical pattern CD   46098-0   2.16.840.1.113883.5.1
  X0300 1 Male   Typical pattern CD   46098-0 LA2-8  
  X0300 2 Female   Typical pattern CD   46098-0 LA3-6  
  X0400   Correction: resident birth date   Other response data type pattern TS   21112-8    
  X0500   Correction: resident social security number   Other Response Data Type Pattern ED   45966-9    
  X0600A   Correction: OBRA reason for assessment   Typical pattern CD   54583-0   1.3.6.1.4.1.12009.10.1.60
  X0600A 1 Admission assessment (required by day 14)   Typical pattern CD   54583-0 LA10-4 1.3.6.1.4.1.12009.10.1.60
  X0600A 2 Quarterly review assessment   Typical pattern CD   54583-0 LA15-3 1.3.6.1.4.1.12009.10.1.60
  X0600A 3 Annual assessment   Typical pattern CD   54583-0 LA12-0 1.3.6.1.4.1.12009.10.1.60
  X0600A 4 Significant change in status assessment   Typical pattern CD   54583-0 LA13-8 1.3.6.1.4.1.12009.10.1.60
  X0600A 5 Significant correction to prior comprehensive assessment   Typical pattern CD   54583-0 LA10888-8 1.3.6.1.4.1.12009.10.1.60
  X0600A 6 Significant correction to prior quarterly assessment   Typical pattern CD   54583-0 LA10889-6 1.3.6.1.4.1.12009.10.1.60
  X0600A 99 Not OBRA required assessment/ tracking   Typical pattern CD   54583-0 LA10893-8 1.3.6.1.4.1.12009.10.1.60
  X0600B   Correction: PPS reason for assessment   Typical pattern CD   54584-8   1.3.6.1.4.1.12009.10.1.59
  X0600B 1 5-day scheduled assessment   Typical pattern CD   54584-8 LA10894-6 1.3.6.1.4.1.12009.10.1.59
  X0600B 2 14-day scheduled assessment   Typical pattern CD   54584-8 LA10895-3 1.3.6.1.4.1.12009.10.1.59
  X0600B 3 30-day scheduled assessment   Typical pattern CD   54584-8 LA10896-1 1.3.6.1.4.1.12009.10.1.59
  X0600B 4 60-day scheduled assessment   Typical pattern CD   54584-8 LA10897-9 1.3.6.1.4.1.12009.10.1.59
  X0600B 5 90-day scheduled assessment   Typical pattern CD   54584-8 LA10898-7 1.3.6.1.4.1.12009.10.1.59
  X0600B 6 Readmission/return assessment   Typical pattern CD   54584-8 LA10899-5 1.3.6.1.4.1.12009.10.1.59
  X0600B 7 Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment)   Typical pattern CD   54584-8 LA10900-1 1.3.6.1.4.1.12009.10.1.59
  X0600B 99 Not PPS assessment   Typical pattern CD   54584-8 LA10903-5 1.3.6.1.4.1.12009.10.1.59
  X0600C   Correction: OMRA assessment   Typical pattern CD   54585-5   1.3.6.1.4.1.12009.10.1.65
  X0600C 0 No   Typical pattern CD   54585-5 LA32-8 1.3.6.1.4.1.12009.10.1.65
  X0600C 1 Start of therapy assessment   Typical pattern CD   54585-5 LA12624-5 1.3.6.1.4.1.12009.10.1.65
  X0600C 2 End of therapy assessment   Typical pattern CD   54585-5 LA12625-2 1.3.6.1.4.1.12009.10.1.65
  X0600C 3 Both Start and End of therapy assessment   Typical pattern CD   54585-5 LA12626-0 1.3.6.1.4.1.12009.10.1.65
  X0600D   Correction: Swing bed clinical change asmt   Typical pattern CD   58107-4   1.3.6.1.4.1.12009.10.1.62
  X0600D 0 No   Typical pattern CD   58107-4 LA32-8 1.3.6.1.4.1.12009.10.1.62
  X0600D 1 Yes   Typical pattern CD   58107-4 LA33-6 1.3.6.1.4.1.12009.10.1.62
  X0600F   Correction: entry/discharge reporting   Typical pattern CD   58108-2   1.3.6.1.4.1.12009.10.1.66
  X0600F 1 Entry record   Typical pattern CD   58108-2 LA12627-8 1.3.6.1.4.1.12009.10.1.66
  X0600F 10 Discharge assessment - return not anticipated   Typical pattern CD   58108-2 LA12628-6 1.3.6.1.4.1.12009.10.1.66
  X0600F 11 Discharge assessment - return anticipated   Typical pattern CD   58108-2 LA12629-4 1.3.6.1.4.1.12009.10.1.66
  X0600F 12 Death in facility record   Typical pattern CD   58108-2 LA12630-2 1.3.6.1.4.1.12009.10.1.66
  X0600F 99 Not entry/discharge   Typical pattern CD   58108-2 LA12631-0 1.3.6.1.4.1.12009.10.1.66
  X0700A   Correction: assessment reference date   Other response data type pattern TS   54593-9    
  X0700B   Correction: discharge date   Other response data type pattern TS   52525-3    
  X0700C   Correction: entry date   Other response data type pattern TS   50786-3    
  X0800   Correction: correction number   Other response data type pattern INT   58200-7    
  X0900A   Correction: modif reasons - transcription error   Multiple response pattern BL   58201-5    
  X0900B   Correction: modif reasons - data entry error   Multiple response pattern BL   58202-3    
  X0900C   Correction: modif reasons - software error   Multiple response pattern BL   58203-1    
  X0900D   Correction: modif reasons - item coding error   Multiple response pattern BL   58227-0    
  X0900Z   Correction: modif reasons - other error   Multiple response pattern BL   58204-9    
  X1050A   Correction: inact reasons - event did not occur   Multiple response pattern BL   58207-2    
  X1050Z   Correction: inact reasons - other reason   Multiple response pattern BL   58208-0    
  X1100A   Correction: attestor first name   Other response data type pattern ED        
  X1100B   Correction: attestor last name   Other response data type pattern ED        
  X1100E   Correction: attestation date   Other response data type pattern TS        
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
Z     Assessment Administration              
  Z0100A   Medicare Part A: HIPPS code   Other response data type pattern ED   55065-7    
  Z0100B   Medicare Part A: RUG version code   Other response data type pattern ED   55066-5    
  Z0100C   Medicare Part A: Medicare short stay asmt   Typical pattern CD   58421-9   1.3.6.1.4.1.12009.10.1.62
  Z0100C 0 No   Typical pattern CD   58421-9 LA32-8 1.3.6.1.4.1.12009.10.1.62
  Z0100C 1 Yes   Typical pattern CD   58421-9 LA33-6 1.3.6.1.4.1.12009.10.1.62
  Z0150A   Medicare Part A: non-therapy HIPPS code   Other response data type pattern ED   58210-6    
  Z0150B   Medicare Part A: non-therapy RUG version code   Other response data type pattern ED   58211-4    
  Z0200A   State case mix: RUG group   Other response data type pattern ED   55068-1    
  Z0200B   State case mix: RUG version code   Other response data type pattern ED   55069-9    
  Z0250A   State case mix: Alternate RUG group   Other response data type pattern ED   58212-2    
  Z0250B   State case mix: Alternate RUG version code   Other response data type pattern ED   58213-0    
  Z0500B   Date RN signed assessment as complete See CDA X-Path Mapping
Table 27
Implementation Guide for CDA R2 - CDA Framework/ MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)
           
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
OTHER                    
  FAC_ID   Assigned facility/provider submission ID   Other response data type pattern ED   55077-2    
  SFTWR_PROD_ NAME   Software product name              
  SFTWR_PROD_ NAME   Software product name              
  SFTWR_PROD_ VRSN_CD   Software product version code              
  SFTWR_PROD_ VRSN_CD   Software product version code              
  SFTWR_VNDR_ EMAIL_ADR   Software vendor email address              
  SFTWR_VNDR_ EMAIL_ADR   Software vendor email address              
  SFTWR_VNDR_ID   Software vendor federal employer tax ID              
  SFTWR_VNDR_ID   Software vendor federal employer tax ID              
  SFTWR_VNDR_ NAME   Software vendor company name              
  SFTWR_VNDR_ NAME   Software vendor company name              
  SPEC_VRSN_CD   Specifications version code              
  SPEC_VRSN_CD   Specifications version code              
  ITM_SBST_CD   Item subset code              
  ITM_SBST_CD NCN Nursing home comprehensive assessment              
  ITM_SBST_CD NCP Nursing home comprehensive assessment coupled with PPS assessment              
  ITM_SBST_CD NDE Nursing home discharge coupled with EMCA              
  ITM_SBST_CD NDN Nursing home discharge              
  ITM_SBST_CD NEN Nursing home entry              
  ITM_SBST_CD NNE Nursing home EMCA              
  ITM_SBST_CD NNN Nursing home not OMBRA and not PPS assessment              
  ITM_SBST_CD NNP Nursing home PPS assessment              
  ITM_SBST_CD NQN Nursing home quarterly assessment              
  ITM_SBST_CD NQP Nursing home quarterly assessment coupled with PPS assessment              
  ITM_SBST_CD SDE Swing bed discharge coupled with EMCA              
  ITM_SBST_CD SDN Swing bed discharge              
  ITM_SBST_CD SEN Swing bed entry              
  ITM_SBST_CD SNE Swing bed EMCA              
  ITM_SBST_CD SNN Swing bed not a PPS assessment              
  ITM_SBST_CD SNP Swing bed PPS assessment              
  ITM_SBST_CD SNS Swing bed clinical change assessment              
  ITM_SBST_CD XXX Inactivation transaction              
  PRODN_TEST_CD   Production/test indicator              
  PRODN_TEST_CD P Product submission              
  PRODN_TEST_CD T Test submission              

MDS3.0 Items Mapping -- Model Of Meaning

Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
A     Identification Information                
  A0100A   Facility National Provider Identifier (NPI)     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0100B   Facility CMS Certification Number (CCN)     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0100C   State provider number     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0200   Type of provider     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0200 1 Nursing home (SNF/NF)                
  A0200 2 Swing bed                
  A0310A   Type of assessment: OBRA     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0310A 1 Admission assessment (required by day 14)                
  A0310A 2 Quarterly review assessment                
  A0310A 3 Annual assessment                
  A0310A 4 Significant change in status assessment                
  A0310A 5 Significant correction to prior comprehensive assessment                
  A0310A 6 Significant correction to prior quarterly assessment                
  A0310A 99 Not OBRA required assessment/ tracking                
  A0310B   Type of assessment: PPS     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0310B 1 5-day scheduled assessment                
  A0310B 2 14-day scheduled assessment                
  A0310B 3 30-day scheduled assessment                
  A0310B 4 60-day scheduled assessment                
  A0310B 5 90-day scheduled assessment                
  A0310B 6 Readmission/return assessment                
  A0310B 7 Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment)                
  A0310B 99 Not a PPS assessment                
  A0310C   Type of assessment: OMRA     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0310C 0 No                
  A0310C 1 Start of therapy assessment                
  A0310C 2 End of therapy assessment                
  A0310C 3 Both Start and End of therapy assessment                
  A0310D   Swing bed clinical change assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0310D 0 No                
  A0310D 1 Yes                
  A0310E   First assessment since most recent entry     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0310E 0 No                
  A0310E 1 Yes                
  A0310F   Entry/discharge reporting     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0310F 1 Entry record                
  A0310F 10 Discharge assessment - return not anticipated                
  A0310F 11 Discharge assessment - return anticipated                
  A0310F 12 Death in facility record                
  A0310F 99 Not entry/discharge record                
  A0410   Submission requirement     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0410 1 Neither federal nor state required submission                
  A0410 2 State but not federal required submission (FOR NURSING HOMES ONLY)                
  A0410 3 Federal required submission                
  A0500A   Resident first name     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0500B   Resident middle initial     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0500C   Resident last name     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0500D   Resident name suffix     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0600A   Social Security Number     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0600B   Resident Medicare/ railroad insurance number     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0700   Resident Medicaid number     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0800   Gender     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A0800 1 Male                
  A0800 2 Female                
  A0900   Birthdate     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A1000A   Ethnicity: American Indian or Alaska Native *ONC Final Rule (7/28/2010) requires use of the Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, October 30, 1997. This is not a vocabulary.
*HITSP Component C-32 (HITSP Summary Documents Using HL7 Continuity of Care Document (CCD)) requires use of the CDC Race and Ethnicity vocabulary for reporting race and ethnicity (see Column Q).
*See DSTU for detailis on representation of Race/ Ethnicity data.
ETHNICITY PATTERN         1002-5  
  A1000B   Ethnicity: Asian   ETHNICITY PATTERN         2028-9  
  A1000C   Ethnicity: Black or African American   ETHNICITY PATTERN         2054-5  
  A1000D   Ethnicity: Hispanic or Latino   ETHNICITY PATTERN         2135-2  
  A1000E   Ethnicity: Native Hawaiian/Pacific Islander   ETHNICITY PATTERN         2076-8  
  A1000F   Ethnicity: White   ETHNICITY PATTERN         2106-3  
  A1100A   Does the resident need or want an interpreter   ASSERTION PATTERN            
  A1100A 0 No   Assertion pattern 315595002 interpreter not needed (finding)        
  A1100A 1 Yes   Assertion pattern 315594003 interpreter needed (finding)        
  A1100A 9 Unable to determine     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  A1100B   Preferred language     Concept Not Mapped (Reason #6) --
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
         
  A1200   Marital status     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A1200 1 Never married                
  A1200 2 Married                
  A1200 3 Widowed                
  A1200 4 Separated                
  A1200 5 Divorced                
  A1300A MDCL_REC_ NUM Medical record number     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A1300B ROOM_NUM Room number     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A1300C PREFRD_NAME Name by which resident prefers to be addressed     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A1300D   Lifetime occupation(s)     Concept Not Mapped (Reason #6) --
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
         
  A1500   Resident evaluated by PASRR     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A1500 0 No                
  A1500 1 Yes                
  A1500 9 Not a Medicaid certified unit                
  A1550A   MR/DD status: Down syndrome   Assertion pattern 41040004 complete trisomy 21 syndrome (disorder)        
  A1550B   MR/DD status: Autism   Assertion pattern 408856003 autistic disorder (disorder)        
  A1550C   MR/DD status: Epilepsy   Assertion pattern 84757009 epilepsy (disorder)        
  A1550D   MR/DD status: other organic MR/DD condition     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  A1550E   MR/DD status: MR/DD with no organic condition     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  A1550Z   MR/DD status: none of the above     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  A1600   Entry date (date of admission/reentry in facility)     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A1700   Type of entry     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A1700 1 Admission                
  A1700 2 Reentry                
  A1800   Entered from     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A1800 1 Community (private home/apt., board/ care, assisted living, group home)                
  A1800 2 Another nursing home or swing bed                
  A1800 3 Acute hospital                
  A1800 4 Psychiatric hospital                
  A1800 5 Inpatient rehabilitation facility                
  A1800 6 MR/DD facility                
  A1800 7 Hospice                
  A1800 99 Other                
  A2000   Discharge date     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A2100   Discharge status     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A2100 1 Community (private home/apt., board/ care, assisted living, group home)                
  A2100 2 Another nursing home or swing bed                
  A2100 3 Acute hospital                
  A2100 4 Psychiatric hospital                
  A2100 5 Inpatient rehabilitation facility                
  A2100 6 MR/DD facility                
  A2100 7 Hospice                
  A2100 8 Deceased                
  A2100 99 Other                
  A2200   Previous asmt reference date for signif correction     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A2300   Assessment reference date     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A2400A   Has resident had Medicare-covered stay     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A2400A 0 No                
  A2400A 1 Yes                
  A2400B   Start date of most recent Medicare stay     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
  A2400C   End date of most recent Medicare stay     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/ clinicians
         
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
B     Hearing, Speech, and Vision                
  B0100   Comatose   ASSERTION PATTERN            
  B0100 0 No   Assertion pattern 271591004 fully conscious (finding)        
  B0100 1 Yes   Assertion pattern 371632003 coma (disorder)        
  B0200   Hearing   ASSERTION PATTERN            
  B0200 0 Adequate - no difficulty in normal conversation, social interaction, listening to TV   Assertion pattern 162339002 hearing normal (finding)        
  B0200 1 Minimal difficulty - difficulty in some environments (e.g., when person speaks softly or setting is noisy)   Assertion pattern 162340000 hearing difficulty (finding)        
  B0200 2 Moderate difficulty - speaker has to increase volume and speak distinctly   Assertion pattern 425091001 difficulty hearing normal speech tones (finding)        
  B0200 3 Highly impaired - absence of useful hearing   Assertion pattern 306972000 unable to hear loud voice (finding)        
  B0300   Hearing aid   ASSERTION PATTERN            
  B0300 0 No   Assertion pattern 285056001 does not use hearing aid (finding)        
  B0300 1 Yes   Assertion pattern 285055002 does use hearing aid (finding)        
  B0600   Speech clarity   ASSERTION PATTERN            
  B0600 0 Clear speech - distinct intelligible words   Assertion pattern 286296002 does articulate clearly (finding)        
  B0600 1 Unclear speech - slurred or mumbled words   Assertion pattern 286298001 does not articulate clearly (finding)        
  B0600 2 No speech - absence of spoken words   Assertion pattern 286371003 does not speak (finding)        
  B0700   Makes self understood   QUESTION/ ANSWER PATTERN 288743004 ability to make self understood (observable entity)        
  B0700 0 Understood   Question/Answer pattern 288746007 does make self understood (finding)        
  B0700 1 Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time   Question/Answer pattern 288748008 difficulty making self understood (finding)        
  B0700 2 Sometimes understood - ability is limited to making concrete requests   Question/Answer pattern 288748008 difficulty making self understood (finding)        
  B0700 3 Rarely/never understood   Question/Answer pattern 288747003 does not make self understood (finding)        
  B0800   Ability to understand others   QUESTION/ ANSWER PATTERN 395659009 ability to comprehend (observable entity)        
  B0800 0 Understands - clear comprehension     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  B0800 1 Usually understands - misses some part/ intent of message but comprehends most conversation   Question/Answer pattern 64270008 disturbance of understand-ing (finding)        
  B0800 2 Sometimes understands - responds adequately to simple, direct communication only   Question/Answer pattern 64270008 disturbance of understand-ing (finding)        
  B0800 3 Rarely/never understands   Question/Answer pattern 53314000 Akatamath-esia (finding)        
  B1000   Vision   QUESTION/ ANSWER PATTERN 415823006 vision observable (observable entity)        
  B1000 0 Adequate - sees fine detail, including regular print in newspapers/books   Question/Answer pattern 45089002 normal vision (finding)        
  B1000 1 Impaired - sees large print, but not regular print in newspapers/books   Question/Answer pattern 424883003 difficulty seeing small print (finding)        
  B1000 2 Moderately Impaired - limited vision; not able to see newspaper headlines but can identify objects   Question/Answer pattern 285163004 able to recognize objects by sight (finding)        
  B1000 3 Highly impaired - object identification in question, but eyes appear to follow objects   Question/Answer pattern 170728008 poor visual acuity (finding)        
  B1000 4 Severely impaired - no vision or sees only light, colors or shapes; eyes do not appear to follow objects   Question/Answer pattern 397541004 severe visual impairment (disorder)        
  B1200   Corrective lenses   ASSERTION PATTERN            
  B1200 0 No     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  B1200 1 Yes   Assertion pattern 365237006 finding related to ability to use appliances for sensory impairment (finding)        
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
C     Cognitive Patterns                
  C0100   BIMS: should resident interview be conducted   ASSERTION PATTERN            
  C0100 0 No (resident is rarely/never understood)   Assertion pattern 288747003 does not make self understood (finding)        
  C0100 1 Yes   Assertion pattern 288744005 able to make self understood (finding)        
  C0200   BIMS res interview: repetition of three words     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  C0200 0 None     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  C0200 1 One     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  C0200 2 Two     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  C0200 3 Three     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  C0300A   BIMS res interview: able to report correct year   QUESTION/ ANSWER PATTERN 285195003 ability to remember current year (observable entity)        
  C0300A 0 Missed by > 5 years or no answer   Question/Answer pattern 285197006 unable to remember current year (finding)        
  C0300A 1 Missed by 2-5 years   Question/Answer pattern 285197006 unable to remember current year (finding)        
  C0300A 2 Missed by 1 year   Question/Answer pattern 285197006 unable to remember current year (finding)        
  C0300A 3 Correct   Question/Answer pattern 285196002 able to remember current year (finding)        
  C0300B   BIMS res interview: able to report correct month   QUESTION/ ANSWER PATTERN 283895004 ability to remember month of year (observable entity)        
  C0300B 0 Missed by > 1 month or no answer   Question/Answer pattern 285194004 unable to remember month of year (finding)        
  C0300B 1 Missed by 6 days to 1 month   Question/Answer pattern 285194004 unable to remember month of year (finding)        
  C0300B 2 Accurate within 5 days   Question/Answer pattern 285193005 able to remember month of year (finding)        
  C0300C   BIMS res interview: can report correct day of week   QUESTION/ ANSWER PATTERN 283894000 ability to remember day of the week (observable entity)        
  C0300C 0 Incorrect or no answer   Question/Answer pattern 285191007 unable to remember day of the week (finding)        
  C0300C 1 Correct   Question/Answer pattern 28519008 unable to remember day of the week (finding)        
  C0400A   BIMS res interview: able to recall “sock”   QUESTION/ ANSWER PATTERN 363891004 memory test observable (observable entity)        
  C0400A 0 No - could not recall   Question/Answer pattern 285225003 unable to remember objects (finding)        
  C0400A 1 Yes, after cueing (“something to wear”)   Question/Answer pattern 285224004 able to remember objects (finding)        
  C0400A 2 Yes, no cue required   Question/Answer pattern 285224004 able to remember objects (finding)        
  C0400B   BIMS res interview: able to recall “blue”   QUESTION/ ANSWER PATTERN 363891004 memory test observable (observable entity)        
  C0400B 0 No - could not recall   Question/Answer pattern 285225003 unable to remember objects (finding)        
  C0400B 1 Yes, after cueing (“a color”)   Question/Answer pattern 285224004 able to remember objects (finding)        
  C0400B 2 Yes, no cue required   Question/Answer pattern 285224004 able to remember objects (finding)        
  C0400C   BIMS res interview: able to recall “bed”   QUESTION/ ANSWER PATTERN 363891004 memory test observable (observable entity)        
  C0400C 0 No - could not recall   Question/Answer pattern 285225003 unable to remember objects (finding)        
  C0400C 1 Yes, after cueing (“a piece of furniture”)   Question/Answer pattern 285224004 able to remember objects (finding)        
  C0400C 2 Yes, no cue required   Question/Answer pattern 285224004 able to remember objects (finding)        
  C0500   BIMS res interview: summary score     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  C0600   Staff asmt mental status: conduct asmt   QUESTION/ ANSWER PATTERN 247571009 general mental state (observable entity)        
  C0600 0 No (resident was able to  complete interview)   Question/Answer pattern 288732007 able to respond to communica-tion by others (finding)        
  C0600 1 Yes (resident was unable to complete interview)   Question/Answer pattern 288733002 unable to respond to communica-tion by others (finding)        
  C0700   Staff asmt mental status: short-term memory OK   ASSERTION PATTERN            
  C0700 0 Memory OK   Assertion pattern 247590001 short-term memory within normal limits (finding)        
  C0700 1 Memory problem   Assertion pattern 247592009 poor short-term memory (finding)        
  C0800   Staff asmt mental status: long-term memory OK   ASSERTION PATTERN            
  C0800 0 Memory OK   Assertion pattern 247587007 long-term memory within normal limits (finding)        
  C0800 1 Memory problem   Assertion pattern 247588002 poor long-term memory (finding)        
  C0900A   Staff asmt mental status: recall current season   Assertion pattern 165284008 memory: present time known (finding)        
  C0900B   Staff asmt mental status: recall location of room   Assertion pattern 165287001 memory: present place known (finding)        
  C0900C   Staff asmt mental status: recall staff names/faces   Assertion pattern 285227006 able to remember faces (finding)        
  C0900D   Staff asmt mental status: recall in nursing home   Assertion pattern 165287001 memory: present place known (finding)        
  C0900Z   Staff asmt mental status: none of above recalled   Assertion pattern 386807006 memory impairment (finding)        
  C1000   Cognitive skills for daily decision making   QUESTION/ ANSWER PATTERN 413383002 ability to make decisions (observable entity)        
  C1000 0 Independent - decisions consistent/ reasonable   Question/Answer pattern 304650003 able to use decision making strategies (finding)        
  C1000 1 Modified independence - some difficulty in new situations only   Question/Answer pattern 304652006 difficulty using decision making strategies (finding)        
  C1000 2 Moderately impaired - decisions poor; cues/ supervision required   Question/Answer pattern 304652006 difficulty using decision making strategies (finding)        
  C1000 3 Severely impaired - never/rarely made decisions   Question/Answer pattern 304651004 unable to use decision making strategies (finding)        
  C1300A   Signs of delirium: inattention   QUESTION/ ANSWER PATTERN 52963003 attentiveness (observable entity)        
  C1300A 0 Behavior not present   Question/Answer pattern 288769005 able to direct attention (finding)        
  C1300A 1 Behavior continuously present, does not fluctuate   Question/Answer pattern 288773008 difficulty directing attention (finding)        
  C1300A 2 Behavior present, fluctuates (comes and goes, changes in severity)   Question/Answer pattern 247767009 integrated attention for short spells (finding)        
  C1300B   Signs of delirium: disorganized thinking   QUESTION/ ANSWER PATTERN 88952004 thinking, function (observable entity)        
  C1300B 0 Behavior not present   Question/Answer pattern 225662002 able to think clearly (finding)        
  C1300B 1 Behavior continuously present, does not fluctuate   Question/Answer pattern 247640008 unable to think clearly (finding)        
  C1300B 2 Behavior present, fluctuates (comes and goes, changes in severity)   Question/Answer pattern 88962006 incomplete clearminded-ness (finding)        
  C1300C   Signs of delirium: altered level of consciousness   QUESTION/ ANSWER PATTERN 6942003 level of conscious-ness (observable entity)        
  C1300C 0 Behavior not present   Question/Answer pattern 248222000 conscious-ness unimpaired (finding)        
  C1300C 1 Behavior continuously present, does not fluctuate   Question/Answer pattern 3006004 disturbance of conscious-ness (finding)        
  C1300C 2 Behavior present, fluctuates (comes and goes, changes in severity)   Question/Answer pattern 3006004 disturbance of conscious-ness (finding)        
  C1300D   Signs of delirium: psychomotor retardation   QUESTION/ ANSWER PATTERN 48761009 motor behavior (observable entity)        
  C1300D 0 Behavior not present   Question/Answer pattern 17621005 normal (qualifier value)        
  C1300D 1 Behavior continuously present, does not fluctuate   Question/Answer pattern 398991009 motor retardation (finding)        
  C1300D 2 Behavior present, fluctuates (comes and goes, changes in severity)   Question/Answer pattern 398991009 motor retardation (finding)        
  C1600   Acute onset mental status change   ASSERTION PATTERN            
  C1600 0 No   Assertion pattern 359748005 patient's condition the same (finding)        
  C1600 1 Yes   Assertion pattern 419284004 altered mental status (finding)        
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
D     Mood                
  D0100   PHQ: should resident mood interview be conducted   ASSERTION PATTERN            
  D0100 0 No (resident is rarely/never understood)   Assertion pattern 288745006 unable to make self understood (finding)        
  D0100 1 Yes   Assertion pattern 288744005 able to make self understood (finding)        
  D0200A1   PHQ res: little interest or pleasure - presence   ASSERTION PATTERN            
  D0200A1 0 No (enter 0 in column 2)   Assertion pattern 134417007 level of mood - normal (finding)        
  D0200A1 1 Yes (enter 0-3 in column 2)   Assertion pattern 247753000 loss of interest (finding)        
  D0200A1 9 No response (leave column 2 blank)   Assertion pattern 288766003 does not communicate feelings (finding)        
  D0200A2   PHQ res: little interest or pleasure - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0200A2 0 Never or 1 day                
  D0200A2 1 2-6 Days (Several days)                
  D0200A2 2 7-11 Days (Half or more of the days)                
  D0200A2 3 12-14 Days (Nearly every day)                
  D0200B1   PHQ res: feeling down, depressed - presence   ASSERTION PATTERN            
  D0200B1 0 No (enter 0 in column 2)   Assertion pattern 134416003 normal mood symptoms (finding)        
  D0200B1 1 Yes (enter 0-3 in column 2)   Assertion pattern 394924000 Symptoms of depression (finding)        
  D0200B1 9 No response (leave column 2 blank)   Assertion pattern 288766003 does not communicate feelings (finding)        
  D0200B2   PHQ res: feeling down, depressed - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0200B2 0 Never or 1 day                
  D0200B2 1 2-6 Days (Several days)                
  D0200B2 2 7-11 Days (Half or more of the days)                
  D0200B2 3 12-14 Days (Nearly every day)                
  D0200C1   PHQ res: trouble with sleep - presence   ASSERTION PATTERN            
  D0200C1 0 No (enter 0 in column 2)   Assertion pattern 433206003 able to sleep (finding)        
  D0200C1 1 Yes (enter 0-3 in column 2)   Assertion pattern 301345002 difficulty sleeping (finding)        
  D0200C1 9 No response (leave column 2 blank)   Assertion pattern 288766003 does not communicate feelings (finding)        
  D0200C2   PHQ res: trouble with sleep - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0200C2 0 Never or 1 day                
  D0200C2 1 2-6 Days (Several days)                
  D0200C2 2 7-11 Days (Half or more of the days)                
  D0200C2 3 12-14 Days (Nearly every day)                
  D0200D1   PHQ res: feeling tired/ little energy - presence   ASSERTION PATTERN            
  D0200D1 0 No (enter 0 in column 2)   Assertion pattern 248272003 energy (finding)        
  D0200D1 1 Yes (enter 0-3 in column 2)   Assertion pattern 248274002 lack of energy (finding)        
  D0200D1 9 No response (leave column 2 blank)   Assertion pattern 288766003 does not communicate feelings (finding)        
  D0200D2   PHQ res: feeling tired/ little energy - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0200D2 0 Never or 1 day                
  D0200D2 1 2-6 Days (Several days)                
  D0200D2 2 7-11 Days (Half or more of the days)                
  D0200D2 3 12-14 Days (Nearly every day)                
  D0200E1   PHQ res: poor appetite or overeating - presence   ASSERTION PATTERN            
  D0200E1 0 No (enter 0 in column 2)   Assertion pattern 161825005 appetite normal (finding)        
  D0200E1 1 Yes (enter 0-3 in column 2)   Assertion pattern 51575000 abnormal food appetite (finding)        
  D0200E1 9 No response (leave column 2 blank)   Assertion pattern 288766003 does not communicate feelings (finding)        
  D0200E2   PHQ res: poor appetite or overeating - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0200E2 0 Never or 1 day                
  D0200E2 1 2-6 Days (Several days)                
  D0200E2 2 7-11 Days (Half or more of the days)                
  D0200E2 3 12-14 Days (Nearly every day)                
  D0200F1   PHQ res: feeling bad about self - presence   ASSERTION PATTERN            
  D0200F1 0 No (enter 0 in column 2)   Assertion pattern 280948003 normal sense of identity (finding)        
  D0200F1 1 Yes (enter 0-3 in column 2)   Assertion pattern 267077006 loss of self-esteem (finding)        
  D0200F1 9 No response (leave column 2 blank)   Assertion pattern 288766003 does not communicate feelings (finding)        
  D0200F2   PHQ res: feeling bad about self - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0200F2 0 Never or 1 day                
  D0200F2 1 2-6 Days (Several days)                
  D0200F2 2 7-11 Days (Half or more of the days)                
  D0200F2 3 12-14 Days (Nearly every day)                
  D0200G1   PHQ res: trouble concentrating - presence   ASSERTION PATTERN            
  D0200G1 0 No (enter 0 in column 2)   Assertion pattern 134419005 normal concentration (finding)        
  D0200G1 1 Yes (enter 0-3 in column 2)   Assertion pattern 26329005 poor concentration (finding)        
  D0200G1 9 No response (leave column 2 blank)   Assertion pattern 288766003 does not communicate feelings (finding)        
  D0200G2   PHQ res: trouble concentrating - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0200G2 0 Never or 1 day                
  D0200G2 1 2-6 Days (Several days)                
  D0200G2 2 7-11 Days (Half or more of the days)                
  D0200G2 3 12-14 Days (Nearly every day)                
  D0200H1   PHQ res: slow, fidgety, restless - presence   ASSERTION PATTERN            
  D0200H1 0 No (enter 0 in column 2)   Assertion pattern 276416006 good control of movement (finding)        
  D0200H1 1 Yes (enter 0-3 in column 2)   Assertion pattern 162221009 restlessness (finding)        
  D0200H1 9 No response (leave column 2 blank)   Assertion pattern 288766003 does not communicate feelings (finding)        
  D0200H2   PHQ res: slow, fidgety, restless - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0200H2 0 Never or 1 day                
  D0200H2 1 2-6 Days (Several days)                
  D0200H2 2 7-11 Days (Half or more of the days)                
  D0200H2 3 12-14 Days (Nearly every day)                
  D0200I1   PHQ res: thoughts better off dead - presence   ASSERTION PATTERN            
  D0200I1 0 No (enter 0 in column 2)   Assertion pattern 225446002 positive self thoughts (finding)        
  D0200I1 1 Yes (enter 0-3 in column 2)   Assertion pattern 102911000 thoughts of self harm (finding)        
  D0200I1 9 No response (leave column 2 blank)   Assertion pattern 288766003 does not communicate feelings (finding)        
  D0200I2   PHQ res: thoughts better off dead - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0200I2 0 Never or 1 day                
  D0200I2 1 2-6 Days (Several days)                
  D0200I2 2 7-11 Days (Half or more of the days)                
  D0200I2 3 12-14 Days (Nearly every day)                
  D0300   PHQ res: total mood severity score     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  D0350   PHQ res: safety notification     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  D0350 0 No                
  D0350 1 Yes                
  D0500A1   PHQ staff: little interest or pleasure - presence   ASSERTION PATTERN            
  D0500A1 0 No (enter 0 in column 2)   Assertion pattern 134417007 level of mood - normal (finding)        
  D0500A1 1 Yes (enter 0-3 in column 2)   Assertion pattern 247753000 loss of interest (finding)        
  D0500A2   PHQ staff: little interest or pleasure - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0500A2 0 Never or 1 day                
  D0500A2 1 2-6 Days (Several days)                
  D0500A2 2 7-11 Days (Half or more of the days)                
  D0500A2 3 12-14 Days (Nearly every day)                
  D0500B1   PHQ staff: feeling down, depressed - presence   ASSERTION PATTERN            
  D0500B1 0 No (enter 0 in column 2)   Assertion pattern 134416003 normal mood symptoms (finding)        
  D0500B1 1 Yes (enter 0-3 in column 2)   Assertion pattern 394924000 Symptoms of depression (finding)        
  D0500B2   PHQ staff: feeling down, depressed - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0500B2 0 Never or 1 day                
  D0500B2 1 2-6 Days (Several days)                
  D0500B2 2 7-11 Days (Half or more of the days)                
  D0500B2 3 12-14 Days (Nearly every day)                
  D0500C1   PHQ staff: trouble with sleep - presence   ASSERTION PATTERN            
  D0500C1 0 No (enter 0 in column 2)   Assertion pattern 433206003 able to sleep (finding)        
  D0500C1 1 Yes (enter 0-3 in column 2)   Assertion pattern 301345002 difficulty sleeping (finding)        
  D0500C2   PHQ staff: trouble with sleep - frequency                
  D0500C2 0 Never or 1 day                
  D0500C2 1 2-6 Days (Several days)                
  D0500C2 2 7-11 Days (Half or more of the days)                
  D0500C2 3 12-14 Days (Nearly every day)                
  D0500D1   PHQ staff: feeling tired/little energy - presence   ASSERTION PATTERN            
  D0500D1 0 No (enter 0 in column 2)   Assertion pattern 248272003 energy (finding)        
  D0500D1 1 Yes (enter 0-3 in column 2)   Assertion pattern 248274002 lack of energy (finding)        
  D0500D2   PHQ staff: feeling tired/little energy - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0500D2 0 Never or 1 day                
  D0500D2 1 2-6 Days (Several days)                
  D0500D2 2 7-11 Days (Half or more of the days)                
  D0500D2 3 12-14 Days (Nearly every day)                
  D0500E1   PHQ staff: poor appetite or overeating - presence   ASSERTION PATTERN            
  D0500E1 0 No (enter 0 in column 2)   Assertion pattern 161825005 appetite normal (finding)        
  D0500E1 1 Yes (enter 0-3 in column 2)   Assertion pattern 51575000 abnormal food appetite (finding)        
  D0500E2   PHQ staff: poor appetite or overeating - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0500E2 0 Never or 1 day                
  D0500E2 1 2-6 Days (Several days)                
  D0500E2 2 7-11 Days (Half or more of the days)                
  D0500E2 3 12-14 Days (Nearly every day)                
  D0500F1   PHQ staff: feeling bad about self - presence   ASSERTION PATTERN            
  D0500F1 0 No (enter 0 in column 2)   Assertion pattern 280948003 normal sense of identity (finding)        
  D0500F1 1 Yes (enter 0-3 in column 2)   Assertion pattern 267077006 loss of self-esteem (finding)        
  D0500F2   PHQ staff: feeling bad about self - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0500F2 0 Never or 1 day                
  D0500F2 1 2-6 Days (Several days)                
  D0500F2 2 7-11 Days (Half or more of the days)                
  D0500F2 3 12-14 Days (Nearly every day)                
  D0500G1   PHQ staff: trouble concentrating - presence   ASSERTION PATTERN            
  D0500G1 0 No (enter 0 in column 2)   Assertion pattern 134419005 normal concentration (finding)        
  D0500G1 1 Yes (enter 0-3 in column 2)   Assertion pattern 26329005 poor concentration (finding)        
  D0500G2   PHQ staff: trouble concentrating - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0500G2 0 Never or 1 day                
  D0500G2 1 2-6 Days (Several days)                
  D0500G2 2 7-11 Days (Half or more of the days)                
  D0500G2 3 12-14 Days (Nearly every day)                
  D0500H1   PHQ staff: slow, fidgety, restless - presence   ASSERTION PATTERN            
  D0500H1 0 No (enter 0 in column 2)   Assertion pattern 276416006 good control of movement (finding)        
  D0500H1 1 Yes (enter 0-3 in column 2)   Assertion pattern 162221009 restlessness (finding)        
  D0500H2   PHQ staff: slow, fidgety, restless - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0500H2 0 Never or 1 day                
  D0500H2 1 2-6 Days (Several days)                
  D0500H2 2 7-11 Days (Half or more of the days)                
  D0500H2 3 12-14 Days (Nearly every day)                
  D0500I1   PHQ staff: thoughts better off dead - presence   ASSERTION PATTERN            
  D0500I1 0 No (enter 0 in column 2)   Assertion pattern 225446002 positive self thoughts (finding)        
  D0500I1 1 Yes (enter 0-3 in column 2)   Assertion pattern 102911000 thoughts of self harm (finding)        
  D0500I2   PHQ staff: thoughts better off dead - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0500I2 0 Never or 1 day                
  D0500I2 1 2-6 Days (Several days)                
  D0500I2 2 7-11 Days (Half or more of the days)                
  D0500I2 3 12-14 Days (Nearly every day)                
  D0500J1   PHQ staff: short-tempered - presence   ASSERTION PATTERN            
  D0500J1 0 No (enter 0 in column 2)   Assertion pattern 285848000 able to control anger (finding)        
  D0500J1 1 Yes (enter 0-3 in column 2)   Assertion pattern 248012001 temper problem (finding)        
  D0500J2   PHQ staff: short-tempered - frequency     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  D0500J2 0 Never or 1 day                
  D0500J2 1 2-6 Days (Several days)                
  D0500J2 2 7-11 Days (Half or more of the days)                
  D0500J2 3 12-14 Days (Nearly every day)                
  D0600   PHQ staff: total mood score     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  D0650   PHQ staff: safety notification     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  D0650 0 No                
  D0650 1 Yes                
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
E     Behavior                
  E0100A   Psychosis: hallucinations   Assertion pattern 7011001 hallucinations (finding)        
  E0100B   Psychosis: delusions   Assertion pattern 2073000 delusions (finding)        
  E0100Z   Psychosis: none of the above   Assertion pattern 247700009 normal perception (finding)        
  E0200A   Physical behav symptoms directed toward others   ASSERTION PATTERN            
  E0200A 0 Behavior not exhibited   Assertion pattern 51746009 normal behavior (finding)        
  E0200A 1 Behavior of this type occurred 1 to 3 days   Assertion pattern 225480004 physically abusive behavior (finding)        
  E0200A 2 Behavior of this type occurred 4 to 6 days, but less than daily   Assertion pattern 225480004 physically abusive behavior (finding)        
  E0200A 3 Behavior of this type occurred daily   Assertion pattern 225480004 physically abusive behavior (finding)        
  E0200B   Verbal behav symptoms directed toward others   ASSERTION PATTERN            
  E0200B 0 Behavior not exhibited   Assertion pattern 51746009 normal behavior (finding)        
  E0200B 1 Behavior of this type occurred 1 to 3 days   Assertion pattern 225478005 verbally abusive behavior (finding)        
  E0200B 2 Behavior of this type occurred 4 to 6 days, but less than daily   Assertion pattern 225478005 verbally abusive behavior (finding)        
  E0200B 3 Behavior of this type occurred daily   Assertion pattern 225478005 verbally abusive behavior (finding)        
  E0200C   Other behav symptoms not directed toward others   ASSERTION PATTERN            
  E0200C 0 Behavior not exhibited   Assertion pattern 51746009 normal behavior (finding)        
  E0200C 1 Behavior of this type occurred 1 to 3 days     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD.
         
  E0200C 2 Behavior of this type occurred 4 to 6 days, but less than daily     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD.
         
  E0200C 3 Behavior of this type occurred daily     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD.
         
  E0300   Overall presence of behavioral symptoms     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  E0300 0 No                
  E0300 1 Yes                
  E0500A   Behav symptoms put res at risk for illness/injury   ASSERTION PATTERN            
  E0500A 0 No   Assertion pattern 51746009 normal behavior (finding)        
  E0500A 1 Yes   Assertion pattern 81763001 at risk for injury (finding)        
  E0500B   Behav symptoms interfere with resident care   ASSERTION PATTERN            
  E0500B 0 No   Assertion pattern 51746009 normal behavior (finding)        
  E0500B 1 Yes     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  E0500C   Behav symptoms interfere with social activities   ASSERTION PATTERN            
  E0500C 0 No   Assertion pattern 51746009 normal behavior (finding)        
  E0500C 1 Yes   Assertion pattern 88598008 impaired social interaction (finding)        
  E0600A   Behav symptoms put others at risk for injury   ASSERTION PATTERN            
  E0600A 0 No   Assertion pattern 51746009 normal behavior (finding)        
  E0600A 1 Yes   Assertion pattern 391155006 at risk of harming others (finding)        
  E0600B   Behav symptoms intrude on privacy of others   ASSERTION PATTERN            
  E0600B 0 No   Assertion pattern 51746009 normal behavior (finding)        
  E0600B 1 Yes     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  E0600C   Behav symptoms disrupt care or living environment   ASSERTION PATTERN            
  E0600C 0 No   Assertion pattern 51746009 normal behavior (finding)        
  E0600C 1 Yes     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  E0800   Rejection of care: presence and frequency   QUESTION/ ANSWER PATTERN 405078008 compliance behavior (observable entity)        
  E0800 0 Behavior not exhibited   Question/Answer pattern 386673006 does comply with treatment (finding)        
  E0800 1 Behavior of this type occurred 1 to 3 days   Question/Answer pattern 105480006 refusal of treatment by patient (situation)        
  E0800 2 Behavior of this type occurred 4 to 6 days, but less than daily   Question/Answer pattern 105480006 refusal of treatment by patient (situation)        
  E0800 3 Behavior of this type occurred daily   Question/Answer pattern 105480006 refusal of treatment by patient (situation)        
  E0900   Wandering: presence and frequency   QUESTION/ ANSWER PATTERN 363896009 behavior observable (observable entity)        
  E0900 0 Behavior not exhibited   Question/Answer pattern 51746009 normal behavior (finding)        
  E0900 1 Behavior of this type occurred 1 to 3 days   Question/Answer pattern 50239007 wandering (finding)        
  E0900 2 Behavior of this type occurred 4 to 6 days, but less than daily   Question/Answer pattern 50239007 wandering (finding)        
  E0900 3 Behavior of this type occurred daily   Question/Answer pattern 50239007 wandering (finding)        
  E1000A   Wandering: risk of getting to dangerous place   ASSERTION PATTERN            
  E1000A 0 No   Assertion pattern 225859003 safe to be left unattended (finding)        
  E1000A 1 Yes   Assertion pattern 225861007 unsafe to be left alone (finding)        
  E1000B   Wandering: intrude on privacy of others     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  E1000B 0 No                
  E1000B 1 Yes                
  E1100   Change in behavioral or other symptoms   QUESTION/ ANSWER PATTERN 315244000 change in behavior (observable entity)        
  E1100 0 Same   Question/Answer pattern 409051000 stabilized (qualifier value)        
  E1100 1 Improved   Question/Answer pattern 385425000 improved (qualifier value)        
  E1100 2 Worse   Question/Answer pattern 231877006 worse (qualifier value)        
  E1100 9 N/A because no prior MDS assessment     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
F     Preferences for Customary Routine and Activities                
  F0300   Conduct res interview for daily/activity prefs   ASSERTION PATTERN            
  F0300 0 No (resident is rarely/never understood and family/significant other not available)   Assertion pattern 288745006 unable to make self understood (finding)        
  F0300 1 Yes   Assertion pattern 288744005 able to make self understood (finding)        
  F0400A   Res interview: choose clothes to wear   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0400A 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0400A 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0400A 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0400A 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0400A 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0400A 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0400B   Res interview: take care of personal belongings   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0400B 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0400B 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0400B 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0400B 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0400B 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0400B 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0400C   Res interview: choose tub, bath, shower, sponge   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0400C 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0400C 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0400C 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0400C 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0400C 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0400C 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0400D   Res interview: have snacks between meals   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0400D 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0400D 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0400D 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0400D 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0400D 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0400D 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0400E   Res interview: choose own bedtime   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0400E 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0400E 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0400E 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0400E 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0400E 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0400E 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0400F   Res interview: discuss care with family/friend   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0400F 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0400F 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0400F 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0400F 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0400F 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0400F 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0400G   Res interview: use phone in private   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0400G 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0400G 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0400G 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0400G 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0400G 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0400G 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0400H   Res interview: lock things to keep them safe   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0400H 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0400H 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0400H 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0400H 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0400H 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0400H 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0500A   Res interview: have books, newspaper, mags to read   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0500A 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0500A 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0500A 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0500A 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0500A 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0500A 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0500B   Res interview: listen to music   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0500B 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0500B 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0500B 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0500B 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0500B 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0500B 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0500C   Res interview: be around animals/ pets   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0500C 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0500C 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0500C 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0500C 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0500C 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0500C 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0500D   Res interview: keep up with news   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0500D 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0500D 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0500D 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0500D 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0500D 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0500D 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0500E   Res interview: do things with groups of people   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0500E 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0500E 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0500E 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0500E 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0500E 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0500E 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0500F   Res interview: do favorite activities   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0500F 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0500F 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0500F 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0500F 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0500F 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0500F 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0500G   Res interview: go outside when good weather   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0500G 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0500G 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0500G 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0500G 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0500G 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0500G 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0500H   Res interview: participate in religious practices   QUESTION/ ANSWER PATTERN 304686002 ability to make considered choices (observable entity)        
  F0500H 1 Very important   Question/Answer pattern 371926006 highly significant (qualifier value)        
  F0500H 2 Somewhat important   Question/Answer pattern 371927002 moderately significant (qualifier value)        
  F0500H 3 Not very important   Question/Answer pattern 371929004 minimally significant (qualifier value)        
  F0500H 4 Not important at all   Question/Answer pattern 371928007 not significant (qualifier value)        
  F0500H 5 Important, but can't do or no choice     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  F0500H 9 No response or non-responsive   Question/Answer pattern 288766003 does not communicate feelings (finding)        
  F0600   Primary respondent: daily/activities prefs     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  F0600 1 Resident                
  F0600 2 Family or significant other (close friend or other representative)                
  F0600 9 Interview could not be completed by resident or family/significant other (“No Response” to 3 or more items)                
  F0700   Conduct staff assessment for daily/activity prefs     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  F0700 0 No (because Interview for Daily and Activity Preferences (F0400 and F0500) was completed by resident or family/ significant other)                
  F0700 1 Yes (because 3 or more items in Interview for Daily and Activity Preferences (F0400 and F0500) were not completed by resident or family/ significant other)                
  F0800A   Staff assessment: choosing clothes to wear   Assertion pattern 366007004 finding of individual style of dress (finding)        
  F0800B   Staff assessment: caring for personal belongings     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  F0800C   Staff assessment: receiving tub bath   Assertion pattern 13749006 bathing patient in tub (procedure)        
  F0800D   Staff assessment: receiving shower   Assertion pattern 20565007 bathing patient in shower (procedure)        
  F0800E   Staff assessment: receiving bed bath   Assertion pattern 58530006 bathing patient in bed (procedure)        
  F0800F   Staff assessment: receiving sponge bath   Assertion pattern 34466005 bathing patient with tepid sponge (procedure)        
  F0800G   Staff assessment: snacks between meals   Assertion pattern 248121003 eats between meals (finding)        
  F0800H   Staff assessment: staying up past 8PM   Assertion pattern 247950007 sleep behavior finding (finding)        
  F0800I   Staff assessment: discuss care with family/other   Assertion pattern 406546002 relatives involved with care (finding)        
  F0800J   Staff assessment: use phone in private   Assertion pattern 300727008 does perform telephone activities (finding)        
  F0800K   Staff assessment: place to lock personal things     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  F0800L   Staff assessment: reading books, newspapers, mags   Assertion pattern 300740003 does participate in leisure activities (finding)        
  F0800M   Staff assessment: listening to music   Assertion pattern 300740003 does participate in leisure activities (finding)        
  F0800N   Staff assessment: being around animals/pets   Assertion pattern 224152001 keeps pets (finding)        
  F0800O   Staff assessment: keeping up with news     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  F0800P   Staff assessment: doing things with groups   Assertion pattern 129874008 social interaction finding (finding)        
  F0800Q   Staff assessment: participate favorite activities   Assertion pattern 300740003 does participate in leisure activities (finding)        
  F0800R   Staff assessment: spend time away from nursing home     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  F0800S   Staff assessment: spend time outdoors   Assertion pattern 300740003 does participate in leisure activities (finding)        
  F0800T   Staff assessment: participate religious activities   Assertion pattern 300806005 does pursue religious activities (finding)        
  F0800Z   Staff assessment: none of above activities     Concept Not Mapped (Reason #5) -- Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT          
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
G     Functional Status                
  G0110A1   Bed mobility: self-performance   QUESTION/ ANSWER PATTERN 301680009 ability to move in bed (observable entity)        
  G0110A1 0 Independent - no help or staff oversight at any time   Question/Answer pattern 371153006 independently able (qualifier value)        
  G0110A1 1 Supervision - oversight, encouragement or cueing     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110A1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Question/Answer pattern 255469002 limited (qualifier value)        
  G0110A1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Question/Answer pattern 41118005 extensive (qualifier value)        
  G0110A1 4 Total dependence - full staff performance every time during entire 7-day period   Question/Answer pattern 371156003 does not, dependent (qualifier value)        
  G0110A1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Question/Answer pattern 301684000 does not move in bed (finding)        
  G0110A1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Question/Answer pattern 301684000 does not move in bed (finding)        
  G0110A2   Bed mobility: support provided   QUESTION/ ANSWER PATTERN 301680009 ability to move in bed (observable entity)        
  G0110A2 0 No setup or physical help from staff     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110A2 1 Setup help only     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110A2 2 One person physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110A2 3 Two+ persons physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110A2 8 ADL activity itself did not occur during entire period   Question/Answer pattern 301684000 does not move in bed (finding)        
  G0110B1   Transfer: self-performance   QUESTION/ ANSWER PATTERN 165236004 chair/bed transfer ability (observable entity)        
  G0110B1 0 Independent - no help or staff oversight at any time   Question/Answer pattern 371153006 independently able (qualifier value)        
  G0110B1 1 Supervision - oversight, encouragement or cueing     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110B1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Question/Answer pattern 255469002 limited (qualifier value)        
  G0110B1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Question/Answer pattern 41118005 extensive (qualifier value)        
  G0110B1 4 Total dependence - full staff performance every time during entire 7-day period   Question/Answer pattern 371156003 does not, dependent (qualifier value)        
  G0110B1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Question/Answer pattern 302266005 does not transfer (finding)        
  G0110B1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Question/Answer pattern 302266005 does not transfer (finding)        
  G0110B2   Transfer: support provided   QUESTION/ ANSWER PATTERN 364666007 ability to transfer location (observable entity)        
  G0110B2 0 No setup or physical help from staff   Question/Answer pattern 129079002 transfer independent (finding)        
  G0110B2 1 Setup help only     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110B2 2 One person physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110B2 3 Two+ persons physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110B2 8 ADL activity itself did not occur during entire period   Question/Answer pattern 302266005 does not transfer (finding)        
  G0110C1   Walk in room: self-performance   QUESTION/ ANSWER PATTERN 129006008 walking (observable entity)        
  G0110C1 0 Independent - no help or staff oversight at any time   Question/Answer pattern 371153006 independently able (qualifier value)        
  G0110C1 1 Supervision - oversight, encouragement or cueing     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110C1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Question/Answer pattern 255469002 limited (qualifier value)        
  G0110C1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Question/Answer pattern 41118005 extensive (qualifier value)        
  G0110C1 4 Total dependence - full staff performance every time during entire 7-day period   Question/Answer pattern 371156003 does not, dependent (qualifier value)        
  G0110C1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Question/Answer pattern 282147000 does not walk (finding)        
  G0110C1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Question/Answer pattern 282147000 does not walk (finding)        
  G0110C2   Walk in room: support provided   QUESTION/ ANSWER PATTERN 282097004 ability to walk (observable entity)        
  G0110C2 0 No setup or physical help from staff   Question/Answer pattern 165245003 independent walking (finding)        
  G0110C2 1 Setup help only     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110C2 2 One person physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110C2 3 Two+ persons physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110C2 8 ADL activity itself did not occur during entire period   Question/Answer pattern 282147000 does not walk (finding)        
  G0110D1   Walk in corridor: self-performance   QUESTION/ ANSWER PATTERN 129006008 walking (observable entity)        
  G0110D1 0 Independent - no help or staff oversight at any time   Question/Answer pattern 371153006 independently able (qualifier value)        
  G0110D1 1 Supervision - oversight, encouragement or cueing     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110D1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Question/Answer pattern 255469002 limited (qualifier value)        
  G0110D1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Question/Answer pattern 41118005 extensive (qualifier value)        
  G0110D1 4 Total dependence - full staff performance every time during entire 7-day period   Question/Answer pattern 371156003 does not, dependent (qualifier value)        
  G0110D1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Question/Answer pattern 282147000 does not walk (finding)        
  G0110D1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Question/Answer pattern 282147000 does not walk (finding)        
  G0110D2   Walk in corridor: support provided   QUESTION/ ANSWER PATTERN 282097004 ability to walk (observable entity)        
  G0110D2 0 No setup or physical help from staff   Question/Answer pattern 165245003 independent walking (finding)        
  G0110D2 1 Setup help only     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110D2 2 One person physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110D2 3 Two+ persons physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110D2 8 ADL activity itself did not occur during entire period   Question/Answer pattern 282147000 does not walk (finding)        
  G0110E1   Locomotion on unit: self-performance   QUESTION/ ANSWER PATTERN 418305009 self-propelled locomotion activity (observable entity)        
  G0110E1 0 Independent - no help or staff oversight at any time   Question/Answer pattern 371153006 independently able (qualifier value)        
  G0110E1 1 Supervision - oversight, encouragement or cueing     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110E1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Question/Answer pattern 255469002 limited (qualifier value)        
  G0110E1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Question/Answer pattern 41118005 extensive (qualifier value)        
  G0110E1 4 Total dependence - full staff performance every time during entire 7-day period   Question/Answer pattern 371156003 does not, dependent (qualifier value)        
  G0110E1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Question/Answer pattern 302045007 does not mobilize (finding)        
  G0110E1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Question/Answer pattern 302045007 does not mobilize (finding)        
  G0110E2   Locomotion on unit: support provided   QUESTION/ ANSWER PATTERN 301438001 ability to mobilize (observable entity)        
  G0110E2 0 No setup or physical help from staff   Question/Answer pattern 160680006 fully mobile (finding)        
  G0110E2 1 Setup help only     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110E2 2 One person physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110E2 3 Two+ persons physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110E2 8 ADL activity itself did not occur during entire period   Question/Answer pattern 302045007 does not mobilize (finding)        
  G0110F1   Locomotion off unit: self-performance   QUESTION/ ANSWER PATTERN 418305009 self-propelled locomotion activity (observable entity)        
  G0110F1 0 Independent - no help or staff oversight at any time   Question/Answer pattern 371153006 independently able (qualifier value)        
  G0110F1 1 Supervision - oversight, encouragement or cueing     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110F1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Question/Answer pattern 255469002 limited (qualifier value)        
  G0110F1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Question/Answer pattern 41118005 extensive (qualifier value)        
  G0110F1 4 Total dependence - full staff performance every time during entire 7-day period   Question/Answer pattern 371156003 does not, dependent (qualifier value)        
  G0110F1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Question/Answer pattern 302045007 does not mobilize (finding)        
  G0110F1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Question/Answer pattern 302045007 does not mobilize (finding)        
  G0110F2   Locomotion off unit: support provided   QUESTION/ ANSWER PATTERN 301438001 ability to mobilize (observable entity)        
  G0110F2 0 No setup or physical help from staff   Question/Answer pattern 160680006 fully mobile (finding)        
  G0110F2 1 Setup help only     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110F2 2 One person physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110F2 3 Two+ persons physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110F2 8 ADL activity itself did not occur during entire period   Question/Answer pattern 302045007 does not mobilize (finding)        
  G0110G1   Dressing: self-performance   QUESTION/ ANSWER PATTERN 129003000 dressing (observable entity)        
  G0110G1 0 Independent - no help or staff oversight at any time   Question/Answer pattern 371153006 independently able (qualifier value)        
  G0110G1 1 Supervision - oversight, encouragement or cueing     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110G1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Question/Answer pattern 255469002 limited (qualifier value)        
  G0110G1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Question/Answer pattern 41118005 extensive (qualifier value)        
  G0110G1 4 Total dependence - full staff performance every time during entire 7-day period   Question/Answer pattern 371156003 does not, dependent (qualifier value)        
  G0110G1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Question/Answer pattern 284971009 does not perform dressing activity (finding)        
  G0110G1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Question/Answer pattern 284971009 does not perform dressing activity (finding)        
  G0110G2   Dressing: support provided   QUESTION/ ANSWER PATTERN 165235000 ability to dress (observable entity)        
  G0110G2 0 No setup or physical help from staff   Question/Answer pattern 129035000 independent with dressing (finding)        
  G0110G2 1 Setup help only     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110G2 2 One person physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110G2 3 Two+ persons physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110G2 8 ADL activity itself did not occur during entire period   Question/Answer pattern 284971009 does not perform dressing activity (finding)        
  G0110H1   Eating: self-performance   QUESTION/ ANSWER PATTERN 48263008 eating (observable entity)        
  G0110H1 0 Independent - no help or staff oversight at any time   Question/Answer pattern 371153006 independently able (qualifier value)        
  G0110H1 1 Supervision - oversight, encouragement or cueing     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110H1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Question/Answer pattern 255469002 limited (qualifier value)        
  G0110H1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Question/Answer pattern 41118005 extensive (qualifier value)        
  G0110H1 4 Total dependence - full staff performance every time during entire 7-day period   Question/Answer pattern 371156003 does not, dependent (qualifier value)        
  G0110H1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Question/Answer pattern 289003008 does not feed self (finding)        
  G0110H1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Question/Answer pattern 289003008 does not feed self (finding)        
  G0110H2   Eating: support provided   QUESTION/ ANSWER PATTERN 288843005 eating abilities (observable entity)        
  G0110H2 0 No setup or physical help from staff   Question/Answer pattern 165224005 independent feeding (finding)        
  G0110H2 1 Setup help only     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110H2 2 One person physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110H2 3 Two+ persons physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110H2 8 ADL activity itself did not occur during entire period   Question/Answer pattern 289003008 does not feed self (finding)        
  G0110I1   Toilet use: self-performance   QUESTION/ ANSWER PATTERN 129004006 toileting (observable entity)        
  G0110I1 0 Independent - no help or staff oversight at any time   Question/Answer pattern 371153006 independently able (qualifier value)        
  G0110I1 1 Supervision - oversight, encouragement or cueing     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110I1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Question/Answer pattern 255469002 limited (qualifier value)        
  G0110I1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Question/Answer pattern 41118005 extensive (qualifier value)        
  G0110I1 4 Total dependence - full staff performance every time during entire 7-day period   Question/Answer pattern 371156003 does not, dependent (qualifier value)        
  G0110I1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Question/Answer pattern 284903008 does not perform toileting activities (finding)        
  G0110I1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Question/Answer pattern 284903008 does not perform toileting activities (finding)        
  G0110I2   Toilet use: support provided   QUESTION/ ANSWER PATTERN 284899001 ability to perform toileting activities (observable entity)        
  G0110I2 0 No setup or physical help from staff   Question/Answer pattern 129062008 independent in toilet (finding)        
  G0110I2 1 Setup help only     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110I2 2 One person physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110I2 3 Two+ persons physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110I2 8 ADL activity itself did not occur during entire period   Question/Answer pattern 284903008 does not perform toileting activities (finding)        
  G0110J1   Personal hygiene: self-performance   QUESTION/ ANSWER PATTERN 286850002 personal hygiene activities, function (observable entity)        
  G0110J1 0 Independent - no help or staff oversight at any time   Question/Answer pattern 371153006 independently able (qualifier value)        
  G0110J1 1 Supervision - oversight, encouragement or cueing     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110J1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance   Question/Answer pattern 255469002 limited (qualifier value)        
  G0110J1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support   Question/Answer pattern 41118005 extensive (qualifier value)        
  G0110J1 4 Total dependence - full staff performance every time during entire 7-day period   Question/Answer pattern 371156003 does not, dependent (qualifier value)        
  G0110J1 7 Activity occurred only once or twice - activity did occur but only once or twice.   Question/Answer pattern 284783002 does not perform personal hygiene activity (finding)        
  G0110J1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period   Question/Answer pattern 284783002 does not perform personal hygiene activity (finding)        
  G0110J2   Personal hygiene: support provided   QUESTION/ ANSWER PATTERN 284779002 ability to perform personal hygiene activity (observable entity)        
  G0110J2 0 No setup or physical help from staff     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110J2 1 Setup help only     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110J2 2 One person physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110J2 3 Two+ persons physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0110J2 8 ADL activity itself did not occur during entire period   Question/Answer pattern 284783002 does not perform personal hygiene activity (finding)        
  G0120A   Bathing: self-performance   QUESTION/ ANSWER PATTERN 129002005 bathing (observable entity)        
  G0120A 0 Independent - no help provided   Question/Answer pattern 371153006 independently able (qualifier value)        
  G0120A 1 Supervision - oversight help only     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0120A 2 Physical help limited to transfer only   Question/Answer pattern 255469002 limited (qualifier value)        
  G0120A 3 Physical help in part of bathing activity   Question/Answer pattern 255469002 limited (qualifier value)        
  G0120A 4 Total dependence   Question/Answer pattern 371156003 does not, dependent (qualifier value)        
  G0120A 8 Activity did not occur during the entire period   Question/Answer pattern 284801006 does not perform bathing activity (finding)        
  G0120B   Bathing: support provided   QUESTION/ ANSWER PATTERN 165250009 ability to bathe self (observable entity)        
  G0120B 0 No setup or physical help from staff   Question/Answer pattern 129041007 independent bathing (finding)        
  G0120B 1 Setup help only     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0120B 2 One person physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0120B 3 Two+ persons physical assist     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0120B 8 ADL activity itself did not occur during entire period   Question/Answer pattern 284801006 does not perform bathing activity (finding)        
  G0300A   Balance: moving from seated to standing position   QUESTION/ ANSWER PATTERN 249982003 balance (observable entity)        
  G0300A 0 Steady at all times   Question/Answer pattern 298312007 balance normal (finding)        
  G0300A 1 Not steady, but able to stabilize without human assistance   Question/Answer pattern 267084003 unsteadiness present (finding)        
  G0300A 2 Not steady, only able to stabilize with human assistance   Question/Answer pattern 271713000 general unsteadiness (finding)        
  G0300A 8 Activity did not occur   Question/Answer pattern 282320002 does not stand alone (finding)        
  G0300B   Balance: walking (with assistive device if used)   QUESTION/ ANSWER PATTERN 363841003 feature of walking balance (observable entity)        
  G0300B 0 Steady at all times   Question/Answer pattern 298312007 balance normal (finding)        
  G0300B 1 Not steady, but able to stabilize without human assistance   Question/Answer pattern 267084003 unsteadiness present (finding)        
  G0300B 2 Not steady, only able to stabilize with human assistance   Question/Answer pattern 271713000 general unsteadiness (finding)        
  G0300B 8 Activity did not occur   Question/Answer pattern 282147000 does not walk (finding)        
  G0300C   Balance: turning around while walking   QUESTION/ ANSWER PATTERN 363842005 feature of turning balance when walking (observable entity)        
  G0300C 0 Steady at all times   Question/Answer pattern 298312007 balance normal (finding)        
  G0300C 1 Not steady, but able to stabilize without human assistance   Question/Answer pattern 267084003 unsteadiness present (finding)        
  G0300C 2 Not steady, only able to stabilize with human assistance   Question/Answer pattern 271713000 general unsteadiness (finding)        
  G0300C 8 Activity did not occur   Question/Answer pattern 282147000 does not walk (finding)        
  G0300D   Balance: moving on and off toilet     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0300D 0 Steady at all times                
  G0300D 1 Not steady, but able to stabilize without human assistance                
  G0300D 2 Not steady, only able to stabilize with human assistance                
  G0300D 8 Activity did not occur                
  G0300E   Balance: surface-to-surface transfer     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0300E 0 Steady at all times                
  G0300E 1 Not steady, but able to stabilize without human assistance                
  G0300E 2 Not steady, only able to stabilize with human assistance                
  G0300E 8 Activity did not occur                
  G0400A   ROM limitation: upper extremity   QUESTION/ ANSWER PATTERN 364564000 range of joint movement (observable entity)        
  G0400A 0 No impairment     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  G0400A 1 Impairment on one side   Question/Answer pattern 70733008 limitation of joint movement (finding)        
  G0400A 2 Impairment on both sides   Question/Answer pattern 70733008 limitation of joint movement (finding)        
  G0400B   ROM limitation: lower extremity   QUESTION/ ANSWER PATTERN 364564000 range of joint movement (observable entity)        
  G0400B 0 No impairment     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  G0400B 1 Impairment on one side   Question/Answer pattern 70733008 limitation of joint movement (finding)        
  G0400B 2 Impairment on both sides   Question/Answer pattern 70733008 limitation of joint movement (finding)        
  G0600A   Mobility devices: cane/ crutch   Assertion pattern 365112008 finding of walking aid use (finding)        
  G0600B   Mobility devices: walker   Assertion pattern 365112008 finding of walking aid use (finding)        
  G0600C   Mobility devices: wheelchair (manual or electric)   Assertion pattern 301578005 does mobilize using wheelchair (finding)        
  G0600D   Mobility devices: limb prosthesis     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0600Z   Mobility devices: none of the above     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  G0900A   Resident believes capable of increased independ     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0900A 0 No                
  G0900A 1 Yes                
  G0900A 9 Unable to determine                
  G0900B   Staff believes res capable of increased independ     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  G0900B 0 No                
  G0900B 1 Yes                
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
H     Bladder and Bowel                
  H0100A   Appliances: indwelling catheter   Assertion pattern 266765001 indwelling catheter inserted (situation)        
  H0100B   Appliances: external catheter     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  H0100C   Appliances: ostomy   Assertion pattern 385712009 ostomy care (regime/therapy)        
  H0100D   Appliances: intermittent catheterization   Assertion pattern 225103006 intermittent urethral catheterization (procedure)        
  H0100Z   Appliances: none of the above     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  H0200A   Urinary toileting program: has been attempted   ASSERTION PATTERN            
  H0200A 0 No     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  H0200A 1 Yes   Assertion pattern 37799002 urinary bladder training (regime/therapy)        
  H0200A 9 Unable to determine     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  H0200B   Urinary toileting program: response   QUESTION/ ANSWER PATTERN 406218000 urinary continence status (observable entity)        
  H0200B 0 No improvement   Question/Answer pattern 359748005 patient's condition the same (finding)        
  H0200B 1 Decreased wetness   Question/Answer pattern 268910001 patient's condition improved (finding)        
  H0200B 2 Completely dry (continent)   Question/Answer pattern 165234001 bladder: fully continent (finding)        
  H0200B 9 Unable to determine or trial in progress     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  H0200C   Urinary toileting program: current program/trial   ASSERTION PATTERN            
  H0200C 0 No     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  H0200C 1 Yes   Assertion pattern 37799002 urinary bladder training (regime/therapy)        
  H0300   Urinary continence   QUESTION/ ANSWER PATTERN 249282008 frequency of incontinence (observable entity)        
  H0300 0 Always continent   Question/Answer pattern 260413007 none (qualifier value)        
  H0300 1 Occasionally incontinent (less than 7 episodes of incontinence)   Question/Answer pattern 84638005 occasional (qualifier value)        
  H0300 2 Frequently incontinent (7 or more episodes of urinary incontinence, but at least one episode of continent voiding)   Question/Answer pattern 70232002 frequent (qualifier value)        
  H0300 3 Always incontinent (no episodes of continent voiding)   Question/Answer pattern 255619001 total (qualifier value)        
  H0300 9 Not rated, resident had a catheter (indwelling, condom), urinary ostomy, or no urine output for entire 7 days     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  H0400   Bowel continence   QUESTION/ ANSWER PATTERN 406217005 bowel continence status (observable entity)        
  H0400 0 Always continent   Question/Answer pattern 260413007 bowels: fully continent (finding)        
  H0400 1 Occasionally incontinent (one episode of bowel incontinence)   Question/Answer pattern 165230005 bowels: occasional accident (finding)        
  H0400 2 Frequently incontinent (2 or more episodes of bowel incontinence, but at least one continent bowel movement)     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  H0400 3 Always incontinent (no episodes of continent bowel movements)   Question/Answer pattern 72042002 incontinence of feces (finding)        
  H0400 9 Not rated, resident had an ostomy or did not have a bowel movement for the entire 7 days     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  H0500   Bowel toileting program being used   ASSERTION PATTERN            
  H0500 0 No     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  H0500 1 Yes   Assertion pattern 385976008 bowel training (regime/therapy)        
  H0600   Constipation   ASSERTION PATTERN            
  H0600 0 No   Assertion pattern 162081000 not constipated (finding)        
  H0600 1 Yes   Assertion pattern 14760008 constipation (disorder)        
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
I     Active Disease Diagnosis                
  I0100   Cancer (with or without metastasis)   Assertion pattern 363346000 malignant neoplastic disease (disorder) 199.1 C80.0    
  I0200   Anemia   Assertion pattern 271737000 anemia (disorder) 285.9 D64.9    
  I0300   Atrial fibrillation and other dysrhythmias   Assertion pattern 44808001 conduction disorder of the heart (disorder) 427.9 I49.9    
  I0400   Coronary artery disease (CAD)   Assertion pattern 56265001 heart disease (disorder) 414.9 I25.10    
  I0500   Deep venous thrombosis (DVT), PE, or PTE     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
  Concept Not Mapped - Venous emobolism/ thrombois (e.g. DVT) and pulmonary embolus do not have a common representation Concept Not Mapped - Venous emobolism/ thrombois (e.g. DVT) and pulmonary embolus do not have a common representation    
  I0600   Heart failure     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
  428.9 I50.9    
  I0700   Hypertension   Assertion pattern 38341003 hypertensive disorder, systemic arterial (disorder) 401.9 I10    
  I0800   Orthostatic hypotension   Assertion pattern 28651003 orthostatic hypotension (disorder) 458.0 I95.1    
  I0900   Peripheral vascular disease (PVD) or PAD     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
  443.9 I73.9    
  I1100   Cirrhosis   Assertion pattern 19943007 cirrhosis of liver (disorder) 571.5 K74.60    
  I1200   Gastroesophageal reflux disease (GERD) or ulcer   Assertion pattern 119291004 disorder of upper gastrointestinal tract (disorder) Concept Not Mapped - Disorders of the esophagus (e.g. GERD) and ulcers of the upper GI tract do not have a common representa-tion Concept Not Mapped - Disorders of the esophagus (e.g. GERD) and ulcers of the upper GI tract do not have a common representa-tion    
  I1300   Ulcerative colitis, Crohn’s, inflam bowel disease   Assertion pattern 24526004 inflammatory bowel disease (disorder) Concept Not Mapped - Regional enteritis (e.g. Crohn's), ulcerative colitis and unspecified colitis do not have a common representa-tion Concept Not Mapped - Regional enteritis (e.g. Crohn's), ulcerative colitis and unspecified colitis do not have a common representa-tion    
  I1400   Benign prostatic hyperplasia (BPH)   Assertion pattern 266569009 benign prostatic hyperplasia (disorder) 600.00 N40.0    
  I1500   Renal insufficiency, renal failure, ESRD   Assertion pattern 42399005 renal failure syndrome (disorder) 593.9 N28.9    
  I1550   Neurogenic bladder   Assertion pattern 398064005 neurogenic bladder (finding) 596.54 N31.9    
  I1650   Obstructive uropathy   Assertion pattern 7163005 urinary tract obstruction (disorder) 599.60 N13.9    
  I1700   Multidrug resistant organism (MDRO)     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
  V09.91 Z16    
  I2000   Pneumonia   Assertion pattern 233604007 pneumonia (disorder) 486 J18.9    
  I2100   Septicemia   Assertion pattern 105592009 septicemia (disorder) 038.9 A41.9    
  I2200   Tuberculosis   Assertion pattern 56717001 tuberculosis (disorder) 011.90 A15.9    
  I2300   Urinary tract infection (UTI) (LAST 30 DAYS)   Assertion pattern 68566005 urinary tract infectious disease (disorder) 599.0 N39.0    
  I2400   Viral hepatitis (includes type A, B, C, D, and E)   Assertion pattern 3738000 viral hepatitis (disorder) 070.9 B19.9    
  I2500   Wound infection (other than foot)     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
  Concept Not Mapped - Open wounds of upper limbs, lower limbs, and other body sites do not have a common representa-tion Concept Not Mapped - Open wounds of upper limbs, lower limbs, and other body sites do not have a common representa-tion    
  I2900   Diabetes mellitus (DM)   Assertion pattern 73211009 diabetes mellitus (disorder) 250.00 E11.9    
  I3100   Hyponatremia   Assertion pattern 89627008 hyponatremia (disorder) 276.1 E87.1    
  I3200   Hyperkalemia   Assertion pattern 14140009 hyperkalemia (disorder) 276.8 E87.6    
  I3300   Hyperlipidemia (e.g., hypercholesterolemia)   Assertion pattern 55822004 hyperlipidemia (disorder) 272.4 E78.5    
  I3400   Thyroid disorder   Assertion pattern 14304000 disorder of thyroid gland (disorder) 246.9 E07.9    
  I3700   Arthritis   Assertion pattern 399269003 arthropathy (disorder) 716.90 M19.90    
  I3800   Osteoporosis   Assertion pattern 64859006 osteoporosis (disorder) 733.00 M81.0    
  I3900   Hip fracture   Assertion pattern 263225007 fracture of proximal end of femur (disorder) 820.9 S72.00    
  I4000   Other fracture     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
  Concept Not Mapped - Fractures of any site (excluding hip) do not have a common representation Concept Not Mapped - Fractures of any site (excluding hip) do not have a common representation    
  I4200   Alzheimer's disease   Assertion pattern 26929004 Alzheimer's disease (disorder) 331.0 G30.9, with additional code to identify delirium, (if applicable) F05, F02.81, F02.80    
  I4300   Aphasia   Assertion pattern 87486003 aphasia (finding) 784.3 R47.01    
  I4400   Cerebral palsy   Assertion pattern 128188000 cerebral palsy (disorder) 343.9 G80.9    
  I4500   Cerebrovascular accident (CVA), TIA, or stroke   Assertion pattern 62914000 cerebrovascular disease (disorder) Concept Not Mapped - CVA and TIA do not have a common representation Concept Not Mapped - CVA and TIA do not have a common representation    
  I4800   Dementia   Assertion pattern 52448006 dementia (disorder) 294.8 F03    
  I4900   Hemiplegia or hemiparesis   Assertion pattern 23853001 disorder of the central nervous system (disorder) 342.90 G81.90    
  I5000   Paraplegia   Assertion pattern 60389000 paraplegia (disorder) 344.1 G82.30    
  I5100   Quadriplegia   Assertion pattern 11538006 quadriplegia (disorder) 344.09 G82.50    
  I5200   Multiple sclerosis   Assertion pattern 24700007 multiple sclerosis (disorder) 340 G35    
  I5250   Huntington's disease   Assertion pattern 58756001 Huntington's chorea (disorder) 333.4 G10    
  I5300   Parkinson's disease   Assertion pattern 49049000 Parkinson's disease (disorder) 332.0 G20    
  I5350   Tourette's syndrome   Assertion pattern 5158005 Gilles de la Tourette's syndrome (disorder) 307.23 F95.2    
  I5400   Seizure disorder or epilepsy   Assertion pattern 128613002 seizure disorder (disorder) 345.90 G40.909    
  I5500   Traumatic brain injury (TBI)   Assertion pattern 127295002 traumatic brain injury (disorder) 854.00 Concept Not Mapped - Traumatic Brain Injury requires further specification - code for head injury NOS is S09.90x    
  I5600   Malnutrition (protein, calorie), risk of malnutrit   Assertion pattern 2492009 nutritional disorder (disorder) 263.9 E46    
  I5700   Anxiety disorder   Assertion pattern 197480006 anxiety disorder (disorder) 300.00 F41.9    
  I5800   Depression (other than bipolar)   Assertion pattern 35489007 depressive disorder (disorder) 311 F32.9    
  I5900   Manic depression (bipolar disease)   Assertion pattern 13746004 bipolar disorder (disorder) 296.80 F31.9    
  I5950   Psychotic disorder (other than schizophrenia)     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
  298.9 F29    
  I6000   Schizophrenia     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
  295.90 F20.9    
  I6100   Post-traumatic stress disorder (PTSD)   Assertion pattern 47505003 posttraumatic stress disorder (disorder) 309.81 F43.10    
  I6200   Asthma (COPD) or chronic lung disease     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
  Concept Not Mapped - Asthma and Chronic lung Disease/ COPD do not have a common representation Concept Not Mapped - Asthma and Chronic lung Disease/ COPD do not have a common representation    
  I6300   Respiratory failure   Assertion pattern 409622000 respiratory failure (disorder) 518.81 J96.90    
  I6500   Cataracts, glaucoma, or macular degeneration   Assertion pattern 371405004 disorder of eye proper (disorder) Concept Not Mapped - Cataracts, glaucoma and macular degeneration do not have a common representation Concept Not Mapped - Cataracts, glaucoma and macular degeneration do not have a common representation    
  I7900   None of above active diseases within last 7 days     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  I8000A   Additional active ICD diagnosis 1     Concept Not Mapped (Reason #6) --
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
         
  I8000B   Additional active ICD diagnosis 2     Concept Not Mapped (Reason #6) --
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
         
  I8000C   Additional active ICD diagnosis 3     Concept Not Mapped (Reason #6) --
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
         
  I8000D   Additional active ICD diagnosis 4     Concept Not Mapped (Reason #6) --
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
         
  I8000E   Additional active ICD diagnosis 5     Concept Not Mapped (Reason #6) --
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
         
  I8000F   Additional active ICD diagnosis 6     Concept Not Mapped (Reason #6) --
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
         
  I8000G   Additional active ICD diagnosis 7     Concept Not Mapped (Reason #6) --
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
         
  I8000H   Additional active ICD diagnosis 8     Concept Not Mapped (Reason #6) --
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
         
  I8000I   Additional active ICD diagnosis 9     Concept Not Mapped (Reason #6) --
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
         
  I8000J   Additional active ICD diagnosis 10     Concept Not Mapped (Reason #6) --
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
         
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
J     Health Conditions                
  J0100A   Pain: been on scheduled pain med regimen   ASSERTION PATTERN            
  J0100A 0 No     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  J0100A 1 Yes   Assertion pattern 410240006 pain control management (procedure)        
  J0100B   Pain: received PRN pain medications   ASSERTION PATTERN            
  J0100B 0 No     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  J0100B 1 Yes   Assertion pattern 52685006 administration of analgesic (procedure)        
  J0100C   Pain: received non-medication intervention   ASSERTION PATTERN            
  J0100C 0 No     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  J0100C 1 Yes   Assertion pattern 370821005 implementation of alternative methods of pain control (procedure)        
  J0200   Should pain assessment interview be conducted   ASSERTION PATTERN            
  J0200 0 No (resident rarely/never understood)   Assertion pattern 288745006 unable to make self understood (finding)        
  J0200 1 Yes   Assertion pattern 288746007 does make self understood (finding)        
  J0300   Res pain interview: presence   ASSERTION PATTERN            
  J0300 0 No   Assertion pattern 301379001 no present pain (finding)        
  J0300 1 Yes   Assertion pattern 22253000 pain (finding)        
  J0300 9 Unable to answer   Assertion pattern 288733002 unable to respond to communication by others (finding)        
  J0400   Res pain interview: frequency   QUESTION/ ANSWER PATTERN 364631005 pattern of pain (observable entity)        
  J0400 1 Almost constantly   Question/Answer pattern 255238004 continuous (qualifier value)        
  J0400 2 Frequently   Question/Answer pattern 70232002 frequent (qualifier value)        
  J0400 3 Occasionally   Question/Answer pattern 84638005 occasional (qualifier value)        
  J0400 4 Rarely   Question/Answer pattern 89292003 rare (qualifier value)        
  J0400 9 Unable to answer   Question/Answer pattern 288733002 unable to respond to communication by others (finding)        
  J0500A   Res pain interview: made it hard to sleep   ASSERTION PATTERN            
  J0500A 0 No   Assertion pattern 433206003 able to sleep (finding)        
  J0500A 1 Yes   Assertion pattern 429038000 pain onset during sleep (finding)        
  J0500A 9 Unable to answer   Assertion pattern 288733002 unable to respond to communication by others (finding)        
  J0500B   Res pain interview: limited daily activities   ASSERTION PATTERN            
  J0500B 0 No     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  J0500B 1 Yes   Assertion pattern 77427003 activity intolerance (finding)        
  J0500B 9 Unable to answer   Assertion pattern 288733002 unable to respond to communication by others (finding)        
  J0600A   Res pain interview: intensity rating scale     225908003 pain score (observable entity)        
  J0600B   Res pain interview: verbal descriptor scale   QUESTION/ ANSWER PATTERN 406127006 pain intensity (observable entity)        
  J0600B 1 Mild   Question/Answer pattern 40196000 mild pain (finding)        
  J0600B 2 Moderate   Question/Answer pattern 50415004 moderate pain (finding)        
  J0600B 3 Severe   Question/Answer pattern 76948002 severe pain (finding)        
  J0600B 4 Very severe, horrible   Question/Answer pattern 301383001 horrible present pain (finding)        
  J0600B 9 Unable to answer   Question/Answer pattern 288733002 unable to respond to communication by others (finding)        
  J0700   Should staff assessment for pain be conducted     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  J0700 0 No (J0400=1 thru 4)                
  J0700 1 Yes (J0200=0 or J0300=9 or J0400=9)                
  J0800A   Staff pain asmt: non-verbal sounds   ASSERTION PATTERN            
  J0800B   Staff pain asmt: vocal complaints of pain   Assertion pattern 424295009 pain behavior present (situation)        
  J0800C   Staff pain asmt: facial expressions   Assertion pattern 424295009 pain behavior present (situation)        
  J0800D   Staff pain asmt: protective movements/postures   Assertion pattern 424295009 pain behavior present (situation)        
  J0800Z   Staff pain asmt: none of these signs observed     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  J0850   Staff pain asmt: frequency of pain   QUESTION/ ANSWER PATTERN 364631005 pattern of pain (observable entity)        
  J0850 1 Indicators of pain or possible pain observed 1 to 2 days   Question/Answer pattern 84638005 occasional (qualifier value)        
  J0850 2 Indicators of pain or possible pain observed 3 to 4 days   Question/Answer pattern 70232002 frequent (qualifier value)        
  J0850 3 Indicators of possible pain observed daily   Question/Answer pattern 69620002 daily (qualifier value)        
  J1100A   Short breath/trouble breathing: with exertion   Assertion pattern 60845006 dyspnea on exertion (finding)        
  J1100B   Short breath/trouble breathing: sitting at rest   Assertion pattern 161941007 dyspnea at rest (finding)        
  J1100C   Short breath/trouble breathing: lying flat   Assertion pattern 62744007 orthopnea (finding)        
  J1100Z   Short breath/trouble breathing: none of above     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  J1300   Current tobacco use   ASSERTION PATTERN            
  J1300 0 No   Assertion pattern 8392000 non-smoker (finding)        
  J1300 1 Yes   Assertion pattern 110483000 tobacco user (finding)        
  J1400   Prognosis: life expectancy of less than 6 months   ASSERTION PATTERN            
  J1400 0 No   Assertion pattern 170968001 prognosis good (finding)        
  J1400 1 Yes   Assertion pattern 170969009 prognosis bad (finding)        
  J1550A   Problem conditions: fever   Assertion pattern 386661006 fever (finding)        
  J1550B   Problem conditions: vomiting   Assertion pattern 249497008 vomiting symptom (finding)        
  J1550C   Problem conditions: dehydrated   Assertion pattern 34095006 dehydration (disorder)        
  J1550D   Problem conditions: internal bleeding   Assertion pattern 131148009 bleeding (finding)        
  J1550Z   Problem conditions: none of the above     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  J1700A   Fall history: fall during month before admission   ASSERTION PATTERN            
  J1700A 0 No   Assertion pattern 298345007 does not fall (finding)        
  J1700A 1 Yes   Assertion pattern 428942009 history of fall (situation)        
  J1700A 9 Unable to determine     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  J1700B   Fall history: fall 2-6 months before admission   ASSERTION PATTERN            
  J1700B 0 No   Assertion pattern 298345007 does not fall (finding)        
  J1700B 1 Yes   Assertion pattern 428942009 history of fall (situation)        
  J1700B 9 Unable to determine     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  J1700C   Fall history: fracture from fall 6 month pre admit     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  J1700C 0 No                
  J1700C 1 Yes                
  J1700C 9 Unable to determine                
  J1800   Falls since admit/prior asmt: any falls   ASSERTION PATTERN            
  J1800 0 No   Assertion pattern 298345007 does not fall (finding)        
  J1800 1 Yes   Assertion pattern 161898004 falls (finding)        
  J1900A   Falls since admit/prior asmt: no injury     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  J1900A 0 None                
  J1900A 1 One                
  J1900A 2 Two or more                
  J1900B   Falls since admit/prior asmt: injury (not major)     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  J1900B 0 None                
  J1900B 1 One                
  J1900B 2 Two or more                
  J1900C   Falls since admit/prior asmt: major injury     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  J1900C 0 None                
  J1900C 1 One                
  J1900C 2 Two or more                
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
K     Swallowing/Nutritional Status                
  K0100A   Swallow disorder: loss liquids/solids from mouth   Assertion pattern 288904007 does not retain food in mouth (finding)        
  K0100B   Swallow disorder: holds food in mouth/cheeks   Assertion pattern 288903001 does retain food in mouth (finding)        
  K0100C   Swallow disorder: cough/ choke with meals/meds     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  K0100D   Swallow disorder: difficulty or pain swallowing     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  K0100Z   Swallow disorder: none of the above     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  K0200A   Height (in inches)     50373000 body height measure (observable entity)        
  K0200B   Weight (in pounds)     27113001 body weight (observable entity)        
  K0300   Weight loss   QUESTION/ ANSWER PATTERN 363806002 weight loss (amount) (observable entity)        
  K0300 0 No, or unknown     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  K0300 1 Yes, on physician - prescribed weight - loss regimen   Question/Answer pattern 416528001 intentional weight loss (finding)        
  K0300 2 Yes, not on physician - prescribed weight - loss regimen     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  K0500A   Nutritional approaches: parenteral /IV feeding   Assertion pattern 25156005 intravenous feeding of patient (regime/therapy)        
  K0500B   Nutritional approaches: feeding tube   Assertion pattern 61420007 tube feeding of patient (regime/therapy)        
  K0500C   Nutritional approaches: mechanically altered diet   Assertion pattern 226207007 modified texture diet (finding)        
  K0500D   Nutritional approaches: therapeutic diet   Assertion pattern 226077000 therapeutic diets (finding)        
  K0500Z   Nutritional approaches: none of the above     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  K0700A   Proportion total calories via parenteral/tube feed     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  K0700A 1 25% or less                
  K0700A 2 26-50%                
  K0700A 3 51% or more                
  K0700B   Average fluid intake per day by IV or tube     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  K0700B 1 500 cc/day or less                
  K0700B 2 501 cc/day or more                
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
L     Oral/Dental Status                
  L0200A   Dental: broken or loosely fitting denture   Assertion pattern 278542003 dental appliance or restoration finding (finding)        
  L0200B   Dental: no natural teeth or tooth fragment(s)   Assertion pattern 278650002 edentulous (finding)        
  L0200C   Dental: abnormal mouth tissue     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  L0200D   Dental: cavity or broken natural teeth     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  L0200E   Dental: inflamed/bleeding gums or loose teeth     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  L0200F   Dental: pain, discomfort, difficulty chewing     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  L0200G   Dental: unable to examine   Assertion pattern 418185003 oral cavity opening not assessable (finding)        
  L0200Z   Dental: none of the above     Concept Not Mapped (Reason #5) - Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT          
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
M     Skin Conditions                
  M0100A   Risk determination: has ulcer, scar, or dressing     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  M0100B   Risk determination: formal assessment   Assertion pattern 225392000 pressure sore risk assessment (procedure)        
  M0100C   Risk determination: clinical assessment   Assertion pattern 225392000 pressure sore risk assessment (procedure)        
  M0100Z   Risk determination: none of the above     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  M0150   Is resident at risk of developing pressure ulcer   ASSERTION PATTERN            
  M0150 0 No     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  M0150 1 Yes   Assertion pattern 285304000 at risk of pressure sore (finding)        
  M0210   Resident has Stage 1 or higher pressure ulcers   ASSERTION PATTERN            
  M0210 0 No     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  M0210 1 Yes   Assertion pattern 421076008 pressure ulcer stage 1 (disorder)        
  M0300A   Stage 1 pressure ulcers: number present     264892003 number of pressure sores (observable entity)        
  M0300B1   Stage 2 pressure ulcers: number present     264892003 number of pressure sores (observable entity)        
  M0300B2   Stage 2 pressure ulcers: number at admit/reentry     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  M0300B3   Stage 2 pressure ulcers: date of oldest     298059007 date of onset (observable entity)        
  M0300C1   Stage 3 pressure ulcers: number present     264892003 number of pressure sores (observable entity)        
  M0300C2   Stage 3 pressure ulcers: number at admit/reentry     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  M0300D1   Stage 4 pressure ulcers: number present     264892003 number of pressure sores (observable entity)        
  M0300D2   Stage 4 pressure ulcers: number at admit/reentry     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  M0300E1   Unstaged due to dressing: number present     264892003 number of pressure sores (observable entity)        
  M0300E2   Unstaged due to dressing: number at admit/reentry     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  M0300F1   Unstaged slough/eschar: number present     264892003 number of pressure sores (observable entity)        
  M0300F2   Unstaged slough/eschar: number at admit/reentry     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  M0300G1   Unstageable - deep tissue: number present     264892003 number of pressure sores (observable entity)        
  M0300G2   Unstageable - deep tissue: number at admit/reentry     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  M0610A   Stage 3 or 4 pressure ulcer longest length     401238003 length of wound (observable entity)        
  M0610B   Stage 3 or 4 pressure ulcer width (same ulcer)     401239006 width of wound (observable entity)        
  M0610C   Stage 3 or 4 pressure ulcer depth (same ulcer)     425094009 depth of wound (observable entity)        
  M0700   Tissue type for ulcer at most advanced stage   QUESTION/ ANSWER PATTERN 405040006 tissue integrity status (observable entity)        
  M0700 1 Epithelial Tissue - new skin growing in superficial ulcer. It can be light pink and shiny, even in persons with darkly pigmented skin.     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  M0700 2 Granulation Tissue - pink or red tissue with shiny, moist, granular appearance   Question/Answer pattern 225541009 granulation of tissue (finding)        
  M0700 3 Slough - yellow or white tissue that adheres to the ulcer bed in strings or thick clumps, or is mucinous   Question/Answer pattern 95347000 skin necrosis (disorder)        
  M0700 4 Necrotic Tissue (Eschar) - black, brown, or tan tissue that adheres firmly to the wound bed or ulcer edges, may be softer or harder than surrounding skin.   Question/Answer pattern 421306004 necrotic eschar (disorder)        
  M0800A   Worsened since prior asmt: Stage 2 pressure ulcers     271618001 impaired wound healing (finding)        
  M0800B   Worsened since prior asmt: Stage 3 pressure ulcers     271618001 impaired wound healing (finding)        
  M0800C   Worsened since prior asmt: Stage 4 pressure ulcers     271618001 impaired wound healing (finding)        
  M0900A   Pressure ulcers on prior assessment     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  M0900A 0 No                
  M0900A 1 Yes                
  M0900B   Healed pressure ulcers: Stage 2     298006005 wound healed (finding)        
  M0900C   Healed pressure ulcers: Stage 3     298006005 wound healed (finding)        
  M0900D   Healed pressure ulcers: Stage 4     298006005 wound healed (finding)        
  M1030   Number of venous and arterial ulcers     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  M1040A   Other skin probs: infection of the foot   Assertion pattern 299990002 infection of foot (disorder)        
  M1040B   Other skin probs: diabetic foot ulcer(s)   Assertion pattern 371087003 diabetic foot ulcer (disorder)        
  M1040C   Other skin probs: other open lesion(s) on the foot     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  M1040D   Other skin probs: lesions not ulcers, rashes, cuts   Assertion pattern 95324001 skin lesion (disorder)        
  M1040E   Other skin probs: surgical wound(s)   Assertion pattern 419635000 surgical wound finding (finding)        
  M1040F   Other skin probs: burn(s) (second or third degree)   Assertion pattern 125666000 burn (disorder)        
  M1040Z   Other skin probs: none of the above     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  M1200A   Skin/ulcer treat: pressure reduce device for chair   Assertion pattern 228617000 provision of pressure relief equipment (procedure)        
  M1200B   Skin/ulcer treat: pressure reducing device for bed   Assertion pattern 228617000 provision of pressure relief equipment (procedure)        
  M1200C   Skin/ulcer treat: turning/ repositioning   Assertion pattern 308739004 repositioning (procedure)        
  M1200D   Skin/ulcer treat: nutrition/ hydration     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  M1200E   Skin/ulcer treat: ulcer care   Assertion pattern 440461005 Skin ulcer care (regime/therapy)        
  M1200F   Skin/ulcer treat: surgical wound care   Assertion pattern 226007004 post-surgical wound care (regime/therapy)        
  M1200G   Skin/ulcer treat: application of dressings   Assertion pattern 3895009 application of dressing (procedure)        
  M1200H   Skin/ulcer treat: apply ointments/medications   Assertion pattern 431695009 administration of drug or medicament to skin via topical route (procedure)        
  M1200I   Skin/ulcer treat: apply dressings to feet   Assertion pattern 3895009 application of dressing (procedure)        
  M1200Z   Skin/ulcer treat: none of the above     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
N     Medications                
  N0300   Number of days injectable medications received     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  N0350A   Insulin: insulin injections     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  N0350B   Insulin: orders for insulin     Concept Not Mapped (Reason #3) --
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.
         
  N0400A   Medications: antipsychotic   Assertion Pattern 408490001 antipsychotic drug therapy (procedure)        
  N0400B   Medications: antianxiety     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  N0400C   Medications: antidepressant     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  N0400D   Medications: hypnotic     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  N0400E   Medications: anticoagulant   Assertion Pattern 182764009 anticoagulant therapy (procedure)        
  N0400F   Medications: antibiotic   Assertion Pattern 281789004 antibiotic therapy (procedure)        
  N0400G   Medications: diuretic   Assertion Pattern 395011005 prophylactic diuretic therapy (procedure)        
  N0400Z   Medications: none of the above     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
O     Special Treatments and Procedures                
  O0100A1   Treatment: chemotherapy - while not resident   Assertion Pattern 367336001 chemotherapy (procedure)        
  O0100A2   Treatment: chemotherapy - while resident   Assertion Pattern 367336001 chemotherapy (procedure)        
  O0100B1   Treatment: radiation - while not resident   Assertion Pattern 108290001 radiation oncology AND/ OR radiotherapy (procedure)        
  O0100B2   Treatment: radiation - while resident   Assertion Pattern 108290001 radiation oncology AND/ OR radiotherapy (procedure)        
  O0100C1   Treatment: oxygen therapy - while not resident   Assertion Pattern 57485005 oxygen therapy (procedure)        
  O0100C2   Treatment: oxygen therapy - while resident   Assertion Pattern 57485005 oxygen therapy (procedure)        
  O0100D1   Treatment: suctioning - while not resident   Assertion Pattern 58058006 suction of patient (procedure)        
  O0100D2   Treatment: suctioning - while resident   Assertion Pattern 58058006 suction of patient (procedure)        
  O0100E1   Treatment: tracheostomy care - while not resident   Assertion Pattern 385858000 tracheostomy care (regime/therapy)        
  O0100E2   Treatment: tracheostomy care - while resident   Assertion Pattern 385858000 tracheostomy care (regime/therapy)        
  O0100F1   Treatment: vent/respirator - while not resident   Assertion Pattern 409025002 ventilator care (regime/therapy)        
  O0100F2   Treatment: vent/respirator - while resident   Assertion Pattern 409025002 ventilator care (regime/therapy)        
  O0100G1   Treatment: BiPAP/CPAP - while not resident   Assertion Pattern 243141005 mechanically assisted spontaneous ventilation (procedure)        
  O0100G2   Treatment: BIPAP/CPAP - while resident   Assertion Pattern 243141005 mechanically assisted spontaneous ventilation (procedure)        
  O0100H1   Treatment: IV medications - while not resident   Assertion Pattern 386358000 administration of drug or medicament via intravenous route (procedure)        
  O0100H2   Treatment: IV medications - while resident   Assertion Pattern 386358000 administration of drug or medicament via intravenous route (procedure)        
  O0100I1   Treatment: transfusions - while not resident   Assertion Pattern 116859006 transfusion of blood product (procedure)        
  O0100I2   Treatment: transfusions - while resident   Assertion Pattern 116859006 transfusion of blood product (procedure)        
  O0100J1   Treatment: dialysis - while not resident   Assertion Pattern 108241001 dialysis procedure (procedure)        
  O0100J2   Treatment: dialysis - while resident   Assertion Pattern 108241001 dialysis procedure (procedure)        
  O0100K1   Treatment: hospice care - while not resident   Assertion Pattern 385763009 hospice care (regime/therapy)        
  O0100K2   Treatment: hospice care - while resident   Assertion Pattern 385763009 hospice care (regime/therapy)        
  O0100L2   Treatment: respite care - while resident   Assertion Pattern 105386004 respite care of patient (regime/therapy)        
  O0100M1   Treatment: isolate/ quarantine - while not resident   Assertion Pattern 275823006 isolation nursing (procedure)        
  O0100M2   Treatment: isolate/ quarantine - while resident   Assertion Pattern 275823006 isolation nursing (procedure)        
  O0100Z1   Treatment: none of above - while not resident     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  O0100Z2   Treatment: none of above - while resident     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  O0250A   Was influenza vaccine received   ASSERTION PATTERN            
  O0250A 0 No     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
        Concept Not Mapped - No comparable CVX concept is available.
  O0250A 1 Yes   Assertion pattern 86198006 influenza vaccination (procedure)       141
  O0250B   Date influenza vaccine received.     439272007 date of procedure (observable entity)        
  O0250C   If influenza vaccine not received, state reason   QUESTION/ ANSWER PATTERN 445032002 reason procedure not performed (observable entity)       Concept Not Mapped - No comparable CVX concept is available.
  O0250C 1 Resident not in facility during this year's flu season     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  O0250C 2 Received outside of this facility   Question/Answer pattern 308532005 influenza vaccination status (finding)        
  O0250C 3 Not eligible - medical contraindication   Question/Answer pattern 390796006 influenza vaccination contraindicated (situation)        
  O0250C 4 Offered and declined   Question/Answer pattern 315640000 influenza vaccination declined (situation)        
  O0250C 5 Not offered   Question/Answer pattern 171262002 immunization not offered (finding)        
  O0250C 6 Inability to obtain vaccine due to a declared shortage   Question/Answer pattern 182850000 drugs not issued (finding)        
  O0250C 9 None of the above     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  O0300A   Is pneumococcal vaccination up to date   ASSERTION PATTERN           Concept Not Mapped - No comparable CVX concept is available.
  O0300A 0 No   Assertion pattern 171259000 not up-to-date with immunizations (finding)        
  O0300A 1 Yes   Assertion pattern 171258008 up-to-date with immunizations (finding)        
  O0300B   If pneumococcal vacc not received, state reason   QUESTION/ ANSWER PATTERN 445032002 reason procedure not performed (observable entity)       Concept Not Mapped - No comparable CVX concept is available.
  O0300B 1 Not eligible - medical contraindication   Question/Answer pattern 390795005 pneumococcal vaccination contraindicated (situation)        
  O0300B 2 Offered and declined   Question/Answer pattern 401086001 pneumococcal vaccination declined (situation)        
  O0300B 3 Not offered   Question/Answer pattern 171262002 immunization not offered (finding)        
  O0400A1   Speech-language/ audiology: individ minutes   Assertion pattern 276239002 therapy (regime/ therapy)        
  O0400A2   Speech-language/ audiology: concur minutes   Assertion pattern 276239002 therapy (regime/ therapy)        
  O0400A3   Speech-language/ audiology: group minutes   Assertion pattern 276239002 therapy (regime/ therapy)        
  O0400A4   Speech-language/ audiology: number of days   Assertion pattern 276239002 therapy (regime/ therapy)        
  O0400A5   Speech-language/ audiology: start date   Assertion pattern 413946009 date treatment started (observable entity)        
  O0400A6   Speech-language/ audiology: end date   Assertion pattern 413947000 date treatment stopped (observable entity)        
  O0400B1   Occupational therapy: individ minutes   Assertion pattern 84478008 occupational therapy (regime/ therapy)        
  O0400B2   Occupational therapy: concur minutes   Assertion pattern 84478008 occupational therapy (regime/ therapy)        
  O0400B3   Occupational therapy: group minutes   Assertion pattern 84478008 occupational therapy (regime/ therapy)        
  O0400B4   Occupational therapy: number of days   Assertion pattern 84478008 occupational therapy (regime/ therapy)        
  O0400B5   Occupational therapy: start date   Assertion pattern 413946009 date treatment started (observable entity)        
  O0400B6   Occupational therapy: end date   Assertion pattern 413947000 date treatment stopped (observable entity)        
  O0400C1   Physical therapy: individ minutes   Assertion pattern 91251008 physical therapy procedure (regime/therapy)        
  O0400C2   Physical therapy: concur minutes   Assertion pattern 91251008 physical therapy procedure (regime/therapy)        
  O0400C3   Physical therapy: group minutes   Assertion pattern 91251008 physical therapy procedure (regime/therapy)        
  O0400C4   Physical therapy: number of days   Assertion pattern 91251008 physical therapy procedure (regime/therapy)        
  O0400C5   Physical therapy: start date   Assertion pattern 413946009 date treatment started (observable entity)        
  O0400C6   Physical therapy: end date   Assertion pattern 413947000 date treatment stopped (observable entity)        
  O0400D1   Respiratory therapy: number of minutes   Assertion pattern 53950000 respiratory therapy (procedure)        
  O0400D2   Respiratory therapy: number of days   Assertion pattern 53950000 respiratory therapy (procedure)        
  O0400E1   Psychological therapy: number of minutes   Assertion pattern 75516001 psychotherapy (regime/therapy)        
  O0400E2   Psychological therapy: number of days   Assertion pattern 75516001 psychotherapy (regime/therapy)        
  O0400F1   Recreational therapy: number of minutes   Assertion pattern 42364006 recreational therapy (regime/ therapy)        
  O0400F2   Recreational therapy: number of days   Assertion pattern 42364006 recreational therapy (regime/ therapy)        
  O0450A   Has therapy resumed NEW RUGs ITEMS              
  O0450B   Therapy resumption date NEW RUGs ITEMS              
  O0500A   Range of motion (passive): number of days   Assertion pattern 72736008 musculoskeletal exercise, passive (regime/therapy)        
  O0500B   Range of motion (active): number of days   Assertion pattern 72628009 musculoskeletal exercise, active (regime/therapy)        
  O0500C   Splint or brace assistance: number of days   Assertion pattern 223490009 appliance procedures (procedure)        
  O0500D   Bed mobility training: number of days   Assertion pattern 410267000 mobility/transfers education, guidance, and counseling (procedure)        
  O0500E   Transfer training: number of days   Assertion pattern 78089009 transfer training (procedure)        
  O0500F   Walking training: number of days   Assertion pattern 359665005 ambulation training (procedure)        
  O0500G   Dressing and/or grooming training: number of days     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  O0500H   Eating and/or swallowing training: number of days     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  O0500I   Amputation/prosthesis training: number of days   Assertion pattern 54483009 amputation education (procedure)        
  O0500J   Communication training: number of days   Assertion pattern 310829009 communication skills training (procedure)        
  O0600   Physician examinations: number of days   Assertion pattern 162673000 general examination of patient (procedure)        
  O0700   Physician orders: number of days   Assertion pattern 410145008 medical regimen orders management (procedure)        
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
P     Restraints                
  P0100A   Restraints used in bed: bed rail   ASSERTION PATTERN            
  P0100A 0 Not used     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  P0100A 1 Used less than daily   Assertion pattern 64373007 placing bedrails (procedure)        
  P0100A 2 Used daily   Assertion pattern 64373007 placing bedrails (procedure)        
  P0100B   Restraints used in bed: trunk restraint     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  P0100B 0 Not used                
  P0100B 1 Used less than daily                
  P0100B 2 Used daily                
  P0100C   Restraints used in bed: limb restraint     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  P0100C 0 Not used                
  P0100C 1 Used less than daily                
  P0100C 2 Used daily                
  P0100D   Restraints used in bed: other     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  P0100D 0 Not used                
  P0100D 1 Used less than daily                
  P0100D 2 Used daily                
  P0100E   Restraints in chair/out of bed: trunk restraint     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  P0100E 0 Not used                
  P0100E 1 Used less than daily                
  P0100E 2 Used daily                
  P0100F   Restraints in chair/out of bed: limb restraint     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  P0100F 0 Not used                
  P0100F 1 Used less than daily                
  P0100F 2 Used daily                
  P0100G   Restraints in chair/out of bed: chair stops rising     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  P0100G 0 Not used                
  P0100G 1 Used less than daily                
  P0100G 2 Used daily                
  P0100H   Restraints in chair/out of bed: other     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  P0100H 0 Not used                
  P0100H 1 Used less than daily                
  P0100H 2 Used daily                
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
Q     Participation in Assessment and Goal Setting                
  Q0100A   Resident participated in assessment   QUESTION/ANSWER PATTERN 225992008 involving client in planning care (procedure)        
  Q0100A 0 No     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  Q0100A 1 Yes   Question/Answer pattern 248448006 involved (qualifier value)        
  Q0100B   Family/signif other participated in assessment   QUESTION/ ANSWER PATTERN 225329001 involving family and friends in care (procedure)        
  Q0100B 0 No     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  Q0100B 1 Yes   Question/Answer pattern 248448006 involved (qualifier value)        
  Q0100B 9 No family or significant other   Question/Answer pattern 224089000 no known relatives (finding)        
  Q0100C   Guardian/legal rep participated in assessment     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  Q0100C 0 No                
  Q0100C 1 Yes                
  Q0100C 9 No guardian or legally authorized representative                
  Q0300A   Resident's overall goal   QUESTION/ ANSWER PATTERN 312010007 cognitive function: goal setting (observable entity)        
  Q0300A 1 Expects to be discharged to the community   Question/Answer pattern 306691003 discharge to residential home (procedure)        
  Q0300A 2 Expects to remain in this facility     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  Q0300A 3 Expects to be discharged to another facility/institution   Question/Answer pattern 19712007 patient transfer, to another health care facility (procedure)        
  Q0300A 9 Unknown or uncertain     Concept Not Mapped (Reason #5) --
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
         
  Q0300B   Information source for resident's goal     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  Q0300B 1 Resident                
  Q0300B 2 If not resident, then family or significant other                
  Q0300B 3 If not resident, family or significant other, then guardian or legally authorized representative                
  Q0300B 9 None of the above                
  Q0400A   Active discharge plan for return to community   ASSERTION PATTERN            
  Q0400A 0 No     Concept Not Mapped (Reason #4) --
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
         
  Q0400A 1 Yes   Assertion pattern 394830001 action plan (community) (procedure)        
  Q0400B   Determination regarding discharge to community   QUESTION/ ANSWER PATTERN 404984000 readiness for discharge to independent living (observable entity)        
  Q0400B 0 Determination not made     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  Q0400B 1 Discharge to community determined to be feasible   Question/Answer pattern 306689006 discharge home (procedure)        
  Q0400B 2 Discharge to community determined to be not feasible     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  Q0500A   Resident been asked about return to community     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  Q0500A 0 No                
  Q0500A 1 Yes--previous response was "no"                
  Q0500A 2 Yes--previous response was "yes"                
  Q0500A 3 Yes--previous response was "unknown"                
  Q0500B   Do you want to talk about returning to community     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  Q0500B 0 No                
  Q0500B 1 Yes                
  Q0500B 9 Unknown or uncertain                
  Q0600   Referral been made to local contact agency     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  Q0600 0 No--determination has been made by the resident and the care planning team that contact is not required                
  Q0600 1 No--referral not made                
  Q0600 2 Yes                
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
T     Therapy Supplement for Medicare PPS                
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
V                      
  V0100A   Prior OBRA reason for assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  V0100A 1 Admission assessment (required by day 14)                
  V0100A 2 Quarterly review assessment                
  V0100A 3 Annual assessment                
  V0100A 4 Significant change in status assessment                
  V0100A 5 Significant correction to prior comprehensive assessment                
  V0100A 6 Significant correction to prior quarterly assessment                
  V0100A 99 Not OBRA required assessment/tracking                
  V0100B   Prior PPS reason for assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  V0100B 1 5-day scheduled assessment                
  V0100B 2 14-day scheduled assessment                
  V0100B 3 30-day scheduled assessment                
  V0100B 4 60-day scheduled assessment                
  V0100B 5 90-day scheduled assessment                
  V0100B 6 Readmission/return assessment                
  V0100B 7 Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment)                
  V0100B 99 Not PPS assessment                
  V0100C   Prior assessment reference date     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  V0100D   Prior assessment BIMS summary score     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0100E   Prior asmt PHQ res: total mood severity score     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0100F   Prior asmt PHQ staff: total mood score     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A01A   CAA-Delirium: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A01B   CAA-Delirium: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A02A   CAA-Cognitive loss/ dementia: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A02B   CAA-Cognitive loss/ dementia: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A03A   CAA-Visual function: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A03B   CAA-Visual function: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A04A   CAA-Communication: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A04B   CAA-Communication: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A05A   CAA-ADL functional/ rehab potential: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A05B   CAA-ADL functional/ rehab potential: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A06A   CAA-Urinary incont/ indwell catheter: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A06B   CAA-Urinary incont/ indwell catheter: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A07A   CAA-Psychosocial well-being: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A07B   CAA-Psychosocial well-being: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A08A   CAA-Mood state: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A08B   CAA-Mood state: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A09A   CAA-Behavioral symptoms: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A09B   CAA-Behavioral symptoms: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A10A   CAA-Activities: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A10B   CAA-Activities: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A11A   CAA-Falls: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A11B   CAA-Falls: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A12A   CAA-Nutritional status: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A12B   CAA-Nutritional status: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A13A   CAA-Feeding tubes: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A13B   CAA-Feeding tubes: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A14A   CAA-Dehydration/fluid maintenance: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A14B   CAA-Dehydration/fluid maintenance: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A15A   CAA-Dental care: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A15B   CAA-Dental care: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A16A   CAA-Pressure ulcer: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A16B   CAA-Pressure ulcer: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A17A   CAA-Psychotropic drug use: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A17B   CAA-Psychotropic drug use: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A18A   CAA-Physical restraints: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A18B   CAA-Physical restraints: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A19A   CAA-Pain: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A19B   CAA-Pain: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A20A   CAA-Return to community referral: triggered     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200A20B   CAA-Return to community referral: plan     Concept Not Mapped (Reason #2) --
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
         
  V0200B2   CAA-Assessment process signature date                
  V0200C2   CAA-Care planning signature date                
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
X                      
  X0100   Correction: type of transaction     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0100 1 Add new record                
  X0100 2 Modify existing record                
  X0100 3 Inactivate existing record                
  X0150   Correction: type of provider     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0150 1 Nursing home (SNF/NF)                
  X0150 2 Swing bed                
  X0200A   Correction: resident first name     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0200C   Correction: resident last name                
  X0300   Correction: resident gender     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0300 1 Male                
  X0300 2 Female                
  X0400   Correction: resident birth date     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0500   Correction: resident social security number     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0600A   Correction: OBRA reason for assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0600A 1 Admission assessment (required by day 14)                
  X0600A 2 Quarterly review assessment                
  X0600A 3 Annual assessment                
  X0600A 4 Significant change in status assessment                
  X0600A 5 Significant correction to prior comprehensive assessment                
  X0600A 6 Significant correction to prior quarterly assessment                
  X0600A 99 Not OBRA required assessment/tracking                
  X0600B   Correction: PPS reason for assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0600B 1 5-day scheduled assessment                
  X0600B 2 14-day scheduled assessment                
  X0600B 3 30-day scheduled assessment                
  X0600B 4 60-day scheduled assessment                
  X0600B 5 90-day scheduled assessment                
  X0600B 6 Readmission/return assessment                
  X0600B 7 Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment)                
  X0600B 99 Not PPS assessment                
  X0600C   Correction: OMRA assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0600C 0 No                
  X0600C 1 Start of therapy assessment                
  X0600C 2 End of therapy assessment                
  X0600C 3 Both Start and End of therapy assessment                
  X0600D   Correction: Swing bed clinical change asmt     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0600D 0 No                
  X0600D 1 Yes                
  X0600F   Correction: entry/ discharge reporting     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0600F 1 Entry record                
  X0600F 10 Discharge assessment - return not anticipated                
  X0600F 11 Discharge assessment - return anticipated                
  X0600F 12 Death in facility record                
  X0600F 99 Not entry/discharge                
  X0700A   Correction: assessment reference date     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0700B   Correction: discharge date                
  X0700C   Correction: entry date                
  X0800   Correction: correction number     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0900A   Correction: modif reasons - transcription error     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X0900B   Correction: modif reasons - data entry error                
  X0900C   Correction: modif reasons - software error                
  X0900D   Correction: modif reasons - item coding error                
  X0900Z   Correction: modif reasons - other error                
  X1050A   Correction: inact reasons - event did not occur     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X1050Z   Correction: inact reasons - other reason                
  X1100A   Correction: attestor first name     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  X1100B   Correction: attestor last name                
  X1100E   Correction: attestation date                
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
Z     Assessment Administration                
  Z0100A   Medicare Part A: HIPPS code     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  Z0100B   Medicare Part A: RUG version code                
  Z0100C   Medicare Part A: Medicare short stay asmt     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  Z0100C 0 No                
  Z0100C 1 Yes                
  Z0150A   Medicare Part A: non-therapy HIPPS code     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  Z0150B   Medicare Part A: non-therapy RUG version code                
  Z0200A   State case mix: RUG group     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  Z0200B   State case mix: RUG version code                
  Z0250A   State case mix: Alternate RUG group     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  Z0250B   State case mix: Alternate RUG version code                
  Z0500B   Date RN signed assessment as complete     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section 1 Only ICD-10-CM Code - Section 1 Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) - Section O Only
OTHER                      
  FAC_ID   Assigned facility/provider submission ID     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  SFTWR_ PROD_ NAME   Software product name     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  SFTWR_ PROD_ NAME   Software product name     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  SFTWR_ PROD_VRSN_CD   Software product version code     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  SFTWR_ PROD_VRSN_CD   Software product version code     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  SFTWR_ VNDR_ EMAIL_ ADR   Software vendor email address     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  SFTWR_ VNDR_ EMAIL_ADR   Software vendor email address     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  SFTWR_ VNDR_ ID   Software vendor federal employer tax ID     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  SFTWR_ VNDR_ ID   Software vendor federal employer tax ID     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  SFTWR_ VNDR_ NAME   Software vendor company name     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  SFTWR_ VNDR_ NAME   Software vendor company name     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  SPEC_ VRSN_CD   Specifications version code     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  SPEC_ VRSN_CD   Specifications version code     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD   Item subset code     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD NCN Nursing home comprehensive assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD NCP Nursing home comprehensive assessment coupled with PPS assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD NDE Nursing home discharge coupled with EMCA     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD NDN Nursing home discharge     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD NEN Nursing home entry     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD NNE Nursing home EMCA     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD NNN Nursing home not OMBRA and not PPS assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD NNP Nursing home PPS assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD NQN Nursing home quarterly assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD NQP Nursing home quarterly assessment coupled with PPS assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD SDE Swing bed discharge coupled with EMCA     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD SDN Swing bed discharge     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD SEN Swing bed entry     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD SNE Swing bed EMCA     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD SNN Swing bed not a PPS assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD SNP Swing bed PPS assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD SNS Swing bed clinical change assessment     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  ITM_SBST_ CD XXX Inactivation transaction     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  PRODN_ TEST_ CD   Production/test indicator     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  PRODN_ TEST_ CD P Product submission     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         
  PRODN_TEST_ CD T Test submission     Concept Not Mapped (Reason #1) --
This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
         

MDS3.0 Items Mapping -- Supporting EHR Observation

Section CMS
Question ID
Answer CMS Description General Guidance SNOWMED CT
Value Set Identifiers
(See File: MDS_Value_Set.zip)
ICD-0-CM
Value Set
ICD-10-CM
Value Set
I     Active Disease Diagnosis   Vaule Set ID Value Set File Name ICD-9-CM OID: 2.16.1.840.1.113883.6.103 ICD-10 OID: 2.16.840.113833.6.90
  I0100   Cancer (with or without metastasis)   805 CancerFindings.xls
(see Access database of "Value Set Members")
140 - 239 C00-D49.9
  I0200   Anemia   806 AnemiaFindings.xls
(see Access database of "Value Set Members")
anemia-285.9;
aplastic 284.0 - 284.9;
iron deficiency 280.1 - 280.9;
pernicious 281.0;
sickle cell 282.60 - 282.69; 280.0-280.9, 281.0-281.9, 282.0-282.3, 282.41-282.49, 282.5, 282.60-282.69, 282.7-282.9, 283.0, 283.10-283.19, 283.2-283.9, 284.1-284.2, 284.81-284.89, 284.9, 285.0-285.1, 285.21-285.29, 285.3-285.9
anemia-D64.9;
aplastic D61.01-D61.9;
iron deficiency D50.0-D50.1, D50.8-D50.9;
pernicious D51.0;
sickle cell D57.00-D57.02, D57.1, D57.20, D57.211-D57.219, D57.3, D57.40, D57.411-D57.419, D57.80, D57.811-D57.812, D57.819; D51.1-D51.3, D51.8-D51.9, D52.0-D51.1, D52.8-D52.9, D53.0-D53.2, D53.8-D53.9, D55.0-D55.3, D55.8-D55.9, D56.0-D56.4, D56.8-D56.9, D58.0-D58.2, D58.8-D58.9, D59.0-D59.6, D59.8-D59.9, D60.0-D60.1, D60.8-D60.9, D61.01-D61.09, D61.1-D61.3, D61.81-D61.82, D61.89, D61.9, D63.0-D63.1, D63.8, D64.0-D64.4, D64.81, D64.89
  I0300   Atrial fibrillation and other dysrhythmias   807 AFDysrythmiaFindings.xls
(see Access database of "Value Set Members")
a-fib 427.31;
dysrhythmias 427.0 - 427.9 (excluding 427.31)
a-fib I48.0;
dysrhythmias I47.1-I47.9, I49.0-I49.9, R00.0-R00.1, I48.1
  I0400   Coronary artery disease (CAD)   808 CADFindings.xls
(see Access database of "Value Set Members")
CAD 414.00 - 414.07;
angina 413.0 - 413.9;
myocardial infarction 410.00 - 410.90; 414.8, 412
CAD I25.110-I25.111, I25.118-I25.119, I25.700-I25.9;
angina I20.0-I20.9;
myocardial infarction I21.01-I23.8; I25.10, I25.2, I25.6
  I0500   Deep venous thrombosis (DVT), PE, or PTE   809 DVTFindings.xls
(see Access database of "Value Set Members")
DVT 453.40 -453.42;
PE 415.11 - 415.19; 453.50-453.52, 451.81
DVT I82.40-I82.499, I80.20-I80.3;
PE I26.01-I26.99
  I0600   Heart failure   810 HeartFailure.xls
(see Access database of "Value Set Members")
428.0 - 428.9; 391.8, 398.91 I50.1-I50.9; I01.8, I09.81
  I0700   Hypertension   811 HypertensiveDisorder.xls
(see Access database of "Value Set Members")
HTN 401.0 - 401.9;
HTN heart disease 402.00 - 402.90;
HTN chronic kidney dz 403.00 - 403.90;
HTN heart and CKD 404.00 - 404.90; 405.01-405.99
HTN I10;
HTN heart disease I11.0-I11.9;
HTN chronic kidney dz I12.0-I12.9;
HTN heart and CKD I13.0-I13.2; I15.0-I15.9
  I0800   Orthostatic hypotension   812 Orthostatic hypotension.xls
(see Access database of "Value Set Members")
458.0 I95.1, I95.2, G90.3
  I0900   Peripheral vascular disease (PVD) or PAD   813 PeripheralPAD.xls
(see Access database of "Value Set Members")
443.9; 447.9 I73.9, I77.9
  I1100   Cirrhosis   814 Cirrhosis.xls
(see Access database of "Value Set Members")
571.2, 571.5 K70.30-K70.31, K74.60-K74.69
  I1200   Gastroesophageal reflux disease (GERD) or ulcer   815 GERD.xls
(see Access database of "Value Set Members")
GERD 530.81;
Ulcer:
espohageal 530.20-530.21,
gastric 531.00-531.91,
peptic 533.00-533.91;
duodenal ulcer 532.00-532.90,
gastrojejunal ulcer 534.00-534.91
GERD K21.0, K21.9;
Ulcer:
espohageal K22.10, K22.11,
gastric K25.0-K25.9,
peptic K27.0-K27.9;
duodenal K26.0-K26.9;
gastrojejunal K28.0-K28.9
  I1300   Ulcerative colitis, Crohn’s, inflam bowel disease   816 Crohns.xls
(see Access database of "Value Set Members")
Ulcerative colitis 556.0-556.9;
Crohn's 555.0-555.9;
inflam bowel dz 558.9
Ulcerative colitis K51.01-K51.90;
Crohn's K50.001-K50.90;
inflam bowel dz K52.9
  I1400   Benign prostatic hyperplasia (BPH)   817 BPH.xls
(see Access database of "Value Set Members")
600.90-600.91; 600.00, 600.20-600.21 N40.0-N40.1
  I1500   Renal insufficiency, renal failure, ESRD   818 RenalFailure.xls
(see Access database of "Value Set Members")
Renal insufficiency 593.9;
renal failure 586, 584.5-584.9 (acute), 585.9 (chronic);
ESRD 585.6; 585.1-585.5 (CKD)
Renal insufficiency N28.9;
renal failure N19, N18.9 (chronic);
ESRD N18.6; N18.1-N18.5, N17.0-N17.9
  I1550   Neurogenic bladder   819 NeurogenicBladder.xls
(see Access database of "Value Set Members")
596.54 N31.9
  I1650   Obstructive uropathy   820 ObstructiveUropathy.xls
(see Access database of "Value Set Members")
599.60, 599.69 N13.8, N 13.9
  I1700   Multidrug resistant organism (MDRO)   821 MDRO.xls
(see Access database of "Value Set Members")
V09.51, V09.71, V09.81, V09.91 Z16
  I2000   Pneumonia   822 Pneumonia.xls
(see Access database of "Value Set Members")
480-486;
aspiration pneumonia 507.0-507.8;
ventilator associated pneumonia 997.31
J12-J18.9;
aspiration pneumonia J69.0-J69.8;
ventilator associated pneumonia T88.8
  I2100   Septicemia   823 Septicemia.xls
(see Access database of "Value Set Members")
038.0-038.9 A40.0-A41.9
  I2200   Tuberculosis   824 Tuberculosis.xls
(see Access database of "Value Set Members")
010-018 A15.0-A19.9
  I2300   Urinary tract infection (UTI) (LAST 30 DAYS)   825 UTI.xls
(see Access database of "Value Set Members")
599.0; 996.64; 595.0-595.4; 595.81-595.89; 595.9; 590.00-590.11, 590.3, 590.80-590.9, 597.80 N39.0; N30.00-N30.91; N34.1, N34.2, N15.9; T83.51A,D,S
  I2400   Viral hepatitis (includes type A, B, C, D, and E)   826 ViralHep.xls
(see Access database of "Value Set Members")
070.0-070.9 B15.0-B19.9
  I2500   Wound infection (other than foot)   827 WoundInfection.xls
(see Access database of "Value Set Members")
879.9, 884.1, 894.1 T79.8xxA,D,S
  I2900   Diabetes mellitus (DM)   828 DM.xls
(see Access database of "Value Set Members")
250.00-250.93 E08.00-E13.9
  I3100   Hyponatremia   829 Hyponatremia.xls
(see Access database of "Value Set Members")
276.1 E87.1
  I3200   Hyperkalemia   830 Hyperkalemia.xls
(see Access database of "Value Set Members")
276.8 E87.6
  I3300   Hyperlipidemia (e.g.,  hypercholesterolemia)   831 Hyperlipidemia.xls
(see Access database of "Value Set Members")
272.0-272.4 E78.0-E78.5
  I3400   Thyroid disorder   832 ThyroidDisorder.xls
(see Access database of "Value Set Members")
thyroid disorder 246.0-246.9;
hypothyroidism 244.0-244.9;
hyperthyroidism 242.00-242.90;
hashimoto's 245.2; 240.0-240.9; 241.0-241.9; 245.0-245.9; 246.0-246.9
thyroid disorder E07.0-E07.1, E07.81, E07.89 E07.9;
hypothyroidism E89.0, E03.2-E03.9, E01.8;
hyperthyroidism E05.00-E05.91;
Hashimoto's E06.3; E01.0-E01.2, E01.8, E02, E04.0-E04.2, E04.8-E04.9, E06.0-E06.2, E06.4-E06.5, E06.9
  I3700   Arthritis   833 Arthropathy Finding
(see Access database of "Value Set Members")
arthritis 716.00-716.99;
DJD and osteoarthritis 715.00-715.98;
RA 714.0-714.89
arthritis M12.00-M12.09, M12.50-M13.89;
DJD and osteoarthritis M15.0-M19.93;
RA M05.00-M06.9, M08.00-M08.99
  I3800   Osteoporosis   834 Osteoporosis.xls
(see Access database of "Value Set Members")
733.00-733.09 M81.0-M81.8
  I3900   Hip fracture   835 HipFracture.xls
(see Access database of "Value Set Members")
820.00-820.9, 733.14, V54.13, V54.23 S720.001A-S72.26xS, M84.451-2, M84.454-9A-S
  I4000   Other fracture   836   800-819.1, 821.00-829.1, 733.11-733.13, 733.15-733.19, V54.10-V54.12, V54.14-V54.19, V54.20-V54.22, V54.24-V54.29 M48-, M80.00-M80.88 A-S, M84.30-M84.446 A-S, M84.461-M84.549, S12-, S22-, S32-, S42-, S52-, S62-, S72-, S82-, S92-
  I4200   Alzheimer's disease   837 Alzheimers.xls
(see Access database of "Value Set Members")
331.0 G30.0-G30.9
  I4300   Aphasia   838 Aphasia.xls
(see Access database of "Value Set Members")
784.3, 438.11 R47.01, I69.920, I69.320, I69.820
  I4400   Cerebral palsy   839 CerebralPalsy.xls
(see Access database of "Value Set Members")
343.0 -343.9 G80.0-G80.9
  I4500   Cerebrovascular accident (CVA), TIA, or stroke   840 CVA.xls
(see Access database of "Value Set Members")
CVA/stroke 433.01,433.11, 433.21, 433.31, 433.81, 433.91, 434.01, 434.11, 434.91; (late effect) 438.0-438.9;
TIA 435.0- 435.9;
CVA/stroke I63.00-I63.9, I69.30-I69.398; I69.80-I69.998;
TIA G45.0-G45.9
  I4800   Dementia   841 Dementia.xls
(see Access database of "Value Set Members")
290.0-290.43, 291.2, 292.82, 294.10-294.8, 331.11, 331.19, 331.82 F01.50-F03, G31.01, G31.09, G31.83, F10.27, F10.97
  I4900   Hemiplegia or hemiparesis   842 CNSdisorder.xls
(see Access database of "Value Set Members")
342.00-342.92 G81.00-G81.93
  I5000   Paraplegia   843 Paraplegia.xls
(see Access database of "Value Set Members")
344.1 G82.20-G82.22
  I5100   Quadriplegia   844 Quadriplegia.xls
(see Access database of "Value Set Members")
344.00-344.09 G82.50-G82.54
  I5200   Multiple sclerosis   845 MS.xls
(see Access database of "Value Set Members")
340 G35
  I5250   Huntington's disease   846 HuntingtonsChorea.xls
(see Access database of "Value Set Members")
333.4 G10
  I5300   Parkinson's disease   847 Parkinsons.xls
(see Access database of "Value Set Members")
332.0, 332.1 G20, G21.11-G21.9
  I5350   Tourette's syndrome   848 Tourettes.xls
(see Access database of "Value Set Members")
307.23 F95.2
  I5400   Seizure disorder or epilepsy   849 Epilepsy.xls
(see Access database of "Value Set Members")
345.00-345.91 G40.101-G40.419, G40.501-G40.519, G40.801-G40.919
  I5500   Traumatic brain injury (TBI)   850 TBI.xls
(see Access database of "Value Set Members")
854.00-854.19 S06.1x0-S06.1x9 A,D,S; S06.2x0-S06.2x9 A,D,S; S06.300-S06.309 A,D,S; S06.890-S06.9x9 A,D, S
  I5600   Malnutrition (protein, calorie), risk of malnutrit   851 Malnutrition.xls
(see Access database of "Value Set Members")
260-262, 263.0-263.9 E40-E46
  I5700   Anxiety disorder   852 Anxiety.xls
(see Access database of "Value Set Members")
300.00, 300.02 F41.1-F41.9
  I5800   Depression (other than bipolar)   853 Depression.xls
(see Access database of "Value Set Members")
296.20-296.36, 311 F32.0-F32.9, F33.0-F33.9
  I5900   Manic depression (bipolar disease)   854 Bipolar.xls
(see Access database of "Value Set Members")
296.00-296.16, 296.40-296.89 F30.10-F31.9
  I5950   Psychotic disorder (other than schizophrenia)   855 Psychotic.xls
(see Access database of "Value Set Members")
298.0-298.9 F23, F28, F29
  I6000   Schizophrenia   856 Schizophrenia.xls
(see Access database of "Value Set Members")
295.00-295.95 F20.0-F20.9, F21, F25.0-F25.9
  I6100   Post-traumatic stress disorder (PTSD)   857 PTSD.xls
(see Access database of "Value Set Members")
309.81 F43.10-F43.12
  I6200   Asthma (COPD) or chronic lung disease   858 Asthma.xls
(see Access database of "Value Set Members")
493.00-493.92, 491.0-492.8, 496, 501, 518.89 J41.0-J44.9, J45.20-J45.998, J61,
  I6300   Respiratory failure   859 RespiratoryFailure.xls
(see Access database of "Value Set Members")
518.81-518.84; 518.5 J96.0-J96.9, J95.82
  I6500   Cataracts, glaucoma, or macular degeneration   860 Cataracts.xls
(see Access database of "Value Set Members")
cataracts 366.00-366.9;
glaucoma 365.00-365.9;
macular degeneration 362.50-362.52
cataracts H26.001-H26.9, H28;
glaucoma H40.0-H42;
macular degeneration H35.30-H35.32
  I7900   None of above active diseases within last 7 days          
  I8000A   Additional active ICD diagnosis 1          
  I8000B   Additional active ICD diagnosis 2          
  I8000C   Additional active ICD diagnosis 3          
  I8000D   Additional active ICD diagnosis 4          
  I8000E   Additional active ICD diagnosis 5          
  I8000F   Additional active ICD diagnosis 6          
  I8000G   Additional active ICD diagnosis 7          
  I8000H   Additional active ICD diagnosis 8          
  I8000I   Additional active ICD diagnosis 9          
  I8000J   Additional active ICD diagnosis 10          

MDS Value Sets

Alzheimer’s Disease

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Alzheimers.xls)

Refset Name: Alzheimers refset
  refset_ID   SCTID FSN
837 4817008 Primary degenerative dementia of the Alzheimer type, senile onset, with delirium (disorder)
837 4.17E+08 Primary degenerative dementia of the Alzheimer type, senile onset (disorder)
837 6475002 Primary degenerative dementia of the Alzheimer type, presenile onset, uncomplicated (disorder)
837 4.17E+08 Primary degenerative dementia of the Alzheimer type, presenile onset (disorder)
837   10532003 Primary degenerative dementia of the Alzheimer type, presenile onset, with depression (disorder)
837 26852004 Primary degenerative dementia of the Alzheimer type, senile onset, with depression (disorder)
837 26929004 Alzheimer's disease (disorder)
837 54502004 Primary degenerative dementia of the Alzheimer type, presenile onset, with delusions (disorder)
837 55009008 Primary degenerative dementia of the Alzheimer type, senile onset, with delusions (disorder)
837 65096006 Primary degenerative dementia of the Alzheimer type, presenile onset, with delirium (disorder)
837 66108005 Primary degenerative dementia of the Alzheimer type, senile onset, uncomplicated (disorder)
837 2.3E+08 Familial Alzheimer's disease of early onset (disorder)
837 2.3E+08 Non-familial Alzheimer's disease of early onset (disorder)
837 2.3E+08 Familial Alzheimer's disease of late onset (disorder)
837 2.3E+08 Non-familial Alzheimer's disease of late onset (disorder)
837 2.3E+08 Focal Alzheimer's disease (disorder)
837 2.3E+08 Progressive aphasia in Alzheimer's disease (disorder)
Anemia

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/AnemiaFindings.xls)

Refset Name: Anemia findings refset
  refset_ID   SCTID FSN
806 183005 Autoimmune pancytopenia (disorder)
806 1.27E+08 Pancytopenia (disorder)
806 359007 Kernicterus due to isoimmunization (disorder)
806 2.34E+08 Neonatal anemia (disorder)
806   3.88E+08 Hemolytic disease of fetus OR newborn due to isoimmunization (disorder)
806 862001 Anemia due to chlorates (disorder)
806 4.25E+08 Anemia due to substance (disorder)
806 934007 Thalassemia intermedia (disorder)
806 40108008 Thalassemia (disorder)
806 1.27E+08 Paroxysmal cold hemoglobinuria (disorder)
806 3.99E+08 Cold autoimmune hemolytic anemia (disorder)
806 1963002 Paroxysmal nocturnal hemoglobinuria (disorder)
806 3.24E+08 Anemia due to intrinsic red cell abnormality (disorder)
806 2694001 Myelophthisic anemia (disorder)
806 2.72E+08 Anemia (disorder)
806 2835000 Traumatic cardiac hemolytic anemia (disorder)
806 34247008 Anemia due to mechanical damage (disorder)
806 1.91E+08 Aplastic anemia due to radiation (disorder)
806 3272007 Stomatocytosis (disorder)
806 3571004 Megaloblastic anemia due to pancreatic insufficiency (disorder)
806 53165003 Megaloblastic anemia (disorder)
806 3978000 Warm autoimmune hemolytic anemia (disorder)
806 4.14E+08 Autoimmune hemolytic anemia (disorder)
806 4854004 Acquired hemolytic anemia (disorder)
806 61261009 Hemolytic anemia (disorder)
806 4939006 Hemolytic anemia due to nonlymphoid neoplasm (disorder)
806 4984008 Microcytic normochromic anemia (disorder)
806 2.34E+08 Microcytic anemia (disorder)
806 5300004 Hemoglobin Bart's hydrops syndrome (disorder)
806 68913001 alpha Thalassemia (disorder)
806 5315003 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to increased adenosine deaminase activity (disorder)
806 3.01E+08 Hereditary nonspherocytic hemolytic anemia (disorder)
806 5430006 Megaloblastic anemia due to total parenteral nutrition (disorder)
806 5603006 Autoimmune hemolytic anemia due to IgG (disorder)
806 1.27E+08 Autoimmune hemolytic anemia, categorized by antibody class AND/OR complement (disorder)
806 5876000 Acquired pancytopenia (disorder)
806 5967006 A>gamma< beta^+^ HPFH AND beta^0^ thalassemia in cis (disorder)
806 39586009 Hereditary persistence of fetal hemoglobin (HPFH) A gamma beta^+^ thalassemia (disorder)
806 5994005 Hereditary elliptocytosis due to deficiency of protein 4.1 (disorder)
806 6398009 Idiopathic chronic cold agglutinin disease (disorder)
806 1.27E+08 Chronic cold agglutinin disease (disorder)
806 22098000 Chronic idiopathic autoimmune hemolytic anemia (disorder)
806 3.6E+08 Familial megaloblastic anemia (disorder)
806 2.34E+08 Selective malabsorption of cyanocobalamin (disorder)
806 6659005 Megaloblastic anemia due to nontropical sprue (disorder)
806 82895008 Megaloblastic anemia due to disease of small intestine (disorder)
806 8857001 Hereditary elliptocytosis due to alpha spectrin defect (disorder)
806 2.68E+08 Aplastic anemia due to drugs (disorder)
806 9364004 Feline infectious anemia (disorder)
806 4.22E+08 Mycoplasmal anemia (disorder)
806 1.12E+08 Anemia due to infection (disorder)
806 9434008 Hereditary pyropoikilocytosis (disorder)
806 9764001 Anemia due to radiation (disorder)
806 1.12E+08 Anemia due to physical agent (disorder)
806 10205009 Megaloblastic anemia due to exfoliative dermatitis (disorder)
806 10564005 Severe hereditary spherocytosis due to combined deficiency of spectrin AND ankyrin (disorder)
806 47516005 Hereditary spherocytosis due to combined deficiency of spectrin AND ankyrin (disorder)
806 10619002 Megaloblastic anemia due to poor nutrition (disorder)
806 11491000 Anemia due to niacin deficiency (disorder)
806 52565000 Non megaloblastic anemia associated with nutritional deficiency (disorder)
806 11503009 Relative anemia (disorder)
806 1.27E+08 Hereditary hemoglobinopathy disorder homozygous for hemoglobin S (disorder)
806 11781007 Autoimmune hemolytic anemia due to complement (disorder)
806 12109003 Hemolytic anemia associated with ulcerative colitis (disorder)
806 18889005 Hemolytic anemia associated with chronic inflammatory disease (disorder)
806 12189000 Coombs negative hemolytic anemia (disorder)
806 12238007 Megaloblastic anemia due to gastrectomy (disorder)
806 1.11E+08 Hemolytic disease of the newborn due to non-ABO, non-Rh isoimmunization (disorder)
806 12907000 Thiamine-responsive megaloblastic anemia (disorder)
806 34925000 Megaloblastic anemia due to inborn errors of metabolism (disorder)
806 14024008 Humoral immunologic aplastic anemia (disorder)
806 77084001 Immunologic aplastic anemia (disorder)
806 14087004 Hereditary stomatocytosis (disorder)
806 14126008 Autosomal-linked pyridoxine refractory sideroblastic anemia (disorder)
806 41841004 Sideroblastic anemia (disorder)
806 14379009 Dimorphic anemia (disorder)
806 45098004 Anemia due to multiple mechanisms (disorder)
806 14514008 Anemia due to disturbance of hemoglobin synthesis (disorder)
806 15121005 Hereditary elliptocytosis due to glycophorin C deficiency (disorder)
806 15276008 Drug-induced enzyme deficiency anemia (disorder)
806 1.12E+08 Anemia due to enzyme deficiency (disorder)
806 4.28E+08 Anemia due to medication (disorder)
806 15326009 beta^+^ Thalassemia, normal Hb A>2<, type 2 (disorder)
806 79592006 beta^+^ Thalassemia (disorder)
806 15332004 Goats' milk anemia (disorder)
806 15539009 Hydrops fetalis due to isoimmunization (disorder)
806 16360009 delta beta Thalassemia (disorder)
806 65959000 beta Thalassemia (disorder)
806 16427007 delta Thalassemia (disorder)
806 16645003 Anemia due to insect venoms (disorder)
806 16964007 Hereditary persistence of fetal hemoglobin thalassemia (disorder)
806 2.4E+08 Oroya fever (disorder)
806 18273004 Unstable hemoglobin disease (disorder)
806 63565007 Congenital anemia (disorder)
806 18323000 Drug-induced immune hemolytic anemia, immune complex type (disorder)
806 1.27E+08 Drug-induced immune hemolytic anemia (disorder)
806 18637002 Megaloblastic anemia of premature infant (disorder)
806 66612000 Nutritional anemia (disorder)
806 18662002 Acquired Heinz body anemia (disorder)
806 1.27E+08 Secondary autoimmune hemolytic anemia (disorder)
806 19442009 Heterozygous thalassemia (disorder)
806 21412009 X chromosome-linked pyridoxine refractory sideroblastic anemia (disorder)
806 62677000 Hereditary sideroblastic anemia (disorder)
806 21914002 Anemia of thyroid dysfunction (disorder)
806 31820007 Anemia of endocrine disorder (disorder)
806 4.16E+08 Hemoglobin SS disease without crisis (disorder)
806 1.27E+08 Primary (idiopathic) autoimmune hemolytic anemia (disorder)
806 1.91E+08 Chronic anemia (disorder)
806 22347002 Anemia of gonadal dysfunction (disorder)
806 59106005 Anemia due to decreased red cell production (disorder)
806 22438006 Anemia due to disturbance of proliferation AND/OR differentiation of hematopoietic stem cells (disorder)
806 22933009 G-6-PD class I variant anemia (disorder)
806 62403005 Glucose-6-phosphate dehydrogenase deficiency anemia (disorder)
806 23371004 epsilon gamma delta beta Thalassemia (disorder)
806 24620004 Hemolytic anemia due to babesiosis (disorder)
806 38689004 Hemolytic anemia due to infection (disorder)
806 24661004 G-6-PD class III variant anemia (disorder)
806 24962009 Anemia due to vitamin E deficiency (disorder)
806 24975009 Mild hereditary spherocytosis due to combined deficiency of spectrin AND ankyrin (disorder)
806 32648007 Mild hereditary spherocytosis due to spectrin deficiency (disorder)
806 25251008 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to gamma glutamyl cysteine synthetase deficiency (disorder)
806 25266006 Hereditary spherocytosis due to spectrin deficiency (disorder)
806 55995005 Hereditary spherocytosis (disorder)
806 25443007 X chromosome-linked pyridoxine responsive sideroblastic anemia (disorder)
806 26333003 Megaloblastic anemia due to vitamin B>12< malabsorption with proteinuria (disorder)
806 26409005 Congenital dyserythropoietic anemia, type III (disorder)
806 52951008 Congenital dyserythropoietic anemia (disorder)
806 26682008 Homozygous beta thalassemia (disorder)
806 26944003 Acute megaloblastic anemia due to dialysis (disorder)
806 82430007 Acute megaloblastic anemia (disorder)
806 27080008 beta^0^ Thalassemia, deletion type (disorder)
806 86715000 beta^0^ Thalassemia (disorder)
806 27342004 Anemia of pregnancy (disorder)
806 45828008 Anemia in mother complicating pregnancy, childbirth AND/OR puerperium (disorder)
806 27366005 Megaloblastic anemia due to hemodialysis (disorder)
806 27798002 Megaloblastic anemia due to impaired absorption of folate (disorder)
806 85649008 Megaloblastic anemia due to folate deficiency (disorder)
806 28147001 Hemolytic anemia due to Clostridium welchii (disorder)
806 28975000 Constitutional aplastic anemia (disorder)
806 3.06E+08 Aplastic anemia (disorder)
806 29177004 Anemia due to pentose phosphate pathway defect (disorder)
806 29551000 Anemia due to oxygen (disorder)
806 30418008 Anemia of adrenal dysfunction (disorder)
806 30575002 Fanconi's anemia (disorder)
806 31206006 Refractory megaloblastic anemia (disorder)
806 4.14E+08 Aplastic anemia associated with pancreatitis (disorder)
806 32094009 Megaloblastic anemia due to fish tapeworm (disorder)
806 32855007 Hereditary persistence of fetal hemoglobin (HPF) unlinked to beta-globulin gene cluster (disorder)
806 32858009 Hemolytic disease of fetus OR newborn due to ABO immunization (disorder)
806 3.88E+08 Perinatal anemia (disorder)
806 33491002 Autoimmune hemolytic anemia due to IgA plus complement (disorder)
806 91411007 Autoimmune hemolytic anemia due to IgA (disorder)
806 33905008 Hereditary spherocytosis due to deficiency of protein 4.2 (disorder)
806 34194007 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to pyrimidine-5'-nucleotidase deficiency (disorder)
806 44288006 Anemia due to abnormality extrinsic to the red cell (disorder)
806 34629009 Anemia due to zinc deficiency (disorder)
806 34852006 G-6-PD class II variant anemia (disorder)
806 4.21E+08 Anemia associated with AIDS (disorder)
806 35703006 Post-viral paroxysmal cold hemoglobinuria (disorder)
806 35778001 Megaloblastic anemia due to error of folate metabolism (disorder)
806 4.21E+08 Deficiency anemia associated with AIDS (disorder)
806 36467003 alpha^+^ Thalassemia (disorder)
806 36472007 Sickle cell-thalassemia disease (disorder)
806 47047009 Thalassemia with other hemoglobinopathy (disorder)
806 36568005 Hemolytic uremic syndrome of childhood (disorder)
806 1.11E+08 Hemolytic uremic syndrome (disorder)
806 36919001 Anemia due to lead (disorder)
806 37272000 Rh deficiency syndrome (disorder)
806 37370005 Megaloblastic anemia due to drugs (disorder)
806 3.1E+08 Drug-induced autoimmune hemolytic anemia (disorder)
806 38911009 Hereditary hemolytic anemia (disorder)
806 38970002 Doan-Wright syndrome (disorder)
806 40387008 Polyagglutinable erythrocyte syndrome (disorder)
806 66309005 Antibody-mediated anemia (disorder)
806 41387000 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to phosphofructokinase deficiency (disorder)
806 41462006 Anemia due to disturbance of proliferation AND/OR differentiation of erythroid precursor cells (disorder)
806 41614006 Hypoplastic anemia (disorder)
806 42461002 Anemia due to copper (disorder)
806 42484009 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to hexokinase deficiency (disorder)
806 1.91E+08 Hemolytic anemia due to hexokinase deficiency (disorder)
806 42601008 Congenital hemolytic anemia (disorder)
806 4.14E+08 Anemia due to chronic blood loss (disorder)
806 2.68E+08 Acute posthemorrhagic anemia (disorder)
806 43707008 Anemia due to heat (disorder)
806 43858000 Secondary aplastic anemia (disorder)
806 44206008 Hapten type low affinity hemolytic anemia (disorder)
806 1.27E+08 Drug-induced immune hemolytic anemia, hapten type (disorder)
806 44452003 Normocytic hypochromic anemia (disorder)
806 44641000 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to triosephosphate isomerase deficiency (disorder)
806 44666001 Microcytic hypochromic anemia (disorder)
806 44910003 Megaloblastic anemia due to decreased intake of vitamin B>12< (disorder)
806 84027009 Pernicious anemia (disorder)
806 46737006 Normocytic normochromic anemia (disorder)
806 46760003 Estren-Dameshek anemia (disorder)
806 47084006 beta^+^ Thalassemia, normal Hb A>2<, type 1, silent (disorder)
806 47100003 Anemia of prematurity (disorder)
806 4.14E+08 Aplastic anemia associated with pregnancy (disorder)
806 47526003 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to reduced nicotinamide adenine dinucleotide (NADH) diaphorase deficiency (disorder)
806 47844003 Megaloblastic anemia due to chronic hemolytic anemia (disorder)
806 48553001 Hemoglobin H disease (disorder)
806 48580008 Anemia due to starvation (disorder)
806 1.91E+08 Aplastic anemia due to toxic cause (disorder)
806 49284006 Juvenile type megaloblastic anemia (disorder)
806 49472006 Megaloblastic anemia due to vitamin B>12< deficiency (disorder)
806 1.91E+08 Combined B12 and folate deficiency anemia (disorder)
806 49708008 Anemia of chronic renal failure (disorder)
806 2.34E+08 Anemia of chronic disorder (disorder)
806 3.11E+08 Anemia secondary to renal failure (disorder)
806 50220002 Cellular immunologic aplastic anemia (disorder)
806 50253007 Secondary paroxysmal cold hemoglobinuria (disorder)
806 50715003 Pure red cell aplasia (disorder)
806 51071000 Microangiopathic hemolytic anemia (disorder)
806 51667002 Anemia due to riboflavin deficiency (disorder)
806 52212006 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to glutathione reductase deficiency (disorder)
806 52413004 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to glucose phosphate isomerase deficiency (disorder)
806 2.68E+08 Deficiency anemias (disorder)
806 83414005 Macrocytic anemia (disorder)
806 1.06E+08 Anemia related to disturbed DNA synthesis (disorder)
806 53743006 Anemia following fetal blood loss (disorder)
806 4.14E+08 Anemia due to blood loss (disorder)
806 54006005 Hereditary persistence of fetal hemoglobin (HPFH) delta beta^0^ thalassemia (disorder)
806 76336008 delta beta^0^ Thalassemia (disorder)
806 54698001 Megaloblastic anemia due to Zollinger-Ellison syndrome (disorder)
806 3.23E+08 Intracorpuscular hemolytic anemia (disorder)
806 55907008 Acquired aplastic anemia (disorder)
806 1.12E+08 Anemia due to membrane defect (disorder)
806 56205004 Hereditary persistence of fetal hemoglobin (HPFH) nondeletion type (disorder)
806 1.91E+08 Folate deficiency anemia, drug-induced (disorder)
806 57192008 Acute pure red cell aplasia (disorder)
806 59548005 Congenital dyserythropoietic anemia, type I (disorder)
806 59644002 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to phosphoglycerate kinase deficiency (disorder)
806 60138009 Anemia of pituitary deficiency (disorder)
806 60164003 Megaloblastic anemia due to blind loop syndrome (disorder)
806 60504009 Megaloblastic anemia due to congenital deficiency of intrinsic factor (disorder)
806 2.34E+08 Congenital deficiency of intrinsic factor (disorder)
806 60805002 Hemolytic anemia with emphysema AND cutis laxa (disorder)
806 61395005 Hereditary persistence of fetal hemoglobin (HPFH) G gamma beta^+^ thalassemia (disorder)
806 61777009 Thalassemia-hemoglobin C disease (disorder)
806 62074008 delta^0^ Thalassemia (disorder)
806 62268000 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to diphosphoglycerate mutase deficiency (disorder)
806 62389006 Acute megaloblastic anemia due to severe illness (disorder)
806 62609001 Autoimmune hemolytic anemia due to IgG plus complement (disorder)
806 62871001 Idiopathic paroxysmal cold hemoglobinuria (disorder)
806 65560000 Amino acid deficiency anemia (disorder)
806 1.91E+08 Protein-deficiency anemia (disorder)
806 66055002 alpha^0^ Thalassemia (disorder)
806 66184009 Hemolytic anemia associated with lymphoproliferative disorder (disorder)
806 66262001 Hereditary elliptocytosis due to beta spectrin-ankyrin interaction (disorder)
806 1.91E+08 Aplastic anemia due to chronic disease (disorder)
806 1.91E+08 Vitamin C deficiency anemia (disorder)
806 67894009 Megaloblastic anemia due to increased requirements (disorder)
806 4.22E+08 Acquired hemolytic anemia associated with AIDS (disorder)
806 68361004 Late anemia due to isoimmunization (disorder)
806 68700003 Megaloblastic anemia due to error of cobalamin metabolism (disorder)
806 68870007 Congenital dyserythropoietic anemia, type II (disorder)
806 2.69E+08 Beta thalassemia trait (disorder)
806 69216008 Hb Lepore thalassemia (disorder)
806 4.14E+08 Aplastic anemia associated with metabolic alteration (disorder)
806 69574002 Anemia of parathyroid dysfunction (disorder)
806 69746005 Hemolytic anemia associated with systemic lupus erythematosus (disorder)
806 1.12E+08 Hemolytic anemia associated with rheumatic disorder (disorder)
806 69981004 Hereditary spherocytosis due to beta spectrin defect (disorder)
806 70517008 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to reduced nicotinamide adenine dinucleotide (NADH)-methemoglobin reductase deficiency (disorder)
806 71832003 Autoimmune hemolytic anemia due to IgM (disorder)
806 71855000 Acute megaloblastic anemia secondary to total parenteral nutrition (disorder)
806 4.17E+08 Hemoglobin SS disease with crisis (disorder)
806 72501006 Anemia due to arsenic hydride (disorder)
806 73073009 Hereditary elliptocytosis due to beta spectrin defect in self-association (disorder)
806 73190000 epsilon gamma delta beta^0^ Thalassemia (disorder)
806 73891003 Acute megaloblastic anemia due to nitrous oxide (disorder)
806 74703006 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to pyruvate kinase deficiency (disorder)
806 74789008 Coombs positive hemolytic anemia (disorder)
806 75331009 Evans syndrome (disorder)
806 75443009 Hereditary elliptocytosis due to abnormal protein 4.1 (disorder)
806 75451007 Thalassemia major (disorder)
806 2.9E+08 Sideropenic anemia with reticuloendothelial siderosis (disorder)
806 2.91E+08 Simple chronic anemia (disorder)
806 3.71E+08 Iron deficiency anemia secondary to inadequate dietary iron intake (disorder)
806 76366001 Hemolytic anemia due to Bartonella (disorder)
806 77413008 Severe hereditary spherocytosis due to spectrin deficiency (disorder)
806 77607006 Drug-induced sideroblastic anemia (disorder)
806 90175006 Secondary acquired sideroblastic anemia (disorder)
806 77663007 Hemolytic anemia due to malaria (disorder)
806 78129009 Thrombotic thrombocytopenic purpura (disorder)
806 78209002 Hemolytic uremic syndrome, adult type (disorder)
806 78677008 Anemia due to pantothenic deficiency (disorder)
806 78908001 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to decreased adenosine deaminase activity (disorder)
806 78997000 Megaloblastic anemia due to vegetarianism (disorder)
806 79035003 Anemia due to unknown mechanism (disorder)
806 80126007 Plummer-Vinson syndrome (disorder)
806 87522002 Iron deficiency anemia (disorder)
806 80875006 Achlorhydric anemia (disorder)
806 80963002 G-6-PD class V variant anemia (disorder)
806 81711008 Hemolytic anemia due to drugs (disorder)
806 82003006 G-6-PD class IV variant anemia (disorder)
806 82980005 Anemia of diabetes (disorder)
806 1.91E+08 Aplastic anemia due to infection (disorder)
806 4.21E+08 Aplastic anemia associated with AIDS (disorder)
806 84188003 Thalassemia syndrome (disorder)
806 85422000 alpha^+^ Thalassemia, nondeletion type (disorder)
806 85557000 Hereditary persistence of fetal hemoglobin (HPFH) deletion type (disorder)
806 85570009 Anemia due to vitamin A deficiency (disorder)
806 85746008 Anemia due to protein deficiency (disorder)
806 86225009 Hapten type high affinity hemolytic anemia (disorder)
806 86242003 alpha^+^ Thalassemia, deletion type (disorder)
806 86325007 Non megaloblastic anemia due to alcoholism (disorder)
806 86448001 Anemia due to vitamin B>6< deficiency (disorder)
806 86859003 G-6-PD variant enzyme deficiency anemia (disorder)
806 86986002 Hemolytic disease of fetus OR newborn due to RhD isoimmunization (disorder)
806 87190009 Infectious avian anemia (disorder)
806 87806008 Megaloblastic anemia due to tropical sprue (disorder)
806 87810006 Megaloblastic anemia due to alcoholism (disorder)
806 87994004 Xerocytosis (disorder)
806 88854002 Congenital hypoplastic anemia (disorder)
806 89112009 Aregenerative anemia (disorder)
806 89459006 Hereditary persistence of fetal hemoglobin (HPFH) linked to beta-globulin gene cluster (disorder)
806 89810003 ^A^gamma delta beta^0^ thalassemia (disorder)
806 90414007 Chronic acquired pure red cell aplasia (disorder)
806 2.34E+08 Acquired red cell aplasia (disorder)
806 91217009 Megaloblastic anemia due to pregnancy (disorder)
806 1.1E+08 Myelodysplastic syndrome: Refractory anemia, without ringed sideroblasts, without excess blasts (disorder)
806 1.1E+08 Refractory anemia with ringed sideroblasts (disorder)
806 3.99E+08 Refractory anemia with excess blasts (disorder)
806 1.1E+08 Refractory anemia with excess blasts in transformation (disorder)
806 1.1E+08 Chicken anemia virus infection (disorder)
806 1.12E+08 Congenital atransferinemia (disorder)
806 1.12E+08 beta^0^ Thalassemia, nondeletion type (disorder)
806 1.12E+08 Anemia due to unknown or multiple mechanisms (disorder)
806 1.12E+08 Anemia due to copper deficiency (disorder)
806 1.12E+08 Acquired stomatocytosis (disorder)
806 1.12E+08 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to aldolase A deficiency (disorder)
806 1.12E+08 Hereditary nonspherocytic hemolytic anemia (HNSHA) due to glutathione synthetase deficiency (disorder)
806 3.88E+08 Sports anemia (disorder)
806 1.16E+08 Regenerative anemia (disorder)
806 1.27E+08 Sickle cell-beta-thalassemia (disorder)
806 1.27E+08 Sickle cell-beta^+^-thalassemia (disorder)
806 1.27E+08 Sickle cell-beta^0^-thalassemia (disorder)
806 1.27E+08 Sickle cell-delta beta^0^-thalassemia (disorder)
806 1.27E+08 Sickle cell anemia with coexistent alpha-thalassemia (disorder)
806 1.27E+08 Sickle cell trait with coexistent alpha-thalassemia (disorder)
806 1.27E+08 Primary (idiopathic) warm autoimmune hemolytic anemia (disorder)
806 1.27E+08 Secondary warm autoimmune hemolytic anemia (disorder)
806 1.27E+08 Post-infectious cold agglutinin disease (disorder)
806 1.27E+08 Cold agglutinin disease due to Epstein-Barr virus infection (disorder)
806 1.27E+08 Chronic cold agglutinin disease associated with B-cell neoplasm (disorder)
806 1.27E+08 Paroxysmal cold hemoglobinuria associated with tertiary syphilis (disorder)
806 1.27E+08 Anemia due to alloimmune destruction of transfused red cells (disorder)
806 1.3E+08 Hemolytic anemia due to hyperbaric oxygen (disorder)
806 1.64E+08 On examination - equivocally anemic (disorder)
806 1.64E+08 On examination - clinically anemic (disorder)
806 1.64E+08 On examination - profoundly anemic (disorder)
806 2.87E+08 Deficiency anemias, excluding iron (disorder)
806 1.91E+08 Alpha trait thalassemia (disorder)
806 1.91E+08 Non-autoimmune hemolytic anemia (disorder)
806 2.74E+08 Anemia due to isoimmunization (disorder)
806 1.9E+08 Refractory anemia without sideroblasts, so stated (disorder)
806 1.91E+08 Severe combined immunodefiency with reticular dysgenesis (disorder)
806 2.34E+08 Normocytic anemia due to chronic blood loss (disorder)
806 1.91E+08 Iron deficiency anemia due to dietary causes (disorder)
806 1.91E+08 Chlorotic anemia (disorder)
806 1.91E+08 Idiopathic hypochromic anemia (disorder)
806 2.34E+08 Biermer's congenital pernicious anemia (disorder)
806 2.34E+08 Vegan's anemia (disorder)
806 2.68E+08 Vitamin B12 deficiency anemia due to dietary causes (disorder)
806 1.91E+08 Vitamin B12 deficiency anemia due to malabsorption with proteinuria (disorder)
806 1.91E+08 Congenital folate malabsorption anemia (disorder)
806 2.68E+08 Folate deficiency anemia due to dietary causes (disorder)
806 2.34E+08 Megaloblastic anemia due to dietary causes (disorder)
806 1.91E+08 Folate deficiency anemia due to malabsorption (disorder)
806 1.91E+08 Folate deficiency anemia due to liver disorders (disorder)
806 1.91E+08 Vitamin E deficiency anemia (disorder)
806 1.91E+08 Hemolytic anemia due to glutathione metabolism disorder (disorder)
806 1.91E+08 Hemolytic anemia due to pyruvate kinase deficiency (disorder)
806 1.91E+08 Hemolytic anemia due to triose phosphate isomerase deficiency (disorder)
806 1.91E+08 Anemia due to disorders of nucleotide metabolism (disorder)
806 2.34E+08 Homozygous alpha thalassemia (disorder)
806 1.91E+08 Beta thalassemia intermedia (disorder)
806 1.91E+08 Primary cold-type hemolytic anemia (disorder)
806 1.91E+08 Primary warm-type hemolytic anemia (disorder)
806 1.91E+08 Secondary cold-type hemolytic anemia (disorder)
806 1.91E+08 Secondary warm-type hemolytic anemia (disorder)
806 1.91E+08 Mechanical hemolytic anemia (disorder)
806 1.91E+08 Toxic hemolytic anemia (disorder)
806 1.91E+08 Infective hemolytic anemia (disorder)
806 1.91E+08 Hemoglobinuria due to hemolysis from external causes (disorder)
806 1.91E+08 Acquired spherocytosis (disorder)
806 1.91E+08 Pyknocytosis, infantile (disorder)
806 2.68E+08 Constitutional aplastic anemia with malformation (disorder)
806 2.76E+08 Pancytopenia-dysmelia (disorder)
806 2.68E+08 Constitutional red cell aplasia and hypoplasia (disorder)
806 2.34E+08 Congenital red cell hypoplasia (disorder)
806 2.34E+08 Constitutional red cell hypoplasia (disorder)
806 2.34E+08 Congenital pure red cell aplasia (disorder)
806 1.91E+08 Erythrogenesis imperfecta (disorder)
806 2.34E+08 Normocytic anemia due to aplasia (disorder)
806 2.34E+08 Pancytopenia with pancreatitis (disorder)
806 1.91E+08 Transient hypoplastic anemia (disorder)
806 2.34E+08 Pure red cell aplasia, acquired (disorder)
806 1.91E+08 Transient acquired pure red cell aplasia (disorder)
806 1.91E+08 Idiopathic aplastic anemia (disorder)
806 1.91E+08 Pyridoxine-responsive sideroblastic anemia (disorder)
806 1.91E+08 Secondary sideroblastic anemia due to disease (disorder)
806 1.91E+08 Secondary sideroblastic anemia due to drugs and toxins (disorder)
806 3.03E+08 Normocytic anemia following acute bleed (disorder)
806 1.91E+08 Anemia in neoplastic disease (disorder)
806 3.08E+08 Anemia in ovarian carcinoma (disorder)
806 1.99E+08 Anemia during pregnancy - baby delivered (disorder)
806 1.99E+08 Anemia in the puerperium - baby delivered during current episode of care (disorder)
806 3.13E+08 Anemia during the puerperium (disorder)
806 1.99E+08 Anemia during pregnancy - baby not yet delivered (disorder)
806 1.99E+08 Anemia in the puerperium - baby delivered during previous episode of care (disorder)
806 1.99E+08 Iron deficiency anemia of pregnancy (disorder)
806 2.06E+08 Late anemia of newborn due to isoimmunization (disorder)
806 2.77E+08 Late anemia of newborn (disorder)
806 2.07E+08 Congenital anemia from fetal blood loss (disorder)
806 3.01E+08 Normocytic anemia (disorder)
806 2.34E+08 Dilutional anemia (disorder)
806 2.34E+08 Anemia of renal disease (disorder)
806 2.34E+08 Congenital transferrin deficiency (disorder)
806 2.34E+08 Combined deficiency anemia (disorder)
806 2.34E+08 Thiamine-responsive macrocytosis (disorder)
806 2.34E+08 Alcohol-related sideroblastic anemia (disorder)
806 2.34E+08 Transient erythroblastopenia of childhood (disorder)
806 2.34E+08 Kell isoimmunization of the newborn (disorder)
806 2.34E+08 Maternal autoimmune hemolytic anemia (disorder)
806 2.34E+08 Alpha thalassemia-2 trait (disorder)
806 2.34E+08 Hemoglobin Constant Spring trait (disorder)
806 2.34E+08 Hemoglobin Lepore trait (disorder)
806 2.34E+08 Delta-beta-Lepore thalassemia (disorder)
806 2.34E+08 Alpha-beta thalassemia (disorder)
806 2.34E+08 Gamma thalassemia (disorder)
806 2.34E+08 Sickle cell anemia with high hemoglobin F (disorder)
806 2.38E+08 Megaloblastic anemia, thiamine-responsive, with diabetes mellitus and sensorineural deafness (disorder)
806 2.38E+08 Pearson's syndrome (disorder)
806 2.4E+08 Parvoviral aplastic crisis (disorder)
806 2.76E+08 Idiopathic sideroblastic anemia (disorder)
806 2.77E+08 Physiological anemia of infancy (disorder)
806 2.77E+08 Atypical isoimmunization of newborn (disorder)
806 2.78E+08 Alpha thalassemia-mental retardation syndrome (disorder)
806 2.78E+08 Alcoholic macrocytosis (disorder)
806 3.07E+08 Rhesus isoimmunization due to anti-D (disorder)
806 3.07E+08 Rhesus isoimmunization due to anti-c (disorder)
806 3.07E+08 Rhesus isoimmunization due to anti-E (disorder)
806 3.07E+08 Rhesus isoimmunization due to anti-Cw (disorder)
806 3.07E+08 Duffy isoimmunization of the newborn (disorder)
806 3.07E+08 Kidd isoimmunization of the newborn (disorder)
806 3.07E+08 Acquired hemoglobin H disease (disorder)
806 3.63E+08 Congenital nonspherocytic hemolytic anemia due to inborn error of metabolism (disorder)
806 3.71E+08 Traumatic hemolytic anemia (disorder)
806 3.73E+08 Upshaw-Schulman syndrome (disorder)
806 3.73E+08 Diarrhea-associated hemolytic uremic syndrome (disorder)
806 3.73E+08 Diarrhea-negative hemolytic uremic syndrome (disorder)
806 3.89E+08 Diaphyseal dysplasia with anemia (disorder)
806 4.15E+08 Refractory anemia with excess blasts-1 (disorder)
806 4.15E+08 Refractory anemia with excess blasts-2 (disorder)
806 4.17E+08 Sickle cell-thalassemia disease with crisis (disorder)
806 4.17E+08 Sickle cell-thalassemia disease without crisis (disorder)
806 4.3E+08 Anemia due to chemotherapy (disorder)
806 4.38E+08 Autoimmune thrombotic thrombocytopenic purpura (disorder)
806 4.39E+08 Acquired thrombotic thrombocytopenic purpura (disorder)
806 4.4E+08 Hemoglobin SS disease with vasoocclusive crisis (disorder)
806 4.41E+08 Drug induced thrombotic thrombocytopenic purpura (disorder)
806 4.44E+08 Acute sickle cell splenic sequestration crisis (disorder)
806 4.45E+08 Congenital hemolytic uremic syndrome (disorder)
Anxiety Disorder

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Anxiety.xls)

Refset Name: Anxiety refset
  refset_ID   SCTID FSN
852 109006 Anxiety disorder of childhood OR adolescence (disorder)
852 1.97E+08 Anxiety disorder (disorder)
852   48694002 Anxiety (finding)
852 1376001 Obsessive compulsive personality disorder (disorder)
852 1.92E+08 Obsessive-compulsive disorder (disorder)
852 1380006 Agoraphobia without history of panic disorder with limited symptom attacks (disorder)
852 3.87E+08 Phobia (finding)
852 61569007 Agoraphobia without history of panic disorder (disorder)
852 1686006 Sedative, hypnotic AND/OR anxiolytic-induced anxiety disorder (disorder)
852 50026000 Psychoactive substance-induced organic anxiety disorder (disorder)
852 1816003 Panic disorder with agoraphobia, severe agoraphobic avoidance AND mild panic attacks (disorder)
852 79823003 Panic (finding)
852 89948007 Panic disorder with agoraphobia AND mild panic attacks (disorder)
852 3.19E+08 Posttraumatic stress disorder, delayed onset (disorder)
852 3.18E+08 Stockholm syndrome (disorder)
852 3158007 Panic disorder with agoraphobia, agoraphobic avoidance in partial remission AND panic attacks in partial remission (disorder)
852 63909006 Panic disorder with agoraphobia AND panic attacks in partial remission (disorder)
852 4932002 Panic disorder with agoraphobia, moderate agoraphobic avoidance AND mild panic attacks (disorder)
852 5509004 Panic disorder with agoraphobia AND severe panic attacks (disorder)
852 35607004 Panic disorder with agoraphobia (disorder)
852 5874002 Anticipatory anxiety, severe (finding)
852 35429005 Anticipatory anxiety (finding)
852 8185002 Panic disorder with agoraphobia AND moderate panic attacks (disorder)
852 10586006 Occupation-related stress disorder (disorder)
852 11458009 Anticipatory anxiety, mild (finding)
852 11806006 Separation anxiety disorder of childhood (disorder)
852 1.27E+08 Separation anxiety (disorder)
852 53467004 Anxiety disorder of childhood (disorder)
852 11941006 Panic disorder with agoraphobia, agoraphobic avoidance in full remission AND panic attacks in full remission (disorder)
852 59923000 Panic disorder with agoraphobia AND panic attacks in full remission (disorder)
852 13438001 Overanxious disorder of childhood (disorder)
852 17496003 Organic anxiety disorder (disorder)
852 19512009 Fear of insects (finding)
852 19766004 Panic disorder with agoraphobia, mild agoraphobic avoidance AND severe panic attacks (disorder)
852 19887002 Claustrophobia (finding)
852 21897009 Generalized anxiety disorder (disorder)
852 22230001 Panic disorder with agoraphobia, agoraphobic avoidance in partial remission AND panic attacks in full remission (disorder)
852 24109003 Bromhidrosiphobia (finding)
852 24781009 Panic disorder with agoraphobia, mild agoraphobic avoidance AND panic attacks in full remission (disorder)
852 25501002 Social phobia (disorder)
852 3.87E+08 Phobic disorder (disorder)
852 30059008 Panic disorder with agoraphobia, severe agoraphobic avoidance AND moderate panic attacks (disorder)
852 67195008 Acute stress disorder (disorder)
852 31492004 Fear of school (finding)
852 31781004 Panic disorder with agoraphobia, agoraphobic avoidance in partial remission AND mild panic attacks (disorder)
852 32388005 Panic disorder with agoraphobia, agoraphobic avoidance in partial remission AND moderate panic attacks (disorder)
852 34116005 Panic disorder with agoraphobia, agoraphobic avoidance in full remission AND severe panic attacks (disorder)
852 34563004 Fear of getting cancer (finding)
852 2.48E+08 Fear of contracting disease (finding)
852 34652008 Xenophobia (finding)
852 34938008 Alcohol-induced anxiety disorder (disorder)
852 70691001 Agoraphobia (disorder)
852 3.72E+08 Panic disorder (disorder)
852 36646009 Anticipatory anxiety, moderate (finding)
852 37868008 Anxiety disorder of adolescence (disorder)
852 37872007 Avoidant disorder of childhood OR adolescence (disorder)
852 38328002 Panic disorder with agoraphobia, severe agoraphobic avoidance AND panic attacks in full remission (disorder)
852 38617005 Dental phobia (finding)
852 43150009 Panic disorder without agoraphobia with severe panic attacks (disorder)
852 56576003 Panic disorder without agoraphobia (disorder)
852 47505003 Posttraumatic stress disorder (disorder)
852 49564006 Panic disorder with agoraphobia, mild agoraphobic avoidance AND moderate panic attacks (disorder)
852 50983008 Panic disorder with agoraphobia, mild agoraphobic avoidance AND panic attacks in partial remission (disorder)
852 51493001 Cocaine-induced anxiety disorder (disorder)
852 52910006 Anxiety disorder due to a general medical condition (disorder)
852 53956006 Panic disorder without agoraphobia with panic attacks in partial remission (disorder)
852 54307006 Zoophobia (finding)
852 54587008 Simple phobia (disorder)
852 54746005 Erotophobia (finding)
852 55967005 Phencyclidine-induced anxiety disorder (disorder)
852 58535001 Physical AND emotional exhaustion state (disorder)
852 58963008 Acrophobia (finding)
852 61157009 Combat fatigue (disorder)
852 61212007 Panic disorder with agoraphobia, severe agoraphobic avoidance AND severe panic attacks (disorder)
852 61387006 Moderate anxiety (finding)
852 62351001 Generalized social phobia (disorder)
852 1.92E+08 Acute situational disturbance (disorder)
852 63701002 Panic disorder with agoraphobia, mild agoraphobic avoidance AND mild panic attacks (disorder)
852 64060000 Panic disorder with agoraphobia, moderate agoraphobic avoidance AND panic attacks in full remission (disorder)
852 64165008 Avoidant disorder of childhood (disorder)
852 65064003 Panic disorder without agoraphobia with moderate panic attacks (disorder)
852 69479009 Anxiety hyperventilation (disorder)
852 70997004 Mild anxiety (finding)
852 72861004 Panic disorder without agoraphobia with mild panic attacks (disorder)
852 74010007 Panic disorder with agoraphobia, severe agoraphobic avoidance AND panic attacks in partial remission (disorder)
852 75007009 Algophobia (finding)
852 76812003 Panic disorder with agoraphobia, moderate agoraphobic avoidance AND panic attacks in partial remission (disorder)
852 76868007 Panic disorder with agoraphobia, agoraphobic avoidance in full remission AND mild panic attacks (disorder)
852 80583007 Severe anxiety (panic) (finding)
852 81350009 Free-floating anxiety (finding)
852 82339009 Amphetamine-induced anxiety disorder (disorder)
852 82415003 Agoraphobia without history of panic disorder without limited symptom attacks (disorder)
852 82494000 Panic disorder without agoraphobia with panic attacks in full remission (disorder)
852 82738004 Panic disorder with agoraphobia, moderate agoraphobic avoidance AND moderate panic attacks (disorder)
852 1.92E+08 Fear of pregnancy (finding)
852 83253003 Shyness disorder of childhood (disorder)
852 83631006 Panic disorder with agoraphobia, moderate agoraphobic avoidance AND severe panic attacks (disorder)
852 85061001 Separation anxiety disorder of childhood, early onset (disorder)
852 87798009 Panic disorder with agoraphobia, agoraphobic avoidance in full remission AND moderate panic attacks (disorder)
852 89225005 Anxiety about blushing (finding)
852 2.48E+08 Anxiety about body function or health (finding)
852 90790003 Avoidant disorder of adolescence (disorder)
852 1.03E+08 Taphophobia (finding)
852 3.98E+08 Fear of transport (finding)
852 3.98E+08 Fear of traveling in vehicles (finding)
852 1.03E+08 Nosophobia (finding)
852 1.03E+08 Arachnophobia (finding)
852 1.03E+08 Fear of blood (finding)
852 1.03E+08 Microphobia (finding)
852 1.03E+08 Fear of infection (finding)
852 1.03E+08 Fear of contracting HIV infection (finding)
852 1.03E+08 Toxicophobia (finding)
852 1.03E+08 Tocophobia (finding)
852 1.03E+08 Teratophobia (finding)
852 1.03E+08 Pyrophobia (finding)
852 1.03E+08 Astrapophobia (finding)
852 1.03E+08 Nyctophobia (finding)
852 1.03E+08 Theophobia (finding)
852 1.03E+08 Androphobia (finding)
852 1.03E+08 Gynephobia (finding)
852 1.03E+08 Fear of heart attack (finding)
852 1.03E+08 Fear of hypertension (finding)
852 1.1E+08 Unrealistic dental phobia (finding)
852 2.26E+08 Fear of dentist (finding)
852 1.1E+08 Heightened global phobia (finding)
852 1.11E+08 Dream anxiety disorder (disorder)
852 1.11E+08 Panic disorder with agoraphobia, agoraphobic avoidance in partial remission AND severe panic attacks (disorder)
852 1.11E+08 Panic disorder with agoraphobia, agoraphobic avoidance in full remission AND panic attacks in partial remission (disorder)
852 1.3E+08 Death anxiety (finding)
852 2.7E+08 Maternal concern (finding)
852 1.63E+08 On examination - anxious (finding)
852 2.26E+08 Panic attack (finding)
852 2.8E+08 Shell shock (disorder)
852 1.92E+08 Acute post-trauma stress state (disorder)
852 2.32E+08 Mixed anxiety and depressive disorder (disorder)
852 3.13E+08 Chronic post-traumatic stress disorder (disorder)
852 3.13E+08 Phonophobia (finding)
852 1.98E+08 Anxiety state (finding)
852 2.07E+08 Anxiety neurosis (finding)
852 1.92E+08 Chronic anxiety (finding)
852 1.92E+08 Recurrent anxiety (finding)
852 1.92E+08 Agoraphobia with panic attacks (disorder)
852 1.92E+08 Agoraphobia without mention of panic attacks (disorder)
852 1.92E+08 Social phobia, fear of eating in public (disorder)
852 1.92E+08 Social phobia, fear of public speaking (disorder)
852 1.92E+08 Social phobia, fear of public washing (disorder)
852 2.48E+08 Fear of flying (finding)
852 1.92E+08 Compulsive neurosis (disorder)
852 1.92E+08 Obsessional neurosis (disorder)
852 1.92E+08 Psychogenic rumination (disorder)
852 1.92E+08 Acute panic state due to acute stress reaction (disorder)
852 1.92E+08 Acute fugue state due to acute stress reaction (disorder)
852 1.92E+08 Acute stupor state due to acute stress reaction (disorder)
852 1.92E+08 Stress reaction causing mixed disturbance of emotion and conduct (disorder)
852 2.32E+08 Stage fright (finding)
852 2.32E+08 Examination fear (finding)
852 2.48E+08 Flying phobia (finding)
852 1.93E+08 Childhood phobic anxiety disorder (disorder)
852 1.98E+08 Parasitophobia (finding)
852 2.26E+08 Anxiety about treatment (finding)
852 2.26E+08 Anxiety about forced dependence (finding)
852 2.26E+08 Anxiety about loss of control (finding)
852 2.26E+08 Anxiety about resuming sexual relations (finding)
852 2.48E+08 Anxiety about behavior or performance (finding)
852 2.26E+08 Worried about not coping with baby (finding)
852 2.26E+08 Anxiety about not coping with parenthood (finding)
852 2.26E+08 Worried about being a bad father (finding)
852 2.26E+08 Worried about being a bad mother (finding)
852 2.26E+08 Anxiety about making mistakes (finding)
852 2.26E+08 Anxiety about altered body image (finding)
852 2.32E+08 Needle phobia (finding)
852 2.32E+08 Situational panic attack (finding)
852 2.32E+08 Non-situational panic attack (finding)
852 2.32E+08 Anxiety hysteria (finding)
852 2.8E+08 Performance anxiety (finding)
852 2.39E+08 Venereophobia (disorder)
852 2.39E+08 Syphilophobia (disorder)
852 2.39E+08 Bromisodrophobia (disorder)
852 2.48E+08 Fear of having a heart attack (finding)
852 2.48E+08 Fear of the dark (finding)
852 2.48E+08 Fear of enclosed spaces (finding)
852 2.48E+08 Fear of tunnels (finding)
852 2.48E+08 Fear of phone boxes (finding)
852 2.48E+08 Fear of contracting venereal disease (finding)
852 2.48E+08 Fear of contracting radiation sickness (finding)
852 3.01E+08 Parental anxiety (finding)
852 2.72E+08 School phobia (finding)
852 2.76E+08 Fear of heights (finding)
852 2.78E+08 Anxiety about losing control of bowels (finding)
852 2.78E+08 Anxiety about wetting self (finding)
852 2.78E+08 Anxiety about vomiting in public (finding)
852 2.78E+08 Anxiety about having a fit (finding)
852 2.78E+08 Anxiety about choking (finding)
852 2.78E+08 Anxiety about swallowing (finding)
852 2.78E+08 Anxiety about collapsing (finding)
852 2.78E+08 Anxiety about shaking (finding)
852 2.78E+08 Anxiety about sweating (finding)
852 2.78E+08 Anxiety about dying (finding)
852 2.78E+08 Anxiety about going crazy (finding)
852 2.78E+08 Anxiety about losing emotional control (finding)
852 2.78E+08 Anxiety about becoming fat (finding)
852 2.78E+08 Anxiety about fainting (finding)
852 2.78E+08 Anxiety about having a heart attack (finding)
852 2.78E+08 Anxiety about appearing ridiculous (finding)
852 2.78E+08 Anxiety about saying the wrong thing (finding)
852 2.81E+08 Examination phobia (finding)
852 3.01E+08 Anxiety attack (finding)
852 3.13E+08 Dysmorphophobia (disorder)
852 3.71E+08 Noise phobia (finding)
852 3.95E+08 Complaining of panic attack (finding)
852 4.01E+08 Patient concerned about eyesight (finding)
852 4.04E+08 Ritual hand washing (finding)
852 4.04E+08 Acarophobia (finding)
852 4.04E+08 Phobic fear of skin cancer (disorder)
852 4.18E+08 On examination - panic attack (finding)
852 4.26E+08 Chronic stress disorder (disorder)
852 4.29E+08 Nightmares associated with chronic post-traumatic stress disorder (disorder)
852 4.31E+08 Anxiety about loss of memory (finding)
852 4.41E+08 Aerophobia (finding)
852 4.44E+08 Complex posttraumatic stress disorder (disorder)
Aphasia

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Aphasia.xls)

Refset Name: Aphasia refset
  refset_ID   SCTID FSN
838 3449007 Finger agnosia (finding)
838 42341009 Agnosia (finding)
838 4381006 Verbal paraphasia (finding)
838   87486003 Aphasia (finding)
838 4805006 Functional aphasia (finding)
838 5934007 Subcortical aphasia (finding)
838 8011004 Dysarthria (finding)
838 1.06E+08 Dyslexia AND/OR speech dysfunction (finding)
838 8480004 Agnosia for smell (finding)
838 2.72E+08 Sensory agnosia (finding)
838 9236007 Alexia (finding)
838 10325006 Anomic aphasia (finding)
838 11800000 Subcortical alexia (finding)
838 13044008 Associative aphasia (finding)
838 15638008 Motor amusia (finding)
838 26610007 Amusia (finding)
838 16170002 Musical alexia (finding)
838 18358003 Prosopagnosia (finding)
838 20301004 Dysphasia (finding)
838 20930002 Anosognosia (finding)
838 3.88E+08 Syntactical aphasia (finding)
838 23011003 Global aphasia (finding)
838 23168003 Speech dysfunction (finding)
838 23869008 Literal paraphasia (finding)
838 24057006 Combined aphasia (finding)
838 24067001 Central paraphasia (finding)
838 24500009 Autotopagnosia (finding)
838 25094008 Tactile agnosia (finding)
838 2.81E+08 Somatosensory agnosia (finding)
838 27206009 Agraphia (finding)
838 27362007 Dyslogia (finding)
838 30385002 Graphomotor aphasia (finding)
838 32422007 Hemi-neglect (finding)
838 3.33E+08 Slurring (finding)
838 34977006 Intellectual aphasia (finding)
838 35204001 Paragrammatism (finding)
838 36344001 Ageusic aphasia (finding)
838 37001003 Bradylalia (finding)
838 37732008 Cluttering (finding)
838 40852003 Agrammatism (finding)
838 1.06E+08 Aphasia, agnosia, dyslexia AND/OR apraxia (finding)
838 43659006 Auditory agnosia (finding)
838 43661002 Motor alexia (finding)
838 46855008 Complete aphasia (finding)
838 47999008 Ideational agnosia (finding)
838 48257004 Anarthria (finding)
838 50042007 Lichtheim's aphasia (finding)
838 53096005 Paraphasia (finding)
838 3.29E+08 Motor aphasia (finding)
838 2.3E+08 Broca's dysphasia (finding)
838 2.3E+08 Expressive dysphasia (finding)
838 57948007 Agnosia for taste (finding)
838 58172004 Kussmaul's aphasia (finding)
838 59770006 Dyslexia (finding)
838 63157004 Parieto-occipital aphasia (finding)
838 63437008 Anosodiaphoria (finding)
838 66022007 Vocal motor amusia (finding)
838 68161007 Non-fluent aphasia (finding)
838 68900007 Posttraumatic aphasia (finding)
838 3.3E+08 Receptive aphasia (finding)
838 69206000 Fluent aphasia (finding)
838 69757000 Pathematic aphasia (finding)
838 74006009 Instrumental amusia (finding)
838 75612006 Commissural aphasia (finding)
838 77420001 Scanning speech (finding)
838 80577009 Cortical alexia (finding)
838 80965009 Semantic aphasia (finding)
838 84942005 Paragraphia (finding)
838 85799002 Amnemonic aphasia (finding)
838 86819001 Time agnosia (finding)
838 88130009 Grashey's aphasia (finding)
838 89410007 Conduction aphasia (finding)
838 89498001 Temporal lobe aphasia (finding)
838 91646005 Gibberish aphasia (finding)
838 1.31E+08 Transcortical aphasia (finding)
838 2.76E+08 On examination - aphasia (finding)
838 1.64E+08 On examination - motor aphasia (finding)
838 1.64E+08 On examination - sensory aphasia (finding)
838 1.64E+08 On examination - dysphasia - motor (finding)
838 1.64E+08 On examination - dysphasia - sensory (finding)
838 1.64E+08 On examination - dysarthria (finding)
838 1.64E+08 On examination - agnosia (finding)
838 1.64E+08 On examination - agraphia (finding)
838 1.64E+08 On examination - dyslexia (finding)
838 1.92E+08 Developmental dyslexia (disorder)
838 2.3E+08 Efferent motor dysphasia (finding)
838 2.3E+08 Deep dyslexia (finding)
838 2.3E+08 Phonological dyslexia (finding)
838 2.3E+08 Surface dyslexia (finding)
838 2.3E+08 Spastic dysarthria (finding)
838 2.3E+08 Flaccid dysarthria (finding)
838 2.3E+08 Mixed dysarthria (finding)
838 2.3E+08 Cerebellar dysarthria (finding)
838 2.3E+08 Extrapyramidal dysarthria (finding)
838 2.3E+08 Pyramidal dysarthria (finding)
838 2.3E+08 Dysarthriapneumophonia (finding)
838 2.3E+08 Dysarthria of velopharynx (finding)
838 2.3E+08 Developmental dysphasia (finding)
838 2.3E+08 Congenital auditory agnosia (finding)
838 2.31E+08 Congenital dysarthria (disorder)
838 2.86E+08 Simultagnosia (finding)
838 2.86E+08 Visual agnosia for objects (finding)
838 2.86E+08 Visuospatial agnosia (finding)
838 2.86E+08 Position agnosia (finding)
838 2.86E+08 Agnosia for pain (finding)
838 2.86E+08 Agnosia for temperature (finding)
838 4.28E+08 Lingual dysarthria (finding)
838 4.42E+08 Aphasia as late effect of cerebrovascular disease (disorder)
838 4.43E+08 Aphasia as late effect of cerebrovascular accident (disorder)
Arthritis

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/ArthropathyFindings.xls)

Refset Name: Arthropathy finding refset
  refset_ID   SCTID FSN
833 220000 Unspecified monoarthritis (disorder)
833 2.75E+08 Arthropathy secondary to hemoglobinopathy (disorder)
833   1.65E+08 On examination - locked knee (disorder)
833 3723001 Arthritis (disorder)
833 1.26E+08 Closed traumatic dislocation of interphalangeal joint of finger (disorder)
833 3.01E+08 Fracture of greater trochanter (disorder)
833 4.19E+08 On examination - joint contracture (disorder)
833 3.61E+08 Sarcoid arthritis (disorder)
833 4.26E+08 Cervical disc disorder (disorder)
833 496002 Closed traumatic dislocation of third cervical vertebra (disorder)
833 1.12E+08 Closed traumatic dislocation of cervical vertebra (disorder)
833 69234007 Fistula of joint (disorder)
833 2.76E+08 Osteochondritis of metacarpal (disorder)
833 1.88E+08 Malignant neoplasm of costovertebral joint (disorder)
833 701003 Adult osteochondritis of spine (disorder)
833 70736000 Osteochondritis (disorder)
833 3.99E+08 Arthropathy (disorder)
833 3.99E+08 Joint derangement (disorder)
833 4.29E+08 Articular cartilage disorder of wrist (disorder)
833 2.77E+08 Parvo virus arthritis (disorder)
833 1033009 Thoracic arthritis (disorder)
833 2.77E+08 Rubella arthralgia (disorder)
833 3.71E+08 Arthritis of spine (disorder)
833 2.09E+08 Midcarpal joint sprain (disorder)
833 69427008 Open fracture of head of radius (disorder)
833 2.78E+08 Schprintzen (disorder)
833 69521007 Chronic crepitant synovitis of wrist (disorder)
833 2.81E+08 Arthritis secondary to hematological malignancy (disorder)
833 1.89E+08 Benign neoplasm of costal cartilage (disorder)
833 2.81E+08 Arthritis due to bleeding disorder (disorder)
833 69593000 Open dislocation of fourth cervical vertebra (disorder)
833 2.81E+08 Leaking synovial cyst of knee (disorder)
833 3.15E+08 Type I diabetes mellitus with arthropathy (disorder)
833 2.81E+08 Traumatic synovitis (disorder)
833 2.81E+08 Gouty tophus of prepatellar bursa (disorder)
833 1378000 Supination-eversion injury of ankle (disorder)
833 3.15E+08 Type I diabetes mellitus with neuropathic arthropathy (disorder)
833 2.81E+08 Primary synovial ostechondromatosis (disorder)
833 2.81E+08 Secondary synovial osteochondromatosis (disorder)
833 2.81E+08 Spontaneous joint effusion (disorder)
833 2.81E+08 Spontaneous hemarthrosis (disorder)
833 2.81E+08 Inflammatory discitis (disorder)
833 2.81E+08 Loosening of shoulder joint prosthesis (disorder)
833 2.81E+08 Loosening of shoulder hemiarthroplasty (disorder)
833 2.81E+08 Loosening of glenoid component of total shoulder replacement (disorder)
833 2.81E+08 Loosening of total shoulder replacement (disorder)
833 2.81E+08 Loosening of humeral component of total shoulder replacement (disorder)
833 44465007 Sprain of ankle (disorder)
833 2.09E+08 Open traumatic dislocation of radiocarpal joint (disorder)
833 69976008 Open dislocation of metatarsal joint (disorder)
833 2.67E+08 Liposynovitis prepatellaris (disorder)
833 2.4E+08 Monosodium urate arthritis and periarthritis (disorder)
833 1.91E+08 Gouty tophi of hand (disorder)
833 1.94E+08 Malleus ankylosis (disorder)
833 1544005 Open dislocation of knee (disorder)
833 3.73E+08 Open traumatic dislocation of joint (disorder)
833 58320001 Traumatic dislocation of knee joint (disorder)
833 1.11E+08 Arthropathy associated with a mycosis (disorder)
833 1679003 Arthritis associated with another disorder (disorder)
833 35524003 Arthropathy associated with another disorder (disorder)
833 70123009 Congenital cubitus valgus (disorder)
833 2.81E+08 Loosening of hip joint hemiarthroplasty (disorder)
833 2.81E+08 Loosening of total hip replacement (disorder)
833 1705000 Closed fracture of base of neck of femur (disorder)
833 2.81E+08 Loosening of acetabular cup of total hip replacement (disorder)
833 2.81E+08 Loosening of femoral stem of total hip replacement (disorder)
833 70218004 Displacement of intervertebral disc without myelopathy (disorder)
833 2.81E+08 Loosening of knee joint prosthesis (disorder)
833 2.81E+08 Loosening of unicondylar knee replacement (disorder)
833 2.81E+08 Loosening of total knee replacement (disorder)
833 70381003 Open dislocation of distal end of ulna (disorder)
833 2.81E+08 Loosening of femoral component of total knee replacement (disorder)
833 2.81E+08 Loosening of tibial component of total knee replacement (disorder)
833 2.63E+08 Basicervical fracture of neck of femur (disorder)
833 2.75E+08 Closed fracture of lesser trochanter of femur (disorder)
833 3.6E+08 Closed fracture of neck of femur (disorder)
833 2.32E+08 Ossicular ankylosis (disorder)
833 1.94E+08 Ossicle ankylosis (excluding malleus) (disorder)
833 1708003 Open dislocation of clavicle (disorder)
833 1.26E+08 Traumatic dislocation of clavicle (disorder)
833 2.81E+08 Subchondral hematoma (disorder)
833 2.81E+08 Acquired fixed flexion deformity of the shoulder (disorder)
833 1.99E+08 Subluxation of symphysis pubis in pregnancy, childbirth and the puerperium (disorder)
833 2.81E+08 Acquired fixed flexion deformity of the wrist (disorder)
833 2.02E+08 Localized, primary osteoarthritis of the upper arm (disorder)
833 2.81E+08 Acquired fixed flexion deformity of joint of lower limb (disorder)
833 2.63E+08 Subluxation of symphysis pubis (disorder)
833 2.81E+08 Acquired fixed flexion deformity of the hip (disorder)
833 2.81E+08 Acquired fixed flexion deformity of the knee (disorder)
833 2.37E+08 Obstetric pelvic ligament damage (disorder)
833 70690000 Congenital discoid meniscus (disorder)
833 2.37E+08 Obstetric pelvic joint damage (disorder)
833 2.4E+08 Discoid meniscus of knee (disorder)
833 70704007 Sprain of wrist (disorder)
833 2.67E+08 Obstetric trauma damaging pelvic joints and ligaments (disorder)
833 2E+08 Obstetric damage to pelvic joints and ligaments - delivered (disorder)
833 2E+08 Obstetric damage to pelvic joints and ligaments with postnatal problem (disorder)
833 2.09E+08 Sprain of wrist and/or hand (disorder)
833 2.82E+08 Luxatio erecta (disorder)
833 1961000 Chronic polyarticular juvenile rheumatoid arthritis (disorder)
833 2.4E+08 Contracture of knee joint (disorder)
833 4.11E+08 Juvenile rheumatoid arthritis (disorder)
833 2.08E+08 Closed fracture distal humerus, lateral condyle (disorder)
833 4.17E+08 Inflammatory polyarthropathy (disorder)
833 2.68E+08 Joint effusion of the upper arm (disorder)
833 2202000 Open posterior dislocation of distal end of femur (disorder)
833 2.01E+08 Psoriatic arthritis with spine involvement (disorder)
833 2.09E+08 Open traumatic dislocation knee joint, posterior (disorder)
833 2.4E+08 Psoriatic arthritis with distal interphalangeal joint involvement (disorder)
833 2.4E+08 Adult onset Still's disease (disorder)
833 71299003 Salmonella arthritis (disorder)
833 2.68E+08 Pyogenic arthritis of the pelvic region and thigh (disorder)
833 2.01E+08 Staphylococcal arthritis and polyarthritis (disorder)
833 2.01E+08 Pneumococcal arthritis and polyarthritis (disorder)
833 2.82E+08 Transscaphoid-capitate-perilunate fracture dislocation (disorder)
833 2.68E+08 Post-genitourinary infection reactive arthritis (disorder)
833 2.82E+08 Transscaphoid-capitate-hamate-triquetral-perilunate fracture dislocation (disorder)
833 67321002 Acquired deformity of hip (disorder)
833 2.82E+08 Transstyloid-perilunate fracture dislocation (disorder)
833 2304001 Discitis (disorder)
833 2.82E+08 Transstyloid-scaphoid-perilunate fracture dislocation (disorder)
833 36427004 Intervertebral disc disorder (disorder)
833 2.82E+08 Volar transscaphoid-lunate fracture dislocation (disorder)
833 2602008 Hemarthrosis of shoulder region (disorder)
833 4.44E+08 Disorder of joint of shoulder region (disorder)
833 81808003 Hemarthrosis (disorder)
833 2.01E+08 Sexually acquired reactive arthropathy of the shoulder region (disorder)
833 2651006 Closed traumatic dislocation of elbow joint (disorder)
833 4.44E+08 Inflammation of joint of shoulder region (disorder)
833 1.26E+08 Traumatic dislocation of elbow joint (disorder)
833 2.01E+08 Sexually acquired reactive arthropathy of the upper arm (disorder)
833 2.01E+08 Sexually acquired reactive arthropathy of the forearm (disorder)
833 2749000 Congenital deformity of hip joint (disorder)
833 95463009 Congenital anomaly of joint (disorder)
833 2.01E+08 Sexually acquired reactive arthropathy of the hand (disorder)
833 4.28E+08 Disorder of hip joint (disorder)
833 4.23E+08 Post-infective arthritis of joint of hand (disorder)
833 2.01E+08 Sexually acquired reactive arthropathy of the pelvic region and thigh (disorder)
833 2.82E+08 Traumatic effusion of the elbow joint (disorder)
833 71313000 Open subtrochanteric fracture (disorder)
833 2.82E+08 Traumatic effusion of the knee joint (disorder)
833 2.82E+08 Traumatic hemarthrosis of the elbow joint (disorder)
833 2775001 Loose body in joint (disorder)
833 2.4E+08 Mechanical joint disorder (disorder)
833 2782002 Temporomandibular dysplasia (disorder)
833 2.82E+08 Traumatic hemarthrosis of the knee joint (disorder)
833 41888000 Temporomandibular joint disorder (disorder)
833 71830006 Supination-adduction injury of ankle, stage 2 (disorder)
833 2.01E+08 Sexually acquired reactive arthropathy of the lower leg (disorder)
833 2.01E+08 Sexually acquired reactive arthropathy of the ankle and/or foot (disorder)
833 2.02E+08 Joint ankylosis of the shoulder region (disorder)
833 2.82E+08 Fracture of the medial humeral epicondyle (disorder)
833 72275000 Relapsing polychondritis (disorder)
833 4.1E+08 Ankylosis of glenohumeral joint (disorder)
833 2.01E+08 Sexually acquired reactive arthropathy of multiple sites (disorder)
833 2.01E+08 Arthropathy in Behcet's syndrome of the shoulder region (disorder)
833 2.01E+08 Arthropathy in Behcet's syndrome of the upper arm (disorder)
833 2.01E+08 Arthropathy in Behcet's syndrome of the forearm (disorder)
833 2.82E+08 Fracture dislocation of thoracolumbar junction (disorder)
833 2.02E+08 Old posterior cruciate ligament disruption (disorder)
833 72629001 Juvenile osteochondrosis of symphysis pubis (disorder)
833 2.82E+08 Fracture dislocation of cervicothoracic junction (disorder)
833 3019000 Closed anterior dislocation of elbow (disorder)
833 4.18E+08 Dislocation of elbow joint (disorder)
833 72634002 Sprain of ligament of tarsometatarsal joint (disorder)
833 3199001 Sprain of shoulder (disorder)
833 4.31E+08 Disorder of glenohumeral joint (disorder)
833 1.24E+08 Sprain of upper extremity (disorder)
833 2.01E+08 Arthropathy in Behcet's syndrome of the hand (disorder)
833 2.01E+08 Arthropathy in Behcet's syndrome of the pelvic region and thigh (disorder)
833 2.01E+08 Arthropathy in Behcet's syndrome of the lower leg (disorder)
833 2.82E+08 Fracture dislocation of lumbosacral junction (disorder)
833 2.01E+08 Arthropathy in Behcet's syndrome of the ankle and/or foot (disorder)
833 2.01E+08 Arthropathy in Behcet's syndrome of multiple sites (disorder)
833 2.01E+08 Post-dysenteric reactive arthropathy of the shoulder region (disorder)
833 2.01E+08 Post-dysenteric reactive arthropathy of the upper arm (disorder)
833 72894001 Hypertrophy of fat pad of knee (disorder)
833 2.01E+08 Post-dysenteric reactive arthropathy of the forearm (disorder)
833 2.02E+08 Post-dysenteric reactive arthropathy of the hand (disorder)
833 2.02E+08 Post-dysenteric reactive arthropathy of the pelvic region and thigh (disorder)
833 2.02E+08 Post-dysenteric reactive arthropathy of the lower leg (disorder)
833 2.02E+08 Post-dysenteric reactive arthropathy of the ankle and/or foot (disorder)
833 2.02E+08 Post-dysenteric reactive arthropathy of multiple sites (disorder)
833 2.98E+08 Temporomandibular joint effusion (disorder)
833 3217005 Open dislocation of sixth cervical vertebra (disorder)
833 2.02E+08 Seronegative arthritis secondary to Whipple's disease (disorder)
833 2.02E+08 Arthropathy associated with mycoses, of the shoulder region (disorder)
833 2.02E+08 Arthropathy associated with mycoses, of the upper arm (disorder)
833 2.98E+08 Thumb joint effusion (disorder)
833 2.02E+08 Arthropathy associated with mycoses, of the forearm (disorder)
833 2.98E+08 Spinal effusion (disorder)
833 2.02E+08 Arthropathy associated with mycoses, of the hand (disorder)
833 2.98E+08 Cervical facet joint effusion (disorder)
833 2.02E+08 Arthropathy associated with mycoses, of the pelvic region and thigh (disorder)
833 2.02E+08 Arthropathy associated with mycoses, of the lower leg (disorder)
833 2.98E+08 Thoracic facet joint effusion (disorder)
833 2.02E+08 Arthropathy associated with mycoses, of the ankle and/or foot (disorder)
833 2.02E+08 Arthropathy associated with mycoses, of multiple sites (disorder)
833 2.09E+08 Open dislocation of cervical spine (disorder)
833 3472009 Spondylolisthesis, grade 4 (disorder)
833 72898003 Elastotic nodules of antihelix (disorder)
833 73105000 Pes anserinus bursitis (disorder)
833 2.09E+08 Open traumatic dislocation midcarpal joint (disorder)
833 2.4E+08 Arthritis due to parasitic infection (disorder)
833 2.02E+08 Arthropathy of the shoulder region associated with helminthiasis (disorder)
833 2.02E+08 Arthropathy of the upper arm associated with helminthiasis (disorder)
833 4.29E+08 Arthropathy of spinal facet joint (disorder)
833 2.98E+08 Lumbar facet joint effusion (disorder)
833 2.02E+08 Arthropathy of the forearm associated with helminthiasis (disorder)
833 2.02E+08 Arthropathy of the hand associated with helminthiasis (disorder)
833 3.01E+08 Subluxation of metatarsal (disorder)
833 2.02E+08 Arthropathy of the pelvic region and thigh associated with helminthiasis (disorder)
833 2.02E+08 Arthropathy of the lower leg associated with helminthiasis (disorder)
833 2.02E+08 Arthropathy of the ankle and/or foot associated with helminthiasis (disorder)
833 1.11E+08 Derangement of medial meniscus (disorder)
833 2.02E+08 Arthropathy of multiple sites associated with helminthiasis (disorder)
833 4046000 Degenerative spondylolisthesis (disorder)
833 2.04E+08 Acquired spondylolisthesis (disorder)
833 2.02E+08 Reactive arthropathy of shoulder (disorder)
833 73180008 Sprain of ligament of cricoarytenoid joint (disorder)
833 2.02E+08 Reactive arthropathy of sternoclavicular joint (disorder)
833 2.02E+08 Reactive arthropathy of acromioclavicular joint (disorder)
833 3.02E+08 Central fracture dislocation acetabulum (disorder)
833 4.29E+08 Arthritis of acromioclavicular joint (disorder)
833 73387003 Closed traumatic dislocation of proximal end of metacarpal bone of wrist (disorder)
833 2.02E+08 Reactive arthropathy of elbow (disorder)
833 1.11E+08 Arthropathy associated with helminthiasis (disorder)
833 4.4E+08 Arthritis of elbow (disorder)
833 4106009 Rotator cuff syndrome (disorder)
833 4.29E+08 Recurrent dislocation of hip (disorder)
833 4168008 Tibial plateau chondromalacia (disorder)
833 63198006 Chondromalacia (disorder)
833 2.4E+08 Disorder of bone and articular cartilage (disorder)
833 4.29E+08 Arthropathy of knee joint (disorder)
833 2.02E+08 Reactive arthropathy of distal radioulnar joint (disorder)
833 3.03E+08 Synovial sarcoma (disorder)
833 2.02E+08 Reactive arthropathy of wrist (disorder)
833 2.68E+08 Pyogenic arthritis of the upper arm (disorder)
833 3.03E+08 Fixed flexion deformity finger (disorder)
833 4191007 Scaphycephaly (disorder)
833 2.02E+08 Reactive arthropathy of metacarpophalangeal joint (disorder)
833 2.02E+08 Reactive arthropathy of proximal interphalangeal joint of finger (disorder)
833 2.02E+08 Reactive arthropathy of distal interphalangeal joint of finger (disorder)
833 2.02E+08 Reactive arthropathy of hip (disorder)
833 73877009 Chronic tophaceous gout (disorder)
833 2.02E+08 Reactive arthropathy of sacroiliac joint (disorder)
833 2.02E+08 Reactive arthropathy of knee (disorder)
833 3.03E+08 Congenital extension contracture of the knee (disorder)
833 3.07E+08 Spondylolisthesis L5/S1 level (disorder)
833 3.07E+08 Tear of talofibular ligament (disorder)
833 3.07E+08 Fracture of metacarpophalangeal joint (disorder)
833 3.07E+08 Cricoarytenoid joint fixation (disorder)
833 3.08E+08 Cricoarytenoid joint arthritis (disorder)
833 3.09E+08 Charcot's joint of foot (disorder)
833 4.3E+08 Arthropathy of the ankle AND/OR foot associated with a neurological disorder (disorder)
833 3.13E+08 Degeneration of lateral meniscus (disorder)
833 3.14E+08 Dislocation of cervical facet joint (disorder)
833 3.14E+08 Dislocation of thoracic facet joint (disorder)
833 3.14E+08 Dislocation of lumbar facet joint (disorder)
833 3.14E+08 Dislocation of hip joint prosthesis (disorder)
833 74177004 Multiple open dislocations of vertebral column (disorder)
833 2.02E+08 Reactive arthropathy of tibiofibular joint (disorder)
833 2.75E+08 Bucket handle tear of lateral meniscus of knee (disorder)
833 2.38E+08 Congenital anomaly of bone and joint (disorder)
833 74383007 Sprain of distal tibiofibular ligament (disorder)
833 2.02E+08 Reactive arthropathy of ankle (disorder)
833 3.16E+08 Dupuytren's fracture dislocation ankle (disorder)
833 2.02E+08 Old medial collateral ligament disruption (disorder)
833 2.02E+08 Reactive arthropathy of subtalar joint (disorder)
833 4.24E+08 Post-infective arthritis of joint of foot (disorder)
833 4.28E+08 Arthritis of midtarsal joint (disorder)
833 2.02E+08 Reactive arthropathy of talonavicular joint (disorder)
833 2.02E+08 Localized, secondary osteoarthritis of the upper arm (disorder)
833 4248008 Synovitis AND/OR tenosynovitis associated with another disease (disorder)
833 4.16E+08 Synovitis (disorder)
833 2.02E+08 Reactive arthropathy of 1st metatarsophalangeal joint (disorder)
833 4.28E+08 Arthritis of joint of toe (disorder)
833 2.02E+08 Reactive arthropathy of lesser metatarsophalangeal joint (disorder)
833 2.02E+08 Reactive arthropathy of interphalangeal joint of toe (disorder)
833 4273008 Closed posterior dislocation of elbow (disorder)
833 74391003 Pauciarticular juvenile rheumatoid arthritis (disorder)
833 2.4E+08 Juvenile chronic arthritis (disorder)
833 2.02E+08 Chondrocalcinosis due to dicalcium phosphate crystals (disorder)
833 2.4E+08 Calcium pyrophosphate deposition disease (disorder)
833 2.02E+08 Chondrocalcinosis due to dicalcium phosphate crystals, of the shoulder region (disorder)
833 2.02E+08 Chondrocalcinosis due to dicalcium phosphate crystals, of the upper arm (disorder)
833 2.02E+08 Chondrocalcinosis due to dicalcium phosphate crystals, of the forearm (disorder)
833 2.02E+08 Chondrocalcinosis due to dicalcium phosphate crystals, of the hand (disorder)
833 4354006 Open dislocation of scapula (disorder)
833 4.1E+08 Open dislocation of shoulder region (disorder)
833 2.63E+08 Dislocation of joint of upper limb (disorder)
833 3.7E+08 Diskospondylitis (disorder)
833 2.02E+08 Pathological dislocation of multiple joints (disorder)
833 74779009 Strain of rotator cuff capsule (disorder)
833 2.02E+08 Chondrocalcinosis due to dicalcium phosphate crystals, of the pelvic region and thigh (disorder)
833 3.7E+08 Congenital arthrogryposis due to teratogen (disorder)
833 2.02E+08 Chondrocalcinosis due to dicalcium phosphate crystals, of the lower leg (disorder)
833 1.87E+08 Juxta-articular yaws nodules (disorder)
833 3.71E+08 Ununited anconeal process (disorder)
833 2.02E+08 Chondrocalcinosis due to dicalcium phosphate crystals, of the ankle and foot (disorder)
833 3.71E+08 Fragmented coronoid process (disorder)
833 2.02E+08 Chondrocalcinosis due to dicalcium phosphate crystals, of multiple sites (disorder)
833 3.71E+08 Medial coronoid process disease (disorder)
833 2.02E+08 Chondrocalcinosis due to pyrophosphate crystals (disorder)
833 2.02E+08 Chondrocalcinosis due to pyrophosphate crystals, of the shoulder region (disorder)
833 2.02E+08 Chondrocalcinosis due to pyrophosphate crystals, of the upper arm (disorder)
833 3.72E+08 Canine trochlear notch incongruity (disorder)
833 2.02E+08 Chondrocalcinosis due to pyrophosphate crystals, of the forearm (disorder)
833 2.02E+08 Chondrocalcinosis-pyrophosphate crystals, of the hand (disorder)
833 3.72E+08 Fungal arthritis (disorder)
833 4.43E+08 Chondrocalcinosis of joint of hand (disorder)
833 3.72E+08 Suppurative arthritis due to fungus (disorder)
833 4673003 Open fracture of lateral malleolus (disorder)
833 2.02E+08 Chondrocalcinosis due to pyrophosphate crystals, of the pelvic region and thigh (disorder)
833 74820003 Congenital coxa vara (disorder)
833 2.68E+08 Chondrocalcinosis due to pyrophosphate crystals, of the lower leg (disorder)
833 2.4E+08 Chondrocalcinosis due to pyrophosphate crystals of the knee (disorder)
833 3.73E+08 Suppurative arthritis due to bacteria (disorder)
833 2.02E+08 Chondrocalcinosis due to pyrophosphate crystals, of the ankle and foot (disorder)
833 4.43E+08 Chondrocalcinosis of joint of ankle AND/OR foot (disorder)
833 2.02E+08 Chondrocalcinosis due to pyrophosphate crystals, of multiple sites (disorder)
833 2.02E+08 Gouty arthritis of the shoulder region (disorder)
833 2.02E+08 Gouty arthritis of the upper arm (disorder)
833 2.02E+08 Gouty arthritis of the forearm (disorder)
833 2.82E+08 Fracture of lateral malleolus (disorder)
833 3.91E+08 Non-traumatic subluxation of acromioclavicular joint (disorder)
833 2.02E+08 Gouty arthritis of the hand (disorder)
833 4750004 Open fracture of medial condyle of humerus (disorder)
833 2.02E+08 Gouty arthritis of the pelvic region and thigh (disorder)
833 2.02E+08 Gouty arthritis of the lower leg (disorder)
833 74885006 Interphalangeal osteoarthritis (disorder)
833 2.02E+08 Gouty arthritis of the ankle and/or foot (disorder)
833 2.02E+08 Gouty arthritis of multiple sites (disorder)
833 2.4E+08 Familial chondrocalcinosis (disorder)
833 3.95E+08 Exacerbation of osteoarthritis (disorder)
833 75035008 Progressive feline polyarthritis (disorder)
833 75467001 Intervertebral disc disorder of cervical region with myelopathy (disorder)
833 2.4E+08 Apatite-associated destructive arthritis (disorder)
833 75468006 Crystal arthropathy of ankle AND/OR foot (disorder)
833 2.02E+08 Diabetic hand syndrome (disorder)
833 2.09E+08 Closed traumatic dislocation acromioclavicular joint (disorder)
833 2.02E+08 Diabetic neuropathic arthropathy (disorder)
833 2.38E+08 Arthritis secondary to amyloidosis (disorder)
833 2.02E+08 Arthropathy in ulcerative colitis (disorder)
833 2.02E+08 Arthropathy in Crohn's disease (disorder)
833 2.4E+08 Arthritis following intestinal bypass (disorder)
833 2.02E+08 Arthropathy associated with hematological disorder (disorder)
833 3.99E+08 Rheumatoid pneumoconiosis (disorder)
833 2.02E+08 Arthropathy associated with dermatological disorder (disorder)
833 2.02E+08 Arthropathy associated with respiratory disorder (disorder)
833 2.4E+08 Post-immunization arthritis (disorder)
833 4E+08 Fibroblastic rheumatism (disorder)
833 2.4E+08 Postmeningococcal arthritis (disorder)
833 2.02E+08 Post-infective arthropathy in syphilis (disorder)
833 6954003 Open fracture of condyle of humerus (disorder)
833 4.02E+08 Nailfold/finger-pulp infarcts in rheumatoid disease (disorder)
833 3.09E+08 Elbow fracture (disorder)
833 4819006 Effusion of joint of ankle AND/OR foot (disorder)
833 3.88E+08 Effusion of joint (disorder)
833 4.42E+08 Disorder of joint of ankle and/or foot (disorder)
833 2.02E+08 Rheumatoid arthritis of cervical spine (disorder)
833 75580000 Open dislocation of distal end of tibia (disorder)
833 2.02E+08 Rheumatoid arthritis of sternoclavicular joint (disorder)
833 2.75E+08 Dislocation of tibia, distal end (disorder)
833 2.02E+08 Rheumatoid arthritis of acromioclavicular joint (disorder)
833 2.02E+08 Rheumatoid arthritis of distal radioulnar joint (disorder)
833 4.04E+08 Digital mucous cyst (disorder)
833 3.67E+08 Tuberculosis of joint (disorder)
833 4.06E+08 Injury to ligament of cervical spine (disorder)
833 5137004 Recurrent dislocation of joint (disorder)
833 38850007 Chronic arthropathy (disorder)
833 1.08E+08 Dislocation of joint (disorder)
833 2.1E+08 Sprain, symphysis pubis (disorder)
833 5313005 Derangement of posterior horn of medial meniscus (disorder)
833 2.02E+08 Rheumatoid arthritis of metacarpophalangeal joint (disorder)
833 5385006 Carpitis (disorder)
833 2.02E+08 Rheumatoid arthritis of proximal interphalangeal joint of finger (disorder)
833 4.1E+08 Pathological fracture of neck of femur (disorder)
833 2.02E+08 Rheumatoid arthritis of distal interphalangeal joint of finger (disorder)
833 2.02E+08 Rheumatoid arthritis of sacroiliac joint (disorder)
833 75630004 Derangement of temporomandibular joint (disorder)
833 2.09E+08 Closed traumatic subluxation, interphalangeal joint of thumb (disorder)
833 4.1E+08 Ankylosis of elbow joint (disorder)
833 2.02E+08 Rheumatoid arthritis of tibiofibular joint (disorder)
833 2.02E+08 Rheumatoid arthritis of ankle (disorder)
833 2.02E+08 Rheumatoid arthritis of subtalar joint (disorder)
833 2.02E+08 Rheumatoid arthritis of talonavicular joint (disorder)
833 2.02E+08 Rheumatoid arthritis of first metatarsophalangeal joint (disorder)
833 75822003 Acute polyarticular juvenile rheumatoid arthritis (disorder)
833 4.1E+08 Closed dislocation of interphalangeal joint of thumb (disorder)
833 4.1E+08 Iritis in psoriatic arthritis (disorder)
833 4.29E+08 Rheumatoid arthritis of foot (disorder)
833 2.02E+08 Rheumatoid arthritis of lesser metatarsophalangeal joint (disorder)
833 2.08E+08 Closed fracture scapula, coracoid (disorder)
833 2.02E+08 Rheumatoid arthritis of interphalangeal joint of toe (disorder)
833 2.4E+08 Seronegative rheumatoid arthritis (disorder)
833 2.02E+08 Flare of rheumatoid arthritis (disorder)
833 4.11E+08 Still's disease with juvenile onset and/or adult onset (disorder)
833 4.11E+08 Juvenile idiopathic arthritis (disorder)
833 4.11E+08 Chronic arthritis of juvenile onset (disorder)
833 2.4E+08 Juvenile psoriatic arthritis with psoriasis (disorder)
833 75824002 Closed lateral dislocation of elbow (disorder)
833 76427005 Hemarthrosis of multiple sites (disorder)
833 2.68E+08 Pathological dislocation of the ankle and/or foot (disorder)
833 5913000 Fracture of neck of femur (disorder)
833 2.63E+08 Fracture of proximal end of femur (disorder)
833 5949004 Open dislocation of tarsal joint (disorder)
833 2.09E+08 Open traumatic dislocation of foot (disorder)
833 5965003 Supination-eversion injury of ankle, stage 3 (disorder)
833 4.11E+08 Juvenile idiopathic arthritis, oligoarthritis (disorder)
833 4.11E+08 Juvenile idiopathic arthritis, persistent oligoarthritis (disorder)
833 4.11E+08 Juvenile idiopathic arthritis, extended oligoarthritis (disorder)
833 4.11E+08 Juvenile idiopathic arthritis, enthesitis related arthritis (disorder)
833 2.02E+08 Juvenile arthritis in Crohn's disease (disorder)
833 4.11E+08 Juvenile idiopathic arthritis, undifferentiated arthritis (disorder)
833 2.4E+08 Juvenile arthritis of inflammatory bowel disease (disorder)
833 2.02E+08 Juvenile arthritis in ulcerative colitis (disorder)
833 3.08E+08 Seropositive errosive rheumatoid arthritis (disorder)
833 2.68E+08 Generalized osteoarthritis of the hand (disorder)
833 2.02E+08 Secondary multiple arthrosis (disorder)
833 2.02E+08 Heberden's nodes with arthropathy (disorder)
833 4.16E+08 Closed traumatic subluxation, distal interphalangeal joint of finger (disorder)
833 2.02E+08 Localized, primary osteoarthritis of the pelvic region and thigh (disorder)
833 2.02E+08 Primary coxarthrosis, bilateral (disorder)
833 76597001 Open Bennett's fracture (disorder)
833 2.02E+08 Coxarthrosis resulting from dysplasia, bilateral (disorder)
833 4.16E+08 Closed fracture dislocation, distal interphalangeal joint of finger (disorder)
833 2.05E+08 Bilateral dysplastic hip (disorder)
833 4.17E+08 Closed fracture dislocation of digit of hand (disorder)
833 2.02E+08 Primary arthrosis of first carpometacarpal joints, bilateral (disorder)
833 4.16E+08 Closed traumatic dislocation, distal interphalangeal joint of finger (disorder)
833 3.13E+08 Localized, primary osteoarthritis of the wrist (disorder)
833 4.17E+08 Closed traumatic subluxation of multiple digits of hand (disorder)
833 4.17E+08 Open traumatic dislocation of multiple fingers (disorder)
833 4.17E+08 Closed traumatic subluxation, proximal interphalangeal joint of digit of hand (disorder)
833 4.17E+08 Undifferentiated inflammatory polyarthritis (disorder)
833 4.17E+08 Closed fracture dislocation, proximal interphalangeal joint of digit of hand (disorder)
833 4.18E+08 Open fracture-dislocation of multiple digits of hand (disorder)
833 4.18E+08 Closed fracture dislocation of multiple digits of hand (disorder)
833 3.13E+08 Localized, primary osteoarthritis of toe (disorder)
833 3.13E+08 Localized, primary osteoarthritis of elbow (disorder)
833 4.44E+08 Secondary osteoarthritis (disorder)
833 5968001 Congenital fusion of sacroiliac joint (disorder)
833 4.23E+08 Post-infective polyarthritis (disorder)
833 2.02E+08 Post-traumatic coxarthrosis, bilateral (disorder)
833 4.18E+08 Open fracture dislocation of digit of hand (disorder)
833 2.09E+08 Open traumatic subluxation digit (disorder)
833 2.02E+08 Traumatic arthropathy of the pelvic region and thigh (disorder)
833 2.09E+08 Open fracture subluxation, carpometacarpal joint (disorder)
833 3.74E+08 Traumatic arthropathy of lower extremity (disorder)
833 2.02E+08 Post-traumatic gonarthrosis, bilateral (disorder)
833 18132009 Congenital deformity of sacroiliac joint (disorder)
833 76903001 Effusion of joint of forearm (disorder)
833 77016009 Amyoplasia congenita disruptive sequence (disorder)
833 2.02E+08 Post-traumatic arthrosis of first carpometacarpal joints, bilateral (disorder)
833 2.4E+08 Osteoarthritis of finger joint (disorder)
833 6211002 Polyarthritis associated with another disorder (disorder)
833 2.4E+08 Osteoarthritis of toe joint (disorder)
833 51891008 Polyarthropathy associated with another disorder (disorder)
833 2.4E+08 Osteoarthritis of acromioclavicular joint (disorder)
833 3.02E+08 Elbow fracture - closed (disorder)
833 2.4E+08 Osteoarthritis of proximal interphalangeal joint (disorder)
833 2.4E+08 Osteoarthritis of distal interphalangeal joint (disorder)
833 6654000 Acquired hallux rigidus (disorder)
833 2.4E+08 Osteoarthritis of subtalar joint (disorder)
833 2.4E+08 Osteoarthritis of first metatarsalphalangeal joint (disorder)
833 2.02E+08 Kashin-Beck disease of the shoulder region (disorder)
833 77323000 Fibular collateral ligament bursitis (disorder)
833 2.4E+08 Acquired deformity of joint of big toe (disorder)
833 4.24E+08 Nontraumatic rotator cuff tear (disorder)
833 2.02E+08 Kashin-Beck disease of the upper arm (disorder)
833 4.26E+08 Congenital spondylolisthesis of cervical vertebra (disorder)
833 2.02E+08 Kashin-Beck disease of the forearm (disorder)
833 4.28E+08 Arthropathy of cervical spine facet joint (disorder)
833 2.02E+08 Kashin-Beck disease of the hand (disorder)
833 4.26E+08 Closed avulsion fracture of greater trochanter of femur (disorder)
833 2.02E+08 Kashin-Beck disease of the pelvic region and thigh (disorder)
833 2.02E+08 Kashin-Beck disease of the lower leg (disorder)
833 2.02E+08 Kashin-Beck disease of the ankle and/or foot (disorder)
833 4.26E+08 Fistula of elbow joint (disorder)
833 2.02E+08 Kashin-Beck disease of multiple sites (disorder)
833 3.74E+08 Traumatic arthropathy of upper extremity (disorder)
833 77598002 Open fracture of acetabulum (disorder)
833 2.02E+08 Traumatic arthropathy of the upper arm (disorder)
833 2.02E+08 Traumatic arthropathy of the forearm (disorder)
833 4.27E+08 Temporomandibular joint capsulitis (disorder)
833 2.02E+08 Traumatic arthropathy of the lower leg (disorder)
833 3.6E+08 Charcot's arthropathy (disorder)
833 2.02E+08 Traumatic arthropathy of shoulder (disorder)
833 77608001 Baller-Gerold syndrome (disorder)
833 2.02E+08 Traumatic arthropathy of sternoclavicular joint (disorder)
833 2.02E+08 Traumatic arthropathy of acromioclavicular joint (disorder)
833 2.02E+08 Traumatic arthropathy of distal radioulnar joint (disorder)
833 6698000 Closed trimalleolar fracture (disorder)
833 2.02E+08 Traumatic arthropathy of metacarpophalangeal joint (disorder)
833 2.02E+08 Traumatic arthropathy of proximal interphalangeal joint of finger (disorder)
833 2.02E+08 Traumatic arthropathy of distal interphalangeal joint of finger (disorder)
833 25899002 Closed bimalleolar fracture (disorder)
833 2.02E+08 Traumatic arthropathy of sacroiliac joint (disorder)
833 2.68E+08 Joint effusion of the lower leg (disorder)
833 2.02E+08 Traumatic arthropathy of tibiofibular joint (disorder)
833 3.71E+08 Cervical malformation - malarticulation (disorder)
833 2.02E+08 Traumatic arthropathy of ankle (disorder)
833 4.27E+08 Bursitis of finger (disorder)
833 2.02E+08 Traumatic arthropathy of subtalar joint (disorder)
833 4.27E+08 Closed fracture of acetabulum with dislocation of hip (disorder)
833 2.02E+08 Traumatic arthropathy of talonavicular joint (disorder)
833 2.02E+08 Traumatic arthropathy of 1st metatarsophalangeal joint (disorder)
833 77860008 Derangement of posterior horn of lateral meniscus (disorder)
833 15385006 Closed fracture of medial malleolus (disorder)
833 1.24E+08 Trimalleolar fracture (disorder)
833 6858004 Capsulitis (disorder)
833 2.02E+08 Traumatic arthropathy of lesser metatarsophalangeal joint (disorder)
833 2.02E+08 Traumatic arthropathy of interphalangeal joint of toe (disorder)
833 77888002 Climacteric arthritis (disorder)
833 2.02E+08 Allergic arthritis of the shoulder region (disorder)
833 4.28E+08 Closed avulsion fracture of lesser trochanter of femur (disorder)
833 4.28E+08 Rheumatoid arthritis of temporomandibular joint (disorder)
833 2.02E+08 Allergic arthritis of the upper arm (disorder)
833 4.28E+08 Arthropathy of the hand associated with a neurological disorder (disorder)
833 77994009 Primary localized osteoarthrosis of pelvic region (disorder)
833 2.02E+08 Allergic arthritis of the forearm (disorder)
833 4.45E+08 Degenerative joint disease of pelvis (disorder)
833 2.02E+08 Allergic arthritis of the hand (disorder)
833 3.85E+08 Sprain of radiocarpal ligament (disorder)
833 2.02E+08 Allergic arthritis of the pelvic region and thigh (disorder)
833 2.02E+08 Allergic arthritis of the lower leg (disorder)
833 2.02E+08 Allergic arthritis of the ankle and/or foot (disorder)
833 6861003 Pyogenic arthritis of foot (disorder)
833 2.02E+08 Allergic arthritis of multiple sites (disorder)
833 2.68E+08 Pyogenic arthritis of the ankle and/or foot (disorder)
833 2.02E+08 Climacteric arthritis of the shoulder region (disorder)
833 78187008 Cyst of semilunar cartilage (disorder)
833 2.02E+08 Climacteric arthritis of the upper arm (disorder)
833 2.02E+08 Climacteric arthritis of the forearm (disorder)
833 4.28E+08 Arthropathy of the wrist associated with a neurological disorder (disorder)
833 4.28E+08 Monoarthritis of hip joint (disorder)
833 2.02E+08 Climacteric arthritis of the hand (disorder)
833 2.02E+08 Climacteric arthritis of the pelvic region and thigh (disorder)
833 78253007 Pathological dislocation of thigh (disorder)
833 2.02E+08 Climacteric arthritis of the lower leg (disorder)
833 2.68E+08 Pathological dislocation of the pelvic region and thigh (disorder)
833 2.02E+08 Climacteric arthritis of the ankle and/or foot (disorder)
833 78396000 Open dislocation of seventh cervical vertebra (disorder)
833 2.02E+08 Climacteric arthritis of multiple sites (disorder)
833 78435003 Ganglion of joint (disorder)
833 2.02E+08 Transient arthropathy of the shoulder region (disorder)
833 2.02E+08 Transient arthropathy of the upper arm (disorder)
833 2.02E+08 Transient arthropathy of the forearm (disorder)
833 78675000 Stickler syndrome (disorder)
833 2.02E+08 Transient arthropathy of the hand (disorder)
833 2.02E+08 Transient arthropathy of the pelvic region and thigh (disorder)
833 2.02E+08 Transient arthropathy of the lower leg (disorder)
833 2.02E+08 Transient arthropathy of the ankle and/or foot (disorder)
833 78849002 Closed traumatic dislocation of distal end of fibula (disorder)
833 2.02E+08 Transient arthropathy of multiple sites (disorder)
833 2.02E+08 Transient arthropathy of shoulder (disorder)
833 79125007 Open dislocation of first cervical vertebra (disorder)
833 2.02E+08 Transient arthropathy of sternoclavicular joint (disorder)
833 2.02E+08 Transient arthropathy of acromioclavicular joint (disorder)
833 2.02E+08 Transient arthropathy-elbow (disorder)
833 3.73E+08 Suppurative arthritis (disorder)
833 4.28E+08 Disorder of joint of foot (disorder)
833 2.02E+08 Transient arthropathy of distal radioulnar joint (disorder)
833 1.26E+08 Joint injury (disorder)
833 2.02E+08 Transient arthropathy-wrist (disorder)
833 2.03E+08 Inflammatory spondylopathy associated with another disorder (disorder)
833 2.02E+08 Transient arthropathy of metacarpophalangeal joint (disorder)
833 2.02E+08 Transient arthropathy of proximal interphalangeal joint of finger (disorder)
833 7126001 Secondary localized osteoarthrosis of multiple sites (disorder)
833 2.02E+08 Transient arthropathy of distal interphalangeal joint of finger (disorder)
833 2.02E+08 Localized, secondary osteoarthritis (disorder)
833 2.09E+08 Closed fracture of head of femur (disorder)
833 79168008 Congenital genu varum (disorder)
833 4.28E+08 Arthropathy in Behcet's syndrome of the spine (disorder)
833 4.28E+08 Fistula of knee joint (disorder)
833 2.02E+08 Localized, secondary osteoarthritis of the forearm (disorder)
833 4.45E+08 Crystal arthropathy of pelvis (disorder)
833 4.11E+08 Juvenile seronegative polyarthritis (disorder)
833 4.28E+08 Articular cartilage disorder of elbow (disorder)
833 3.02E+08 Irritable hip (disorder)
833 4.28E+08 Arthropathy of multiple joints associated with a neurological disorder (disorder)
833 2.02E+08 Transient arthropathy of sacroiliac joint (disorder)
833 4.28E+08 Malunion of fracture of proximal femur (disorder)
833 2.02E+08 Transient arthropathy-knee (disorder)
833 4.28E+08 Traumatic arthropathy of the spine (disorder)
833 2.02E+08 Transient arthropathy of tibiofibular joint (disorder)
833 2.02E+08 Transient arthropathy-ankle (disorder)
833 4.28E+08 Closed subluxation of radial head (disorder)
833 2.02E+08 Transient arthropathy of subtalar joint (disorder)
833 4.28E+08 Arthropathy in Behcet's syndrome of the ankle (disorder)
833 2.02E+08 Transient arthropathy of talonavicular joint (disorder)
833 4.28E+08 Allergic arthritis of spine (disorder)
833 2.02E+08 Transient arthropathy of first metatarsophalangeal joint (disorder)
833 2.02E+08 Transient arthropathy of lesser metatarsophalangeal joint (disorder)
833 4.28E+08 Arthritis of hand due to viral infection (disorder)
833 2.02E+08 Transient arthropathy of interphalangeal joint of toe (disorder)
833 79214007 Bifid patella (disorder)
833 2.02E+08 Generalized arthritis (disorder)
833 2.02E+08 Arthritis secondary to malignancy (disorder)
833 79362003 Ischiopubic synchondrosis of van Neck (disorder)
833 2.02E+08 Parrot beak tear of posterior horn of medial meniscus (disorder)
833 79484004 Closed transcervical fracture of femur (disorder)
833 2.02E+08 Peripheral detachment of medial meniscus (disorder)
833 79763005 Closed traumatic dislocation of distal end of tibia (disorder)
833 2.02E+08 Radial tear of medial meniscus (disorder)
833 2.02E+08 Horizontal cleavage tear of medial meniscus (disorder)
833 2.02E+08 Multiple tears of medial meniscus (disorder)
833 79969004 Congenital hallux varus (disorder)
833 2.02E+08 Cyst of medial meniscus (disorder)
833 79991006 Rudimentary patella (disorder)
833 3.1E+08 Old tear of medial meniscus (disorder)
833 80090009 Open dislocation of metacarpophalangeal joint of finger (disorder)
833 3.1E+08 Old tear of posterior horn of medial meniscus (disorder)
833 2.02E+08 Old bucket handle tear of lateral meniscus (disorder)
833 2.09E+08 Open traumatic dislocation metacarpophalangeal joint (disorder)
833 4.28E+08 Fistula of joint of hand (disorder)
833 4.28E+08 Fistula of hip joint (disorder)
833 4.15E+08 Post-genitourinary infection Reiter's disease (disorder)
833 4E+08 Rheumatoid vasculitis (disorder)
833 67224007 Reiter's disease (disorder)
833 69896004 Rheumatoid arthritis (disorder)
833 4E+08 Rheumatoid arteritis (disorder)
833 2.02E+08 Parrot beak tear of posterior horn of lateral meniscus (disorder)
833 2.02E+08 Peripheral detachment of lateral meniscus (disorder)
833 80574002 Opera glass deformity of hands (disorder)
833 2.02E+08 Radial tear of lateral meniscus (disorder)
833 2.02E+08 Horizontal cleavage tear of lateral meniscus (disorder)
833 80712009 Congenital spondylolysis of lumbosacral region (disorder)
833 2.02E+08 Multiple tears of lateral meniscus (disorder)
833 80813006 Hemophilic arthropathy (disorder)
833 2.02E+08 Cyst of lateral meniscus (disorder)
833 81077008 Acute rheumatic arthritis (disorder)
833 2.02E+08 Discoid lateral meniscus (disorder)
833 3.1E+08 Old tear of lateral meniscus (disorder)
833 2.02E+08 Localized, primary osteoarthritis of the forearm (disorder)
833 2.02E+08 Old torn meniscus of knee (disorder)
833 81512004 Loose body in knee (disorder)
833 3.11E+08 Degenerative lesion of articular cartilage of knee (disorder)
833 81813004 Closed medial dislocation of elbow (disorder)
833 2.4E+08 Joint mice in knee (disorder)
833 2.4E+08 Old capsular, collateral ligament and cruciate damage to knee (disorder)
833 2.85E+08 Interval gout (disorder)
833 2.4E+08 Deficiency of lateral collateral ligament of the knee (disorder)
833 2.4E+08 Deficiency of medial collateral ligament of knee (disorder)
833 2.84E+08 Intercritical gout (disorder)
833 2.4E+08 Deficiency of anterior cruciate ligament (disorder)
833 2.4E+08 Deficiency of posterior cruciate ligament (disorder)
833 81902001 Sprain of medial collateral ligament of knee (disorder)
833 2.02E+08 Patellofemoral maltracking (disorder)
833 4.44E+08 Injury of medial collateral ligament of knee (disorder)
833 2.02E+08 Old partial tear lateral collateral ligament (disorder)
833 4.28E+08 Arthropathy of thoracic facet joint (disorder)
833 2.02E+08 Old complete tear lateral collateral ligament (disorder)
833 4.29E+08 Arthropathy of lumbar facet joint (disorder)
833 2.4E+08 Rupture of lateral collateral ligament of knee (disorder)
833 4.29E+08 Fistula of joint of wrist (disorder)
833 2.02E+08 Old posterolateral capsular complex tear (disorder)
833 2.02E+08 Old partial tear medial collateral ligament (disorder)
833 2.09E+08 Open traumatic dislocation elbow joint, medial (disorder)
833 7669008 Closed traumatic dislocation of metacarpophalangeal joint of thumb (disorder)
833 4.29E+08 Degenerative tear of triangular fibrocartilage complex of wrist (disorder)
833 81973005 Arthropathy associated with a respiratory disorder (disorder)
833 4.29E+08 Kashin-Beck disease of spine (disorder)
833 2.83E+08 Hyperplasia of mandibular condyle (disorder)
833 2.02E+08 Old complete tear medial collateral ligament (disorder)
833 82012008 Hoffa's disease (disorder)
833 2.1E+08 Complete tear, knee, medial collateral ligament (disorder)
833 2.4E+08 Rupture of medial collateral ligament of knee (disorder)
833 4.29E+08 Subluxation of glenohumeral joint prosthesis (disorder)
833 2.08E+08 Closed fracture of distal humerus, trochlea (disorder)
833 2.02E+08 Old medial capsular complex tear (disorder)
833 2.02E+08 Old partial tear anterior cruciate ligament (disorder)
833 82300000 Degenerative joint disease of ankle AND/OR foot (disorder)
833 38301007 Closed traumatic dislocation of joint of thumb (disorder)
833 82632005 Derangement of anterior horn of lateral meniscus (disorder)
833 2.09E+08 Closed traumatic dislocation, metacarpophalangeal joint (disorder)
833 2.1E+08 Xiphoid cartilage sprain (disorder)
833 7890003 Contracture of joint (disorder)
833 2.09E+08 Sprain, coracoclavicular ligament (disorder)
833 4.29E+08 Dislocation of shoulder joint prosthesis (disorder)
833 2.02E+08 Old complete tear anterior cruciate ligament (disorder)
833 4.29E+08 Arthropathy of the knee associated with a neurological disorder (disorder)
833 2.4E+08 Rupture of anterior cruciate ligament (disorder)
833 2.1E+08 Complete tear, knee, anterior cruciate ligament (disorder)
833 2.02E+08 Old partial tear posterior cruciate ligament (disorder)
833 82788007 Supination-internal rotation injury of ankle (disorder)
833 2.02E+08 Old complete tear posterior cruciate ligament (disorder)
833 2.1E+08 Complete tear, knee, posterior cruciate ligament (disorder)
833 7951001 Tailor's bunion (disorder)
833 2.4E+08 Rupture of posterior cruciate ligament (disorder)
833 3.14E+08 Adhesions of knee joint (disorder)
833 83015004 Saethre-Chotzen syndrome (disorder)
833 2.02E+08 Articular cartilage disorder, excluding the knee (disorder)
833 2.02E+08 Articular cartilage disorder of the pelvic region and thigh (disorder)
833 8135006 Traumatic closed dislocation of temporomandibular joint (disorder)
833 2.02E+08 Articular cartilage disorder of the ankle and foot (disorder)
833 83071002 Old bucket handle tear of cartilage (disorder)
833 2.4E+08 Tear of meniscus of knee (disorder)
833 2.02E+08 Hill-Sachs lesion (disorder)
833 2.68E+08 Hemarthrosis of the ankle and/or foot (disorder)
833 2.02E+08 Reverse Hill-Sachs lesion (disorder)
833 4.29E+08 Rotatory subluxation of atlantoaxial joint (disorder)
833 83401009 Open dislocation of interphalangeal joint of foot (disorder)
833 2.02E+08 Chondrolysis of the femoral head (disorder)
833 2.4E+08 Chondrolysis of articular cartilage (disorder)
833 85646001 Open dislocation of phalanx of foot (disorder)
833 81629009 Traumatic dislocation of temporomandibular joint (disorder)
833 83453001 Aseptic necrosis of head of humerus (disorder)
833 2.4E+08 Joint mice in joint, excluding the knee (disorder)
833 2.02E+08 Loose body in joint of shoulder region (disorder)
833 2.4E+08 Flail joint - paralytic (disorder)
833 2.68E+08 Loose body in joint of upper arm (disorder)
833 2.1E+08 Sprain, metatarsophalangeal joint (disorder)
833 2.02E+08 Loose body in elbow joint (disorder)
833 2.02E+08 Loose body in wrist joint (disorder)
833 2.02E+08 Monarticular juvenile rheumatoid arthritis (disorder)
833 2.02E+08 Loose body in joint of hand (disorder)
833 2.02E+08 Pathological dislocation of the shoulder region (disorder)
833 2.02E+08 Loose body in hip joint (disorder)
833 2.68E+08 Loose body in joint of ankle and/or foot (disorder)
833 2.68E+08 Humerus juvenile osteochondritis (disorder)
833 2.02E+08 Loose body in foot joint (disorder)
833 1.11E+08 Arthropathy associated with bacterial disease (disorder)
833 2.02E+08 Loose joint body in multiple joints (disorder)
833 2.02E+08 Loose body in shoulder joint (disorder)
833 84097002 Articular cartilage disorder of multiple sites (disorder)
833 2.02E+08 Loose body in ankle joint (disorder)
833 84241008 Lipoid dermatoarthritis (disorder)
833 2.4E+08 Wrist pathological dislocation (disorder)
833 2.02E+08 Pathological dislocation of ankle joint (disorder)
833 84320000 Open fracture of midcervical section of femur (disorder)
833 2.02E+08 Pathological dislocation of humeroulnar joint (disorder)
833 4.29E+08 Gouty arthritis of toe (disorder)
833 2.02E+08 Pathological dislocation of superior radioulnar joint (disorder)
833 2.02E+08 Pathological dislocation of radial head (disorder)
833 2.03E+08 Humerus head juvenile osteochondritis (disorder)
833 2.02E+08 Pathological dislocation of inferior radioulnar joint (disorder)
833 8704005 Fracture of acromial process of scapula (disorder)
833 2.02E+08 Pathological dislocation of first carpometacarpal joint (disorder)
833 4.29E+08 Climacteric arthritis of spine (disorder)
833 2.02E+08 Pathological dislocation of metacarpophalangeal joint (disorder)
833 3.99E+08 Adhesive capsulitis of shoulder (disorder)
833 84801008 Jaccoud's syndrome (disorder)
833 2.02E+08 Pathological dislocation of proximal interphalangeal joint (disorder)
833 8758001 Closed traumatic dislocation of thoracic vertebra (disorder)
833 2.02E+08 Pathological dislocation of distal interphalangeal joint (disorder)
833 12462000 Closed traumatic dislocation of vertebra (disorder)
833 2.4E+08 Neuromuscular dislocation of the hip joint (disorder)
833 84920009 Open dislocation of hip (disorder)
833 1.29E+08 Traumatic dislocation of joint of thoracic vertebra (disorder)
833 4.29E+08 Ankylosis of joint of foot (disorder)
833 2.09E+08 Closed dislocation thoracic spine (disorder)
833 1.26E+08 Traumatic dislocation of hip joint (disorder)
833 8847002 Spondylosis (disorder)
833 84970007 Articular cartilage disorder of ankle AND/OR foot (disorder)
833 47049007 Ankylosis of spine (disorder)
833 85216006 Displacement of cervical intervertebral disc without myelopathy (disorder)
833 9051008 Articular cartilage disorder of upper arm (disorder)
833 4.29E+08 Closed osteochondral fracture of distal femur (disorder)
833 53417006 Articular cartilage disorder (disorder)
833 2.68E+08 Joint ankylosis of the upper arm (disorder)
833 2.02E+08 Pathological dislocation of patellofemoral joint (disorder)
833 45181002 Schmorl's nodes (disorder)
833 9337000 Recurrent dislocation of multiple sites (disorder)
833 2.02E+08 Pathological dislocation of subtalar joint (disorder)
833 1.29E+08 Traumatic dislocation of joint (disorder)
833 2.02E+08 Pathological dislocation of midtarsal joint (disorder)
833 9350004 Enteropathic arthritis (disorder)
833 2.02E+08 Pathological dislocation of tarsometatarsal joint (disorder)
833 9363005 Effusion of joint of pelvic region (disorder)
833 1.28E+08 Arthropathy of pelvis (disorder)
833 4.29E+08 Rheumatic arthritis of temporomandibular joint (disorder)
833 2.02E+08 Pathological dislocation of 1st metatarsophalangeal joint (disorder)
833 4.3E+08 Sacral arthritis (disorder)
833 9467007 Meningococcal arthropathy (disorder)
833 4.3E+08 Arthropathy of the elbow associated with a neurological disorder (disorder)
833 4.3E+08 Arthritis of knee due to viral infection (disorder)
833 48245008 Bacterial arthritis (disorder)
833 9536008 Polyarthritis in Greyhounds (disorder)
833 4.3E+08 Infection of prepatellar bursa (disorder)
833 2.02E+08 Erosive osteoarthrosis (disorder)
833 4.3E+08 Recurrent dislocation of hip joint prosthesis (disorder)
833 4.3E+08 Closed fracture of triradiate cartilage and epiphysis of acetabulum (disorder)
833 9634000 Congenital dislocation of radial head (disorder)
833 2.63E+08 Dislocation of radial head (disorder)
833 4.3E+08 Secondary adhesive capsulitis (disorder)
833 4.31E+08 Osteochondritis of proximal tibia (disorder)
833 9771006 Derangement of anterior horn of medial meniscus (disorder)
833 4.31E+08 Osteochondritis of tibial tubercle (disorder)
833 9787009 Closed lateral dislocation of proximal end of tibia (disorder)
833 4.31E+08 Patellofemoral stress syndrome (disorder)
833 35106007 Closed traumatic dislocation of knee joint (disorder)
833 4.31E+08 Breakage of shoulder joint prosthesis (disorder)
833 2.09E+08 Open dislocation of multiple cervical vertebrae (disorder)
833 2.02E+08 Pathological dislocation of lesser metatarsophalangeal joint (disorder)
833 4.31E+08 Pathological fracture of neck of femur associated with osteoporosis (disorder)
833 2.02E+08 Pathological dislocation of toe interphalangeal joint (disorder)
833 4.31E+08 Rotary subluxation of scaphoid joint of wrist (disorder)
833 4.31E+08 Bacterial arthritis of sacroiliac joint (disorder)
833 2.68E+08 Recurrent joint dislocation, of the forearm (disorder)
833 4.31E+08 Bacterial arthritis of elbow (disorder)
833 2.02E+08 Recurrent dislocation of the patellofemoral joint (disorder)
833 4.31E+08 Human leukocyte antigen B27 negative arthropathy (situation)
833 2.02E+08 Recurrent dislocation of ankle (disorder)
833 85280007 Congenital hammer toe (disorder)
833 85341001 Closed inferior dislocation of humerus (disorder)
833 2.02E+08 Recurrent anterior dislocation of shoulder (disorder)
833 85453003 Open dislocation of metatarsophalangeal joint (disorder)
833 2.02E+08 Recurrent dislocation of shoulder - posterior (disorder)
833 2.02E+08 Recurrent anterior subluxation of shoulder (disorder)
833 2.68E+08 Pathological dislocation of the forearm (disorder)
833 2.02E+08 Recurrent dislocation of knee (disorder)
833 2.82E+08 Recurrent subluxation of shoulder joint (disorder)
833 2.63E+08 Dislocation of toe joint (disorder)
833 2.02E+08 Recurrent subluxation of shoulder - posterior (disorder)
833 2.02E+08 Systemic onset juvenile chronic arthritis (disorder)
833 2.02E+08 Recurrent dislocation of shoulder - inferior (disorder)
833 2.02E+08 Recurrent subluxation of shoulder - inferior (disorder)
833 4.32E+08 Rupture of lunotriquetral ligament of wrist (disorder)
833 2.02E+08 Recurrent dislocation of shoulder - multidirectional (disorder)
833 4.32E+08 Bacterial arthritis of patellofemoral joint (disorder)
833 2.02E+08 Recurrent subluxation of shoulder - multidirectional (disorder)
833 4.32E+08 Arthropathy of the hip associated with a neurological disorder (disorder)
833 2.02E+08 Habitual dislocation of the shoulder joint (disorder)
833 4.32E+08 Femoral acetabular impingement (disorder)
833 2.02E+08 Habitual subluxation of the shoulder (disorder)
833 4.33E+08 Infection of total ankle joint prosthesis (disorder)
833 2.4E+08 Habitual subluxation of joint (disorder)
833 4.33E+08 Acute degenerative joint disease of shoulder region (disorder)
833 10155006 Bilateral congenital dislocation of hip (disorder)
833 4.33E+08 Infection of total knee joint prosthesis (disorder)
833 4.11E+08 Juvenile seropositive polyarthritis (disorder)
833 2.02E+08 Recurrent subluxation of elbow (disorder)
833 2.63E+08 Subluxation of elbow joint (disorder)
833 2.09E+08 Open traumatic dislocation acromioclavicular joint (disorder)
833 2.4E+08 Recurrent subluxation of joint (disorder)
833 2.02E+08 Recurrent dislocation of superior radioulnar joint (disorder)
833 2.02E+08 Recurrent subluxation of superior radioulnar joint (disorder)
833 86219005 Uveitis-rheumatoid arthritis syndrome (disorder)
833 2.02E+08 Recurrent dislocation of radial head (disorder)
833 48334007 Congenital dislocation of hip (disorder)
833 2.1E+08 Coccyx sprain (disorder)
833 2.68E+08 Pyogenic arthritis of the lower leg (disorder)
833 2.02E+08 Recurrent subluxation of radial head (disorder)
833 4.33E+08 Infection of unicondylar knee joint prosthesis (disorder)
833 2.02E+08 Recurrent dislocation of inferior radioulnar joint (disorder)
833 4.34E+08 Human leukocyte antigen B27 negative arthropathy of wrist (situation)
833 10193001 Arthritis due to Pseudomonas (disorder)
833 2.02E+08 Recurrent subluxation of inferior radioulnar joint (disorder)
833 3.96E+08 Infective arthritis (disorder)
833 2.02E+08 Recurrent subluxation of wrist (disorder)
833 10196009 Juvenile osteochondrosis of acetabulum (disorder)
833 4.39E+08 Acute injury of anterior cruciate ligament (disorder)
833 2.4E+08 Osteoarthritis of hip (disorder)
833 2.02E+08 Recurrent dislocation of carpometacarpal joint (disorder)
833 4.39E+08 Open fracture of medial epicondyle of humerus (disorder)
833 2.02E+08 Recurrent subluxation of carpometacarpal joint (disorder)
833 4.4E+08 Fibroblast growth factor receptor 3-related craniosynostosis (disorder)
833 2.02E+08 Recurrent dislocation of metacarpophalangeal joint (disorder)
833 10317009 Spinal enthesopathy (disorder)
833 3.72E+08 Disorder of joint of spine (disorder)
833 86357008 Open fracture of coronoid process of ulna (disorder)
833 10426006 Discitis of thoracic region (disorder)
833 86378006 Old bucket handle tear of medial meniscus (disorder)
833 4.29E+08 Disorder of intervertebral disc of thoracic spine (disorder)
833 10464008 Recurrent dislocation of hand (disorder)
833 4.4E+08 Closed fracture of the medial epicondyle of humerus (disorder)
833 3.15E+08 Dislocation of hand joint (disorder)
833 4.41E+08 Infection of total shoulder joint prosthesis (disorder)
833 2.02E+08 Recurrent subluxation of metacarpophalangeal joint (disorder)
833 4.41E+08 Transcondylar fracture of distal humerus (disorder)
833 2.63E+08 Subluxation of joint of upper limb (disorder)
833 4.42E+08 Wear of articular bearing surface of prosthetic joint (disorder)
833 2.02E+08 Recurrent dislocation of interphalangeal joint (disorder)
833 4.43E+08 Chondrocalcinosis of wrist joint (disorder)
833 2.02E+08 Recurrent subluxation of interphalangeal joint (disorder)
833 4.42E+08 Sprain of ligament of face (disorder)
833 2.63E+08 Bucket handle tear of medial meniscus of knee (disorder)
833 2.02E+08 Recurrent subluxation of the patella (disorder)
833 2.63E+08 Subluxation of patellofemoral joint (disorder)
833 86380000 Acquired claw toes (disorder)
833 2.02E+08 Habitual dislocation of the patellofemoral joint (disorder)
833 2.02E+08 Recurrent subluxation of the ankle (disorder)
833 2.4E+08 Acquired deformity of joint of lesser toe (disorder)
833 4.42E+08 Injury of superior glenoid labrum of shoulder joint (disorder)
833 86414002 Contracture of joint of hand (disorder)
833 2.63E+08 Subluxation of ankle joint (disorder)
833 86449009 Nelaton's dislocation (disorder)
833 2.02E+08 Recurrent dislocation of foot joint (disorder)
833 1.19E+08 Hallux valgus AND bunion (disorder)
833 4.42E+08 Fracture of head of radius with dislocation of distal radioulnar joint and interosseous membrane disruption (disorder)
833 2.02E+08 Recurrent subluxation of the subtalar joint (disorder)
833 2.63E+08 Subluxation of foot joint (disorder)
833 4.43E+08 Inflammation of rotator cuff tendon (disorder)
833 2.4E+08 Contracture of ankle joint (disorder)
833 2.02E+08 Flexion contracture-shoulder (disorder)
833 2.02E+08 Extension contracture-shoulder (disorder)
833 4.43E+08 Chondrocalcinosis of joint of shoulder region (disorder)
833 2.02E+08 Abduction contracture-shoulder (disorder)
833 4.43E+08 Chondrocalcinosis of elbow joint (disorder)
833 2.02E+08 Adduction contracture-shoulder (disorder)
833 4.43E+08 Chondrocalcinosis of hip joint (disorder)
833 2.02E+08 Internal rotation contracture-shoulder (disorder)
833 2.02E+08 External rotation contracture-shoulder (disorder)
833 4.44E+08 Developmental dislocation of ankle and/or foot (disorder)
833 2.02E+08 Flexion contracture - elbow (disorder)
833 86787000 Chondrocalcinosis due to calcium hydroxyapatite crystals (disorder)
833 4.44E+08 Infection of total hip joint prosthesis (disorder)
833 2.4E+08 Apatite-related arthropathy (disorder)
833 86804002 Schmorl's nodes of thoracic region (disorder)
833 4.44E+08 Acute injury of posterior cruciate ligament (disorder)
833 2.09E+08 Closed traumatic dislocation digit (disorder)
833 4.44E+08 Injury of collateral ligament of knee (disorder)
833 87592007 Multiple closed traumatic dislocations of joints of hand (disorder)
833 4.44E+08 Developmental dislocation of joint of shoulder region (disorder)
833 2.02E+08 Extension contracture - elbow (disorder)
833 4.42E+08 Injury of ligament of hand (disorder)
833 4.3E+08 Pronation contracture of wrist (disorder)
833 87823004 Ankylosis of lumbosacral joint (disorder)
833 4.28E+08 Supination contracture of wrist (disorder)
833 2.02E+08 Flexion contracture - wrist (disorder)
833 2.03E+08 Lumbar spine ankylosis (disorder)
833 2.02E+08 Extension contracture of the wrist (disorder)
833 3.99E+08 Supraspinitus tear (disorder)
833 2.02E+08 Ulnar deviation contracture of the wrist (disorder)
833 2.02E+08 Radial deviation contracture of the wrist (disorder)
833 2.02E+08 Flexion contracture of metacarpophalangeal joint (disorder)
833 3.99E+08 Supraspinatus syndrome (disorder)
833 2.02E+08 Extension contracture of metacarpophalangeal joint (disorder)
833 2.02E+08 Flexion contracture of proximal interphalangeal joint (disorder)
833 2.4E+08 Contracture of joint of finger (disorder)
833 2.1E+08 Ischiocapsular sprain (disorder)
833 2.02E+08 Flexion contracture of distal interphalangeal joint (disorder)
833 2.02E+08 Flexion contracture of hip (disorder)
833 4.16E+08 Swelling of first metatarsophalangeal joint of hallux (disorder)
833 2.02E+08 Extension contracture of hip (disorder)
833 10713006 Diffuse interstitial rheumatoid disease of lung (disorder)
833 2.02E+08 Abduction contracture of hip (disorder)
833 52661003 Extra-articular rheumatoid process (disorder)
833 2.02E+08 Adduction contracture of hip (disorder)
833 2.02E+08 Internal rotation contracture of hip (disorder)
833 88801000 Pathological dislocation of pelvic region (disorder)
833 2.02E+08 External rotation contracture of hip (disorder)
833 88906006 Sprain of deltoid ligament of ankle (disorder)
833 2.02E+08 Flexion contracture of the knee (disorder)
833 4.45E+08 Seronegative arthritis of joint of spine (disorder)
833 2.02E+08 Equinus contracture of the ankle (disorder)
833 4.45E+08 Disorder of articular cartilage of vertebral column (disorder)
833 2.02E+08 Calcaneus contracture of the ankle (disorder)
833 4.45E+08 Inflammation of joint due to Streptococcus suis (disorder)
833 2.02E+08 Flexion contracture of metatarsophalangeal joint (disorder)
833 2.09E+08 Open dislocation of jaw (disorder)
833 2.4E+08 Contracture of joint of foot (disorder)
833 2.4E+08 Contracture of joint of toe (disorder)
833 89130002 Closed traumatic dislocation of fifth cervical vertebra (disorder)
833 2.02E+08 Extension contracture of metatarsophalangeal joint (disorder)
833 2.02E+08 Flexion contracture of toe interphalangeal joint (disorder)
833 89581003 Open dislocation of patella (disorder)
833 2.02E+08 Extension contracture of toe interphalangeal joint (disorder)
833 2.09E+08 Open traumatic dislocation hip joint, anterior (disorder)
833 2.68E+08 Ankylosis of joint of pelvis and/or hip (disorder)
833 89689008 Congenital genu valgum (disorder)
833 2.02E+08 Ankle joint ankylosis (disorder)
833 2.02E+08 Ankylosis of the superior radioulnar joint (disorder)
833 89764009 Mumps arthritis (disorder)
833 2.02E+08 Ankylosis of the inferior radioulnar joint (disorder)
833 89801006 Multiple traumatic closed dislocations of upper arm (disorder)
833 4.45E+08 Aseptic necrosis of head of femur (disorder)
833 2.02E+08 Ankylosis of the first carpometacarpal joint (disorder)
833 4.45E+08 Inflammation of tendon of metatarsophalangeal joint of second toe (disorder)
833 2.02E+08 Ankylosis of metacarpophalangeal joint (disorder)
833 89807005 Juvenile osteochondrosis of head of metacarpals (disorder)
833 4.45E+08 Os acromiale (disorder)
833 2.02E+08 Ankylosis of proximal interphalangeal joint (disorder)
833 10771002 Closed traumatic dislocation of first cervical vertebra (disorder)
833 4.28E+08 Ankylosis of joint of finger (disorder)
833 2.02E+08 Ankylosis of distal interphalangeal joint (disorder)
833 10948005 Thoracic spondylosis with myelopathy (disorder)
833 2.02E+08 Ankylosis of the subtalar joint (disorder)
833 3.88E+08 Thoracic spondylosis (disorder)
833 2.02E+08 Ankylosis of metatarsophalangeal joint (disorder)
833 2.02E+08 Ankylosis of toe joint (disorder)
833 79232007 Spondylosis with myelopathy (disorder)
833 2.02E+08 Protrusio acetabuli of the pelvic region and thigh (disorder)
833 11008006 Closed traumatic dislocation of seventh cervical vertebra (disorder)
833 2.02E+08 Fibrocartilage lesion of joint (disorder)
833 11023001 Acute calcific periarthritis (disorder)
833 2.02E+08 Detachment of the glenoid labrum and/or capsule of the shoulder joint (disorder)
833 2.4E+08 Calcific periarthritis (disorder)
833 2.02E+08 Glenoid labrum detachment (disorder)
833 2.02E+08 Pathological dislocation of the hand (disorder)
833 4.45E+08 Pigmented villonodular synovitis of knee joint (disorder)
833 89902003 Grisel's syndrome (disorder)
833 11301007 Narrowing of intervertebral disc space (disorder)
833 2.02E+08 Reverse Bankart lesion (disorder)
833 2.63E+08 Injury of glenoid labrum of shoulder joint (disorder)
833 2.02E+08 Glenoid labrum tear (disorder)
833 4.45E+08 Villous arthritis (disorder)
833 2.02E+08 Triangular fibrocartilage tear (disorder)
833 2.09E+08 Sprain ulnar collateral ligament (disorder)
833 2.02E+08 Triangular fibrocartilage detachment (disorder)
833 90068007 Articular cartilage disorder of hand (disorder)
833 90116003 Contracture of joint of shoulder region (disorder)
833 2.02E+08 Acetabular labrum detachment (disorder)
833 4.45E+08 Pigmented villonodular synovitis of hip joint (disorder)
833 2.02E+08 Acetabular labrum tear (disorder)
833 2.4E+08 Tear of fibrocartilage of joint (disorder)
833 4.45E+08 Remitting seronegative symmetrical synovitis with pitting edema (disorder)
833 2.02E+08 Snapping shoulder (disorder)
833 90242006 Ankylosis of joint of multiple sites (disorder)
833 90289008 Closed obturator dislocation of hip (disorder)
833 2.4E+08 Flail joint (disorder)
833 2.02E+08 Ankle joint effusion (disorder)
833 4.45E+08 Loose body in joint of spine (disorder)
833 2.09E+08 Open traumatic dislocation hip joint, posterior (disorder)
833 3.73E+08 Pyogenic arthritis of hip (disorder)
833 2.02E+08 Effusion of sternoclavicular joint (disorder)
833 2.02E+08 Effusion of acromioclavicular joint (disorder)
833 4.45E+08 Inflammation of pubic symphysis (disorder)
833 2.02E+08 Effusion of distal radioulnar joint (disorder)
833 90338005 Open trimalleolar fracture (disorder)
833 11920000 Open dislocation of elbow (disorder)
833 4.45E+08 Pigmented villonodular synovitis of ankle joint (disorder)
833 2.02E+08 Effusion of metacarpophalangeal joint (disorder)
833 90374001 Acquired spastic flat foot (disorder)
833 2.02E+08 Effusion of proximal interphalangeal joint of finger (disorder)
833 4.45E+08 Polyarticular juvenile rheumatoid arthritis (disorder)
833 11939005 Acute arthritis (disorder)
833 2.98E+08 Finger joint effusion (disorder)
833 25616007 Acute arthropathy (disorder)
833 2.38E+08 Fat pad syndrome (disorder)
833 2.02E+08 Effusion of distal interphalangeal joint of finger (disorder)
833 4.45E+08 Chondrocalcinosis of joint of pelvis (disorder)
833 2.02E+08 Recurrent dislocation of elbow (disorder)
833 2.02E+08 Effusion of sacroiliac joint (disorder)
833 4.46E+08 Contracture of joint of spine (disorder)
833 2.02E+08 Effusion of tibiofibular joint (disorder)
833 2.02E+08 Effusion of subtalar joint (disorder)
833 90448008 Ossification of posterior longitudinal ligament (disorder)
833 2.98E+08 Foot joint effusion (disorder)
833 90631008 Sprain of sacrococcygeal ligament (disorder)
833 2.02E+08 Effusion of talonavicular joint (disorder)
833 2.4E+08 Osteoarthritis of knee (disorder)
833 2.02E+08 Effusion of first metatarsophalangeal joint (disorder)
833 2.4E+08 Osteoarthritis of ankle (disorder)
833 2.98E+08 Metatarsophalangeal joint effusion (disorder)
833 2.02E+08 Localized, secondary osteoarthritis of the lower leg (disorder)
833 90654004 Sprain of iliofemoral ligament (disorder)
833 2.02E+08 Effusion of lesser metatarsophalangeal joint (disorder)
833 2.02E+08 Effusion of interphalangeal joint of toe (disorder)
833 90682006 Sprain of sternoclavicular joint AND/OR ligament (disorder)
833 2.02E+08 Chronic joint effusion (disorder)
833 2.02E+08 Acute joint effusion (disorder)
833 3.08E+08 Current tear of medial cartilage AND/OR meniscus of knee (disorder)
833 2.02E+08 Hemarthrosis of the ankle (disorder)
833 3.03E+08 Tear of medial meniscus of knee (disorder)
833 2.02E+08 Hemarthrosis of sternoclavicular joint (disorder)
833 90860001 Localized osteoarthrosis uncertain if primary OR secondary (disorder)
833 2.02E+08 Hemarthrosis of acromioclavicular joint (disorder)
833 2.63E+08 Dislocation of patellofemoral joint (disorder)
833 2.02E+08 Hemarthrosis of distal radioulnar joint (disorder)
833 91222009 Ossification of posterior longitudinal ligament in cervical region (disorder)
833 2.02E+08 Hemarthrosis of metacarpophalangeal joint (disorder)
833 91240008 Degeneration of thoracolumbar intervertebral disc (disorder)
833 2.02E+08 Hemarthrosis of proximal interphalangeal joint of finger (disorder)
833 2.02E+08 Hemarthrosis of distal interphalangeal joint of finger (disorder)
833 91291006 Arthropathy associated with another systemic disease (disorder)
833 2.02E+08 Hemarthrosis of sacroiliac joint (disorder)
833 2.02E+08 Hemarthrosis of tibiofibular joint (disorder)
833 91591005 Mycoplasmal arthritis AND polyserositis in swine (disorder)
833 2.02E+08 Hemarthrosis of subtalar joint (disorder)
833 12067001 Acquired coxa vara (disorder)
833 2.02E+08 Hemarthrosis of talonavicular joint (disorder)
833 2.02E+08 Hemarthrosis of first metatarsophalangeal joint (disorder)
833 2.81E+08 Acquired varus deformity of joint of lower limb (disorder)
833 2.02E+08 Hemarthrosis of lesser metatarsophalangeal joint (disorder)
833 2.63E+08 Dislocation of joint of spine (disorder)
833 2.02E+08 Hemarthrosis of interphalangeal joint of toe (disorder)
833 12519004 Sprain of sacroiliac ligament (disorder)
833 91866004 Adhesions of temporomandibular joint (disorder)
833 2.03E+08 Sacroiliac disorder (disorder)
833 2.02E+08 Villonodular synovitis of sternoclavicular joint (disorder)
833 1.12E+08 Sprain of sacroiliac region (disorder)
833 12588000 Closed traumatic dislocation of distal end of ulna (disorder)
833 91943004 Arthralgia of temporomandibular joint (disorder)
833 91944005 Arthritis of temporomandibular joint (disorder)
833 38556006 Closed traumatic dislocation of joint of wrist (disorder)
833 91945006 Articular disc disorder of temporomandibular joint (disorder)
833 91963006 Benign neoplasm of acromion (disorder)
833 2.02E+08 Villonodular synovitis of acromioclavicular joint (disorder)
833 1.27E+08 Neoplasm of acromion (disorder)
833 2.1E+08 Sprain, sacrotuberous ligament (disorder)
833 12746007 Open transcervical fracture of femur (disorder)
833 1.96E+08 Temporomandibular joint click (disorder)
833 2.02E+08 Villonodular synovitis of distal radioulnar joint (disorder)
833 92854008 Congenital abnormal fusion of femur (disorder)
833 2.02E+08 Villonodular synovitis of wrist (disorder)
833 93661001 Primary malignant neoplasm of acromion (disorder)
833 2.02E+08 Villonodular synovitis of metacarpophalangeal joint (disorder)
833 2.02E+08 Villonodular synovitis of proximal interphalangeal joint of finger (disorder)
833 2.02E+08 Villonodular synovitis of distal interphalangeal joint of finger (disorder)
833 94157000 Secondary malignant neoplasm of acromion (disorder)
833 2.02E+08 Villonodular synovitis of hip (disorder)
833 1.28E+08 Secondary malignant neoplasm of articular cartilage (disorder)
833 2.02E+08 Villonodular synovitis of sacroiliac joint (disorder)
833 94726007 Neoplasm of uncertain behavior of acromion (disorder)
833 2.02E+08 Villonodular synovitis of knee (disorder)
833 2.02E+08 Villonodular synovitis of tibiofibular joint (disorder)
833 2.02E+08 Villonodular synovitis of ankle (disorder)
833 95408003 Systemic lupus erythematosus arthritis (disorder)
833 95854004 Pulled elbow (disorder)
833 2.02E+08 Villonodular synovitis of subtalar joint (disorder)
833 4.17E+08 Subluxation of radial head (disorder)
833 3.61E+08 Open fracture of neck of femur (disorder)
833 13019000 Open posterior dislocation of proximal end of tibia (disorder)
833 2.02E+08 Villonodular synovitis of talonavicular joint (disorder)
833 1.09E+08 Anterior perimaxillary faciosynostosis (disorder)
833 2.02E+08 Villonodular synovitis of first metatarsophalangeal joint (disorder)
833 1.09E+08 Posterior perimaxillary faciosynostosis (disorder)
833 2.02E+08 Villonodular synovitis of lesser metatarsophalangeal joint (disorder)
833 1.09E+08 Internasal dysostosis (disorder)
833 2.02E+08 Villonodular synovitis of interphalangeal joint of toe (disorder)
833 1.09E+08 Interfrontal craniofaciosynostosis (disorder)
833 1.09E+08 Fronto-parietal craniofaciosynostosis (disorder)
833 2.02E+08 Palindromic rheumatism of the shoulder region (disorder)
833 2.02E+08 Palindromic rheumatism of the upper arm (disorder)
833 13131000 Spondylolisthesis, grade 3 (disorder)
833 2.02E+08 Palindromic rheumatism of the forearm (disorder)
833 1.09E+08 Fronto-malar faciosynostosis (disorder)
833 2.02E+08 Palindromic rheumatism of the hand (disorder)
833 2.02E+08 Palindromic rheumatism of the pelvic region and thigh (disorder)
833 1.09E+08 Spheno-fronto-parietal craniofaciosynostosis (disorder)
833 2.02E+08 Palindromic rheumatism of the lower leg (disorder)
833 1.09E+08 Parieto-occipital craniosynostosis (disorder)
833 2.02E+08 Palindromic rheumatism of the ankle and/or foot (disorder)
833 1.09E+08 Interparietal craniosynostosis (disorder)
833 2.02E+08 Palindromic rheumatism of multiple sites (disorder)
833 2.03E+08 Synovial osteochondromatosis (disorder)
833 13463001 Open dislocation of fifth cervical vertebra (disorder)
833 13553006 Smith's dislocation (disorder)
833 2.03E+08 Synovial osteochondromatosis of shoulder (disorder)
833 1.1E+08 Mandibular coronoid process impingement (disorder)
833 2.03E+08 Synovial osteochondromatosis of sternoclavicular joint (disorder)
833 2.03E+08 Synovial osteochondromatosis of acromioclavicular joint (disorder)
833 1.1E+08 Temporomandibular joint disc displacement (disorder)
833 1.26E+08 Traumatic dislocation of ankle joint (disorder)
833 1.96E+08 Temporomandibular joint internal derangement (disorder)
833 1.1E+08 Temporomandibular joint disc displacement, without reduction (disorder)
833 1.26E+08 Traumatic dislocation of joint of foot (disorder)
833 1.1E+08 Temporomandibular joint disc displacement, with reduction (disorder)
833 3.86E+08 Temporomandibular joint-pain-dysfunction syndrome (disorder)
833 13649004 Brachycephaly (disorder)
833 2.03E+08 Synovial osteochondromatosis of elbow (disorder)
833 1.1E+08 Arthritis of temporomandibular joint as part of polyarthritis (disorder)
833 1.1E+08 Arthritis of temporomandibular joint due to internal joint prosthesis (disorder)
833 1.1E+08 Infectious arthritis of temporomandibular joint (disorder)
833 2.54E+08 Bicoronal craniosynostosis (disorder)
833 1.1E+08 Infectious arthritis of temporomandibular joint due to internal joint prosthesis (disorder)
833 13750006 Joint-ill (disorder)
833 2.03E+08 Synovial osteochondromatosis of distal radioulnar joint (disorder)
833 1.1E+08 Degenerative arthritis of temporomandibular joint (disorder)
833 2.03E+08 Synovial osteochondromatosis of wrist (disorder)
833 1.1E+08 Traumatic arthritis of the temporomandibular joint (disorder)
833 1.1E+08 Bilateral condylar hyperplasia of mandible (disorder)
833 2.02E+08 Localized, primary osteoarthritis of the shoulder region (disorder)
833 1.1E+08 Condylar hyperplasia with mandibular asymmetry (disorder)
833 2.03E+08 Synovial osteochondromatosis of metacarpophalangeal joint (disorder)
833 1.1E+08 Bilateral condylar hypoplasia of mandible (disorder)
833 2.35E+08 Hypoplasia of mandibular condyle (disorder)
833 2.03E+08 Synovial osteochondromatosis of proximal interphalangeal joint of finger (disorder)
833 1.1E+08 Condylar hypoplasia with mandibular asymmetry (disorder)
833 2.03E+08 Synovial osteochondromatosis of distal interphalangeal joint of finger (disorder)
833 2.03E+08 Synovial osteochondromatosis of hip (disorder)
833 13975002 Open dislocation of glenohumeral joint (disorder)
833 1.1E+08 Traumatic dislocation of lunate bone (disorder)
833 2.63E+08 Dislocation of perilunate joint (disorder)
833 2.03E+08 Synovial osteochondromatosis of sacroiliac joint (disorder)
833 4.17E+08 Dislocation of shoulder joint (disorder)
833 1.26E+08 Traumatic dislocation of shoulder region (disorder)
833 2.03E+08 Synovial osteochondromatosis of knee (disorder)
833 2.08E+08 Open subcondylar fracture of mandible (disorder)
833 2.03E+08 Synovial osteochondromatosis of tibiofibular joint (disorder)
833 2.03E+08 Synovial osteochondromatosis of ankle (disorder)
833 2.03E+08 Synovial osteochondromatosis of subtalar joint (disorder)
833 1.1E+08 Contusion of condylar process of mandible (disorder)
833 2.03E+08 Synovial osteochondromatosis of talonavicular joint (disorder)
833 2.03E+08 Synovial osteochondromatosis of 1st metatarsophalangeal joint (disorder)
833 1.11E+08 Migratory polyarthritis (disorder)
833 2.03E+08 Synovial osteochondromatosis of lesser metatarsophalangeal joint (disorder)
833 3.08E+08 Recurrent subluxation of the hip joint (disorder)
833 2.03E+08 Synovial osteochondromatosis of interphalangeal joint of toe (disorder)
833 1.11E+08 Avascular necrosis of the capital femoral epiphysis (disorder)
833 2.68E+08 Spondylosis and allied disorders (disorder)
833 2.04E+08 Overriding toe (disorder)
833 4.17E+08 Undifferentiated inflammatory arthritis (disorder)
833 2.03E+08 Single-level cervical spondylosis without myelopathy (disorder)
833 14175009 Rheumatic joint disease (disorder)
833 1.12E+08 Closed fracture of acromial process of scapula (disorder)
833 2.03E+08 Two-level cervical spondylosis without myelopathy (disorder)
833 2.4E+08 Post-infective arthritis (disorder)
833 2.03E+08 Multiple-level cervical spondylosis without myelopathy (disorder)
833 2.4E+08 Secondary inflammatory arthritis (disorder)
833 2.03E+08 Single-level cervical spondylosis with myelopathy (disorder)
833 14188007 Tuberculosis of hip (disorder)
833 2.09E+08 Closed dislocation cervical spine (disorder)
833 2.03E+08 Two-level cervical spondylosis with myelopathy (disorder)
833 1.12E+08 Closed anterior dislocation of hip (disorder)
833 2.03E+08 Multiple-level cervical spondylosis with myelopathy (disorder)
833 1.12E+08 Closed traumatic dislocation of navicular bone of foot (disorder)
833 2.03E+08 Single-level thoracic spondylosis without myelopathy (disorder)
833 2.09E+08 Closed traumatic dislocation, midtarsal joint (disorder)
833 1.12E+08 Staphylococcal arthritis (disorder)
833 2.03E+08 Two-level thoracic spondylosis without myelopathy (disorder)
833 1.91E+08 Tuberculous arthritis (disorder)
833 4.32E+08 Bacterial arthritis of hip (disorder)
833 2.03E+08 Multiple-level thoracic spondylosis without myelopathy (disorder)
833 2.03E+08 Single-level thoracic spondylosis with myelopathy (disorder)
833 2.03E+08 Two-level thoracic spondylosis with myelopathy (disorder)
833 2.03E+08 Multiple-level thoracic spondylosis with myelopathy (disorder)
833 1.24E+08 Post-streptococcal reactive arthritis (disorder)
833 1.29E+08 Post-bacterial arthropathy (disorder)
833 2.63E+08 Fracture dislocation of elbow joint (disorder)
833 2.75E+08 Closed fracture of greater trochanter of femur (disorder)
833 2.03E+08 Single-level lumbosacral spondylosis without myelopathy (disorder)
833 2.03E+08 Two-level lumbosacral spondylosis without myelopathy (disorder)
833 2.09E+08 Dislocation or subluxation of wrist (disorder)
833 2.69E+08 Dislocation or subluxation of finger or thumb (disorder)
833 2.03E+08 Multiple-level lumbosacral spondylosis without myelopathy (disorder)
833 4.17E+08 Closed traumatic subluxation of digit of hand (disorder)
833 2.03E+08 Single-level lumbosacral spondylosis with myelopathy (disorder)
833 2.03E+08 Two-level lumbosacral spondylosis with myelopathy (disorder)
833 2.63E+08 Subluxation of finger (disorder)
833 2.03E+08 Multiple-level lumbosacral spondylosis with myelopathy (disorder)
833 2.03E+08 Cervical spondylosis with radiculopathy (disorder)
833 1.27E+08 Fracture of occipital condyle (disorder)
833 2.03E+08 Single-level cervical spondylosis with radiculopathy (disorder)
833 1.27E+08 Closed traumatic medial dislocation of subtalar joint (disorder)
833 2.03E+08 Two-level cervical spondylosis with radiculopathy (disorder)
833 2.09E+08 Closed traumatic dislocation, subtalar joint (disorder)
833 2.03E+08 Multiple-level cervical spondylosis with radiculopathy (disorder)
833 2.82E+08 Dislocation of subtalar joint (disorder)
833 1.27E+08 Closed traumatic lateral dislocation of subtalar joint (disorder)
833 2.03E+08 Cervical spondylosis with vascular compression (disorder)
833 2.03E+08 Thoracic spondylosis with radiculopathy (disorder)
833 1.27E+08 Open medial dislocation of subtalar joint (disorder)
833 2.03E+08 Single-level thoracic spondylosis with radiculopathy (disorder)
833 2.09E+08 Open traumatic dislocation, subtalar joint (disorder)
833 2.03E+08 Two-level thoracic spondylosis with radiculopathy (disorder)
833 1.27E+08 Open lateral dislocation of subtalar joint (disorder)
833 2.03E+08 Multiple-level thoracic spondylosis with radiculopathy (disorder)
833 1.27E+08 Sprain of anterior cruciate ligament of knee (disorder)
833 2.03E+08 Lumbosacral spondylosis with radiculopathy (disorder)
833 2.03E+08 Single-level lumbosacral spondylosis with radiculopathy (disorder)
833 4.44E+08 Injury of anterior cruciate ligament (disorder)
833 2.03E+08 Two-level lumbosacral spondylosis with radiculopathy (disorder)
833 1.27E+08 Sprain of posterior cruciate ligament of knee (disorder)
833 2.03E+08 Multiple-level lumbosacral spondylosis with radiculopathy (disorder)
833 4.33E+08 Injury of posterior cruciate ligament (disorder)
833 2.03E+08 Enterobacterial spondylitis (disorder)
833 1.28E+08 Benign neoplasm of articular cartilage (disorder)
833 1.28E+08 Neoplasm of articular cartilage (disorder)
833 2.03E+08 Neuropathic spondylopathy (disorder)
833 1.28E+08 Primary malignant neoplasm of articular cartilage (disorder)
833 2.68E+08 Prolapsed cervical intervertebral disc without myelopathy (disorder)
833 1.28E+08 Neoplasm of uncertain behavior of articular cartilage (disorder)
833 2.03E+08 Prolapsed thoracic intervertebral disc without myelopathy (disorder)
833 2.03E+08 Subacromial impingement (disorder)
833 2.4E+08 Prolapsed intervertebral disc without myelopathy (disorder)
833 1.29E+08 Traumatic dislocation of lumbosacral joint (disorder)
833 2.03E+08 Disc prolapse with myelopathy (disorder)
833 2.03E+08 Cervical disc disorder with myelopathy (disorder)
833 1.29E+08 Closed traumatic dislocation of lumbosacral joint (disorder)
833 2.03E+08 Thoracic disc disorder with myelopathy (disorder)
833 2.03E+08 Lumbar disc disorder with myelopathy (disorder)
833 2.03E+08 Cervical disc prolapse with myelopathy (disorder)
833 14741001 Closed posterior dislocation of proximal end of tibia (disorder)
833 1.29E+08 Open dislocation of lumbosacral joint (disorder)
833 2.09E+08 Open traumatic obturator dislocation of hip (disorder)
833 1.3E+08 Ankylosing spondylarthritis and eye lesions (disorder)
833 14949009 Old disruption of ligament of knee (disorder)
833 2.4E+08 Deficiency of ligaments of knee joint (disorder)
833 2.75E+08 Open fracture of lesser trochanter of femur (disorder)
833 2.03E+08 Thoracic disc prolapse with myelopathy (disorder)
833 2.02E+08 Hemarthrosis of wrist (disorder)
833 2.82E+08 Fracture of medial malleolus (disorder)
833 1.65E+08 On examination - joint abnormal (disorder)
833 3.74E+08 Closed fracture involving joint (disorder)
833 2.03E+08 Lumbar disc prolapse with myelopathy (disorder)
833 15453007 Congenital dislocation of knee with genu recurvatum (disorder)
833 2.03E+08 Disc prolapse with radiculopathy (disorder)
833 1.65E+08 On examination - multiple joint abnormal (disorder)
833 2.03E+08 Thoracic disc prolapse with radiculopathy (disorder)
833 2.76E+08 On examination - painful arc (disorder)
833 2.03E+08 Lumbar disc prolapse with radiculopathy (disorder)
833 2.69E+08 On examination - shoulder joint abnormal (disorder)
833 2.03E+08 Lumbar disc prolapse with cauda equina compression (disorder)
833 1.65E+08 On examination - elbow joint abnormal (disorder)
833 1.65E+08 On examination - wrist joint abnormal (disorder)
833 3.12E+08 Prolapsed lumbar intervertebral disc with sciatica (disorder)
833 1.65E+08 On examination - hand joint abnormal (disorder)
833 1.65E+08 On examination - hip joint abnormal (disorder)
833 2.03E+08 Annular tear of cervical disc (disorder)
833 1.65E+08 On examination - knee joint abnormal (disorder)
833 2.4E+08 Tear of the annulus fibrosus of intervertebral disc (disorder)
833 1.65E+08 On examination - ankle joint abnormal (disorder)
833 2.03E+08 Resorption of cervical disc (disorder)
833 2.03E+08 Calcification of cervical disc (disorder)
833 1.65E+08 On examination - foot joint abnormal (disorder)
833 61293001 Congenital deformity of knee joint (disorder)
833 1.65E+08 On examination - toe joint abnormal (disorder)
833 59068006 Congenital dislocation of knee (disorder)
833 1.65E+08 On examination - neck joint abnormal (disorder)
833 1.65E+08 On examination - joint effusion present (disorder)
833 1.65E+08 On examination - joint - passive greater than active movement (disorder)
833 2.09E+08 Distal radioulnar joint sprain (disorder)
833 2.09E+08 Open traumatic dislocation of tarsometatarsal joint (disorder)
833 15739006 Juvenile osteochondrosis of hip AND/OR pelvis (disorder)
833 19579005 Juvenile osteochondritis (disorder)
833 15858007 Recurrent dislocation of forearm (disorder)
833 16065006 Ankylosis of sacroiliac joint (disorder)
833 73464005 Ankylosis of joint of pelvic region (disorder)
833 16071000 Congenital generalized flexion contractures of lower limb joints (disorder)
833 2.4E+08 Intervertebral disk calcification (disorder)
833 2.03E+08 Thoracic discitis (disorder)
833 1.91E+08 Gouty arthropathy (disorder)
833 16123003 Acquired hallux varus (disorder)
833 2.03E+08 Annular tear of thoracic disc (disorder)
833 2.74E+08 Arthritis/arthrosis (disorder)
833 2.03E+08 Resorption of thoracic disc (disorder)
833 2.03E+08 Calcification of thoracic disc (disorder)
833 3.14E+08 Acquired varus deformity of toe (disorder)
833 2.03E+08 Annular tear of lumbar disc (disorder)
833 2.4E+08 Elbow pyogenic arthritis (disorder)
833 2.03E+08 Resorption of lumbar disc (disorder)
833 16282000 Sprain of ulnohumeral joint (disorder)
833 2.03E+08 Calcification of lumbar disc (disorder)
833 2.63E+08 Sprain of ligament of elbow (disorder)
833 2.03E+08 Infection of intervertebral disc - pyogenic (disorder)
833 3.03E+08 Infective discitis (disorder)
833 2.4E+08 Wrist pyogenic arthritis (disorder)
833 2.03E+08 Cervical disc disorder with radiculopathy (disorder)
833 2.4E+08 Knee pyogenic arthritis (disorder)
833 2.03E+08 Cervical posterior longitudinal ligament ossification (disorder)
833 2.09E+08 Open dislocation thoracic spine (disorder)
833 2.87E+08 Rheumatoid arthritis of multiple joints (disorder)
833 2.02E+08 Rheumatoid arthritis of shoulder (disorder)
833 2.02E+08 Articular cartilage disorder of the shoulder region (disorder)
833 2.02E+08 Rheumatoid arthritis of elbow (disorder)
833 2.02E+08 Rheumatoid arthritis of wrist (disorder)
833 16711001 Effusion of joint of hand (disorder)
833 4.28E+08 Arthropathy of joint of hand (disorder)
833 2.87E+08 Rheumatoid arthritis of hand joint (disorder)
833 16935003 Allergic arthritis (disorder)
833 2.02E+08 Rheumatoid arthritis of hip (disorder)
833 2.03E+08 Atlanto-occipital ankylosis (disorder)
833 2.03E+08 Atlantoaxial ankylosis (disorder)
833 2.02E+08 Rheumatoid arthritis of knee (disorder)
833 2.03E+08 Cervicothoracic ankylosis (disorder)
833 2.87E+08 Rheumatoid arthritis of ankle and/or foot (disorder)
833 2.03E+08 Thoracic spine ankylosis (disorder)
833 53338001 Arthropathy associated with a hypersensitivity reaction (disorder)
833 2.03E+08 Thoracolumbar ankylosis (disorder)
833 3.99E+08 Seronegative arthritis (disorder)
833 2.68E+08 Osteoarthritis of multiple joints (disorder)
833 2.03E+08 Atlanto-occipital instability (disorder)
833 3.74E+08 Osteoarthritis of glenohumeral joint (disorder)
833 2.03E+08 Cervical spine instability (disorder)
833 2.02E+08 Traumatic arthropathy of multiple sites (disorder)
833 16979000 Acquired coxa valga (disorder)
833 2.02E+08 Traumatic arthropathy of the shoulder region (disorder)
833 2.03E+08 Atlantoaxial instability (disorder)
833 2.81E+08 Acquired valgus deformity of joint of lower limb (disorder)
833 2.03E+08 Cervicothoracic instability (disorder)
833 17059001 Prepatellar bursitis (disorder)
833 2.03E+08 Thoracic spine instability (disorder)
833 2.02E+08 Traumatic arthropathy of elbow (disorder)
833 2.03E+08 Recurrent atlantoaxial subluxation with myelopathy (disorder)
833 2.02E+08 Traumatic arthropathy of wrist (disorder)
833 2.02E+08 Traumatic arthropathy of the hand (disorder)
833 2.02E+08 Traumatic arthropathy of hip (disorder)
833 1.11E+08 Bursitis of knee (disorder)
833 2.02E+08 Traumatic arthropathy of knee (disorder)
833 2.02E+08 Traumatic arthropathy of the ankle and/or foot (disorder)
833 4.45E+08 Inflammation of bursa of patella (disorder)
833 2.4E+08 Otto's pelvis (disorder)
833 17136009 Tuberculosis of knee (disorder)
833 2.03E+08 Partial thickness rotator cuff tear (disorder)
833 2.68E+08 Loose body in joint, excluding the knee (disorder)
833 2.4E+08 Painful arc syndrome (disorder)
833 2.03E+08 Coracoid impingement (disorder)
833 3.71E+08 Arthritis of knee (disorder)
833 2.4E+08 Semimembranosus bursitis (disorder)
833 2.75E+08 Closed subcapital fracture of femur (disorder)
833 2.4E+08 Popliteal bursitis (disorder)
833 2.4E+08 Suprapatellar bursitis (disorder)
833 2.03E+08 Fibular ankle impingement (disorder)
833 17184000 Sprain of coracohumeral ligament (disorder)
833 2.03E+08 Plant thorn synovitis (disorder)
833 2.02E+08 Localized, secondary osteoarthritis of the shoulder region (disorder)
833 2.02E+08 Pathological dislocation of the shoulder joint (disorder)
833 2.03E+08 Transient synovitis (disorder)
833 2.4E+08 Elbow pathological dislocation (disorder)
833 2.03E+08 Synovitis of hip (disorder)
833 2.02E+08 Pathological dislocation of wrist joint (disorder)
833 2.4E+08 Synovitis of knee (disorder)
833 2.4E+08 Hip pathological dislocation (disorder)
833 2.4E+08 Shoulder synovitis (disorder)
833 2.02E+08 Pathological dislocation of knee joint (disorder)
833 2.4E+08 Synovitis of elbow (disorder)
833 2.02E+08 Recurrent dislocation of wrist (disorder)
833 2.03E+08 Infected bunion (disorder)
833 3.86E+08 Flexion contracture (disorder)
833 17214002 Closed traumatic dislocation of lumbar vertebra (disorder)
833 2.02E+08 Contracture of multiple joints (disorder)
833 2.02E+08 Ankylosis of the elbow joint (disorder)
833 2.09E+08 Closed dislocation lumbar spine (disorder)
833 2.02E+08 Ankylosis of the wrist joint (disorder)
833 2.02E+08 Knee joint ankylosis (disorder)
833 2.02E+08 Elbow joint effusion (disorder)
833 2.02E+08 Wrist joint effusion (disorder)
833 2.03E+08 Ganglion of wrist (disorder)
833 2.02E+08 Knee joint effusion (disorder)
833 17290007 Open dislocation of sternum (disorder)
833 2.03E+08 Inflammatory spondylopathy (disorder)
833 1.26E+08 Traumatic dislocation of sternum (disorder)
833 2.4E+08 Lumbar spondylosis (disorder)
833 2.03E+08 Lumbosacral spondylosis with myelopathy (disorder)
833 2.02E+08 Old anterior cruciate ligament disruption (disorder)
833 2.4E+08 Prolapsed cervical intervertebral disc (disorder)
833 17857003 Localized chondromalacia (disorder)
833 17883008 Sprain of hip (disorder)
833 2.4E+08 Prolapsed thoracic intervertebral disc (disorder)
833 2.68E+08 Disc disorder with myelopathy (disorder)
833 2.03E+08 Ganglion of superior tibiofibular joint (disorder)
833 2.74E+08 Subscapularis tendinitis (disorder)
833 2.03E+08 Ganglion of ankle (disorder)
833 2.4E+08 Infraspinatus tendinitis (disorder)
833 2.82E+08 Sprain of ligament of lower limb (disorder)
833 2.03E+08 Supraspinatus tendinitis (disorder)
833 2.03E+08 Synovitis and tenosynovitis (disorder)
833 2.03E+08 Ganglion of flexor tendon sheath of finger (disorder)
833 17926002 Aseptic necrosis of medial femoral condyle (disorder)
833 2.87E+08 Synovitis/tenosynovitis - multiple joints (disorder)
833 18035009 Supination-eversion injury of ankle, stage 2 (disorder)
833 2.87E+08 Synovitis/tenosynovitis - shoulder (disorder)
833 2.87E+08 Synovitis/tenosynovitis - elbow (disorder)
833 2.87E+08 Synovitis/tenosynovitis - wrist (disorder)
833 18834007 Crystal arthropathy (disorder)
833 2.97E+08 Ganglion of hand (disorder)
833 2.88E+08 Synovitis/tenosynovitis - hand (disorder)
833 2.97E+08 Ganglion of foot (disorder)
833 2.87E+08 Synovitis/tenosynovitis - hip (disorder)
833 2.4E+08 Rupture of popliteal bursa (disorder)
833 2.87E+08 Synovitis/tenosynovitis - knee (disorder)
833 2.4E+08 Synovial plica of knee (disorder)
833 2.87E+08 Synovitis and/or tenosynovitis - ankle and/or foot (disorder)
833 2.03E+08 Abscess of bursa of knee (disorder)
833 2.87E+08 Ganglion/synovial cyst - multiple joints (disorder)
833 2.87E+08 Ganglion/synovial cyst - shoulder (disorder)
833 2.4E+08 Hip juvenile osteochondropathy (disorder)
833 18920006 Acute bacterial arthritis (disorder)
833 2.87E+08 Ganglion/synovial cyst - elbow (disorder)
833 26071001 Acute infective arthritis (disorder)
833 2.87E+08 Ganglion/synovial cyst - wrist (disorder)
833 19181003 Lymphocytic plasmacytic synovitis (disorder)
833 2.87E+08 Ganglion/synovial cyst - hand (disorder)
833 19192002 Yaws of joint (disorder)
833 2.87E+08 Ganglion/synovial cyst - hip (disorder)
833 19241004 Traumatic open dislocation of interphalangeal joint of hand (disorder)
833 2.87E+08 Ganglion/synovial cyst - knee (disorder)
833 2.87E+08 Ganglion/synovial cyst - ankle/foot (disorder)
833 2.87E+08 Rupture of synovium - wrist (disorder)
833 2.4E+08 Synovial cyst of knee (disorder)
833 2.4E+08 Pelvis juvenile osteochondropathy (disorder)
833 1.29E+08 Traumatic dislocation of joint of hand (disorder)
833 2.4E+08 Coxa plana (disorder)
833 19290004 Clutton's joints (disorder)
833 3.63E+08 Infectious disorder of joint (disorder)
833 2.87E+08 Rupture of synovium - knee (disorder)
833 19375000 Pyogenic arthritis of pelvic region (disorder)
833 2.03E+08 Ischiopubic synchondrosis (disorder)
833 4.45E+08 Infective arthritis of pelvis (disorder)
833 2.68E+08 Osteochondritis of the pelvis (disorder)
833 19393004 Contracture of joint of multiple sites (disorder)
833 2.03E+08 Non-traumatic acute slipped upper femoral epiphysis (disorder)
833 19431000 Rubella arthritis (disorder)
833 2.87E+08 Chronic osteomyelitis - hip (disorder)
833 2.03E+08 Non-traumatic acute-on-chronic slipped upper femoral epiphysis (disorder)
833 2.4E+08 Arthritis due to viral infection (disorder)
833 19494006 Current tear of semilunar cartilage (disorder)
833 2.03E+08 Non-traumatic chronic slipped upper femoral epiphysis (disorder)
833 2.75E+08 Current knee cartilage tear (disorder)
833 2.4E+08 Juvenile osteochondritis of the arm (disorder)
833 19514005 Arthritis mutilans (disorder)
833 4.14E+08 Closed fracture of head of humerus (disorder)
833 2.4E+08 Juvenile osteochondritis of the hand (disorder)
833 2.87E+08 Chronic osteomyelitis - knee (disorder)
833 19652000 Open fracture of femoral condyle of femur (disorder)
833 2.68E+08 Juvenile osteochondritis of the hip and pelvis (disorder)
833 2.63E+08 Fracture of femoral condyle (disorder)
833 2.68E+08 Juvenile osteochondritis of the arm and hand (disorder)
833 20021007 Displacement of lumbar intervertebral disc without myelopathy (disorder)
833 2.87E+08 Juvenile osteochondritis - leg/foot (disorder)
833 2.04E+08 Mallet toe (disorder)
833 2.03E+08 Prolapsed lumbar intervertebral disc (disorder)
833 2.4E+08 Pyrophosphate arthritis (disorder)
833 3.67E+08 Osteochondritis of the carpal lunate (disorder)
833 20026002 Open dislocation of proximal end of metacarpal bone of wrist (disorder)
833 2.71E+08 Congenital instability of hip joint (disorder)
833 34873006 Open dislocation of wrist (disorder)
833 2.09E+08 Open traumatic dislocation carpometacarpal joint (disorder)
833 2.63E+08 Dislocation of acromioclavicular joint (disorder)
833 2.87E+08 Dislocated knee with medial meniscus tear (disorder)
833 20075001 Crystal arthropathy of multiple sites (disorder)
833 20100009 Closed fracture of intracapsular section of femur (disorder)
833 2.87E+08 Dislocated knee with lateral meniscus tear (disorder)
833 2.09E+08 Dislocation or subluxation of foot (disorder)
833 20132009 Closed traumatic dislocation of fourth cervical vertebra (disorder)
833 2.69E+08 Arm sprain - upper (disorder)
833 20243008 Bouchard's node (disorder)
833 2.63E+08 Forearm sprain (disorder)
833 3.86E+08 Osteochondritis of the talus (disorder)
833 2.03E+08 Iselin's disease (disorder)
833 3.02E+08 Elbow fracture - open (disorder)
833 2.76E+08 Osteochondritis of metatarsal (disorder)
833 20358003 Pyogenic arthritis of ankle (disorder)
833 2.03E+08 Osteochondritis dissecans of the lateral femoral condyle (disorder)
833 2.87E+08 Sprained finger/thumb (disorder)
833 4.29E+08 Disorder of ankle joint (disorder)
833 2.63E+08 Sprain of toe joint (disorder)
833 2.74E+08 Thoracic back sprain (disorder)
833 20736003 Closed posterior dislocation of distal end of femur (disorder)
833 2.1E+08 Lumbar sprain (disorder)
833 2.03E+08 Osteochondritis dissecans of the humeral head (disorder)
833 2.03E+08 Osteochondritis dissecans of the capitellum (disorder)
833 2.1E+08 Sprain, lumbosacral ligament (disorder)
833 2.03E+08 Osteochondritis dissecans of the radial head (disorder)
833 2.03E+08 Osteochondritis dissecans of the femoral head (disorder)
833 20834007 Congenital cubitus varus (disorder)
833 4.3E+08 Arthropathy of elbow (disorder)
833 2.03E+08 Kienbock's disease of adults (disorder)
833 21142001 Sprain of sacrospinatus ligament (disorder)
833 2.03E+08 Avascular necrosis of the head of humerus (disorder)
833 21316006 Supination-eversion injury of ankle, stage 1 (disorder)
833 2.03E+08 Avascular necrosis of the head of femur (disorder)
833 2.68E+08 Avascular necrosis of the medial femoral condyle (disorder)
833 21333004 Derangement of lateral meniscus (disorder)
833 1.11E+08 Derangement of meniscus of knee joint (disorder)
833 2.03E+08 Avascular necrosis of capitellum (disorder)
833 2.03E+08 Avascular necrosis of lateral femoral condyle (disorder)
833 21419000 Closed fracture of medial condyle of humerus (disorder)
833 2.04E+08 Pseudarthrosis after fusion or arthrodesis (disorder)
833 80767005 Closed fracture of condyle of humerus (disorder)
833 2.74E+08 Contracture after injury (disorder)
833 4.1E+08 Open traumatic dislocation of glenohumeral joint, posterior (disorder)
833 2.04E+08 Hypermobile flat foot (disorder)
833 2.04E+08 Rigid flat foot (disorder)
833 2.04E+08 Peroneal spastic flat foot (disorder)
833 2.04E+08 Overriding fifth toe (disorder)
833 21534009 Arthritis due to Escherichia coli (disorder)
833 2.04E+08 Extension deformity of finger (disorder)
833 2.04E+08 Rotational deformity of finger (disorder)
833 4.29E+08 Crystal arthropathy of knee (disorder)
833 2.75E+08 Open subcapital fracture of femur (disorder)
833 2.04E+08 Acquired internal femoral torsion (disorder)
833 2.04E+08 Acquired external femoral torsion (disorder)
833 2.4E+08 Rice bodies in knee (disorder)
833 2.04E+08 Acquired genu valgum and varum (disorder)
833 21949009 Closed traumatic dislocation of interphalangeal joint of toe (disorder)
833 2.04E+08 Acquired equinovarus - clubfoot (disorder)
833 86899000 Closed traumatic dislocation of joint of toe (disorder)
833 2.04E+08 Acquired valgus heel (disorder)
833 22193007 Degenerative joint disease of hand (disorder)
833 3.96E+08 Osteoarthritis (disorder)
833 2.04E+08 Plantar flexion of the midtarsal joint (disorder)
833 4.29E+08 Crystal arthropathy of wrist (disorder)
833 22682006 Open lateral dislocation of proximal end of tibia (disorder)
833 2.04E+08 Plantar flexion contracture of tarsometatarsal joint (disorder)
833 2.09E+08 Open traumatic dislocation knee joint, lateral (disorder)
833 2.04E+08 Flexion contracture of toe joint (disorder)
833 22802006 Closed pertrochanteric fracture (disorder)
833 2.04E+08 Acquired plantar-flexed forefoot (disorder)
833 2.04E+08 Acquired plantar-flexed first ray (disorder)
833 89820008 Closed intertrochanteric fracture (disorder)
833 2.04E+08 Acquired plantar-flexed fifth ray (disorder)
833 2.04E+08 Acquired pronated forefoot (disorder)
833 22848002 Open dislocation of sacroiliac joint (disorder)
833 2.4E+08 Acquired pronation deformity of foot (disorder)
833 2.04E+08 Acquired forefoot adductus (disorder)
833 2.04E+08 Acquired forefoot abductus (disorder)
833 2.09E+08 Open dislocation of sacrum (disorder)
833 2.4E+08 Acquired abduction deformity of foot (disorder)
833 1.26E+08 Traumatic dislocation of sacroiliac joint (disorder)
833 2.04E+08 Acquired serpentine deformity of foot (disorder)
833 2.09E+08 Open traumatic dislocation of pelvis (disorder)
833 2.04E+08 Acquired internal tibial torsion (disorder)
833 2.02E+08 Localized, secondary osteoarthritis of the hand (disorder)
833 2.04E+08 Acquired external tibial torsion (disorder)
833 2.04E+08 Dysplastic spondylolisthesis (disorder)
833 2.03E+08 Hypermobility of the coccyx (disorder)
833 2.04E+08 Isthmic spondylolisthesis (disorder)
833 22911007 Closed traumatic dislocation of joint of shoulder region (disorder)
833 2.04E+08 Pedicular spondylolisthesis (disorder)
833 2.04E+08 Subluxation complex (vertebral) (disorder)
833 23008004 Subacute infective arthritis (disorder)
833 2.63E+08 Subluxation of joint of spine (disorder)
833 42545001 Subacute arthritis (disorder)
833 23055009 Fracture of glenoid cavity AND neck of scapula (disorder)
833 2.05E+08 Congenital dislocation and subluxation of the hip (disorder)
833 23060008 Swan-neck deformity (disorder)
833 3.6E+08 Acquired deformity of finger joint (disorder)
833 23104004 Murine mycoplasmal arthritis (disorder)
833 2.54E+08 Predislocation status of hip at birth (disorder)
833 61176006 Mycoplasma arthritis (disorder)
833 2.54E+08 Congenital clicking hip (disorder)
833 23415000 Sprain of jaw (disorder)
833 2.05E+08 Bilateral unstable hip (disorder)
833 2.05E+08 Congenital genu recurvatum (disorder)
833 2.05E+08 Congenital dislocation of knee grade I (disorder)
833 1.06E+08 Sprain of ligament of joint (disorder)
833 2.05E+08 Congenital dislocation of knee grade II (disorder)
833 2.09E+08 Closed traumatic dislocation of radiocarpal joint (disorder)
833 2.05E+08 Congenital dislocation of knee grade III (disorder)
833 23876003 Congenital dislocation of shoulder (disorder)
833 2.05E+08 Congenital dislocation of patella (disorder)
833 23882000 Neuritis AND/OR radiculitis due to rupture of lumbar intervertebral disc (disorder)
833 2.05E+08 Congenital flexion contracture of hip (disorder)
833 2.05E+08 Congenital abduction contracture of hip (disorder)
833 4.44E+08 Disorder of lumbar disc (disorder)
833 2.05E+08 Congenital flexion contracture of knee (disorder)
833 41733009 Neuritis AND/OR radiculitis due to rupture of intervertebral disc (disorder)
833 2.54E+08 Multiple congenital articular rigidities (disorder)
833 2.05E+08 Proximal femoral focal deficiency (disorder)
833 23890000 Calcaneal apophysitis (disorder)
833 2.05E+08 Radioulnar synostosis and dislocation of radial head (disorder)
833 2.81E+08 Traction apophysitis (disorder)
833 23939000 Imperfect fusion of skull (disorder)
833 23950002 Acute infective polyarthritis (disorder)
833 2.05E+08 Proximal interphalangeal joint symphalangism (disorder)
833 42898009 Acute polyarthritis (disorder)
833 2.05E+08 Distal interphalangeal joint symphalangism (disorder)
833 23961005 Arthropathy associated with a hematological disorder (disorder)
833 2.02E+08 Hemarthrosis of hip (disorder)
833 2.05E+08 Congenital varus ankle (disorder)
833 53286005 Medial epicondylitis of elbow joint (disorder)
833 2.05E+08 Congenital valgus ankle (disorder)
833 2.05E+08 Congenital ball and socket ankle (disorder)
833 2.03E+08 Lateral epicondylitis (disorder)
833 2.54E+08 Congenital deformity of lumbosacral joint (disorder)
833 24269006 Distal arthrogryposis syndrome (disorder)
833 28204005 Inherited arthrogryposis (disorder)
833 1.11E+08 Arthrogryposis (disorder)
833 2.06E+08 Birth dislocation of the shoulder (disorder)
833 24273009 Ankylosis of hip joint (disorder)
833 3.02E+08 Ankylosis of lower limb joint (disorder)
833 2.08E+08 Closed fracture acetabulum, anterior lip alone (disorder)
833 2.02E+08 Old capsular knee ligament disruption (disorder)
833 24730004 Sprain of calcaneofibular ligament (disorder)
833 2.08E+08 Closed fracture acetabulum, posterior lip alone (disorder)
833 2.08E+08 Closed fracture acetabulum, anterior column (disorder)
833 24864009 Sprain of interphalangeal joint of toe (disorder)
833 2.08E+08 Closed fracture acetabulum, posterior column (disorder)
833 2.09E+08 Interphalangeal sprain (disorder)
833 2.08E+08 Closed fracture acetabulum, floor (disorder)
833 49388007 Sprain of foot (disorder)
833 2.08E+08 Closed fracture acetabulum, double column transverse (disorder)
833 25343008 Secondary localized osteoarthrosis of pelvic region (disorder)
833 2.09E+08 Carpometacarpal sprain (disorder)
833 2.08E+08 Open fracture acetabulum, anterior lip alone (disorder)
833 25586009 Open dislocation of distal end of fibula (disorder)
833 2.08E+08 Open fracture acetabulum, posterior lip alone (disorder)
833 2.75E+08 Dislocation of fibula, distal end (disorder)
833 2.08E+08 Open fracture acetabulum, anterior column (disorder)
833 54394007 Open dislocation of ankle (disorder)
833 2.08E+08 Open fracture acetabulum, posterior column (disorder)
833 25738004 Tuberculous synovitis (disorder)
833 2.08E+08 Open fracture acetabulum, floor (disorder)
833 34268009 Closed fracture of lateral malleolus (disorder)
833 2.08E+08 Open fracture acetabulum, double column transverse (disorder)
833 2.08E+08 Closed fracture dislocation of sacroiliac joint (disorder)
833 25952008 Impaired mobility of ear ossicles, except malleus (disorder)
833 2.63E+08 Fracture dislocation of sacroiliac joint (disorder)
833 87040007 Dislocation of ear ossicles (disorder)
833 2.08E+08 Open fracture dislocation of sacroiliac joint (disorder)
833 26241001 Crystal arthropathy of hand (disorder)
833 2.08E+08 Closed complete rupture pubic symphysis (disorder)
833 26460006 Slipped upper femoral epiphysis (disorder)
833 2.09E+08 Closed fracture dislocation of pelvis (disorder)
833 26538006 Degeneration of lumbar intervertebral disc (disorder)
833 77547008 Degeneration of intervertebral disc (disorder)
833 2.63E+08 Fracture dislocation of symphysis pubis (disorder)
833 2.74E+08 Lumbar disc lesion (disorder)
833 2.08E+08 Closed complete rupture sacroiliac joint (disorder)
833 26908008 Open bimalleolar fracture (disorder)
833 2.08E+08 Open complete rupture pubic symphysis (disorder)
833 2.09E+08 Open fracture dislocation of pelvis (disorder)
833 26938002 Open intertrochanteric fracture (disorder)
833 2.08E+08 Open complete rupture of sacroiliac joint (disorder)
833 1.27E+08 Intertrochanteric fracture (disorder)
833 2.08E+08 Traumatic rupture of symphysis pubis (disorder)
833 3.61E+08 Open fracture of hip (disorder)
833 2.08E+08 Closed fracture scapula, glenoid (disorder)
833 27182002 Sprain of acromioclavicular ligament (disorder)
833 2.08E+08 Open fracture scapula, glenoid (disorder)
833 2.02E+08 Arthropathy associated with non-infective gastrointestinal disorder (disorder)
833 2.08E+08 Open fracture proximal humerus, head (disorder)
833 2.03E+08 Full thickness rotator cuff tear (disorder)
833 2.05E+08 Congenital subluxation of hip, bilateral (disorder)
833 2.08E+08 Closed fracture distal humerus, medial condyle (disorder)
833 27507004 Hemarthrosis of hand (disorder)
833 2.08E+08 Closed fracture distal humerus, lateral epicondyle (disorder)
833 27713005 Arthropathy associated with acromegaly (disorder)
833 39710007 Arthropathy associated with an endocrine AND/OR metabolic disorder (disorder)
833 67536000 Arthropathy associated with a neurological disorder (disorder)
833 2.82E+08 Fracture of the lateral humeral epicondyle (disorder)
833 27774009 Congenital deformity of ankle joint (disorder)
833 2.08E+08 Closed fracture distal humerus, capitellum (disorder)
833 2.4E+08 Contracture of hip joint (disorder)
833 28238002 Sprain of chondrocostal joint without injury to sternum (disorder)
833 2.08E+08 Closed fracture distal humerus, bicondylar (T-Y fracture) (disorder)
833 28729000 Proliferative synovitis (disorder)
833 2.08E+08 Open fracture of distal humerus, trochlea (disorder)
833 28736004 Primary localized osteoarthrosis of multiple sites (disorder)
833 2.02E+08 Localized, primary osteoarthritis (disorder)
833 28740008 Trigonocephaly (disorder)
833 2.08E+08 Open fracture distal humerus, capitellum (disorder)
833 2.08E+08 Open fracture distal humerus, bicondylar (T-Y fracture) (disorder)
833 28861008 Crouzon syndrome (disorder)
833 2.08E+08 Closed fracture olecranon, extra-articular (disorder)
833 57219006 Craniosynostosis syndrome (disorder)
833 2.08E+08 Closed fracture olecranon, intra-articular (disorder)
833 28880005 Rheumatoid carditis (disorder)
833 2.08E+08 Open fracture olecranon, extra-articular (disorder)
833 2.4E+08 Rheumatoid arthritis with organ / system involvement (disorder)
833 28940000 Arthropathy associated with a dermatological disorder (disorder)
833 2.08E+08 Open fracture olecranon, intra-articular (disorder)
833 29045004 Closed Monteggia's fracture (disorder)
833 1.24E+08 Monteggia's fracture (disorder)
833 2.08E+08 Closed Galeazzi fracture (disorder)
833 2.09E+08 Closed fracture dislocation elbow joint (disorder)
833 2.09E+08 Closed fracture dislocation of wrist (disorder)
833 29087002 Acquired cubitus varus (disorder)
833 2.81E+08 Acquired varus deformity of joint of upper limb (disorder)
833 3.96E+08 Arthropathy associated with infection (disorder)
833 2.08E+08 Closed volar Barton's fracture (disorder)
833 29574001 Schmorl's nodes of lumbar region (disorder)
833 2.63E+08 Volar Barton's fracture (disorder)
833 2.41E+08 Gonococcal synovitis (disorder)
833 2.08E+08 Closed dorsal Barton's fracture (disorder)
833 2.63E+08 Dorsal Barton's fracture (disorder)
833 29818001 Closed traumatic dislocation of metacarpophalangeal joint of finger (disorder)
833 3.08E+08 Closed Barton's fracture (disorder)
833 75137002 Closed traumatic dislocation of joint of finger (disorder)
833 2.08E+08 Open Galeazzi fracture (disorder)
833 2.83E+08 Knuckle injury (disorder)
833 2.09E+08 Open traumatic dislocation elbow joint, anterior (disorder)
833 2.09E+08 Open fracture dislocation wrist (disorder)
833 29885006 Sacroiliac instability (disorder)
833 2.08E+08 Open volar Barton's fracture (disorder)
833 2.4E+08 Spinal instability (disorder)
833 3.08E+08 Open Barton's fracture (disorder)
833 3.88E+08 Cervical spondylosis (disorder)
833 2.08E+08 Open dorsal Barton's fracture (disorder)
833 3.88E+08 Cervical arthritis (disorder)
833 2.09E+08 Closed fracture proximal femur, transcervical (disorder)
833 2.68E+08 Cervical spondylosis without myelopathy (disorder)
833 2.09E+08 Closed fracture proximal femur, transepiphyseal (disorder)
833 4.1E+08 Closed traumatic dislocation of scapulothoracic joint (disorder)
833 1.26E+08 Closed traumatic dislocation of glenohumeral joint (disorder)
833 2.09E+08 Closed fracture proximal femur, midcervical section (disorder)
833 30489009 Open fracture of intracapsular section of femur (disorder)
833 2.09E+08 Closed fracture proximal femur, subcapital, Garden grade I (disorder)
833 2.09E+08 Closed fracture proximal femur, subcapital, Garden grade II (disorder)
833 30556007 Recurrent dislocation of shoulder region (disorder)
833 2.09E+08 Closed fracture proximal femur, subcapital, Garden grade III (disorder)
833 30652003 Ehlers-Danlos syndrome, type 3 (disorder)
833 2.09E+08 Closed fracture proximal femur, subcapital, Garden grade IV (disorder)
833 85551004 Hypermobility syndrome (disorder)
833 2.09E+08 Open fracture proximal femur, transcervical (disorder)
833 2.09E+08 Closed traumatic dislocation sternoclavicular joint (disorder)
833 2.09E+08 Open fracture proximal femur, transepiphyseal (disorder)
833 2.68E+08 Joint contracture of the ankle and/or foot (disorder)
833 2.09E+08 Open fracture proximal femur, midcervical section (disorder)
833 32128001 Sprain of metacarpophalangeal joint (disorder)
833 2.09E+08 Open fracture proximal femur,subcapital, Garden grade unspec (disorder)
833 87778004 Sprain of hand (disorder)
833 2.09E+08 Open fracture proximal femur,subcapital, Garden grade I (disorder)
833 1.11E+08 Arthropathy associated with viral disease (disorder)
833 33118001 Closed fracture of acetabulum (disorder)
833 2.09E+08 Open fracture proximal femur,subcapital, Garden grade II (disorder)
833 64455005 Fracture of acetabulum (disorder)
833 2.09E+08 Open fracture proximal femur,subcapital, Garden grade III (disorder)
833 33132004 Intervertebral disc rupture (disorder)
833 2.09E+08 Open fracture proximal femur,subcapital, Garden grade IV (disorder)
833 33262002 Osteoarthrosis involving multiple sites but not designated as generalized (disorder)
833 36186002 Polyarthropathy (disorder)
833 2.4E+08 Osteoarthritis of elbow (disorder)
833 2.09E+08 Closed fracture of proximal femur, pertrochanteric (disorder)
833 2.08E+08 Open fracture distal humerus, lateral epicondyle (disorder)
833 2.09E+08 Closed fracture proximal femur, intertrochanteric, two part (disorder)
833 33339001 Psoriasis with arthropathy (disorder)
833 2.09E+08 Closed fracture proximal femur, subtrochanteric (disorder)
833 33358005 Closed traumatic dislocation of sternum (disorder)
833 33420007 Diffuse cervicobrachial syndrome (disorder)
833 2.09E+08 Closed fracture proximal femur, intertrochanteric, comminuted (disorder)
833 2.09E+08 Open fracture of proximal femur, pertrochanteric (disorder)
833 33754009 Congenital coxa valga (disorder)
833 2.09E+08 Open fracture proximal femur, intertrochanteric, two part (disorder)
833 33937009 Lyme arthritis (disorder)
833 2.09E+08 Open fracture proximal femur, subtrochanteric (disorder)
833 2.4E+08 Arthritis due to spirochete infection (disorder)
833 33952002 Localized osteoarthrosis (disorder)
833 2.09E+08 Open fracture proximal femur, intertrochanteric, comminuted (disorder)
833 33955000 Closed traumatic dislocation of clavicle (disorder)
833 34139004 Intervertebral disc disorder of lumbar region with myelopathy (disorder)
833 2.09E+08 Pertrochanteric fracture (disorder)
833 2.63E+08 Subtrochanteric fracture of femur (disorder)
833 44983007 Intervertebral disc disorder with myelopathy (disorder)
833 34427002 Crystal arthropathy of shoulder region (disorder)
833 2.09E+08 Closed fracture distal femur, medial condyle (disorder)
833 34432001 Wagstaffe's fracture (disorder)
833 2.09E+08 Closed fracture distal femur, lateral condyle (disorder)
833 34565006 Closed anterior dislocation of humerus (disorder)
833 2.09E+08 Closed fracture distal femur, bicondylar (T-Y fracture) (disorder)
833 2.63E+08 Anterior dislocation of shoulder joint (disorder)
833 34578006 Open Monteggia's fracture (disorder)
833 2.09E+08 Open fracture distal femur, medial condyle (disorder)
833 2.09E+08 Open fracture dislocation elbow joint (disorder)
833 2.09E+08 Open fracture distal femur, lateral condyle (disorder)
833 2.09E+08 Open fracture distal femur, bicondylar (T-Y fracture) (disorder)
833 34622000 Temporomandibular subluxation (disorder)
833 3.03E+08 Dislocation of temporomandibular joint (disorder)
833 2.09E+08 Closed fracture proximal tibia, medial condyle (plateau) (disorder)
833 2.63E+08 Subluxation of joint (disorder)
833 3.03E+08 Tear of lateral meniscus of knee (disorder)
833 2.09E+08 Closed fracture proximal tibia, lateral condyle (plateau) (disorder)
833 3.09E+08 Current tear of lateral cartilage AND/OR meniscus of knee (disorder)
833 1.26E+08 Traumatic dislocation of joint of wrist (disorder)
833 2.09E+08 Closed fracture proximal tibia, bicondylar (disorder)
833 34934005 Pyogenic arthritis of multiple sites (disorder)
833 2.63E+08 Open fracture of tibial condyles (disorder)
833 35160004 Multiple open traumatic dislocations of upper arm (disorder)
833 2.87E+08 Multiple dislocations (disorder)
833 2.09E+08 Open fracture proximal tibia, medial condyle (plateau) (disorder)
833 35171003 Open dislocation of talus (disorder)
833 2.09E+08 Open fracture proximal tibia, lateral condyle (plateau) (disorder)
833 35726004 Sprain of lateral collateral ligament of knee (disorder)
833 2.09E+08 Open fracture proximal tibia, bicondylar (disorder)
833 2.09E+08 Closed fracture ankle, lateral malleolus, low (disorder)
833 54888009 Sprain of knee (disorder)
833 4.44E+08 Injury of lateral collateral ligament of knee (disorder)
833 2.09E+08 Closed fracture ankle, lateral malleolus, high (disorder)
833 41766008 Symphysiolysis of symphysis pubis (disorder)
833 35899005 Pott's fracture (disorder)
833 2.09E+08 Open fracture ankle, lateral malleolus, low (disorder)
833 35908007 Chronic arthritis (disorder)
833 2.09E+08 Open fracture ankle, lateral malleolus, high (disorder)
833 2.02E+08 Hemarthrosis of knee (disorder)
833 2.09E+08 Closed fracture ankle, bimalleolar, low fibular fracture (disorder)
833 36071006 Chondromalacia of patella (disorder)
833 2.4E+08 Disorder of patellofemoral joint (disorder)
833 4.3E+08 Articular cartilage disorder of knee (disorder)
833 2.09E+08 Closed fracture ankle, bimalleolar, high fibular fracture (disorder)
833 36172001 Congenital subluxation of hip (disorder)
833 2.09E+08 Open fracture ankle, bimalleolar, low fibular fracture (disorder)
833 2.63E+08 Subluxation of hip joint (disorder)
833 2.09E+08 Open fracture ankle, bimalleolar, high fibular fracture (disorder)
833 2.09E+08 Closed fracture ankle, trimalleolar, low fibular fracture (disorder)
833 36309003 Pneumococcal arthritis (disorder)
833 51646002 Streptococcal arthritis (disorder)
833 2.09E+08 Closed fracture ankle, trimalleolar, high fibular fracture (disorder)
833 36540006 Calcification of joint (disorder)
833 36655007 Complete ankylosis of the spine (disorder)
833 2.09E+08 Open fracture ankle, trimalleolar, low fibular fracture (disorder)
833 2.09E+08 Sprain radial collateral ligament (disorder)
833 2.09E+08 Open fracture ankle, trimalleolar, high fibular fracture (disorder)
833 36662003 Effusion of joint of multiple sites (disorder)
833 36678001 Pyogenic arthritis of shoulder region (disorder)
833 2.09E+08 Closed fracture talus, body (disorder)
833 4.28E+08 Infective arthritis of shoulder region (disorder)
833 37294008 Beat knee (disorder)
833 2.09E+08 Open fracture talus, body (disorder)
833 37430004 Syphilis of synovium (disorder)
833 2.69E+08 Dislocations and subluxations (disorder)
833 2.4E+08 Endemic osteoarthritis (disorder)
833 2.63E+08 Fracture dislocations and fracture subluxations (disorder)
833 2.69E+08 Dislocation or subluxation of jaw (disorder)
833 2.55E+08 Osteoarthritis deformans (disorder)
833 2.71E+08 Kashin-Beck disease (disorder)
833 2.08E+08 Open fracture of mandible, condylar process (disorder)
833 2.09E+08 Closed subluxation jaw (disorder)
833 37718006 Acquired equinus deformity of foot (disorder)
833 2.09E+08 Open subluxation jaw (disorder)
833 2.4E+08 Acquired deformity of joint of foot (disorder)
833 2.69E+08 Dislocation or subluxation of shoulder (disorder)
833 37895003 Osteoarthrosis of the carpometacarpal joint of the thumb (disorder)
833 2.09E+08 Closed traumatic dislocation of shoulder (disorder)
833 2.69E+08 Closed traumatic dislocation shoulder joint, anterior (sub-coracoid) (disorder)
833 2.4E+08 Osteoarthritis of wrist (disorder)
833 2.69E+08 Closed traumatic dislocation shoulder joint, posterior (disorder)
833 73589001 Intervertebral disc prolapse (disorder)
833 2.69E+08 Closed traumatic dislocation shoulder joint, inferior (infra-glenoid) (disorder)
833 38253002 Instability of lumbosacral joint (disorder)
833 4.1E+08 Open traumatic dislocation of scapulothoracic joint (disorder)
833 2.03E+08 Lumbar spine instability (disorder)
833 1.26E+08 Traumatic dislocation of joint of thumb (disorder)
833 2.09E+08 Closed traumatic subluxation shoulder joint (disorder)
833 4.43E+08 Closed traumatic subluxation of joint (disorder)
833 4.17E+08 Closed traumatic dislocation of digit of hand (disorder)
833 2.63E+08 Subluxation of shoulder joint (disorder)
833 38404000 Open fracture of acromial process of scapula (disorder)
833 2.09E+08 Closed traumatic subluxation acromioclavicular joint (disorder)
833 2.63E+08 Subluxation of acromioclavicular joint (disorder)
833 38540001 Sprain of interphalangeal joint of finger (disorder)
833 2.09E+08 Open traumatic subluxation shoulder joint (disorder)
833 2.09E+08 Open traumatic subluxation acromioclavicular joint (disorder)
833 38800000 Acute serous synovitis (disorder)
833 2.68E+08 Joint ankylosis of the forearm (disorder)
833 2.09E+08 Dislocation or subluxation of elbow (disorder)
833 2.68E+08 Thoracic spondylosis without myelopathy (disorder)
833 2.09E+08 Closed traumatic dislocation elbow joint, anterior (disorder)
833 39510005 Neurogenic ossifying arthropathy (disorder)
833 39547005 Enthesopathy of knee (disorder)
833 2.09E+08 Closed traumatic dislocation elbow joint, posterior (disorder)
833 2.09E+08 Closed traumatic dislocation elbow joint, medial (disorder)
833 39838007 Ochronotic arthritis (disorder)
833 2.09E+08 Closed traumatic dislocation elbow joint, lateral (disorder)
833 39992005 Arthropathy associated with nonspecific urethritis (disorder)
833 40047007 Closed traumatic dislocation of sixth cervical vertebra (disorder)
833 2.09E+08 Closed traumatic dislocation elbow joint, divergent (disorder)
833 2.09E+08 Closed traumatic dislocation superior radioulnar joint (disorder)
833 2.02E+08 Localized, secondary osteoarthritis of the ankle and/or foot (disorder)
833 2.09E+08 Open traumatic dislocation elbow joint, divergent (disorder)
833 40129004 Sprain of ligament of lumbosacral joint (disorder)
833 2.09E+08 Open traumatic dislocation superior radioulnar joint (disorder)
833 2.82E+08 Sprain of spinal ligament (disorder)
833 2.09E+08 Closed traumatic subluxation of elbow (disorder)
833 2.09E+08 Closed traumatic subluxation superior radioulnar joint (disorder)
833 40531004 Acquired varus deformity of wrist (disorder)
833 4.28E+08 Disorder of wrist joint (disorder)
833 2.09E+08 Open traumatic subluxation of elbow (disorder)
833 40582001 Calcification of intervertebral cartilage AND/OR disc of cervical region (disorder)
833 2.09E+08 Open traumatic subluxation superior radioulnar joint (disorder)
833 73894006 Calcification of intervertebral cartilage AND/OR disc (disorder)
833 2.75E+08 Dislocation of radius - distal (disorder)
833 40884005 Effusion of joint of shoulder region (disorder)
833 4.3E+08 Closed dislocation of radiocarpal joint (disorder)
833 2.02E+08 Localized, primary osteoarthritis of the hand (disorder)
833 2.63E+08 Dislocation of midcarpal joint (disorder)
833 41022003 Intervertebral disc disorder of thoracic region with myelopathy (disorder)
833 2.09E+08 Closed traumatic dislocation proximal metacarpal (disorder)
833 2.09E+08 Closed traumatic dislocation lunate (volar) (disorder)
833 41061006 Closed traumatic dislocation of tarsometatarsal joint (disorder)
833 49055005 Closed traumatic dislocation of metatarsal joint (disorder)
833 4.31E+08 Closed dislocation of perilunate joint (disorder)
833 2.09E+08 Closed traumatic dislocation perilunate (dorsal) (disorder)
833 41191003 Open fracture of head of femur (disorder)
833 2.09E+08 Open traumatic dislocation proximal metacarpal (disorder)
833 2.09E+08 Open traumatic dislocation lunate (volar) (disorder)
833 41359009 Closed anterior dislocation of proximal end of tibia (disorder)
833 2.09E+08 Open traumatic dislocation perilunate (dorsal) (disorder)
833 41409004 Avian infectious synovitis due to Mycoplasma synoviae (disorder)
833 2.09E+08 Closed traumatic subluxation of the wrist (disorder)
833 2.09E+08 Closed traumatic subluxation distal radioulnar joint (disorder)
833 2.68E+08 Pathological dislocation of the lower leg (disorder)
833 2.09E+08 Closed traumatic subluxation radiocarpal joint (disorder)
833 4.28E+08 Crystal arthropathy of hip (disorder)
833 42095008 Pyogenic arthritis of forearm (disorder)
833 2.09E+08 Closed traumatic subluxation midcarpal joint (disorder)
833 2.09E+08 Closed traumatic subluxation carpometacarpal joint (disorder)
833 66822008 Subacute arthropathy (disorder)
833 42944009 Degeneration of internal semilunar cartilage (disorder)
833 2.09E+08 Closed traumatic subluxation lunate (volar) (disorder)
833 2.09E+08 Closed traumatic subluxation perilunate (dorsal) (disorder)
833 43132002 Degeneration of cervicothoracic intervertebral disc (disorder)
833 2.09E+08 Open traumatic subluxation of the wrist (disorder)
833 68675004 Degeneration of thoracic intervertebral disc (disorder)
833 2.09E+08 Open traumatic subluxation distal radioulnar joint (disorder)
833 69195002 Degeneration of cervical intervertebral disc (disorder)
833 2.09E+08 Open traumatic subluxation radiocarpal joint (disorder)
833 43234007 Boutonnière deformity (disorder)
833 2.09E+08 Open traumatic subluxation midcarpal joint (disorder)
833 43442006 Hydrarthrosis of yaws (disorder)
833 2.09E+08 Open traumatic subluxation carpometacarpal joint (disorder)
833 2.68E+08 Joint ankylosis of the lower leg (disorder)
833 2.09E+08 Open traumatic subluxation lunate (volar) (disorder)
833 43593000 Open dislocation of pelvis (disorder)
833 2.09E+08 Open traumatic subluxation perilunate (dorsal) (disorder)
833 1.26E+08 Traumatic dislocation of pelvis (disorder)
833 4.17E+08 Dislocation of joint of digit (disorder)
833 43829003 Chronic osteoarthritis (disorder)
833 2.09E+08 Closed traumatic interphalangeal dislocation (disorder)
833 2.09E+08 Closed traumatic dislocation, distal interphalangeal joint (disorder)
833 43898003 Brachial neuritis AND/OR radiculitis due to rupture of cervical intervertebral disc (disorder)
833 2.09E+08 Closed traumatic dislocation, proximal interphalangeal joint (disorder)
833 2.09E+08 Closed traumatic dislocation multiple digits (disorder)
833 2.09E+08 Open traumatic interphalangeal dislocation (disorder)
833 2.03E+08 Cervical disc prolapse with radiculopathy (disorder)
833 2.09E+08 Open traumatic dislocation, distal interphalangeal joint (disorder)
833 2.1E+08 Sprain of superior tibiofibular ligament (disorder)
833 2.09E+08 Open traumatic dislocation, proximal interphalangeal joint (disorder)
833 2.09E+08 Open traumatic dislocation multiple digits (disorder)
833 43922008 Jaw claudication (disorder)
833 2.09E+08 Closed traumatic subluxation digit (disorder)
833 2.09E+08 Closed traumatic subluxation, metacarpophalangeal joint (disorder)
833 2.63E+08 Open fracture of base of neck of femur (disorder)
833 2.09E+08 Closed traumatic subluxation, distal interphalangeal joint (disorder)
833 2.09E+08 Closed traumatic subluxation, proximal interphalangeal joint (disorder)
833 2.09E+08 Closed traumatic subluxation multiple digits (disorder)
833 44113000 Juvenile osteochondrosis of radial head (disorder)
833 2.09E+08 Open traumatic subluxation, metacarpophalangeal joint (disorder)
833 44221002 Idiopathic polyarthritis (disorder)
833 44237008 Open dislocation of coccyx (disorder)
833 2.09E+08 Open traumatic subluxation, interphalangeal joint thumb (disorder)
833 1.29E+08 Traumatic dislocation of sacrococcygeal joint (disorder)
833 2.09E+08 Open traumatic subluxation, distal interphalangeal joint (disorder)
833 88743001 Open dislocation of vertebra (disorder)
833 2.09E+08 Open traumatic subluxation, proximal interphalangeal joint (disorder)
833 44245003 Tibial collateral ligament bursitis (disorder)
833 2.09E+08 Open traumatic subluxation multiple digits (disorder)
833 44264009 Traumatic dislocation of joint of cervical vertebra (disorder)
833 2.09E+08 Closed traumatic dislocation hip joint, posterior (disorder)
833 44333005 Open medial dislocation of proximal end of tibia (disorder)
833 2.09E+08 Closed traumatic obturator dislocation of hip (disorder)
833 2.09E+08 Open traumatic dislocation knee joint, medial (disorder)
833 2.09E+08 Closed traumatic dislocation hip joint, anterior (disorder)
833 2.4E+08 Lesion of ligaments of the ankle region (disorder)
833 2.09E+08 Closed traumatic subluxation hip joint (disorder)
833 44480001 Acquired flexible flat foot (disorder)
833 2.09E+08 Closed traumatic subluxation of pelvis (disorder)
833 53226007 Pes planus (disorder)
833 2.09E+08 Closed traumatic subluxation hip joint, posterior (disorder)
833 44494000 Spondylolisthesis, grade 1 (disorder)
833 44701004 Closed traumatic dislocations of multiple cervical vertebrae (disorder)
833 2.09E+08 Closed traumatic subluxation hip joint, anterior (disorder)
833 2.09E+08 Closed dislocation of multiple cervical vertebrae (disorder)
833 2.09E+08 Open traumatic subluxation hip joint (disorder)
833 2.09E+08 Open traumatic subluxation of pelvis (disorder)
833 2.09E+08 Open traumatic subluxation hip joint, posterior (disorder)
833 44743006 Gonococcal infection of joint (disorder)
833 45179004 Atlantoaxial subluxation (disorder)
833 2.09E+08 Open traumatic subluxation hip joint, anterior (disorder)
833 2.63E+08 Dislocation of atlantoaxial joint (disorder)
833 2.69E+08 Acute meniscal tear, medial (disorder)
833 2.63E+08 Subluxation of joint of cervical spine (disorder)
833 2.75E+08 Bucket handle tear - current injury (disorder)
833 84857004 Herniation of nucleus pulposus (disorder)
833 2.09E+08 Acute meniscal tear, medial, anterior horn (disorder)
833 45214008 Chronic infective arthritis (disorder)
833 2.09E+08 Acute meniscal tear, medial, posterior horn (disorder)
833 45231001 Infrapatellar bursitis (disorder)
833 2.09E+08 Acute meniscal tear, medial, bucket handle tear (disorder)
833 2.09E+08 Acute meniscal tear, medial, radial (disorder)
833 45387006 Open dislocation of second cervical vertebra (disorder)
833 2.09E+08 Acute meniscal tear, medial, peripheral detachment (disorder)
833 4.22E+08 Infective arthritis associated with AIDS (disorder)
833 2.09E+08 Acute meniscal tear, medial, horizontal cleavage (disorder)
833 2.09E+08 Acute meniscal tear, lateral (disorder)
833 45634004 Closed traumatic dislocation of carpometacarpal joint of wrist (disorder)
833 2.82E+08 Dislocation of carpometacarpal joint (disorder)
833 2.09E+08 Acute meniscal tear, lateral, anterior horn (disorder)
833 45636002 Acquired hallux malleus (disorder)
833 2.09E+08 Acute meniscal tear, lateral, posterior horn (disorder)
833 2.09E+08 Acute meniscal tear, lateral, bucket handle tear (disorder)
833 1.22E+08 Hammer toe (disorder)
833 2.09E+08 Acute meniscal tear, lateral, radial (disorder)
833 45673004 Acquired valgus deformity of wrist (disorder)
833 2.09E+08 Acute meniscal tear, lateral, peripheral detachment (disorder)
833 2.81E+08 Acquired valgus deformity of joint of upper limb (disorder)
833 2.09E+08 Acute meniscal tear, lateral, horizontal cleavage (disorder)
833 45696004 Open dislocation of metacarpophalangeal joint of thumb (disorder)
833 2.09E+08 Closed traumatic dislocation patellofemoral joint, lateral (disorder)
833 3.13E+08 Dislocation of metacarpophalangeal joint (disorder)
833 2.82E+08 Lateral patellofemoral dislocation (disorder)
833 54748006 Open dislocation of thumb (disorder)
833 2.09E+08 Closed traumatic dislocation patellofemoral joint, medial (disorder)
833 45833007 Open dislocation of navicular bone of foot (disorder)
833 2.09E+08 Open traumatic dislocation of patellofemoral joint (disorder)
833 2.09E+08 Open traumatic dislocation patellofemoral joint, lateral (disorder)
833 2.09E+08 Open traumatic dislocation patellofemoral joint, medial (disorder)
833 46101007 Acquired genu recurvatum (disorder)
833 2.4E+08 Acquired deformity of joint of lower limb (disorder)
833 2.09E+08 Closed traumatic dislocation knee joint, anterior (disorder)
833 4.29E+08 Crystal arthropathy of elbow (disorder)
833 2.09E+08 Closed traumatic dislocation knee joint, posterior (disorder)
833 46307004 Closed posterior dislocation of humerus (disorder)
833 2.09E+08 Closed traumatic dislocation knee joint, medial (disorder)
833 2.09E+08 Closed traumatic dislocation knee joint, lateral (disorder)
833 2.63E+08 Posterior dislocation of shoulder joint (disorder)
833 2.09E+08 Closed traumatic dislocation knee joint, rotatory (disorder)
833 46527004 Haemophilus influenzae arthritis (disorder)
833 2.09E+08 Closed traumatic dislocation, head of fibula (disorder)
833 46639003 Supination-adduction injury of ankle (disorder)
833 2.09E+08 Open traumatic dislocation knee joint, rotatory (disorder)
833 2.09E+08 Open traumatic dislocation, head of fibula (disorder)
833 46860007 Sprain of ligament of cricothyroid joint (disorder)
833 2.09E+08 Closed traumatic subluxation patellofemoral joint (disorder)
833 46931002 Closed traumatic dislocation of second cervical vertebra (disorder)
833 2.09E+08 Closed traumatic subluxation knee joint (disorder)
833 46960006 Lumbago-sciatica due to displacement of lumbar intervertebral disc (disorder)
833 2.09E+08 Closed traumatic subluxation patellofemoral joint, lateral (disorder)
833 2.09E+08 Closed traumatic subluxation patellofemoral joint, medial (disorder)
833 1.11E+08 Ankylosis of joint (disorder)
833 47123000 Rupture of cruciate ligaments (disorder)
833 2.09E+08 Open traumatic subluxation patellofemoral joint (disorder)
833 2.63E+08 Rupture of ligament of knee joint (disorder)
833 2.09E+08 Open traumatic subluxation knee joint (disorder)
833 47848000 Closed fracture of condyle of tibia (disorder)
833 2.09E+08 Open traumatic subluxation patellofemoral joint, lateral (disorder)
833 4.28E+08 Fracture of condyle of tibia (disorder)
833 2.09E+08 Open traumatic subluxation patellofemoral joint, medial (disorder)
833 47874006 Sprain of arm (disorder)
833 2.63E+08 Subluxation of knee joint (disorder)
833 2.09E+08 Closed traumatic subluxation knee joint, anterior (disorder)
833 48069004 Acrocephaly (disorder)
833 2.09E+08 Closed traumatic subluxation knee joint, posterior (disorder)
833 48210000 Lumbosacral spondylosis without myelopathy (disorder)
833 2.09E+08 Closed traumatic subluxation knee joint, medial (disorder)
833 1.24E+08 Lumbosacral spondylosis (disorder)
833 2.09E+08 Closed traumatic subluxation knee joint, lateral (disorder)
833 68859000 Spondylosis without myelopathy (disorder)
833 80406003 Pathological dislocation of joint (disorder)
833 2.09E+08 Closed traumatic subluxation knee joint, rotatory (disorder)
833 48274004 Sprain of thyroid cartilage (disorder)
833 2.09E+08 Closed traumatic subluxation, head of fibula (disorder)
833 2.63E+08 Subluxation of joint of lower limb (disorder)
833 2.1E+08 Thyroid region sprain (disorder)
833 2.09E+08 Open traumatic subluxation knee joint, anterior (disorder)
833 1.57E+08 Dislocation of hip joint (disorder)
833 48440001 Articular gout (disorder)
833 2.09E+08 Open traumatic subluxation knee joint, posterior (disorder)
833 2.75E+08 Open fracture of greater trochanter of femur (disorder)
833 2.09E+08 Open traumatic subluxation knee joint, medial (disorder)
833 2.09E+08 Open traumatic subluxation knee joint, lateral (disorder)
833 63141004 Closed traumatic dislocation of joint of foot (disorder)
833 2.09E+08 Open traumatic subluxation knee joint, rotatory (disorder)
833 2.09E+08 Open traumatic subluxation, head of fibula (disorder)
833 49761000 Chronic infective polyarthritis (disorder)
833 2.09E+08 Tear of articular cartilage of knee, current (disorder)
833 61126009 Infective polyarthritis (disorder)
833 2.69E+08 Dislocation or subluxation of ankle (disorder)
833 49822004 Closed traumatic dislocation of sacroiliac joint (disorder)
833 2.09E+08 Closed traumatic subluxation ankle joint (disorder)
833 2.09E+08 Open traumatic subluxation ankle joint (disorder)
833 89760000 Closed traumatic dislocation of pelvis (disorder)
833 2.69E+08 Closed dislocation of sacrum (disorder)
833 2.09E+08 Closed traumatic dislocation, metatarsophalangeal joint, single (disorder)
833 49891002 Closed traumatic dislocation of coccyx (disorder)
833 50087006 Open dislocation of third cervical vertebra (disorder)
833 2.09E+08 Closed traumatic dislocation toe, interphalangeal joint, single (disorder)
833 2.09E+08 Closed traumatic dislocation, metatarsophalangeal joint, multiple (disorder)
833 2.68E+08 Pathological dislocation of the upper arm (disorder)
833 2.09E+08 Closed traumatic dislocation toe, interphalangeal joint, multiple (disorder)
833 2.09E+08 Open traumatic dislocation shoulder joint, inferior (infra-glenoid) (disorder)
833 2.09E+08 Closed traumatic dislocation, pantalar (disorder)
833 50442003 Palindromic rheumatism (disorder)
833 2.09E+08 Open traumatic dislocation, metatarsophalangeal joint, single (disorder)
833 50603008 Ankylosis of temporomandibular joint (disorder)
833 2.09E+08 Open traumatic dislocation toe, interphalangeal joint, single (disorder)
833 50655009 Fracture of coracoid process of scapula (disorder)
833 2.09E+08 Open traumatic dislocation, metatarsophalangeal joint, multiple (disorder)
833 50657001 Temporomandibular luxation (disorder)
833 2.03E+08 Cervical discitis (disorder)
833 2.09E+08 Open traumatic dislocation, pantalar (disorder)
833 50952009 Recurrent dislocation of ankle AND/OR foot (disorder)
833 2.09E+08 Closed traumatic subluxation, foot (disorder)
833 2.63E+08 Dislocation of joint of lower limb (disorder)
833 2.09E+08 Closed traumatic subluxation, midtarsal joint (disorder)
833 2.02E+08 Localized, primary osteoarthritis of the ankle and/or foot (disorder)
833 2.09E+08 Closed traumatic subluxation of tarsometatarsal joint (disorder)
833 51428002 Bog spavin (disorder)
833 2.09E+08 Closed traumatic subluxation, metatarsophalangeal joint, single (disorder)
833 51879004 Closed medial dislocation of proximal end of tibia (disorder)
833 2.63E+08 Subluxation of toe joint (disorder)
833 4.42E+08 Congenital arthrogryposis due to Akabane virus (disorder)
833 2.09E+08 Closed traumatic subluxation toe, interphalangeal joint, single (disorder)
833 52012001 Acquired genu valgum (disorder)
833 2.09E+08 Closed traumatic subluxation, metatarsophalangeal joint, multiple (disorder)
833 2.09E+08 Carpal joint sprain (disorder)
833 2.02E+08 Hip joint effusion (disorder)
833 2.09E+08 Closed traumatic subluxation toe, interphalangeal joint, multiple (disorder)
833 52334005 Miner's knee (disorder)
833 2.09E+08 Closed traumatic subluxation, pantalar (disorder)
833 52450003 Closed fracture of midcervical section of femur (disorder)
833 2.09E+08 Closed traumatic subluxation, subtalar joint (disorder)
833 2.09E+08 Open traumatic subluxation, foot (disorder)
833 2.63E+08 Midcervical fracture of neck of femur (disorder)
833 2.09E+08 Open traumatic subluxation, midtarsal joint (disorder)
833 52781008 Congenital hip dysplasia (disorder)
833 2.09E+08 Open traumatic subluxation of tarsometatarsal joint (disorder)
833 4.1E+08 Polyarthritis due to Erysipelothrix rhusiopathiae (disorder)
833 2.09E+08 Open traumatic subluxation, metatarsophalangeal joint, single (disorder)
833 53083009 Calcification of intervertebral cartilage AND/OR disc of lumbar region (disorder)
833 2.09E+08 Open traumatic subluxation toe, interphalangeal joint, single (disorder)
833 73583000 Epicondylitis (disorder)
833 2.09E+08 Open traumatic subluxation, metatarsophalangeal joint, multiple (disorder)
833 53332000 Spinal arthritis deformans (disorder)
833 53466008 Multiple open traumatic dislocations of joints of hand (disorder)
833 2.09E+08 Open traumatic subluxation toe, interphalangeal joint, multiple (disorder)
833 53664003 Gonococcal spondylitis (disorder)
833 2.09E+08 Open traumatic subluxation, pantalar (disorder)
833 2.09E+08 Open traumatic dislocation shoulder joint, anterior (sub-coracoid) (disorder)
833 2.09E+08 Open traumatic subluxation, subtalar joint (disorder)
833 54317001 Open dislocation of lumbar vertebra (disorder)
833 2.69E+08 Closed dislocation atlanto-occipital joint (disorder)
833 2.09E+08 Open dislocation of thoracic and/or lumbar spine (disorder)
833 2.69E+08 Closed dislocation atlantoaxial joint (disorder)
833 1.29E+08 Traumatic dislocation of joint of lumbar vertebra (disorder)
833 2.69E+08 Closed dislocation C2/C3 (disorder)
833 2.72E+08 Galeazzi fracture dislocation (disorder)
833 2.69E+08 Closed dislocation C3/C4 (disorder)
833 54420005 Open dislocation of finger (disorder)
833 2.69E+08 Closed dislocation C4/C5 (disorder)
833 1.26E+08 Traumatic dislocation of joint of finger (disorder)
833 2.69E+08 Closed dislocation C5/C6 (disorder)
833 2.09E+08 Open traumatic dislocation digit (disorder)
833 2.69E+08 Closed dislocation C6/C7 (disorder)
833 54530004 Open fracture of medial malleolus (disorder)
833 2.09E+08 Closed dislocation C7/T1 (disorder)
833 3.13E+08 Spinal dislocation with cervical cord lesion (disorder)
833 54583007 Acquired cubitus valgus (disorder)
833 2.09E+08 Closed spinal dislocation with complete cervical cord lesion (disorder)
833 54615002 Martin du Pan-Rutishauer disease (disorder)
833 2.09E+08 Closed spinal dislocation with anterior cervical cord lesion (disorder)
833 54645004 Barton's fracture (disorder)
833 2.09E+08 Closed spinal dislocation with central cervical cord lesion (disorder)
833 2.63E+08 Fracture dislocation of joint of upper limb (disorder)
833 2.09E+08 Closed spinal dislocation with posterior cervical cord lesion (disorder)
833 2.63E+08 Dislocation of radiocarpal joint (disorder)
833 2.69E+08 Open dislocation atlanto-occipital joint (disorder)
833 4.38E+08 Injury of ligament of knee (disorder)
833 4.29E+08 Articular cartilage disorder of hip (disorder)
833 2.69E+08 Open dislocation atlantoaxial joint (disorder)
833 54942004 Sprain of sternum (disorder)
833 2.69E+08 Open dislocation C2/C3 (disorder)
833 55126004 Closed traumatic dislocation of tarsal joint (disorder)
833 2.69E+08 Open dislocation C3/C4 (disorder)
833 55146009 Sacroiliac joint inflamed (disorder)
833 2.69E+08 Open dislocation C4/C5 (disorder)
833 55166000 Familial osteoarthropathy of the fingers (disorder)
833 2.69E+08 Open dislocation C5/C6 (disorder)
833 2.69E+08 Open dislocation C6/C7 (disorder)
833 55176002 Coxae malum senilis (disorder)
833 2.68E+08 Localized, secondary osteoarthritis of the pelvic region and thigh (disorder)
833 2.09E+08 Open dislocation C7/T1 (disorder)
833 3.73E+08 Acute suppurative arthritis (disorder)
833 2.09E+08 Open spinal dislocation with complete cervical cord lesion (disorder)
833 2.09E+08 Open spinal dislocation with anterior cervical cord lesion (disorder)
833 3.73E+08 Acute suppurative arthritis due to bacteria (disorder)
833 2.09E+08 Open spinal dislocation with central cervical cord lesion (disorder)
833 55430005 Supination-eversion injury of ankle, stage 4 (disorder)
833 2.09E+08 Open spinal dislocation with posterior cervical cord lesion (disorder)
833 2.09E+08 Closed dislocation of thoracic and/or lumbar spine (disorder)
833 3.13E+08 Spinal dislocation with thoracic cord lesion (disorder)
833 2.02E+08 Hemarthrosis of elbow (disorder)
833 2.09E+08 Closed spinal dislocation with complete thoracic cord lesion (disorder)
833 56458007 Old disruption of ligament of knee other than collateral AND/OR cruciate ligaments (disorder)
833 2.09E+08 Closed spinal dislocation with anterior thoracic cord lesion (disorder)
833 56528004 Post-dysenteric arthropathy (disorder)
833 2.09E+08 Closed spinal dislocation with central thoracic cord lesion (disorder)
833 56923001 Ankylosis of joint of hand (disorder)
833 2.09E+08 Closed spinal dislocation with posterior thoracic cord lesion (disorder)
833 3.02E+08 Ankylosis of upper limb joint (disorder)
833 3.13E+08 Spinal dislocation with lumbar cord lesion (disorder)
833 2.68E+08 Joint ankylosis of the ankle AND/OR foot (disorder)
833 2.09E+08 Closed spinal dislocation with complete lumbar cord lesion (disorder)
833 57160007 Felty's syndrome (disorder)
833 2.09E+08 Closed spinal dislocation with anterior lumbar cord lesion (disorder)
833 57201002 Marfanoid joint hypermobility syndrome (disorder)
833 2.09E+08 Closed spinal dislocation with central lumbar cord lesion (disorder)
833 2.09E+08 Closed spinal dislocation with posterior lumbar cord lesion (disorder)
833 57467003 Closed traumatic dislocation of distal radioulnar joint of wrist (disorder)
833 2.09E+08 Closed spinal dislocation with cauda equina lesion (disorder)
833 2.63E+08 Dislocation of distal radioulnar joint (disorder)
833 2.09E+08 Closed traumatic dislocation of patellofemoral joint (disorder)
833 2.09E+08 Open spinal dislocation with complete thoracic cord lesion (disorder)
833 57778005 Supination-adduction injury of ankle, stage 1 (disorder)
833 2.09E+08 Open spinal dislocation with anterior thoracic cord lesion (disorder)
833 58188004 Traumatic arthropathy (disorder)
833 2.09E+08 Open spinal dislocation with central thoracic cord lesion (disorder)
833 2.69E+08 Dislocation or subluxation of knee (disorder)
833 2.09E+08 Open spinal dislocation with posterior thoracic cord lesion (disorder)
833 58392004 Congenital syphilitic osteochondritis (disorder)
833 2.09E+08 Open spinal dislocation with complete lumbar cord lesion (disorder)
833 2.09E+08 Open spinal dislocation with anterior lumbar cord lesion (disorder)
833 58722007 Moore's fracture (disorder)
833 2.09E+08 Open spinal dislocation with central lumbar cord lesion (disorder)
833 2.09E+08 Open spinal dislocation with posterior lumbar cord lesion (disorder)
833 2.63E+08 Fracture dislocation of wrist joint (disorder)
833 2.09E+08 Open spinal dislocation with cauda equina lesion (disorder)
833 58769002 Subacute rheumatic arthritis (disorder)
833 2.63E+08 Dislocation of sternoclavicular joint (disorder)
833 2.1E+08 Sacrum sprain (disorder)
833 2.09E+08 Closed traumatic dislocation, sternoclavicular joint, anterior (disorder)
833 58801009 Calcification of intervertebral cartilage AND/OR disc of thoracic region (disorder)
833 2.09E+08 Closed traumatic dislocation, sternoclavicular joint, posterior (disorder)
833 2.02E+08 Old lateral collateral ligament disruption (disorder)
833 2.09E+08 Closed traumatic dislocation laryngeal cartilage (disorder)
833 2.4E+08 Contracture of wrist joint (disorder)
833 2.02E+08 Localized, primary osteoarthritis of the lower leg (disorder)
833 59201007 Sprain of chondrosternal joint (disorder)
833 2.09E+08 Closed traumatic dislocation costovertebral joint (disorder)
833 2.63E+08 Dislocation of costovertebral joint (disorder)
833 2.09E+08 Open traumatic dislocation distal radioulnar joint (disorder)
833 2.09E+08 Closed traumatic dislocation of costochondral joint (disorder)
833 2.09E+08 Open traumatic dislocation of sternum (disorder)
833 59484000 Chlamydial polyarthritis (disorder)
833 59606006 Intrapelvic protrusion of acetabulum (disorder)
833 2.09E+08 Open traumatic dislocation, sternoclavicular joint, anterior (disorder)
833 2.09E+08 Open traumatic dislocation sternoclavicular joint (disorder)
833 4.28E+08 Anterior dislocation of sternoclavicular joint (disorder)
833 2.09E+08 Open traumatic dislocation, sternoclavicular joint, posterior (disorder)
833 2.09E+08 Open traumatic dislocation of midtarsal joint (disorder)
833 4.29E+08 Posterior dislocation of sternoclavicular joint (disorder)
833 60058008 Sprain of cruciate ligament of knee (disorder)
833 2.09E+08 Open traumatic dislocation laryngeal cartilage (disorder)
833 4.44E+08 Injury of cruciate ligament of knee (disorder)
833 2.09E+08 Open traumatic dislocation costovertebral joint (disorder)
833 60108003 Congenital dislocation of one hip with subluxation of other (disorder)
833 2.09E+08 Open traumatic dislocation of costochondral joint (disorder)
833 2.09E+08 Closed subluxation cervical spine (disorder)
833 2.09E+08 Closed subluxation atlanto-occipital joint (disorder)
833 60140004 Subacute infective polyarthritis (disorder)
833 2.63E+08 Subluxation of atlanto-occipital joint (disorder)
833 60490008 Brachial neuritis AND/OR radiculitis due to displacement of cervical intervertebral disc (disorder)
833 2.09E+08 Closed subluxation atlantoaxial joint (disorder)
833 60644007 Pellegrini-Stieda syndrome (disorder)
833 2.63E+08 Subluxation of atlantoaxial joint (disorder)
833 2.4E+08 Lesion of ligaments of knee region (disorder)
833 2.09E+08 Closed subluxation C2/C3 (disorder)
833 60684003 Synovitis acne pustulosis hyperostosis osteomyelitis syndrome (disorder)
833 2.09E+08 Closed subluxation C3/C4 (disorder)
833 2.09E+08 Closed subluxation C4/C5 (disorder)
833 2.4E+08 Tabetic joint (disorder)
833 60782007 Pseudogout (disorder)
833 2.09E+08 Closed subluxation C5/C6 (disorder)
833 60937000 Degeneration of lumbosacral intervertebral disc (disorder)
833 2.09E+08 Closed subluxation C6/C7 (disorder)
833 61007003 Separation of symphysis pubis during delivery (disorder)
833 2.09E+08 Closed subluxation C7/T1 (disorder)
833 3.13E+08 Spinal subluxation with cervical cord lesion (disorder)
833 61041006 Multiple closed dislocations of back (disorder)
833 2.09E+08 Closed spinal subluxation with complete cervical cord lesion (disorder)
833 61112000 Pyogenic arthritis of hand (disorder)
833 2.09E+08 Closed spinal subluxation with anterior cervical cord lesion (disorder)
833 4.28E+08 Infective arthritis of joint of hand (disorder)
833 2.09E+08 Closed spinal subluxation with central cervical cord lesion (disorder)
833 61203005 Lumbar AND/OR sacral arthritis (disorder)
833 2.09E+08 Closed spinal subluxation with posterior cervical cord lesion (disorder)
833 2.4E+08 Contracture of elbow joint (disorder)
833 2.09E+08 Closed subluxation of multiple cervical vertebrae (disorder)
833 61653009 Bennett's fracture (disorder)
833 2.09E+08 Open subluxation cervical spine (disorder)
833 2.09E+08 Open subluxation atlanto-occipital joint (disorder)
833 2.63E+08 Subluxation of thumb (disorder)
833 2.63E+08 Fracture dislocation of joint (disorder)
833 2.09E+08 Open subluxation atlantoaxial joint (disorder)
833 2.63E+08 Fracture subluxation of joint of hand (disorder)
833 2.63E+08 Subluxation of wrist joint (disorder)
833 2.09E+08 Open subluxation C2/C3 (disorder)
833 2.09E+08 Open subluxation C3/C4 (disorder)
833 62186009 Enzootic polyarthritis in goats (disorder)
833 2.09E+08 Open subluxation C4/C5 (disorder)
833 2.09E+08 Open subluxation C5/C6 (disorder)
833 2.09E+08 Open subluxation C6/C7 (disorder)
833 62216007 Familial arthrogryposis-cholestatic hepatorenal syndrome (disorder)
833 2.09E+08 Open subluxation C7/T1 (disorder)
833 2.09E+08 Open spinal subluxation with complete cervical cord lesion (disorder)
833 2.09E+08 Open spinal subluxation with anterior cervical cord lesion (disorder)
833 2.09E+08 Open traumatic dislocation elbow joint, lateral (disorder)
833 2.09E+08 Open spinal subluxation with central cervical cord lesion (disorder)
833 2.09E+08 Open spinal subluxation with posterior cervical cord lesion (disorder)
833 62620001 Spondylolisthesis, grade 2 (disorder)
833 2.09E+08 Open subluxation of multiple cervical vertebrae (disorder)
833 62772000 Osselets (disorder)
833 2.09E+08 Closed subluxation of thoracic and/or lumbar spine (disorder)
833 62918002 Arthropathy in Behcet's syndrome (disorder)
833 2.09E+08 Open traumatic dislocation elbow joint, posterior (disorder)
833 2.09E+08 Closed subluxation lumbar spine (disorder)
833 62964007 Antley-Bixler syndrome (disorder)
833 2.63E+08 Subluxation of joint of lumbar spine (disorder)
833 2.09E+08 Closed subluxation thoracic spine (disorder)
833 2.1E+08 Atlantoaxial joint sprain (disorder)
833 2.63E+08 Subluxation of joint of thoracic spine (disorder)
833 2.09E+08 Closed traumatic dislocation of hip (disorder)
833 3.13E+08 Spinal subluxation with thoracic cord lesion (disorder)
833 2.09E+08 Closed spinal subluxation with complete thoracic cord lesion (disorder)
833 63456003 Open anterior dislocation of proximal end of tibia (disorder)
833 2.09E+08 Closed spinal subluxation with anterior thoracic cord lesion (disorder)
833 2.09E+08 Open traumatic dislocation knee joint, anterior (disorder)
833 2.09E+08 Closed spinal subluxation with central thoracic cord lesion (disorder)
833 63540005 Open anterior dislocation of distal end of femur (disorder)
833 2.09E+08 Closed spinal subluxation with posterior thoracic cord lesion (disorder)
833 2.09E+08 Closed traumatic dislocation midcarpal joint (disorder)
833 3.13E+08 Spinal subluxation with lumbar cord lesion (disorder)
833 2.09E+08 Closed spinal subluxation with complete lumbar cord lesion (disorder)
833 63643000 Derangement of knee (disorder)
833 2.09E+08 Closed spinal subluxation with anterior lumbar cord lesion (disorder)
833 2.09E+08 Closed spinal subluxation with central lumbar cord lesion (disorder)
833 2.05E+08 Acrocephalosyndactyly type I (disorder)
833 2.4E+08 Post-tuberculous reactive arthritis (disorder)
833 2.09E+08 Closed spinal subluxation with posterior lumbar cord lesion (disorder)
833 63948006 Open fracture of olecranon process of ulna (disorder)
833 2.09E+08 Closed spinal subluxation with cauda equina lesion (disorder)
833 2.82E+08 Fracture of olecranon (disorder)
833 3.13E+08 Spinal subluxation with cauda equina lesion (disorder)
833 63975004 Closed posterior dislocation of hip (disorder)
833 2.09E+08 Open subluxation of thoracic and/or lumbar vertebra (disorder)
833 2.09E+08 Closed traumatic dislocation ankle joint (disorder)
833 2.09E+08 Open subluxation lumbar spine (disorder)
833 2.08E+08 Open fracture scapula, coracoid (disorder)
833 2.09E+08 Open subluxation thoracic spine (disorder)
833 64166009 Subpatellar bursitis (disorder)
833 2.09E+08 Open spinal subluxation with complete thoracic cord lesion (disorder)
833 2.09E+08 Open spinal subluxation with anterior thoracic cord lesion (disorder)
833 64213003 Closed anterior dislocation of distal end of femur (disorder)
833 2.09E+08 Open spinal subluxation with central thoracic cord lesion (disorder)
833 64298006 Mallet finger (disorder)
833 2.09E+08 Open spinal subluxation with posterior thoracic cord lesion (disorder)
833 2.09E+08 Open spinal subluxation with complete lumbar cord lesion (disorder)
833 64438006 Closed traumatic dislocation of metatarsophalangeal joint (disorder)
833 2.09E+08 Open spinal subluxation with anterior lumbar cord lesion (disorder)
833 2.09E+08 Open spinal subluxation with central lumbar cord lesion (disorder)
833 64710004 Kienbock's dislocation (disorder)
833 2.09E+08 Open spinal subluxation with posterior lumbar cord lesion (disorder)
833 2.09E+08 Open spinal subluxation with cauda equina lesion (disorder)
833 64787009 Displacement of thoracic intervertebral disc without myelopathy (disorder)
833 2.09E+08 Closed subluxation of coccyx (disorder)
833 64902007 Closed fracture of olecranon process of ulna (disorder)
833 2.63E+08 Subluxation of coccyx (disorder)
833 2.09E+08 Closed subluxation of sacrum (disorder)
833 2.63E+08 Subluxation of sacrum (disorder)
833 64925008 Acquired genu varum (disorder)
833 2.09E+08 Open subluxation of coccyx (disorder)
833 2.1E+08 Atlanto-occipital joint sprain (disorder)
833 2.09E+08 Open subluxation of sacrum (disorder)
833 2.09E+08 Closed traumatic subluxation of sternum (disorder)
833 65260001 Cervical spondylosis with myelopathy (disorder)
833 2.03E+08 Cervical spine ankylosis (disorder)
833 2.09E+08 Closed traumatic subluxation sternoclavicular joint (disorder)
833 65358001 Acquired hallux valgus (disorder)
833 2.63E+08 Subluxation of sternoclavicular joint (disorder)
833 1.22E+08 Hallux valgus (disorder)
833 2.09E+08 Closed traumatic subluxation, sternoclavicular joint, anterior (disorder)
833 65362007 Acquired cavovarus deformity of foot (disorder)
833 2.09E+08 Closed traumatic subluxation, sternoclavicular joint, posterior (disorder)
833 2.4E+08 Acquired adduction deformity of foot (disorder)
833 2.09E+08 Closed traumatic subluxation laryngeal cartilage (disorder)
833 86900005 Acquired cavus deformity of foot (disorder)
833 2.03E+08 Lumbar discitis (disorder)
833 2.09E+08 Closed traumatic subluxation costovertebral joint (disorder)
833 2.63E+08 Subluxation of costovertebral joint (disorder)
833 65621006 Hyperextension deformity of knee (disorder)
833 2.09E+08 Closed traumatic subluxation of costochondral joint (disorder)
833 2.1E+08 Neck sprain (disorder)
833 2.63E+08 Subluxation of costochondral joint (disorder)
833 2.09E+08 Open traumatic subluxation of sternum (disorder)
833 65752003 Closed subcondylar fracture of mandible (disorder)
833 2.09E+08 Open traumatic subluxation sternoclavicular joint (disorder)
833 2.08E+08 Closed fracture of condylar process of mandible (disorder)
833 2.09E+08 Open traumatic subluxation, sternoclavicular joint, anterior (disorder)
833 65977005 Avian viral arthritis (disorder)
833 2.09E+08 Open traumatic subluxation, sternoclavicular joint, posterior (disorder)
833 66023002 Closed dislocation of talus (disorder)
833 2.09E+08 Open traumatic subluxation laryngeal cartilage (disorder)
833 2.75E+08 Dislocation of talus (disorder)
833 2.09E+08 Open traumatic subluxation costovertebral joint (disorder)
833 66191007 Transient arthropathy (disorder)
833 2.09E+08 Open traumatic subluxation of costochondral joint (disorder)
833 66405000 Sprain of radiohumeral joint (disorder)
833 2.09E+08 Traumatic pubic symphysis separation (disorder)
833 66483005 Open pertrochanteric fracture (disorder)
833 2.09E+08 Fracture dislocation or subluxation of shoulder (disorder)
833 2.63E+08 Fracture dislocation of shoulder joint (disorder)
833 2.09E+08 Open traumatic dislocation, interphalangeal joint, thumb (disorder)
833 2.09E+08 Closed fracture dislocation shoulder joint (disorder)
833 4.17E+08 Fracture dislocation of joint of shoulder girdle (disorder)
833 66926007 Closed fracture of femoral condyle of femur (disorder)
833 4.17E+08 Closed fracture dislocation of joint of shoulder girdle (disorder)
833 2.09E+08 Closed fracture dislocation acromioclavicular joint (disorder)
833 67148009 Podagra (disorder)
833 67315001 Degenerative joint disease of shoulder region (disorder)
833 2.63E+08 Fracture dislocation of acromioclavicular joint (disorder)
833 67437007 Lumbar spondylosis with myelopathy (disorder)
833 2.09E+08 Open fracture dislocation shoulder joint (disorder)
833 4.17E+08 Open fracture dislocation of joint of shoulder girdle (disorder)
833 67730008 Closed Bennett's fracture (disorder)
833 2.09E+08 Open fracture dislocation acromioclavicular joint (disorder)
833 68449006 Coxitis (disorder)
833 2.09E+08 Closed fracture subluxation shoulder (disorder)
833 68451005 Chronic gouty arthritis (disorder)
833 2.63E+08 Fracture subluxation of joint (disorder)
833 68510005 Closed subtrochanteric fracture (disorder)
833 2.09E+08 Closed fracture subluxation shoulder joint (disorder)
833 3.6E+08 Closed fracture of hip (disorder)
833 2.63E+08 Fracture subluxation of shoulder joint (disorder)
833 2.02E+08 Generalized osteoarthritis (disorder)
833 2.09E+08 Closed fracture subluxation acromioclavicular joint (disorder)
833 2.4E+08 Idiopathic osteoarthritis (disorder)
833 68819003 Closed fracture of coronoid process of ulna (disorder)
833 2.63E+08 Fracture subluxation of acromioclavicular joint (disorder)
833 2.82E+08 Fracture of coronoid process of ulna (disorder)
833 2.09E+08 Open fracture subluxation shoulder joint (disorder)
833 68854005 Closed fracture of head of radius (disorder)
833 2.82E+08 Fracture subluxation of joint of upper limb (disorder)
833 2.63E+08 Fracture of radial head (disorder)
833 2.09E+08 Open fracture subluxation acromioclavicular joint (disorder)
833 2.09E+08 Fracture dislocation or subluxation elbow (disorder)
833 2.09E+08 Closed fracture dislocation superior radioulnar joint (disorder)
833 2.09E+08 Open fracture dislocation superior radioulnar joint (disorder)
833 2.09E+08 Closed fracture subluxation elbow (disorder)
833 2.09E+08 Closed fracture subluxation elbow joint (disorder)
833 2.63E+08 Fracture subluxation of elbow joint (disorder)
833 2.09E+08 Closed fracture subluxation superior radioulnar joint (disorder)
833 2.63E+08 Fracture subluxation of superior radioulnar joint (disorder)
833 2.09E+08 Open fracture subluxation elbow joint (disorder)
833 2.09E+08 Open fracture subluxation superior radioulnar joint (disorder)
833 2.09E+08 Fracture dislocation or subluxation of wrist (disorder)
833 2.09E+08 Closed fracture dislocation distal radioulnar joint (disorder)
833 3.07E+08 Fracture dislocation distal radioulnar joint (disorder)
833 2.09E+08 Closed fracture dislocation radiocarpal joint (disorder)
833 2.63E+08 Fracture dislocation of radiocarpal joint (disorder)
833 2.09E+08 Closed fracture dislocation midcarpal (disorder)
833 2.63E+08 Fracture dislocation of midcarpal joint (disorder)
833 2.09E+08 Closed fracture dislocation, carpometacarpal joint (disorder)
833 3.07E+08 Fracture dislocation of carpometacarpal joint (disorder)
833 2.09E+08 Closed fracture dislocation lunate (volar) (disorder)
833 2.63E+08 Fracture dislocation of lunate (disorder)
833 2.09E+08 Closed fracture dislocation perilunate (dorsal) (disorder)
833 2.63E+08 Fracture dislocation of perilunate joint (disorder)
833 2.09E+08 Closed fracture dislocation perilunate transscaphoid (disorder)
833 2.09E+08 Open fracture dislocation, distal radioulnar joint (disorder)
833 2.09E+08 Open fracture dislocation radiocarpal joint (disorder)
833 2.09E+08 Open fracture dislocation midcarpal (disorder)
833 2.09E+08 Open fracture dislocation carpometacarpal joint (disorder)
833 2.09E+08 Open fracture dislocation lunate (volar) (disorder)
833 2.09E+08 Open fracture dislocation perilunate (dorsal) (disorder)
833 2.09E+08 Open fracture subluxation of the wrist (disorder)
833 2.63E+08 Fracture subluxation of perilunate joint (disorder)
833 2.09E+08 Open fracture dislocation perilunate transscaphoid (disorder)
833 2.82E+08 Transscaphoid-perilunate fracture dislocation (disorder)
833 2.09E+08 Closed fracture subluxation of the wrist (disorder)
833 2.63E+08 Fracture subluxation of wrist (disorder)
833 2.09E+08 Closed fracture subluxation, distal radioulnar joint (disorder)
833 2.63E+08 Fracture subluxation of distal radioulnar joint (disorder)
833 2.09E+08 Closed fracture subluxation radiocarpal joint (disorder)
833 2.63E+08 Fracture subluxation of radiocarpal joint (disorder)
833 2.09E+08 Closed fracture subluxation midcarpal (disorder)
833 2.63E+08 Fracture subluxation of midcarpal joint (disorder)
833 2.09E+08 Closed fracture subluxation, carpometacarpal joint (disorder)
833 2.09E+08 Closed fracture subluxation lunate (volar) (disorder)
833 2.63E+08 Fracture subluxation of lunate (disorder)
833 2.09E+08 Closed fracture subluxation perilunate (dorsal) (disorder)
833 2.09E+08 Closed fracture subluxation perilunate transscaphoid (disorder)
833 2.09E+08 Open fracture subluxation, distal radioulnar joint (disorder)
833 2.09E+08 Open fracture subluxation radiocarpal joint (disorder)
833 2.09E+08 Open fracture subluxation midcarpal (disorder)
833 2.09E+08 Open fracture subluxation lunate (volar) (disorder)
833 2.09E+08 Open fracture subluxation perilunate (dorsal) (disorder)
833 2.09E+08 Open fracture subluxation perilunate transscaphoid (disorder)
833 2.09E+08 Fracture dislocation/subluxation finger/thumb (disorder)
833 2.63E+08 Fracture dislocation of finger or thumb (disorder)
833 2.09E+08 Closed fracture dislocation digit (disorder)
833 2.09E+08 Closed fracture dislocation, metacarpophalangeal joint (disorder)
833 2.09E+08 Closed fracture dislocation, distal interphalangeal joint (disorder)
833 2.09E+08 Closed fracture dislocation, proximal interphalangeal joint (disorder)
833 2.09E+08 Closed fracture dislocation, interphalangeal joint thumb (disorder)
833 2.63E+08 Fracture dislocation of thumb (disorder)
833 2.09E+08 Closed fracture dislocation multiple digits (disorder)
833 2.09E+08 Open fracture dislocation digit (disorder)
833 2.09E+08 Open fracture dislocation, metacarpophalangeal joint (disorder)
833 2.09E+08 Open fracture dislocation, distal interphalangeal joint (disorder)
833 2.09E+08 Open fracture dislocation, proximal interphalangeal joint (disorder)
833 2.09E+08 Open fracture dislocation, interphalangeal joint thumb (disorder)
833 2.09E+08 Open fracture dislocation multiple digits (disorder)
833 2.09E+08 Closed fracture subluxation digit (disorder)
833 2.09E+08 Closed fracture subluxation, metacarpophalangeal joint (disorder)
833 2.09E+08 Closed fracture subluxation, distal interphalangeal joint (disorder)
833 2.09E+08 Closed fracture subluxation, proximal interphalangeal joint (disorder)
833 2.09E+08 Closed fracture subluxation, interphalangeal joint thumb (disorder)
833 2.63E+08 Fracture subluxation of thumb (disorder)
833 2.09E+08 Closed fracture subluxation multiple digits (disorder)
833 2.09E+08 Open fracture subluxation digit (disorder)
833 2.09E+08 Open fracture subluxation, metacarpophalangeal joint (disorder)
833 2.09E+08 Open fracture subluxation, distal interphalangeal joint (disorder)
833 2.09E+08 Open fracture subluxation, proximal interphalangeal joint (disorder)
833 2.09E+08 Open fracture subluxation, interphalangeal joint thumb (disorder)
833 2.09E+08 Open fracture subluxation multiple digits (disorder)
833 2.09E+08 Closed fracture dislocation, hip joint (disorder)
833 2.63E+08 Fracture dislocation of hip joint (disorder)
833 2.09E+08 Open fracture dislocation, hip joint (disorder)
833 2.09E+08 Closed fracture subluxation, hip joint (disorder)
833 3.02E+08 Fracture subluxation of hip joint (disorder)
833 2.09E+08 Open fracture subluxation, hip joint (disorder)
833 2.09E+08 Fracture dislocation or subluxation knee (disorder)
833 2.63E+08 Fracture dislocation of knee joint (disorder)
833 2.09E+08 Closed fracture dislocation, knee joint (disorder)
833 2.09E+08 Open fracture dislocation, knee joint (disorder)
833 2.09E+08 Closed fracture subluxation, knee joint (disorder)
833 2.63E+08 Fracture subluxation of knee joint (disorder)
833 2.09E+08 Open fracture subluxation, knee joint (disorder)
833 2.09E+08 Closed fracture dislocation, patellofemoral joint (disorder)
833 2.63E+08 Fracture dislocation of patellofemoral joint (disorder)
833 2.09E+08 Open fracture dislocation, patellofemoral joint (disorder)
833 2.09E+08 Closed fracture subluxation, patellofemoral joint (disorder)
833 2.63E+08 Fracture subluxation of patellofemoral joint (disorder)
833 2.09E+08 Open fracture subluxation, patellofemoral joint (disorder)
833 2.09E+08 Fracture dislocation or subluxation ankle (disorder)
833 2.63E+08 Fracture dislocation of ankle joint (disorder)
833 2.09E+08 Closed fracture dislocation, ankle joint (disorder)
833 2.09E+08 Open fracture dislocation, ankle joint (disorder)
833 2.09E+08 Closed fracture subluxation, ankle joint (disorder)
833 2.63E+08 Fracture subluxation of ankle joint (disorder)
833 2.09E+08 Open fracture subluxation, ankle joint (disorder)
833 2.09E+08 Fracture dislocation or subluxation foot (disorder)
833 2.63E+08 Fracture dislocation of foot joint (disorder)
833 2.09E+08 Closed fracture dislocation foot (disorder)
833 2.09E+08 Closed fracture dislocation, subtalar joint (disorder)
833 2.09E+08 Closed fracture dislocation, midtarsal joint (disorder)
833 2.09E+08 Closed fracture dislocation, tarsometatarsal joint (disorder)
833 2.09E+08 Closed fracture dislocation, metatarsophalangeal joint, single (disorder)
833 3.02E+08 Closed fracture dislocation of metatarsophalangeal joint (disorder)
833 2.09E+08 Closed fracture dislocation, interphalangeal joint, single toe (disorder)
833 3.02E+08 Closed fracture dislocation of interphalangeal joint of toe (disorder)
833 2.09E+08 Closed fracture dislocation, metatarsophalangeal joint, multiple (disorder)
833 2.09E+08 Closed fracture dislocation, interphalangeal joint, multiple toes (disorder)
833 2.09E+08 Open fracture dislocation, foot (disorder)
833 2.09E+08 Open fracture dislocation, subtalar joint (disorder)
833 2.09E+08 Open fracture dislocation, midtarsal joint (disorder)
833 2.09E+08 Open fracture dislocation, tarsometatarsal joint (disorder)
833 2.09E+08 Open fracture dislocation, metatarsophalangeal joint, single (disorder)
833 3.02E+08 Open fracture dislocation of metatarsophalangeal joint (disorder)
833 2.09E+08 Open fracture dislocation, interphalangeal joint, single toe (disorder)
833 3.02E+08 Open fracture dislocation of interphalangeal joint of toe (disorder)
833 2.09E+08 Open fracture dislocation, metatarsophalangeal joint, multiple (disorder)
833 2.09E+08 Open fracture dislocation, interphalangeal joint, multiple toes (disorder)
833 2.09E+08 Closed fracture subluxation, foot (disorder)
833 2.63E+08 Fracture subluxation of joint of foot (disorder)
833 2.09E+08 Closed fracture subluxation, subtalar joint (disorder)
833 2.09E+08 Closed fracture subluxation, midtarsal joint (disorder)
833 2.09E+08 Closed fracture subluxation, tarsometatarsal joint (disorder)
833 2.09E+08 Closed fracture subluxation, metatarsophalangeal joint, single (disorder)
833 2.09E+08 Closed fracture subluxation, interphalangeal joint, single toe (disorder)
833 2.63E+08 Fracture subluxation of interphalangeal joint of toe (disorder)
833 2.09E+08 Closed fracture subluxation, metatarsophalangeal joint, multiple (disorder)
833 2.09E+08 Closed fracture subluxation, interphalangeal joint, multiple toes (disorder)
833 2.09E+08 Open fracture subluxation, foot (disorder)
833 2.09E+08 Open fracture subluxation, subtalar joint (disorder)
833 2.09E+08 Open fracture subluxation, midtarsal joint (disorder)
833 2.09E+08 Open fracture subluxation, tarsometatarsal joint (disorder)
833 2.09E+08 Open fracture subluxation, metatarsophalangeal joint, single (disorder)
833 2.09E+08 Open fracture subluxation, interphalangeal joint, single toe (disorder)
833 2.09E+08 Open fracture subluxation, metatarsophalangeal joint, multiple (disorder)
833 2.09E+08 Open fracture subluxation, interphalangeal joint, multiple toes (disorder)
833 2.09E+08 Closed fracture dislocation of sternum (disorder)
833 2.09E+08 Closed fracture dislocation sternoclavicular joint, anterior (disorder)
833 2.63E+08 Fracture dislocation of sternoclavicular joint (disorder)
833 2.09E+08 Closed fracture dislocation sternoclavicular joint, posterior (disorder)
833 2.09E+08 Open fracture dislocation of sternum (disorder)
833 2.09E+08 Open fracture dislocation sternoclavicular joint, anterior (disorder)
833 2.09E+08 Open fracture dislocation sternoclavicular joint, posterior (disorder)
833 2.09E+08 Closed fracture subluxation of sternum (disorder)
833 2.09E+08 Closed fracture subluxation of pelvis (disorder)
833 2.09E+08 Closed fracture subluxation sternoclavicular joint, anterior (disorder)
833 2.63E+08 Fracture subluxation of sternoclavicular joint (disorder)
833 2.09E+08 Closed fracture subluxation sternoclavicular joint, posterior (disorder)
833 2.09E+08 Open fracture subluxation of sternum (disorder)
833 2.09E+08 Open fracture subluxation of pelvis (disorder)
833 2.09E+08 Open fracture subluxation sternoclavicular joint, anterior (disorder)
833 2.09E+08 Open fracture subluxation sternoclavicular joint, posterior (disorder)
833 2.09E+08 Sprain of shoulder and upper arm (disorder)
833 2.09E+08 Coracohumeral sprain (disorder)
833 2.09E+08 Strain of infraspinatus tendon (disorder)
833 2.09E+08 Strain of subscapularis tendon (disorder)
833 2.09E+08 Strain of supraspinatus tendon (disorder)
833 2.09E+08 Sprain, shoulder joint, anterior (disorder)
833 2.09E+08 Sprain, shoulder joint, posterior (disorder)
833 2.69E+08 Sprain of elbow and forearm (disorder)
833 2.09E+08 Sprain, elbow joint, lateral collateral ligament (disorder)
833 2.09E+08 Sprain, elbow joint, medial collateral ligament (disorder)
833 2.09E+08 Radiohumeral sprain (disorder)
833 2.09E+08 Ulnohumeral sprain (disorder)
833 2.09E+08 Sprain proximal radiocarpal ligament nonspecific (disorder)
833 2.09E+08 Sprain volar radiocarpal ligament nonspecific (disorder)
833 2.09E+08 Sprain volar radiocarpal ligament superficial (disorder)
833 2.09E+08 Sprain of radioscaphocapitate ligament (disorder)
833 2.09E+08 Sprain of radiolunate ligament (disorder)
833 2.09E+08 Sprain of radioscapholunate ligament (disorder)
833 2.09E+08 Sprain dorsal radiocarpal ligament (disorder)
833 2.09E+08 Sprain ulnar carpal complex nonspecific (disorder)
833 2.09E+08 Sprain ulnar-carpal meniscus (disorder)
833 2.09E+08 Sprain triangular fibrocartilage (disorder)
833 2.82E+08 Injury to triangular fibrocartilage of wrist joint (disorder)
833 2.09E+08 Sprain of ulnolunate ligament (disorder)
833 2.09E+08 Sprain short intrinsic ligament nonspecific (disorder)
833 2.09E+08 Sprain of scaphotrapezium ligament (disorder)
833 2.09E+08 Sprain of lunotriquetral ligament (disorder)
833 2.09E+08 Sprain of scapholunate ligament (disorder)
833 2.09E+08 Sprain volar intercarpal ligament or V ligament (disorder)
833 2.09E+08 Sprain dorsal intercarpal ligament (disorder)
833 2.09E+08 Metacarpophalangeal sprain (disorder)
833 2.63E+08 Sprain of ligament of finger (disorder)
833 2.63E+08 Sprain of ligament of thumb (disorder)
833 2.09E+08 Sprain thumb, carpometacarpal joint (disorder)
833 2.09E+08 Sprain thumb, metacarpophalangeal joint nonspecific (disorder)
833 2.09E+08 Sprain thumb, metacarpophalangeal joint, radial collateral ligament (disorder)
833 2.09E+08 Sprain thumb, metacarpophalangeal joint, ulnar collateral ligament (disorder)
833 2.09E+08 Sprain thumb, interphalangeal joint, nonspecific (disorder)
833 2.09E+08 Sprain thumb, interphalangeal joint, radial collateral ligament (disorder)
833 2.09E+08 Sprain thumb, interphalangeal joint, ulnar collateral ligament (disorder)
833 2.09E+08 Sprain finger, metacarpophalangeal joint, nonspecific (disorder)
833 2.09E+08 Sprain finger, metacarpophalangeal joint, radial collateral ligament (disorder)
833 2.09E+08 Sprain finger, metacarpophalangeal joint, ulnar collateral ligament (disorder)
833 2.09E+08 Sprain finger, proximal interphalangeal joint, nonspecific (disorder)
833 2.09E+08 Sprain finger, proximal interphalangeal joint, radial collateral ligament (disorder)
833 2.09E+08 Sprain finger, proximal interphalangeal joint, ulnar collateral ligament (disorder)
833 2.09E+08 Sprain finger, distal interphalangeal joint, nonspecific (disorder)
833 2.09E+08 Sprain finger, distal interphalangeal joint, radial collateral ligament (disorder)
833 2.09E+08 Sprain finger, distal interphalangeal joint, ulnar collateral ligament (disorder)
833 2.09E+08 Volar plate injury, finger, metacarpophalangeal joint (disorder)
833 2.63E+08 Volar plate injury of finger joint (disorder)
833 2.09E+08 Volar plate injury, finger, proximal interphalangeal joint (disorder)
833 2.09E+08 Volar plate injury, finger, distal interphalangeal joint (disorder)
833 2.09E+08 Volar plate injury, thumb, metacarpophalangeal joint (disorder)
833 2.09E+08 Volar plate injury, thumb, interphalangeal joint (disorder)
833 2.1E+08 Iliofemoral sprain (disorder)
833 2.69E+08 Sprain of knee and leg (disorder)
833 2.1E+08 Sprain or partial tear, knee, lateral collateral ligament (disorder)
833 2.1E+08 Partial tear, knee, lateral collateral ligament (disorder)
833 2.1E+08 Partial tear, knee, medial collateral ligament (disorder)
833 2.1E+08 Partial tear, knee, anterior cruciate ligament (disorder)
833 2.1E+08 Partial tear, knee, posterior cruciate ligament (disorder)
833 2.1E+08 Sprain of ankle and/or foot (disorder)
833 2.1E+08 Sprain, ankle joint, medial (disorder)
833 2.1E+08 Sprain, ankle joint, lateral (disorder)
833 2.1E+08 Distal tibiofibular sprain (disorder)
833 2.1E+08 Partial tear, ankle, medial ligament (disorder)
833 2.1E+08 Rupture of ankle ligament (disorder)
833 2.1E+08 Partial tear, ankle, lateral ligament (disorder)
833 2.1E+08 Sprain, tarsometatarsal joint (disorder)
833 2.1E+08 Sprain of midtarsal joint (disorder)
833 2.1E+08 Sprain pelvic ligament (disorder)
833 2.1E+08 Sprain, anterior sacroiliac ligament (disorder)
833 2.1E+08 Sprain, posterior sacroiliac ligament (disorder)
833 2.1E+08 Sprain, sacrospinous ligament (disorder)
833 2.1E+08 Sprain, iliolumbar ligament (disorder)
833 2.63E+08 Back sprain excluding lumbosacral (disorder)
833 2.1E+08 Cervical anterior longitudinal ligament sprain (disorder)
833 2.1E+08 Complete tear, shoulder joint (disorder)
833 2.1E+08 Rupture of acromioclavicular ligament (disorder)
833 2.1E+08 Complete tear, coracoclavicular ligament (disorder)
833 2.1E+08 Complete tear, elbow joint (disorder)
833 2.1E+08 Complete tear, elbow joint, lateral collateral ligament (disorder)
833 2.1E+08 Complete tear, elbow joint, medial collateral ligament (disorder)
833 2.1E+08 Complete tear, wrist and/or hand (disorder)
833 2.1E+08 Complete tear of wrist ligament (disorder)
833 2.1E+08 Complete tear radial collateral ligament (disorder)
833 2.1E+08 Complete tear proximal radiocarpal ligament nonspecific (disorder)
833 2.1E+08 Complete tear volar radiocarpal ligament nonspecific (disorder)
833 2.1E+08 Complete tear volar radiocarpal ligament superficial (disorder)
833 2.1E+08 Complete tear radio-scapho-capitate ligament (disorder)
833 2.1E+08 Complete tear radio-lunate ligament (disorder)
833 2.1E+08 Complete tear of radioscapholunate ligament (disorder)
833 2.1E+08 Complete tear dorsal radiocarpal ligament (disorder)
833 2.1E+08 Complete tear ulnar carpal complex nonspecific (disorder)
833 2.1E+08 Complete tear ulnar-carpal meniscus (disorder)
833 2.1E+08 Complete tear triangular fibrocartilage (disorder)
833 2.1E+08 Complete tear of ulnolunate ligament (disorder)
833 2.1E+08 Complete tear ulnar collateral ligament (disorder)
833 2.1E+08 Complete tear short intrinsic ligament nonspecific (disorder)
833 2.1E+08 Complete tear scapho-trapezium ligament (disorder)
833 3.15E+08 Complete tear ligament hand (disorder)
833 2.1E+08 Complete tear of lunotriquetral ligament (disorder)
833 2.1E+08 Complete tear of scapholunate ligament (disorder)
833 4.31E+08 Rupture of scapholunate ligament of wrist (disorder)
833 2.1E+08 Complete tear volar intercarpal ligament (V ligament) (disorder)
833 2.1E+08 Complete tear dorsal intercarpal ligament (disorder)
833 2.1E+08 Complete tear of ligament of thumb (disorder)
833 2.1E+08 Complete tear, thumb, metacarpophalangeal joint, radial collateral ligament (disorder)
833 2.1E+08 Complete tear, thumb, metacarpophalangeal joint, ulnar collateral ligament (disorder)
833 2.1E+08 Complete tear, thumb, interphalangeal joint, radial collateral ligament (disorder)
833 2.1E+08 Complete tear, thumb, interphalangeal joint, ulnar collateral ligament (disorder)
833 2.1E+08 Complete tear of ligament of finger (disorder)
833 2.1E+08 Complete tear, finger, metacarpophalangeal joint, radial collateral ligament (disorder)
833 2.1E+08 Complete tear, finger, metacarpophalangeal joint, ulnar collateral ligament (disorder)
833 2.1E+08 Complete tear, finger, proximal interphalangeal joint, radial collateral ligament (disorder)
833 2.1E+08 Complete tear, finger, proximal interphalangeal joint, ulnar collateral ligament (disorder)
833 2.1E+08 Complete tear, finger, distal interphalangeal joint, radial collateral ligament (disorder)
833 2.1E+08 Complete tear, finger, distal interphalangeal joint, ulnar collateral ligament (disorder)
833 2.1E+08 Complete tear, hip ligament (disorder)
833 2.1E+08 Complete tear of iliofemoral ligament (disorder)
833 2.1E+08 Complete tear, knee ligament (disorder)
833 2.1E+08 Complete tear, knee, lateral collateral ligament (disorder)
833 2.1E+08 Complete tear, ankle and/or foot ligament (disorder)
833 2.1E+08 Rupture of medial ankle ligament (disorder)
833 2.1E+08 Rupture of lateral ankle ligament (disorder)
833 2.1E+08 Complete tear, foot ligament (disorder)
833 2.1E+08 Complete tear of midtarsal joint ligament (disorder)
833 2.1E+08 Complete tear, tarsometatarsal ligament (disorder)
833 2.1E+08 Complete tear, metatarsophalangeal ligament (disorder)
833 2.1E+08 Complete tear, interphalangeal (toe) ligament (disorder)
833 2.1E+08 Complete tear, rib ligament (disorder)
833 2.1E+08 Complete tear, chondrocostal joint ligament (disorder)
833 2.1E+08 Complete tear, sternum ligament (disorder)
833 2.1E+08 Complete tear, costal cartilage ligament (disorder)
833 2.1E+08 Complete tear, sternoclavicular ligament (disorder)
833 2.1E+08 Complete tear, chondrosternal ligament (disorder)
833 2.1E+08 Complete tear, xiphoid cartilage ligament (disorder)
833 2.1E+08 Open division shoulder ligament (disorder)
833 2.1E+08 Open division acromioclavicular ligament (disorder)
833 2.1E+08 Open division coracoclavicular ligament (disorder)
833 2.1E+08 Open division elbow ligament (disorder)
833 2.1E+08 Open division elbow, lateral collateral ligament (disorder)
833 2.1E+08 Open division elbow, medial collateral ligament (disorder)
833 2.1E+08 Open division radiohumeral ligament (disorder)
833 2.1E+08 Open division ulnohumeral ligament (disorder)
833 2.1E+08 Open division wrist and/or hand ligament (disorder)
833 2.1E+08 Open division wrist ligament (disorder)
833 2.1E+08 Open division wrist ligament, single (disorder)
833 2.1E+08 Open division wrist ligaments, multiple (disorder)
833 2.1E+08 Open division thumb ligament (disorder)
833 2.1E+08 Open division, thumb, metacarpophalangeal joint, radial collateral ligament (disorder)
833 2.1E+08 Open division, thumb, metacarpophalangeal joint, ulnar collateral ligament (disorder)
833 2.1E+08 Open division, thumb, interphalangeal joint, radial collateral ligament (disorder)
833 2.1E+08 Open division, thumb, interphalangeal joint, ulnar collateral ligament (disorder)
833 2.1E+08 Open division finger ligament (disorder)
833 2.1E+08 Open division, finger, metacarpophalangeal joint, radial collateral ligament (disorder)
833 2.1E+08 Open division, finger, metacarpophalangeal joint, ulnar collateral ligament (disorder)
833 2.1E+08 Open division, finger, proximal interphalangeal joint, radial collateral ligament (disorder)
833 2.1E+08 Open division, finger, proximal interphalangeal joint, ulnar collateral ligament (disorder)
833 2.1E+08 Open division, finger, distal interphalangeal joint, radial collateral ligament (disorder)
833 2.1E+08 Open division, finger, distal interphalangeal joint, ulnar collateral ligament (disorder)
833 2.1E+08 Open division hip ligament (disorder)
833 2.1E+08 Open division iliofemoral ligament (disorder)
833 2.1E+08 Open division ligament knee (disorder)
833 2.1E+08 Open division lateral collateral ligament knee (disorder)
833 2.1E+08 Open division medial collateral ligament knee (disorder)
833 2.1E+08 Open division posterior cruciate ligament knee (disorder)
833 2.1E+08 Open division anterior cruciate ligament knee (disorder)
833 2.1E+08 Open division, superior tibiofibular ligament (disorder)
833 2.1E+08 Open division ligament ankle and/or foot (disorder)
833 2.1E+08 Open division ankle ligament (disorder)
833 2.1E+08 Open division ankle, medial ligament (disorder)
833 2.1E+08 Open division ankle, lateral ligament (disorder)
833 2.1E+08 Open division calcaneofibular ligament (disorder)
833 2.1E+08 Open division distal tibiofibular ligament (disorder)
833 2.1E+08 Open division foot ligament (disorder)
833 2.1E+08 Open division of midtarsal joint ligament (disorder)
833 2.1E+08 Open division tarsometatarsal ligament (disorder)
833 2.1E+08 Open division metatarsophalangeal ligament (disorder)
833 2.1E+08 Open division interphalangeal (toe) ligament (disorder)
833 2.1E+08 Open division pelvic ligament (disorder)
833 2.1E+08 Open division symphysis pubis (disorder)
833 2.1E+08 Open division sacrotuberous ligament (disorder)
833 2.1E+08 Open division sacrospinous ligament (disorder)
833 2.1E+08 Open division sacroiliac ligament (disorder)
833 2.1E+08 Open division anterior sacroiliac ligament (disorder)
833 2.1E+08 Open division posterior sacroiliac ligament (disorder)
833 2.1E+08 Open division iliolumbar ligament (disorder)
833 2.1E+08 Open division lumbosacral ligament (disorder)
833 2.1E+08 Open division, neck ligament (disorder)
833 2.1E+08 Open division, thoracic ligament (disorder)
833 2.1E+08 Open division, lumbar ligament (disorder)
833 2.1E+08 Open division, sacrum ligament (disorder)
833 2.1E+08 Open division, temporomandibular ligament (disorder)
833 2.1E+08 Open division, rib ligament (disorder)
833 2.1E+08 Open division, chondrocostal joint ligament (disorder)
833 2.1E+08 Open division, costal cartilage ligament (disorder)
833 2.1E+08 Open division, sternal ligament (disorder)
833 2.1E+08 Open division, sternoclavicular ligament (disorder)
833 2.1E+08 Open division, chondrosternal ligament (disorder)
833 2.1E+08 Open division, xiphoid cartilage ligament (disorder)
833 2.1E+08 Rupture infraspinatus tendon (disorder)
833 2.1E+08 Rupture subscapularis tendon (disorder)
833 3.08E+08 Injury of tendon of the rotator cuff of shoulder (disorder)
833 2.1E+08 Mallet finger with closed tendon injury (disorder)
833 2.1E+08 Septal cartilage nose sprain (disorder)
833 2.1E+08 Cricoarytenoid sprain (disorder)
833 2.1E+08 Cricothyroid sprain (disorder)
833 2.1E+08 Chondrocostal joint sprain (disorder)
833 2.1E+08 Sternoclavicular sprain (disorder)
833 2.1E+08 Chondrosternal sprain (disorder)
833 2.1E+08 Pelvis sprain or complete tear (disorder)
833 2.1E+08 Complete tear, symphysis pubis ligament (disorder)
833 2.1E+08 Complete tear, sacrotuberous ligament (disorder)
833 2.1E+08 Complete tear, sacrospinous ligament (disorder)
833 2.1E+08 Complete tear, sacroiliac ligament (disorder)
833 2.1E+08 Complete tear, iliolumbar ligament (disorder)
833 2.1E+08 Complete tear, lumbosacral ligament (disorder)
833 2.11E+08 Mallet finger with open tendon injury (disorder)
833 2.11E+08 Traumatic amputation, finger, through metacarpophalangeal joint (disorder)
833 2.11E+08 Traumatic amputation, finger, through proximal interphalangeal joint (disorder)
833 2.11E+08 Traumatic amputation, finger, through distal interphalangeal joint (disorder)
833 2.12E+08 Traumatic disc rupture (disorder)
833 2.12E+08 Traumatic rupture of thoracic intervertebral disc (disorder)
833 2.12E+08 Traumatic rupture of lumbar intervertebral disc (disorder)
833 2.12E+08 Traumatic rupture of cervical intervertebral disc (disorder)
833 3.13E+08 Breakage of joint prosthesis (disorder)
833 2.13E+08 Prosthetic joint dislocation (disorder)
833 2.4E+08 Disorder of prosthetic joint (disorder)
833 2.13E+08 Mechanical complication of internal joint prosthesis (disorder)
833 3.03E+08 Prosthetic joint loosening (disorder)
833 2.4E+08 Loosening of hip joint prosthesis (disorder)
833 2.13E+08 Prosthetic joint infection (disorder)
833 3.1E+08 Pain due to hip joint prosthesis (disorder)
833 3.1E+08 Pain due to knee joint prosthesis (disorder)
833 3.1E+08 Pain due to shoulder joint prosthesis (disorder)
833 2.13E+08 Dislocations, sprains and strains involving head with neck (disorder)
833 2.26E+08 Degenerative polyarthritis (disorder)
833 2.3E+08 Internal malleolar torsion (disorder)
833 2.3E+08 External malleolar torsion (disorder)
833 2.32E+08 Traumatic ossicular dislocation (disorder)
833 2.32E+08 Relapsing polychondritis of larynx (disorder)
833 3.61E+08 Sarcoid arthropathy (disorder)
833 2.35E+08 Sarcoid dactylitis (disorder)
833 2.35E+08 Temporomandibular joint dislocation - non-traumatic (disorder)
833 2.35E+08 Mandibular condyle aplasia (disorder)
833 2.37E+08 Beta-2 microglobulin arthropathy (disorder)
833 2.38E+08 Periarticular calcification (disorder)
833 2.39E+08 Mouth and genital ulcers with inflamed cartilage syndrome (disorder)
833 2.4E+08 Contracture of joint of thumb (disorder)
833 2.4E+08 Contracture of subtalar joint (disorder)
833 2.4E+08 Non-traumatic subluxation of joint (disorder)
833 2.4E+08 Neuromuscular subluxation of joint (disorder)
833 2.4E+08 Neuromuscular dislocation of joint (disorder)
833 2.4E+08 Pathological subluxation of joint (disorder)
833 2.4E+08 Persistent dislocation of joint (disorder)
833 2.4E+08 Flail joint following removal of prosthesis (disorder)
833 2.63E+08 Traumatic joint effusion (disorder)
833 2.4E+08 Traumatic joint hemarthrosis (disorder)
833 4.46E+08 Infective arthritis of wrist (disorder)
833 4.45E+08 Infective arthritis of elbow (disorder)
833 2.4E+08 Post-dysenteric Reiter's disease (disorder)
833 2.4E+08 Juvenile reactive arthritis (disorder)
833 2.4E+08 Seropositive rheumatoid arthritis (disorder)
833 2.4E+08 Rheumatoid arthritis with multisystem involvement (disorder)
833 2.4E+08 Early onset pauciarticular chronic arthritis (disorder)
833 2.4E+08 Late onset pauciarticular chronic arthritis (disorder)
833 2.4E+08 Early onset polyarticular juvenile chronic arthritis (disorder)
833 2.4E+08 Late onset polyarticular juvenile chronic arthritis (disorder)
833 2.4E+08 Juvenile psoriatic arthritis (disorder)
833 2.4E+08 Juvenile psoriatic arthritis without psoriasis (disorder)
833 2.4E+08 Juvenile spondyloarthropathy (disorder)
833 2.4E+08 Juvenile Reiter's syndrome (disorder)
833 2.4E+08 Psoriatic dactylitis (disorder)
833 2.4E+08 Seronegative arthritis secondary to inflammatory bowel disease (disorder)
833 2.4E+08 Solitary sacroiliitis (disorder)
833 2.4E+08 Undifferentiated inflammatory oligoarthritis (disorder)
833 2.4E+08 Undifferentiated inflammatory monoarthritis (disorder)
833 2.4E+08 Arthritis secondary to non-hematological malignancy (disorder)
833 2.4E+08 Chronic infantile neurological, cutaneous and articular syndrome (disorder)
833 4.15E+08 Rotator cuff tear arthropathy (disorder)
833 4.43E+08 Chondrocalcinosis of knee joint (disorder)
833 2.4E+08 Idiopathic pyrophosphate arthritis (disorder)
833 2.4E+08 Secondary pyrophosphate arthritis (disorder)
833 2.4E+08 Pyrophosphate tophus (disorder)
833 2.4E+08 Idiopathic chondrocalcinosis (disorder)
833 2.4E+08 Secondary chondrocalcinosis (disorder)
833 2.4E+08 Gouty bursitis (disorder)
833 2.4E+08 Intra-articular steroid-induced arthritis and periarthritis (disorder)
833 2.4E+08 Oxalate-related arthritis and periarthritis (disorder)
833 2.4E+08 Cholesterol-related arthritis and periarthritis (disorder)
833 2.4E+08 Osteoarthritis of spinal facet joint (disorder)
833 2.4E+08 Osteoarthritis of metacarpophalangeal joint of finger (disorder)
833 2.75E+08 Osteoarthritis of metacarpophalangeal joint (disorder)
833 3.09E+08 Osteoarthritis of foot joint (disorder)
833 2.4E+08 Malemud disease (disorder)
833 2.4E+08 Nailfold rheumatoid vasculitis (disorder)
833 2.4E+08 Systemic rheumatoid vasculitis (disorder)
833 2.4E+08 Necrotizing rheumatoid vasculitis (disorder)
833 2.4E+08 Lesion of ligaments of shoulder region (disorder)
833 2.4E+08 Ligamentous laxity of shoulder region (disorder)
833 2.4E+08 Lesion of ligaments of elbow region (disorder)
833 2.4E+08 Ligamentous laxity of elbow region (disorder)
833 2.4E+08 Wrist impingement syndrome (disorder)
833 2.4E+08 Lesion of ligament of wrist and/or hand (disorder)
833 2.4E+08 Ligamentous laxity of wrist and/or hand (disorder)
833 2.4E+08 Triangular ligament tear (disorder)
833 2.4E+08 Lesion of joint capsule of wrist and hand (disorder)
833 2.4E+08 Lesion of ligaments of pelvic region (disorder)
833 2.4E+08 Ligamentous laxity of pelvic region (disorder)
833 2.4E+08 Lesion of joint capsule of pelvic region (disorder)
833 2.4E+08 Instability of symphysis pubis (disorder)
833 2.4E+08 Ligamentous laxity of knee (disorder)
833 2.4E+08 Lesion of joint capsule of knee region (disorder)
833 2.4E+08 Ligamentous laxity of ankle region (disorder)
833 2.4E+08 Posterior ankle impingement (disorder)
833 2.4E+08 Os trigonum impingement (disorder)
833 2.4E+08 Lesion of joint capsule of ankle region (disorder)
833 2.4E+08 Lesion of ligaments of foot region (disorder)
833 2.4E+08 Laxity of ligaments of foot (disorder)
833 2.4E+08 Lesion of joint capsule of foot region (disorder)
833 2.4E+08 Contusion of articular cartilage (disorder)
833 2.4E+08 Defect of articular cartilage (disorder)
833 2.4E+08 Van Bucken's disease (disorder)
833 2.4E+08 Osteochondritis of the distal ulna (disorder)
833 2.4E+08 Osteochondritis of the femoral head (disorder)
833 2.4E+08 Osteochondritis dissecans of the medial femoral condyle (disorder)
833 2.4E+08 Synovial-like neoplasm (disorder)
833 4.45E+08 Displacement of cervical intervertebral disc (disorder)
833 2.4E+08 Acquired deformity of joint of upper limb (disorder)
833 2.4E+08 Acquired fixed flexion deformity of the thumb (disorder)
833 2.81E+08 Acquired fixed flexion deformity of joint of upper limb (disorder)
833 2.4E+08 Fixed extension deformity of the thumb (disorder)
833 2.4E+08 Rotational deformity of the thumb (disorder)
833 2.4E+08 Adduction deformity of finger (disorder)
833 2.4E+08 Valgus heel (disorder)
833 2.4E+08 Curly toe (disorder)
833 2.4E+08 Generalized benign joint hypermobility (disorder)
833 2.4E+08 Localized benign joint hypermobility (disorder)
833 2.4E+08 Prosthetic joint protrusion (disorder)
833 2.4E+08 Prosthetic joint exposure (disorder)
833 2.4E+08 Silicone synovitis (disorder)
833 2.4E+08 Persistent prosthetic joint pain (disorder)
833 2.41E+08 Lyme erosive synovitis (disorder)
833 2.5E+08 Asymmetrical genu valgum (disorder)
833 2.5E+08 Trace effusion in knee (disorder)
833 2.5E+08 Moderate effusion in knee (disorder)
833 2.5E+08 Large effusion in suprapatellar pouch (disorder)
833 2.5E+08 Arthritis by pattern of joint involvement (disorder)
833 2.5E+08 Symmetrical arthritis (disorder)
833 2.5E+08 Asymmetrical arthritis (disorder)
833 2.5E+08 Small joint arthritis (disorder)
833 2.5E+08 Large joint arthritis (disorder)
833 2.5E+08 Small and large joint arthritis (disorder)
833 2.5E+08 Lower limb joint arthritis (disorder)
833 2.51E+08 Starch synovitis (disorder)
833 2.54E+08 Dislocatable hip (disorder)
833 2.54E+08 Subluxatable hip (disorder)
833 2.54E+08 Unicoronal craniosynostosis (disorder)
833 2.54E+08 Cloverleaf skull syndrome (disorder)
833 2.63E+08 Full thickness burn involving joint (disorder)
833 2.63E+08 Joint capsule injury (disorder)
833 2.63E+08 Joint capsule sprain (disorder)
833 2.63E+08 Joint capsule rupture (disorder)
833 2.63E+08 Traumatic division of joint capsule (disorder)
833 2.63E+08 Recurrent dislocation of temporomandibular joint (disorder)
833 2.63E+08 Dislocation of sternocostal joint (disorder)
833 2.63E+08 Dislocation of symphysis pubis (disorder)
833 2.63E+08 Dislocation of atlanto-occipital joint (disorder)
833 2.63E+08 Dislocation of scapulothoracic joint (disorder)
833 2.63E+08 Recurrent subluxation of temporomandibular joint (disorder)
833 2.63E+08 Subluxation of sternocostal joint (disorder)
833 2.63E+08 Subluxation of sacroiliac joint (disorder)
833 2.63E+08 Subluxation of scapulothoracic joint (disorder)
833 2.63E+08 Fracture dislocation of temporomandibular joint (disorder)
833 2.63E+08 Fracture dislocation of costovertebral joint (disorder)
833 2.63E+08 Fracture dislocation of spine (disorder)
833 2.63E+08 Fracture dislocation of cervical spine (disorder)
833 2.63E+08 Hangman's fracture (disorder)
833 2.63E+08 Fracture dislocation of thoracic spine (disorder)
833 2.63E+08 Fracture dislocation of lumbar spine (disorder)
833 2.63E+08 Fracture dislocation of scapulothoracic joint (disorder)
833 2.63E+08 Fracture dislocation of finger (disorder)
833 2.63E+08 Fracture dislocation of joint of lower limb (disorder)
833 2.63E+08 Fracture dislocation of toe joint (disorder)
833 2.63E+08 Fracture subluxation of sacroiliac joint (disorder)
833 2.63E+08 Fracture subluxation of symphysis pubis (disorder)
833 2.63E+08 Fracture subluxation of finger (disorder)
833 2.63E+08 Fracture subluxation of joint of lower limb (disorder)
833 2.63E+08 Injury of meniscus of temporomandibular joint (disorder)
833 2.63E+08 Volar plate injury of thumb joint (disorder)
833 2.63E+08 Sprain of lateral ligament of ankle joint (disorder)
833 2.63E+08 Rupture of shoulder ligament (disorder)
833 2.63E+08 Rupture of elbow ligament (disorder)
833 2.63E+08 Rupture of wrist ligament (disorder)
833 4.05E+08 Rupture of ulnar collateral ligament of thumb (disorder)
833 2.63E+08 Traumatic division of wrist ligament (disorder)
833 2.63E+08 Traumatic division of finger ligament (disorder)
833 2.63E+08 Traumatic division of thumb ligament (disorder)
833 2.63E+08 Subcapital fracture of neck of femur (disorder)
833 2.65E+08 Avulsion of tibial attachment (disorder)
833 2.65E+08 Avulsion of femoral attachment (disorder)
833 4.45E+08 Infective arthritis of ankle and/or foot (disorder)
833 3.02E+08 Transient synovitis of hip (disorder)
833 2.68E+08 Acquired fixed flexion deformity of finger (disorder)
833 2.69E+08 Rupture of coracoacromial ligament (disorder)
833 2.72E+08 Prosthetic joint mechanical failure (disorder)
833 2.72E+08 Gonococcal arthritis dermatitis syndrome (disorder)
Asthma or Chronic Lung Disease

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Asthma.xls)

Refset Name: Asthma refset
  refset_ID   SCTID FSN
858 4.25E+08 IgE-mediated allergic asthma
858 4.24E+08 Non-IgE mediated allergic asthma
858 2.34E+08 Late onset asthma
858 2.66E+08 Intrinsic asthma
858   11641008 Millers' asthma
858 4.24E+08 Substance induced asthma
858 12428000 Intrinsic asthma without status asthmaticus
858 55570000 Asthma without status asthmaticus
858 13151001 Flax-dressers' disease
858 85761009 Byssinosis
858 2.34E+08 Childhood asthma
858 3.89E+08 Allergic asthma
858 1.96E+08 Asthma
858 4.06E+08 Asthmatic bronchitis
858 30352005 Allergic-infective asthma
858 31387002 Exercise-induced asthma
858 57546000 Asthma with status asthmaticus
858 56968009 Wood asthma
858 3.05E+08 Acute asthma
858 59327009 Intrinsic asthma with status asthmaticus
858 59786004 Weavers' cough
858 63088003 Extrinsic asthma without status asthmaticus
858 67415000 Hay asthma
858 1.96E+08 Chronic asthmatic bronchitis
858 91340006 Extrinsic asthma with status asthmaticus
858 92807009 Chemical-induced asthma
858 93432008 Drug-induced asthma
858 2.34E+08 Hay fever with asthma
858 2.66E+08 Asthma attack
858 3.7E+08 Occasional asthma
858 3.7E+08 Mild asthma
858 3.7E+08 Moderate asthma
858 3.7E+08 Severe asthma
858 2.34E+08 Extrinsic asthma with asthma attack
858 2.34E+08 Intrinsic asthma with asthma attack
858 1.96E+08 Mixed asthma
858 2.81E+08 Exacerbation of asthma
858 2.25E+08 Brittle asthma
858 2.34E+08 Byssinosis grade 3
858 4.45E+08 Seasonal asthma
858 2.34E+08 Aspirin-sensitive asthma with nasal polyps
858 4.08E+08 Aspirin-induced asthma
858 2.34E+08 Sulfite-induced asthma
858 3.95E+08 Suspected asthma
858 4.01E+08 Asthma confirmed
858 4.1E+08 Cough variant asthma
858 4.26E+08 Exacerbation of intermittent asthma
858 4.27E+08 Severe persistent asthma
858 4.27E+08 Mild persistent asthma
858 4.27E+08 Moderate persistent asthma
858 4.27E+08 Exacerbation of persistent asthma
858 4.28E+08 Intermittent asthma
858 4.28E+08 Mild intermittent asthma
858 4.42E+08 Acute exacerbation of chronic asthmatic bronchitis
Atrial Fibillation and Other Dysrhythmias

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/AFDysrythmiasFindings.xls)

Refset Name: AF and disrythmias refset
  refset_ID   SCTID FSN
807   49436004 Atrial fibrillation (disorder)
807 1.95E+08 Atrial fibrillation and flutter (disorder)
807 2.83E+08 Paroxysmal atrial fibrillation (disorder)
807 2.34E+08 Lone atrial fibrillation (disorder)
807 2.34E+08 Non-rheumatic atrial fibrillation (disorder)
807 3.01E+08 Controlled atrial fibrillation (disorder)
807 3.14E+08 Rapid atrial fibrillation (disorder)
807 4.27E+08 Chronic atrial fibrillation (disorder)
807 4.4E+08 Permanent atrial fibrillation (disorder)
807 4.4E+08 Persistent atrial fibrillation (disorder)
Benign Prostatic Hyperplasia

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/BPH.xls)

Refset Name: BPH refset
  refset_ID   SCTID FSN
817   2.67E+08 Benign prostatic hyperplasia (disorder)
817 2.37E+08 Benign prostatic hypertrophy with outflow obstruction (disorder)
817 2.55E+08 Benign prostatic hypertrophy without outflow obstruction (disorder)
817 4.45E+08 Benign localized hyperplasia of prostate (disorder)
Cancer

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/CancerFinding.xls)

Refset Name: Cancerfindings refset
  refset_ID   SCTID FSN
805   274897005 Intraepidermal epithelioma of Jadassohn (disorder)
805 69408002 Gorlin syndrome (disorder)
805 419310003 On examination - multiple angiomatous nevi (disorder)
805 254701007 Basal cell carcinoma of skin (disorder)
805 274900003 Trichilemmoma (disorder)
805 274901004 Pilomatrixoma (disorder)
805 274902006 Combined hepatocellular carcinoma and cholangiocarcinoma (disorder)
805 223003 Tumor of body of uterus affecting pregnancy (disorder)
805 186709004 Human immunodeficiency virus with secondary cancers (disorder)
805 186723002 Human immunodeficiency virus (HIV) disease resulting in Burkitt's lymphoma (disorder)
805 186725009 Human immunodeficiency virus (HIV) disease resulting in multiple malignant neoplasms (disorder)
805 207036003 Castleman's disease (disorder)
805 255069008 Carcinoma of lip, oral cavity and/or pharynx (disorder)
805 274903001 Eccrine dermal cylindroma of skin (disorder)
805 274905008 Malignant lymphoma - lymphocytic, intermediate differentiation (disorder)
805 400131007 Epithelioid hemangioma of skin (disorder)
805 400149007 Lipoblastomatosis (disorder)
805 400102008 Lipoblastoma (disorder)
805 70910003 Indolent systemic mastocytosis (disorder)
805 275394001 Carcinoma ventral surface of tongue (disorder)
805 277543005 Malignant white blood cell disorder (disorder)
805 126909004 Neoplasm of body of uterus (disorder)
805 275395000 Carcinoma anterior 2/3 tongue ventrum (disorder)
805 275396004 Carcinoma of anterior two-thirds of tongue - dorsal surface (disorder)
805 275397008 Carcinoma of midline of tongue (disorder)
805 275399006 Malignant tumor of lipstick area of lip (disorder)
805 187601000 Malignant neoplasm of upper lip, lipstick area (disorder)
805 95413004 Nodular tenosynovitis (disorder)
805 187604008 Malignant neoplasm of lower lip, external (disorder)
805 275490009 Carcinoma of tongue base - dorsal surface (disorder)
805 187608006 Malignant tumor of frenum of upper lip (disorder)
805 302815008 Malignant tumor of frenum of lip (disorder)
805 254397003 Tumor of frenum of upper lip (disorder)
805 308006 Pearly penile papules (disorder)
805 187613005 Malignant neoplasm of lower lip, buccal aspect (disorder)
805 187614004 Malignant tumor of frenum of lower lip (disorder)
805 254401006 Tumor of frenum of lower lip (disorder)
805 187624007 Malignant neoplasm of overlapping lesion of lip (disorder)
805 187631006 Malignant neoplasm of base of tongue dorsal surface (disorder)
805 73479003 Adenomyoma of gallbladder (disorder)
805 187634003 Malignant tumor of anterior two-thirds of tongue - dorsal surface (disorder)
805 254405002 Tumor of anterior two-thirds of tongue - dorsal surface (disorder)
805 275491008 Benign tumor of tongue base - dorsal surface (disorder)
805 187635002 Malignant neoplasm of midline of tongue (disorder)
805 187637005 Malignant neoplasm of tongue, tip and lateral border (disorder)
805 187640005 Malignant tumor of anterior two-thirds of tongue - ventral surface (disorder)
805 254415008 Tumor of anterior two-thirds of tongue - ventral surface (disorder)
805 187641009 Malignant tumor of frenum linguae (disorder)
805 275492001 Carcinoma in situ tongue base - dorsal surface (disorder)
805 400132000 Vascular neoplasm of skin (disorder)
805 92009008 Benign neoplasm of blood vessel of perineum (disorder)
805 92286008 Benign neoplasm of penis (disorder)
805 276418007 Benign tumor of skin of penis (disorder)
805 92117002 Benign neoplasm of gallbladder (disorder)
805 126854002 Neoplasm of gallbladder (disorder)
805 276419004 Malignant tumor of corpus spongiosum (disorder)
805 254416009 Tumor of frenum linguae (disorder)
805 187659007 Malignant tumor of upper buccal sulcus (disorder)
805 276420005 Malignant tumor of corpus cavernosum (disorder)
805 276738009 Primary signet ring carcinoma of skin (disorder)
805 276750003 Malignant tumor of skin with pilar differentiation (disorder)
805 276751004 Amelanotic malignant melanoma of skin (disorder)
805 402873007 Malignant fibrohistiocytic tumor of skin (disorder)
805 254440001 Tumor of upper buccal sulcus (disorder)
805 187660002 Malignant tumor of lower buccal sulcus (disorder)
805 276803003 Adenocarcinoma of esophagus (disorder)
805 254444005 Tumor of lower buccal sulcus (disorder)
805 187661003 Malignant tumor of upper labial sulcus (disorder)
805 254449000 Tumor of upper labial sulcus (disorder)
805 187662005 Malignant tumor of lower labial sulcus (disorder)
805 254453003 Tumor of lower labial sulcus (disorder)
805 187666008 Malignant neoplasm of junction of hard and soft palate (disorder)
805 416669000 Invasive hydatidiform mole (disorder)
805 398660000 Nevus spilus (disorder)
805 254459004 Malignant tumor of anterior pillar of fauces (disorder)
805 187682009 Malignant neoplasm of epiglottis, free border (disorder)
805 187683004 Malignant neoplasm of glossoepiglottic fold (disorder)
805 254421007 Tumor of glossoepiglottic fold (disorder)
805 276804009 Squamous cell carcinoma of esophagus (disorder)
805 276805005 Leiomyoma of esophagus (disorder)
805 276808007 Carcinoid tumor of stomach (disorder)
805 76564002 Catecholamine secretion by pheochromocytoma (disorder)
805 127023007 Neoplasm of adrenal medulla (disorder)
805 127021009 Neoplasm of adrenal gland (disorder)
805 302835009 Pheochromocytoma (disorder)
805 76813008 Pyogenic granuloma of oral mucosa (disorder)
805 419645003 Benign neoplasm of oral cavity (disorder)
805 92391007 Benign neoplasm of soft tissues of head (disorder)
805 417570003 Gestational choriocarcinoma (disorder)
805 134209002 Prolactinoma (disorder)
805 428701004 Carcinoid tumor of gastrointestinal tract (disorder)
805 276809004 Early gastric cancer (disorder)
805 276810009 Late gastric cancer (disorder)
805 276811008 Gastric lymphoma (disorder)
805 276812001 Leiomyoma of stomach (disorder)
805 276815004 Lymphoma of intestine (disorder)
805 276816003 Carcinoid tumor of intestine (disorder)
805 187697007 Malignant tumor of pharyngeal recess (disorder)
805 254489006 Tumor of pharyngeal recess (disorder)
805 276818002 Carcinoid tumor of small intestine (disorder)
805 187698002 Malignant tumor of opening of auditory tube (disorder)
805 420524008 Kaposi's sarcoma associated with AIDS (disorder)
805 78610002 Caprine cutaneous papillomatosis (disorder)
805 79913008 Transmissible canine venereal tumor (disorder)
805 422052002 Burkitt's lymphoma associated with AIDS (disorder)
805 80914001 Anaplasia of cervix (disorder)
805 372024009 Primary malignant neoplasm of uterine cervix (disorder)
805 81021006 Myoma of prostate (disorder)
805 276821000 Malignant melanoma of anus (disorder)
805 81196009 Neuroma of amputation stump (disorder)
805 443892003 Neuroma (disorder)
805 127331007 Neoplasm by body site (disorder)
805 81555000 Fibroadenoma of prostate (disorder)
805 4135001 11p partial monosomy syndrome (disorder)
805 82546001 Reactive immunoproliferative disease (disorder)
805 254490002 Tumor of opening of auditory tube (disorder)
805 187701005 Malignant neoplasm of floor of nasopharynx (disorder)
805 280356005 Tumor of nasopharyngeal floor (disorder)
805 187702003 Malignant tumor of nasopharyngeal soft palate surface (disorder)
805 275524009 Immunoproliferative neoplasm (disorder)
805 254484001 Malignant tumor of posterior margin of nasal septum and choanae (disorder)
805 276822007 Malignant melanoma of rectum (disorder)
805 276827001 Malignant glioma of spinal cord (disorder)
805 82755000 Germinal inclusion cyst of ovary (disorder)
805 187709007 Malignant neoplasm of posterior pharynx (disorder)
805 187733001 Malignant neoplasm of cardiac orifice of stomach (disorder)
805 187734007 Malignant neoplasm of cardioesophageal junction of stomach (disorder)
805 187738005 Malignant neoplasm of pyloric canal of stomach (disorder)
805 187757001 Malignant neoplasm, overlapping lesion of colon (disorder)
805 254857008 Benign epithelial tumor of ovary (disorder)
805 187760008 Malignant neoplasm of rectum, rectosigmoid junction and anus (disorder)
805 443488001 Malignant neoplasm of anorectum (disorder)
805 276828006 Glioblastoma multiforme of brain (disorder)
805 82908000 Dudley-Klingenstein syndrome (disorder)
805 393563007 Glioblastoma multiforme (disorder)
805 126834003 Neoplasm of jejunum (disorder)
805 276829003 Glioblastoma multiforme of spinal cord (disorder)
805 276836002 Primary cerebral lymphoma (disorder)
805 255084004 Squamous cell carcinoma of anal margin (disorder)
805 276851006 Intraduct papilloma of pancreas (disorder)
805 255083005 Malignant tumor of anus and anal canal (disorder)
805 187767006 Malignant neoplasm of liver and intrahepatic bile ducts (disorder)
805 187773007 Malignant neoplasm of interlobular bile ducts (disorder)
805 187776004 Malignant neoplasm of intrahepatic canaliculi (disorder)
805 302849000 Nephroblastoma (disorder)
805 187784000 Malignant neoplasm of hepatic duct (disorder)
805 276852004 Papillary tumor of ampulla of Vater (disorder)
805 255086002 Carcinoma common bile duct (disorder)
805 187786003 Malignant neoplasm of sphincter of Oddi (disorder)
805 83270006 Neoplastic pleural effusion (disorder)
805 83448006 Plantar papilloma of yaws (disorder)
805 4259004 Oral lapine papillomatosis (disorder)
805 88172005 Oral papillomatosis (disorder)
805 271449003 Multiple yaws papillomata (disorder)
805 255088001 Malignant tumor of exocrine pancreas (disorder)
805 187794005 Malignant tumor of Islets of Langerhans (disorder)
805 187798008 Malignant neoplasm of ectopic pancreatic tissue (disorder)
805 236019001 Tumor of peritoneum and retroperitoneum (disorder)
805 276860003 Squamous cell carcinoma of scrotum (disorder)
805 187807003 Overlapping malignant lesion of retroperitoneum and peritoneum (disorder)
805 187809000 Malignant neoplasm of mesocolon (disorder)
805 187810005 Malignant neoplasm of mesocecum (disorder)
805 187811009 Malignant neoplasm of mesorectum (disorder)
805 4752007 Fetal sacral teratoma causing disproportion (disorder)
805 187814001 Malignant neoplasm of the pouch of Douglas (disorder)
805 302817000 Malignant tumor of unknown origin or ill-defined site (disorder)
805 403899005 Squamous cell carcinoma of skin of trunk (disorder)
805 187821001 Angiosarcoma of spleen (disorder)
805 276866009 Benign tumor of pelviureteric junction (disorder)
805 187822008 Fibrosarcoma of spleen (disorder)
805 443250000 Malignant fibromatous neoplasm (disorder)
805 187824009 Malignant neoplasm, overlapping lesion of digestive system (disorder)
805 255076003 Carcinoma of respiratory tract and intrathoracic organs (disorder)
805 187828007 Malignant neoplasm of nasal cavities, middle ear and accessory sinuses (disorder)
805 402878003 Germ cell tumor (disorder)
805 118616009 Neoplastic disease of uncertain behavior (disorder)
805 23695007 Fetal congenital tumor causing disproportion (disorder)
805 187833006 Malignant neoplasm of auditory tube, middle ear and mastoid air cells (disorder)
805 5050001 Senile angioma (disorder)
805 92361002 Benign neoplasm of skin of foot (disorder)
805 421835000 Immunoblastic lymphoma associated with AIDS (disorder)
805 269463006 Malignant tumor of middle ear and mastoid (disorder)
805 187834000 Malignant tumor of Eustachian tube (disorder)
805 187835004 Malignant tumor of tympanic cavity (disorder)
805 254469005 Tumor of tympanic cavity (disorder)
805 187836003 Malignant tumor of tympanic antrum (disorder)
805 254471005 Tumor of tympanic antrum (disorder)
805 187838002 Malignant neoplasm, overlapping lesion of accessory sinuses (disorder)
805 187843009 Malignant neoplasm of arytenoid cartilage (disorder)
805 254788004 Angiokeratoma of skin (disorder)
805 84449007 Congenital accessory skin tag (disorder)
805 6331000 Angiokeratoma of Fordyce (disorder)
805 201091002 Skin tag (disorder)
805 254522003 Tumor of arytenoid (disorder)
805 187844003 Malignant neoplasm of cricoid cartilage (disorder)
805 187845002 Malignant neoplasm of cuneiform cartilage (disorder)
805 187846001 Malignant neoplasm of thyroid cartilage (disorder)
805 86635005 Kasabach-Merritt syndrome (disorder)
805 92336000 Benign neoplasm of scrotum (disorder)
805 254798005 Hemangioendothelioma of skin (disorder)
805 399933001 Vulval intraepithelial neoplasia (VIN) (disorder)
805 187853005 Malignant neoplasm of cartilage of trachea (disorder)
805 187854004 Malignant neoplasm of mucosa of trachea (disorder)
805 421283008 Primary lymphoma of brain associated with AIDS (disorder)
805 89987007 Confluent AND reticulate papillomatosis (disorder)
805 276876007 Carcinoma of Bartholin's gland (disorder)
805 269464000 Malignant neoplasm of upper lobe, bronchus or lung (disorder)
805 91113000 Avian sarcoma (disorder)
805 424413001 Sarcoma (disorder)
805 276891009 Lipoma of breast (disorder)
805 6875005 Shope fibroma (disorder)
805 91554004 Condyloma latum (disorder)
805 92069005 Benign neoplasm of soft tissue (disorder)
805 7021009 Gastrointestinal eosinophilic granuloma (disorder)
805 187866005 Malignant neoplasm of middle lobe of lung (disorder)
805 126768004 Neoplasm of gastrointestinal tract (disorder)
805 129000002 Langerhans cell histiocytosis, unifocal (disorder)
805 187870002 Malignant neoplasm of lower lobe of lung (disorder)
805 255067005 Sarcoma of bone and connective tissue (disorder)
805 271467005 Malignant neoplasm of bone, connective tissue, skin and breast (disorder)
805 255068000 Carcinoma of bone, connective tissue, skin and breast (disorder)
805 7238003 Jaagziekte (disorder)
805 94920007 Neoplasm of uncertain behavior of lung (disorder)
805 8090002 Eosinophilic granuloma of oral mucosa (disorder)
805 235075007 Tumor of oral cavity (disorder)
805 126601003 Neoplasm of soft tissues of head (disorder)
805 439361000 Neoplasm of upper aerodigestive tract (disorder)
805 187906008 Malignant neoplasm of orbital bone (disorder)
805 397013007 Solitary cutaneous mastocytoma (disorder)
805 8445003 Tumor of vulva affecting pregnancy (disorder)
805 126922007 Neoplasm of vulva (disorder)
805 92373002 Benign neoplasm of skin of perineum (disorder)
805 276952000 Squamous cell carcinoma of tongue (disorder)
805 276953005 Squamous cell carcinoma of gum (disorder)
805 9031009 Porokeratosis of Mibelli, linear unilateral type (disorder)
805 80432009 Porokeratosis of Mibelli (disorder)
805 276954004 Squamous cell carcinoma of floor of mouth (disorder)
805 276962007 Squamous cell carcinoma of palate (disorder)
805 277185000 Trigeminal schwannoma (disorder)
805 277456001 Suprasellar germ cell tumor (disorder)
805 277461004 Anaplastic astrocytoma of brain (disorder)
805 187916000 Malignant neoplasm of cervical vertebra (disorder)
805 93450001 Erythroleukemia in remission (disorder)
805 93451002 Erythroleukemia, FAB M6 (disorder)
805 91854005 Acute leukemia in remission (disorder)
805 93142004 Leukemia in remission (disorder)
805 127231009 Neoplasm of thymus (disorder)
805 91855006 Acute leukemia, disease (disorder)
805 93143009 Leukemia, disease (disorder)
805 93720005 Primary malignant neoplasm of bone marrow (disorder)
805 277474005 B-cell chronic lymphocytic leukemia variant (disorder)
805 91856007 Acute lymphoid leukemia in remission (disorder)
805 91857003 Acute lymphoid leukemia, disease (disorder)
805 188725004 Lymphoid leukemia (disorder)
805 277505007 Medulloblastoma of cerebellum (disorder)
805 91858008 Acute monocytic leukemia in remission (disorder)
805 91860005 Acute myeloid leukemia in remission (disorder)
805 413441006 Acute monocytic leukemia, FAB M5b (disorder)
805 443333004 Medulloblastoma (disorder)
805 413442004 Acute monocytic/monoblastic leukemia (disorder)
805 94716000 Myeloid leukemia in remission (disorder)
805 91861009 Acute myeloid leukemia, disease (disorder)
805 188732008 Myeloid leukemia (disorder)
805 277507004 Pilocytic astrocytoma of cerebellum (disorder)
805 91958007 Benign neoplasm of abdominal esophagus (disorder)
805 428753007 Low grade glioma of cerebellum (disorder)
805 126820003 Neoplasm of abdominal esophagus (disorder)
805 92091003 Benign neoplasm of esophagus (disorder)
805 277508009 Pineal germ cell tumor (disorder)
805 92193002 Benign neoplasm of lower third of esophagus (disorder)
805 92153000 Benign neoplasm of intra-abdominal organs (disorder)
805 277522009 Hemangiopericytoma of meninges (disorder)
805 277523004 Primary melanocytic lesion of meninges (disorder)
805 277526007 Diffuse melanosis of meninges (disorder)
805 91959004 Benign neoplasm of abducens nerve (disorder)
805 277527003 Melanocytoma of meninges (disorder)
805 92071005 Benign neoplasm of cranial nerve (disorder)
805 12008008 Palmar papilloma of yaws (disorder)
805 126972009 Neoplasm of abducens nerve (disorder)
805 277530005 Malignant melanoma of meninges (disorder)
805 91960009 Benign neoplasm of accessory nerve (disorder)
805 126977003 Neoplasm of accessory nerve (disorder)
805 91961008 Benign neoplasm of accessory sinus (disorder)
805 277545003 T-cell chronic lymphocytic leukemia (disorder)
805 92461001 Benign neoplasm of upper respiratory tract (disorder)
805 277549009 Chronic lymphocytic prolymphocytic leukemia syndrome (disorder)
805 126675008 Neoplasm of accessory sinus (disorder)
805 277550009 Richter's syndrome (disorder)
805 277551008 Splenic lymphoma with villous lymphocytes (disorder)
805 255156006 Benign tumor of ear, nose and throat (disorder)
805 277567002 T-cell prolymphocytic leukemia (disorder)
805 92098009 Benign neoplasm of face (disorder)
805 277568007 Hairy cell leukemia variant (disorder)
805 277569004 Large granular lymphocytic leukemia (disorder)
805 277570003 Lymphoma with spill (disorder)
805 277571004 B-cell acute lymphoblastic leukemia (disorder)
805 277572006 Pre B-cell acute lymphoblastic leukemia (disorder)
805 187917009 Malignant neoplasm of thoracic vertebra (disorder)
805 277573001 Common acute lymphoblastic leukemia (disorder)
805 277574007 Null cell acute lymphoblastic leukemia (disorder)
805 277575008 T-cell acute lymphoblastic leukemia (disorder)
805 420890002 Precursor T cell lymphoblastic leukemia/lymphoblastic lymphoma (disorder)
805 91962001 Benign neoplasm of acoustic nerve (disorder)
805 387891008 Neoplasm of acoustic nerve (disorder)
805 277579002 Light chain myeloma (disorder)
805 277580004 Non-secretory myeloma (disorder)
805 187918004 Malignant neoplasm of lumbar vertebra (disorder)
805 277587001 Juvenile chronic myeloid leukemia (disorder)
805 277589003 Atypical chronic myeloid leukemia (disorder)
805 277597005 Myelodysplastic syndrome with isolated del(5q) (disorder)
805 91963006 Benign neoplasm of acromion (disorder)
805 277601005 Acute monoblastic leukemia (disorder)
805 277604002 Acute eosinophilic leukemia (disorder)
805 277608004 Hodgkin's disease, lymphocytic predominance - nodular (disorder)
805 277609007 Hodgkin's disease, lymphocytic predominance - diffuse (disorder)
805 277610002 Hodgkin's disease, nodular sclerosis - lymphocytic predominance (disorder)
805 277611003 Hodgkin's disease, nodular sclerosis - mixed cellularity (disorder)
805 277612005 Hodgkin's disease, nodular sclerosis - lymphocytic depletion (disorder)
805 421418009 Mature T-cell AND/OR NK cell neoplasm (disorder)
805 277614006 Prethymic and thymic T-cell lymphoma/leukemia (disorder)
805 277615007 Low grade B-cell lymphoma (disorder)
805 277617004 High grade B-cell lymphoma (disorder)
805 277618009 Follicular low grade B-cell lymphoma (disorder)
805 277619001 B-cell prolymphocytic leukemia (disorder)
805 277622004 Mucosa-associated lymphoma (disorder)
805 445269007 Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT-lymphoma) (disorder)
805 277623009 Monocytoid B-cell lymphoma (disorder)
805 277627005 Nodular high grade B-cell lymphoma (disorder)
805 277628000 Diffuse malignant lymphoma - large cleaved cell (disorder)
805 277629008 Diffuse malignant lymphoma - large non-cleaved cell (disorder)
805 277632006 Diffuse malignant lymphoma - centroblastic polymorphic (disorder)
805 277637000 Large cell anaplastic lymphoma (disorder)
805 277643003 High grade T-cell lymphoma (disorder)
805 277651000 Peripheral T-cell lymphoma - pleomorphic small cell (disorder)
805 277653002 Peripheral T-cell lymphoma - pleomorphic medium and large cell (disorder)
805 277654008 Enteropathy-associated T-cell lymphoma (disorder)
805 187925006 Malignant neoplasm of costal cartilage (disorder)
805 277664004 Malignant lymphoma of testis (disorder)
805 187926007 Malignant neoplasm of costovertebral joint (disorder)
805 92365006 Benign neoplasm of skin of hand (disorder)
805 187927003 Malignant neoplasm of xiphoid process (disorder)
805 254638002 Pancoast tumor (disorder)
805 13048006 Orbital lymphoma (disorder)
805 363462005 Malignant tumor of orbit (disorder)
805 187929000 Malignant neoplasm of scapula and long bones of upper arm (disorder)
805 420519005 Malignant lymphoma of the eye region (disorder)
805 238476000 Eosinophilic granuloma of bone (disorder)
805 92334002 Benign neoplasm of scapula (disorder)
805 420302007 Reticulosarcoma associated with AIDS (disorder)
805 126567006 Neoplasm of acromion (disorder)
805 92002004 Benign neoplasm of blood vessel of head (disorder)
805 91964000 Benign neoplasm of adenoid (disorder)
805 187932002 Malignant neoplasm of humerus (disorder)
805 277782009 Malignant peritoneal local recurrence (disorder)
805 15576007 Necrolytic migratory erythema (disorder)
805 269467007 Malignant neoplasm of hand bones (disorder)
805 127228008 Neoplasm of adenoid (disorder)
805 92487001 Benign neoplasm of Waldeyer's ring (disorder)
805 92303001 Benign neoplasm of posterior wall of nasopharynx (disorder)
805 91965004 Benign neoplasm of adnexa of skin (disorder)
805 16424000 Glucagonoma syndrome (disorder)
805 126489007 Neoplasm of skin with adnexal differentiation (disorder)
805 277942005 Trichoblastoma (disorder)
805 91966003 Benign neoplasm of adrenal cortex (disorder)
805 127022002 Neoplasm of adrenal cortex (disorder)
805 91967007 Benign neoplasm of adrenal gland (disorder)
805 92085000 Benign neoplasm of endocrine gland (disorder)
805 91968002 Benign neoplasm of adrenal medulla (disorder)
805 91969005 Benign neoplasm of alveolar ridge mucosa (disorder)
805 187939006 Malignant neoplasm of carpal bone - triquetrum (disorder)
805 187940008 Malignant neoplasm of carpal bone - pisiform (disorder)
805 187942000 Malignant neoplasm of carpal bone - trapezoid (disorder)
805 187943005 Malignant neoplasm of carpal bone - capitate (disorder)
805 92119004 Benign neoplasm of gingival mucosa (disorder)
805 187945003 Malignant neoplasm of first metacarpal bone (disorder)
805 187946002 Malignant neoplasm of second metacarpal bone (disorder)
805 126796005 Neoplasm of alveolar ridge mucosa (disorder)
805 187947006 Malignant neoplasm of third metacarpal bone (disorder)
805 187948001 Malignant neoplasm of fourth metacarpal bone (disorder)
805 91970006 Benign neoplasm of ampulla of Vater (disorder)
805 187949009 Malignant neoplasm of fifth metacarpal bone (disorder)
805 15861008 Bovine viral leukosis (disorder)
805 187956003 Malignant neoplasm of sacral vertebra (disorder)
805 278024000 Rhabdomyosarcoma of bladder (disorder)
805 269475001 Malignant tumor of lymphoid, hemopoietic AND/OR related tissue (disorder)
805 363346000 Malignant neoplastic disease (disorder)
805 187957007 Malignant neoplasm of coccygeal vertebra (disorder)
805 269468002 Malignant neoplasm of short bones of leg (disorder)
805 92265008 Benign neoplasm of pancreatic duct (disorder)
805 126858004 Neoplasm of ampulla of Vater (disorder)
805 92067007 Benign neoplasm of common bile duct (disorder)
805 187967002 Malignant neoplasm of calcaneum (disorder)
805 91971005 Benign neoplasm of anal canal (disorder)
805 126850006 Neoplasm of anal canal (disorder)
805 91978004 Benign neoplasm of anus (disorder)
805 91972003 Benign neoplasm of anterior aspect of epiglottis (disorder)
805 92089006 Benign neoplasm of epiglottis (disorder)
805 126813005 Neoplasm of anterior aspect of epiglottis (disorder)
805 187973001 Malignant neoplasm of first metatarsal bone (disorder)
805 92293007 Benign neoplasm of pharynx (disorder)
805 187974007 Malignant neoplasm of second metatarsal bone (disorder)
805 187975008 Malignant neoplasm of third metatarsal bone (disorder)
805 187976009 Malignant neoplasm of fourth metatarsal bone (disorder)
805 187977000 Malignant neoplasm of fifth metatarsal bone (disorder)
805 278046008 Sarcoma of bladder (disorder)
805 302816009 Malignant tumor of soft tissue of head, face and neck (disorder)
805 91973008 Benign neoplasm of anterior mediastinum (disorder)
805 92214000 Benign neoplasm of mediastinum (disorder)
805 126726004 Neoplasm of anterior mediastinum (disorder)
805 254429009 Benign tumor of anterior floor of mouth (disorder)
805 91975001 Benign neoplasm of anterior two-thirds of tongue (disorder)
805 92443005 Benign neoplasm of tongue (disorder)
805 126785002 Neoplasm of anterior two-thirds of tongue (disorder)
805 278042005 Malignant teratoma of mediastinum (disorder)
805 91976000 Benign neoplasm of anterior wall of nasopharynx (disorder)
805 278043000 Malignant seminoma of mediastinum (disorder)
805 126684008 Neoplasm of anterior wall of nasopharynx (disorder)
805 278044006 Malignant neuroma of mediastinum (disorder)
805 232805002 Benign neoplasm of nasopharyngeal wall (disorder)
805 278050001 Sarcoma of breast (disorder)
805 91977009 Benign neoplasm of anterior wall of urinary bladder (disorder)
805 91992005 Benign neoplasm of bladder (disorder)
805 126889000 Neoplasm of anterior wall of urinary bladder (disorder)
805 187987001 Malignant neoplasm of cartilage of ear (disorder)
805 126849006 Neoplasm of anus (disorder)
805 92285007 Benign neoplasm of pelvis (disorder)
805 92170008 Benign neoplasm of large intestine (disorder)
805 91979007 Benign neoplasm of aortic body (disorder)
805 127029006 Neoplasm of aortic body (disorder)
805 92267000 Benign neoplasm of paraganglion (disorder)
805 91980005 Benign neoplasm of apex of urinary bladder (disorder)
805 126887003 Neoplasm of apex of urinary bladder (disorder)
805 278051002 Malignant lymphoma of thyroid gland (disorder)
805 278052009 Malignant lymphoma of breast (disorder)
805 187988006 Malignant neoplasm of tarsus of eyelid (disorder)
805 278053004 Intraductal carcinoma of breast (disorder)
805 278054005 Lobular carcinoma of breast (disorder)
805 278055006 Malignant Leydig cell tumor of testis (disorder)
805 91981009 Benign neoplasm of appendix (disorder)
805 126846004 Neoplasm of appendix (disorder)
805 91982002 Benign neoplasm of areola of female breast (disorder)
805 126929003 Neoplasm of areola of female breast (disorder)
805 92102001 Benign neoplasm of female breast (disorder)
805 91983007 Benign neoplasm of areola of male breast (disorder)
805 126939009 Neoplasm of areola of male breast (disorder)
805 92206006 Benign neoplasm of male breast (disorder)
805 91984001 Benign neoplasm of arm (disorder)
805 92459005 Benign neoplasm of upper limb (disorder)
805 126652001 Neoplasm of upper arm (disorder)
805 91985000 Benign neoplasm of ascending colon (disorder)
805 16652001 Fabry's disease (disorder)
805 126840005 Neoplasm of ascending colon (disorder)
805 92065004 Benign neoplasm of colon (disorder)
805 55342001 Neoplastic disease (disorder)
805 255102004 Angioendotheliomatosis (disorder)
805 278057003 Sertoli cell tumor of testis (disorder)
805 91986004 Benign neoplasm of axilla (disorder)
805 278060005 Endometrioid carcinoma of prostate (disorder)
805 126639006 Neoplasm of axilla (disorder)
805 255059002 Benign neoplasm of thorax (disorder)
805 399490008 Adenocarcinoma of prostate (disorder)
805 278189009 Hypergranular promyelocytic leukemia (disorder)
805 91987008 Benign neoplasm of axillary lymph nodes (disorder)
805 92197001 Benign neoplasm of lymph node (disorder)
805 127255004 Neoplasm of axillary lymph nodes (disorder)
805 231829006 Malignant neoplasm of eyelid (disorder)
805 92203003 Benign neoplasm of lymph nodes of upper limb (disorder)
805 91988003 Benign neoplasm of axillary tail of female breast (disorder)
805 126935003 Neoplasm of axillary tail of female breast (disorder)
805 187989003 Malignant neoplasm soft tissues of cervical spine (disorder)
805 91989006 Benign neoplasm of back (disorder)
805 278433008 Malignant infiltration of soft tissue (disorder)
805 126641007 Neoplasm of back (disorder)
805 278453007 Acute biphenotypic leukemia (disorder)
805 91990002 Benign neoplasm of base of tongue (disorder)
805 278491007 Mixed seminoma teratoma of testis (disorder)
805 92421002 Benign neoplasm of supraglottis (disorder)
805 92259008 Benign neoplasm of oropharynx (disorder)
805 126779009 Neoplasm of base of tongue (disorder)
805 91991003 Benign neoplasm of biliary tract (disorder)
805 255061006 Benign neoplasm of abdomen (disorder)
805 255167007 Benign tumor of digestive organ (disorder)
805 281339009 Papilloma of caruncle (disorder)
805 126853008 Neoplasm of biliary tract (disorder)
805 126885006 Neoplasm of bladder (disorder)
805 92468007 Benign neoplasm of urinary system (disorder)
805 91993000 Benign neoplasm of blood vessel of abdomen (disorder)
805 126757004 Neoplasm of blood vessel of abdomen (disorder)
805 92015008 Benign neoplasm of blood vessel of trunk (disorder)
805 92016009 Benign neoplasm of blood vessel of upper limb (disorder)
805 187991006 Malignant neoplasm of connective and soft tissue of upper limb and shoulder (disorder)
805 399972002 Benign neoplasm of blood vessel of upper arm (disorder)
805 18985003 Vestibular papillomatosis (disorder)
805 92103006 Benign neoplasm of female genital organ (disorder)
805 91995007 Benign neoplasm of blood vessel of axilla (disorder)
805 187992004 Malignant neoplasm of connective and soft tissue of shoulder (disorder)
805 92013001 Benign neoplasm of blood vessel of thorax (disorder)
805 126756008 Neoplasm of blood vessel of axilla (disorder)
805 187993009 Malignant neoplasm of connective and soft tissue, upper arm (disorder)
805 91996008 Benign neoplasm of blood vessel of buttock (disorder)
805 187994003 Malignant neoplasm of connective and soft tissue of fore-arm (disorder)
805 187995002 Malignant neoplasm of connective and soft tissue of hand (disorder)
805 19133005 Neurofibromatosis syndrome (disorder)
805 281560004 Neuroblastoma of brain (disorder)
805 239003009 Familial multiple tumor syndrome (disorder)
805 92003009 Benign neoplasm of blood vessel of hip (disorder)
805 126759001 Neoplasm of blood vessel of buttock (disorder)
805 91997004 Benign neoplasm of blood vessel of face (disorder)
805 432328008 Neuroblastoma (disorder)
805 187996001 Malignant neoplasm of connective and soft tissue of finger (disorder)
805 91998009 Benign neoplasm of blood vessel of finger (disorder)
805 92001006 Benign neoplasm of blood vessel of hand (disorder)
805 20110000 Porokeratosis of Mibelli, plaque type (disorder)
805 91999001 Benign neoplasm of blood vessel of foot (disorder)
805 281561000 Sacrococcygeal teratoma (disorder)
805 187997005 Malignant neoplasm of connective and soft tissue of thumb (disorder)
805 187999008 Malignant neoplasm of connective and soft tissue of hip and lower limb (disorder)
805 92110000 Benign neoplasm of foot (disorder)
805 400026007 Benign neoplasm of blood vessel of lower leg (disorder)
805 92000007 Benign neoplasm of blood vessel of forearm (disorder)
805 92111001 Benign neoplasm of forearm (disorder)
805 92128003 Benign neoplasm of hand (disorder)
805 92131002 Benign neoplasm of head (disorder)
805 92006001 Benign neoplasm of blood vessel of lower limb (disorder)
805 128519009 Neoplasm of hip region (disorder)
805 92004003 Benign neoplasm of blood vessel of inguinal region (disorder)
805 188000002 Malignant neoplasm of connective and soft tissue of hip (disorder)
805 281562007 Adrenal neuroblastoma (disorder)
805 20224008 Delta heavy chain disease (disorder)
805 92145008 Benign neoplasm of inguinal region (disorder)
805 188001003 Malignant neoplasm of connective and soft tissue of thigh and upper leg (disorder)
805 92191000 Benign neoplasm of lower limb (disorder)
805 92007005 Benign neoplasm of blood vessel of neck (disorder)
805 92246000 Benign neoplasm of neck (disorder)
805 92008000 Benign neoplasm of blood vessel of pelvis (disorder)
805 281563002 Thoracic neuroblastoma (disorder)
805 68979007 Heavy chain disease (disorder)
805 20376005 Benign neoplastic disease (disorder)
805 20447006 Plasma cell dyscrasia with polyneuropathy (disorder)
805 126758009 Neoplasm of blood vessel of pelvis (disorder)
805 415111003 Plasma cell neoplasm (disorder)
805 92010003 Benign neoplasm of blood vessel of popliteal space (disorder)
805 281564008 Pelvic neuroblastoma (disorder)
805 281565009 Paraspinal neuroblastoma (disorder)
805 281566005 Abdominothoracic neuroblastoma (disorder)
805 372141009 Carcinoma of vocal cord (disorder)
805 92011004 Benign neoplasm of blood vessel of shoulder (disorder)
805 188002005 Malignant neoplasm of connective and soft tissue of popliteal space (disorder)
805 188003000 Malignant neoplasm of connective and soft tissue of lower leg (disorder)
805 92342001 Benign neoplasm of shoulder (disorder)
805 188004006 Malignant neoplasm of connective and soft tissue of foot (disorder)
805 92012006 Benign neoplasm of blood vessel of thigh (disorder)
805 281702006 Tibial adamantinoma (disorder)
805 307609003 Adamantinoma of long bone (disorder)
805 285307007 Squamous cell carcinoma of skin of upper lip (disorder)
805 20553008 Teat papillomatosis (disorder)
805 126926005 Neoplasm of breast (disorder)
805 269485000 Benign tumor of breast (disorder)
805 21173002 Benign adenoma of prostate (disorder)
805 92434001 Benign neoplasm of thigh (disorder)
805 188005007 Malignant neoplasm of connective and soft tissue of toe (disorder)
805 92014007 Benign neoplasm of blood vessel of toe (disorder)
805 188006008 Malignant neoplasm of connective and soft tissue of great toe (disorder)
805 92454000 Benign neoplasm of trunk (disorder)
805 126736007 Neoplasm of blood vessel (disorder)
805 188009001 Malignant neoplasm of connective and soft tissue of thorax (disorder)
805 188010006 Malignant neoplasm of connective and soft tissue of axilla (disorder)
805 92018005 Benign neoplasm of body of pancreas (disorder)
805 188013008 Malignant neoplasm of connective and soft tissues of thoracic spine (disorder)
805 92264007 Benign neoplasm of pancreas (disorder)
805 126861003 Neoplasm of body of pancreas (disorder)
805 188015001 Malignant neoplasm of connective and soft tissue of abdomen (disorder)
805 92019002 Benign neoplasm of body of penis (disorder)
805 188016000 Malignant neoplasm of connective and soft tissue of abdominal wall (disorder)
805 443416007 Benign adenomatous neoplasm (disorder)
805 92308005 Benign neoplasm of prostate (disorder)
805 126899005 Neoplasm of body of penis (disorder)
805 92020008 Benign neoplasm of body of stomach (disorder)
805 188017009 Malignant neoplasm of connective and soft tissues of lumbar spine (disorder)
805 310526005 Malignant tumor of soft tissue of back (disorder)
805 188019007 Malignant neoplasm of connective and soft tissue of pelvis (disorder)
805 188020001 Malignant neoplasm of connective and soft tissue of buttock (disorder)
805 188021002 Malignant neoplasm of connective and soft tissue of inguinal region (disorder)
805 126827000 Neoplasm of body of stomach (disorder)
805 188022009 Malignant neoplasm of connective and soft tissue of perineum (disorder)
805 188023004 Malignant neoplasm of connective and soft tissue of sacrum or coccyx (disorder)
805 92470003 Benign neoplasm of uterus (disorder)
805 403926005 Malignant melanoma of oral cavity (disorder)
805 443648003 Malignant neoplasm of ear (disorder)
805 92027006 Benign neoplasm of bone (disorder)
805 188033007 Malignant melanoma of auricle (ear) (disorder)
805 255177009 Benign neoplasm of face bone (disorder)
805 92024004 Benign neoplasm of bone of lower limb (disorder)
805 126581008 Neoplasm of bone of lower limb (disorder)
805 92025003 Benign neoplasm of bone of skull (disorder)
805 126538005 Neoplasm of bone of skull (disorder)
805 92026002 Benign neoplasm of bone of upper limb (disorder)
805 126565003 Neoplasm of bone of upper limb (disorder)
805 92028001 Benign neoplasm of lateral axillary lymph nodes (disorder)
805 285308002 Squamous cell carcinoma of skin of lower lip (disorder)
805 188044004 Malignant melanoma of scalp AND/OR neck (disorder)
805 127256003 Neoplasm of lateral axillary lymph nodes (disorder)
805 188067002 Malignant melanoma of lower limb and hip (disorder)
805 21848000 Angiokeratoma circumscriptum (disorder)
805 285309005 Squamous cell carcinoma of skin of cheek (disorder)
805 188065005 Malignant melanoma of thumb (disorder)
805 188069004 Malignant melanoma of thigh (disorder)
805 285310000 Carcinoma of anal canal (disorder)
805 188074007 Malignant melanoma of heel (disorder)
805 188077000 Malignant melanoma of great toe (disorder)
805 275265005 Epithelioma basal cell (disorder)
805 92029009 Benign neoplasm of brain stem (disorder)
805 310599006 Malignant neoplasm of canthus (disorder)
805 22288000 Tumor of cervix affecting pregnancy (disorder)
805 285311001 Ameloblastoma of jaw (disorder)
805 123841004 Neoplasm of uterine cervix (disorder)
805 285420006 IgA myeloma (disorder)
805 285421005 IgG myeloma (disorder)
805 285422003 IgD myeloma (disorder)
805 126961004 Neoplasm of brain stem (disorder)
805 92030004 Benign neoplasm of brain (disorder)
805 126952004 Neoplasm of brain (disorder)
805 127332000 Fetal neoplasm (disorder)
805 23803007 Canine viral papillomatosis (disorder)
805 92048008 Benign neoplasm of central nervous system (disorder)
805 92031000 Benign neoplasm of broad ligament (disorder)
805 25050002 Alpha heavy chain disease, respiratory form (disorder)
805 92469004 Benign neoplasm of uterine adnexa (disorder)
805 109985000 Immunoproliferative small intestinal disease (disorder)
805 109982002 Alpha heavy chain disease (disorder)
805 92284006 Benign neoplasm of pelvic peritoneum (disorder)
805 126917007 Neoplasm of broad ligament (disorder)
805 285423008 IgA monoclonal gammopathy of uncertain significance (disorder)
805 285424002 IgG monoclonal gammopathy of uncertain significance (disorder)
805 92032007 Benign neoplasm of bronchopulmonary lymph nodes (disorder)
805 285426000 IgM monoclonal gammopathy of uncertain significance (disorder)
805 285428004 IgD monoclonal gammopathy of uncertain significance (disorder)
805 127246002 Neoplasm of bronchopulmonary lymph nodes (disorder)
805 285430002 Light chain monoclonal gammopathy of uncertain significance (disorder)
805 92156008 Benign neoplasm of intrathoracic lymph nodes (disorder)
805 285598005 Metastasis to trachea of unknown primary (disorder)
805 92033002 Benign neoplasm of bronchus of left lower lobe (disorder)
805 313249007 Malignant neoplasm of upper eyelid (disorder)
805 313250007 Malignant neoplasm of lower eyelid (disorder)
805 188089003 Malignant neoplasm of skin of ear and external auditory canal (disorder)
805 188090007 Malignant neoplasm of skin of auricle (ear) (disorder)
805 188099008 Malignant neoplasm of skin of nose (external) (disorder)
805 188100000 Malignant neoplasm of skin of temple (disorder)
805 423294001 Idiopathic hypereosinophilic syndrome (disorder)
805 95315005 Uterine leiomyoma (disorder)
805 188107002 Malignant neoplasm of skin of axillary fold (disorder)
805 311779007 Malignant neoplasm of skin of scapular region (disorder)
805 28122003 Pulmonary eosinophilic granuloma (disorder)
805 417152008 Langerhans cell histiocytosis of lung (disorder)
805 285603002 Metastasis to bronchus of unknown primary (disorder)
805 188891007 Benign neoplasm of lower lobe bronchus and lung (disorder)
805 30005005 Porokeratosis of Mibelli, superficial disseminated type (disorder)
805 285604008 Metastasis to lung of unknown primary (disorder)
805 30664006 Multiple endocrine neoplasia, type 1 (disorder)
805 126712008 Neoplasm of bronchus of left lower lobe (disorder)
805 92180007 Benign neoplasm of left lower lobe of lung (disorder)
805 285605009 Metastasis to pleura of unknown primary (disorder)
805 92038006 Benign neoplasm of bronchus (disorder)
805 188121000 Malignant neoplasm of skin of upper arm (disorder)
805 188122007 Malignant neoplasm of skin of fore-arm (disorder)
805 188125009 Malignant neoplasm of skin of thumb (disorder)
805 92034008 Benign neoplasm of bronchus of left upper lobe (disorder)
805 92181006 Benign neoplasm of left upper lobe of lung (disorder)
805 188132000 Malignant neoplasm of skin of popliteal fossa area (disorder)
805 188889004 Benign neoplasm of upper lobe bronchus and lung (disorder)
805 126709005 Neoplasm of bronchus of left upper lobe (disorder)
805 188133005 Malignant neoplasm of skin of lower leg (disorder)
805 188135003 Malignant neoplasm of skin of heel (disorder)
805 188138001 Malignant neoplasm of skin of great toe (disorder)
805 285606005 Metastasis to heart of unknown primary (disorder)
805 92035009 Benign neoplasm of bronchus of right lower lobe (disorder)
805 276799004 Dermatofibrosarcoma protuberans (disorder)
805 126711001 Neoplasm of bronchus of right lower lobe (disorder)
805 92327004 Benign neoplasm of right lower lobe of lung (disorder)
805 188147009 Malignant neoplasm of nipple and areola of female breast (disorder)
805 373082000 Malignant neoplasm of breast upper inner quadrant (disorder)
805 373080008 Malignant neoplasm of breast lower inner quadrant (disorder)
805 373083005 Malignant neoplasm of breast upper outer quadrant (disorder)
805 373081007 Malignant neoplasm of breast lower outer quadrant (disorder)
805 94978003 Neoplasm of uncertain behavior of pancreas (disorder)
805 372094002 Malignant neoplasm of axillary tail of breast (disorder)
805 237596009 Tumor of endocrine pancreas (disorder)
805 46724008 Polyglandular activity in multiple endocrine adenomatosis (disorder)
805 95004009 Neoplasm of uncertain behavior of pituitary gland (disorder)
805 92036005 Benign neoplasm of bronchus of right middle lobe (disorder)
805 126710000 Neoplasm of bronchus of right middle lobe (disorder)
805 271473006 Benign neoplasm of bronchus and lung (disorder)
805 31047003 Lymphomatoid papulosis (disorder)
805 92328009 Benign neoplasm of right middle lobe of lung (disorder)
805 188157005 Malignant neoplasm, overlapping lesion of breast (disorder)
805 188163001 Malignant neoplasm of nipple and areola of male breast (disorder)
805 128874001 Cutaneous CD30+ lymphoproliferative disorder (disorder)
805 92037001 Benign neoplasm of bronchus of right upper lobe (disorder)
805 92329001 Benign neoplasm of right upper lobe of lung (disorder)
805 126708002 Neoplasm of bronchus of right upper lobe (disorder)
805 92320002 Benign neoplasm of respiratory tract (disorder)
805 126705004 Neoplasm of bronchus (disorder)
805 31124001 Retroperitoneal xanthogranuloma (disorder)
805 285432005 Carcinoma of cervix (disorder)
805 92039003 Benign neoplasm of buccal mucosa (disorder)
805 92433007 Benign neoplasm of retroperitoneum (disorder)
805 31383003 Tumor of vagina affecting pregnancy (disorder)
805 285607001 Metastasis to mediastinum of unknown primary (disorder)
805 188176007 Malignant neoplasm of endocervical canal (disorder)
805 188177003 Malignant neoplasm of endocervical gland (disorder)
805 285608006 Metastasis to thymus of unknown primary (disorder)
805 188180002 Malignant neoplasm, overlapping lesion of cervix uteri (disorder)
805 188183000 Malignant neoplasm of cervical stump (disorder)
805 188184006 Malignant neoplasm of squamocolumnar junction of cervix (disorder)
805 188188009 Choriocarcinoma (disorder)
805 188189001 Malignant neoplasm of corpus uteri, excluding isthmus (disorder)
805 126921000 Neoplasm of vagina (disorder)
805 92057002 Benign neoplasm of cheek (disorder)
805 188190005 Malignant neoplasm of cornu of corpus uteri (disorder)
805 126802007 Neoplasm of buccal mucosa (disorder)
805 188191009 Malignant neoplasm of fundus of corpus uteri (disorder)
805 285609003 Metastasis to small intestine of unknown primary (disorder)
805 188195000 Malignant neoplasm of isthmus of uterine body (disorder)
805 188196004 Malignant neoplasm of lower uterine segment (disorder)
805 92040001 Benign neoplasm of cecum (disorder)
805 188198003 Malignant neoplasm of overlapping lesion of corpus uteri (disorder)
805 188208002 Malignant neoplasm of Gartner's duct (disorder)
805 285610008 Metastasis to large intestine of unknown primary (disorder)
805 126839008 Neoplasm of cecum (disorder)
805 285611007 Metastasis to colon of unknown primary (disorder)
805 188971001 Benign neoplasm of calcaneum (disorder)
805 285612000 Metastasis to rectum of unknown primary (disorder)
805 31704005 Residual hemorrhoidal skin tags (disorder)
805 285613005 Metastasis to liver of unknown primary (disorder)
805 285614004 Metastasis to pancreas of unknown primary (disorder)
805 285615003 Metastasis to spleen of unknown primary (disorder)
805 285616002 Metastasis to peritoneum of unknown primary (disorder)
805 188209005 Malignant neoplasm of vaginal vault (disorder)
805 188211001 Malignant neoplasm of greater vestibular (Bartholin's) gland (disorder)
805 195469007 Anal skin tag (disorder)
805 285617006 Metastasis to retroperitoneum of unknown primary (disorder)
805 109989006 Multiple myeloma (disorder)
805 285618001 Metastasis to bone of unknown primary (disorder)
805 188220005 Malignant tumor of ectopic testis (disorder)
805 307650006 Histiocytic medullary reticulosis (disorder)
805 285619009 Metastasis to vertebral column of unknown primary (disorder)
805 35746009 Uterine fibroids affecting pregnancy (disorder)
805 35868009 Carcinoid syndrome (disorder)
805 94111002 Primary malignant neoplasm of trunk (disorder)
805 387927001 Neoplasm of endocrine system (disorder)
805 285631006 Metastasis to skin of unknown primary (disorder)
805 92042009 Benign neoplasm of cardia of stomach (disorder)
805 285633009 Metastasis to soft tissue of unknown primary (disorder)
805 126825008 Neoplasm of cardia of stomach (disorder)
805 313428008 Seminoma of undescended testis (disorder)
805 285634003 Metastasis to breast of unknown primary (disorder)
805 417417007 Malignant teratoma of undescended testis (disorder)
805 313429000 Seminoma of descended testis (disorder)
805 285635002 Metastasis to uterus of unknown primary (disorder)
805 417554000 Malignant teratoma of descended testis (disorder)
805 188234005 Malignant tumor of seminal vesicle (disorder)
805 236740006 Tumor of seminal vesicle (disorder)
805 188235006 Malignant tumor of tunica vaginalis (disorder)
805 36025004 Fibrous skin tumor of tuberous sclerosis (disorder)
805 285637005 Metastasis to ovary of unknown primary (disorder)
805 188887002 Benign neoplasm of carina of bronchus (disorder)
805 92017000 Benign neoplasm of blood vessel (disorder)
805 92384009 Benign neoplasm of skin (disorder)
805 92044005 Benign neoplasm of carotid body (disorder)
805 127028003 Neoplasm of carotid body (disorder)
805 285638000 Metastasis to vagina of unknown primary (disorder)
805 285639008 Metastasis to kidney of unknown primary (disorder)
805 280116003 Tumor of tunica vaginalis (disorder)
805 188250002 Malignant tumor of kidney parenchyma (disorder)
805 285640005 Metastasis to bladder of unknown primary (disorder)
805 188251003 Hypernephroma (disorder)
805 188252005 Malignant tumor of renal calyx (disorder)
805 363517008 Malignant tumor of urinary tract proper (disorder)
805 254924007 Tumor of renal calyx (disorder)
805 188253000 Malignant tumor of pelviureteric junction (disorder)
805 254928005 Tumor of pelviureteric junction (disorder)
805 92045006 Benign neoplasm of carpal bone (disorder)
805 188256008 Malignant neoplasm of overlapping lesion of urinary organs (disorder)
805 188261005 Malignant neoplasm of eyeball excluding conjunctiva, cornea, retina and choroid (disorder)
805 285641009 Metastasis to brain of unknown primary (disorder)
805 92046007 Benign neoplasm of cartilage of nose (disorder)
805 285642002 Metastasis to eye of unknown primary (disorder)
805 285643007 Metastasis to adrenal gland of unknown primary (disorder)
805 285644001 Metastasis to lymph node of unknown primary (disorder)
805 285645000 Disseminated malignancy of unknown primary (disorder)
805 285769009 Acute promyelocytic leukemia - hypogranular variant (disorder)
805 285776004 Intermediate grade B-cell lymphoma (disorder)
805 285839005 Acute myelomonocytic leukemia - eosinophilic variant (disorder)
805 188264002 Malignant tumor of iris (disorder)
805 385428003 Osteochondroma of femur (disorder)
805 231964001 Tumor of iris (disorder)
805 188265001 Malignant neoplasm of crystalline lens (disorder)
805 430556008 Malignant neoplasm of genital structure (disorder)
805 92250007 Benign neoplasm of nose (disorder)
805 286905003 Benign connective tissue neoplasm (disorder)
805 126671004 Neoplasm of cartilage of nose (disorder)
805 188268004 Malignant neoplasm of connective tissue of orbit (disorder)
805 385431002 Osteochondroma of tibia (disorder)
805 92047003 Benign neoplasm of cauda equina (disorder)
805 188269007 Malignant neoplasm of extraocular muscle of orbit (disorder)
805 188273005 Malignant neoplasm of lacrimal sac (disorder)
805 300988009 Transitional cell carcinoma of ureter (disorder)
805 36038007 Goundou of yaws (disorder)
805 280959007 Malignant tumor of lacrimal drainage structure (disorder)
805 188274004 Malignant neoplasm of nasolacrimal duct (disorder)
805 301756000 Adenocarcinoma of sigmoid colon (disorder)
805 310525009 Benign tumor of soft tissue of back (disorder)
805 416189003 Exostosis (disorder)
805 109946007 Benign neoplasm of peripheral nerves of trunk (disorder)
805 126963001 Neoplasm of cauda equina (disorder)
805 36162004 Hyperplastic adenomatous polyp of stomach (disorder)
805 92247009 Benign neoplasm of nervous system (disorder)
805 126951006 Neoplasm of central nervous system (disorder)
805 92411005 Benign neoplasm of stomach (disorder)
805 92049000 Benign neoplasm of central portion of female breast (disorder)
805 302819002 Benign tumor of anterior two-thirds of tongue - ventral surface (disorder)
805 36564007 Parasitic fibroid (disorder)
805 126930008 Neoplasm of central portion of female breast (disorder)
805 92021007 Benign neoplasm of body of uterus (disorder)
805 92050000 Benign neoplasm of cerebellum (disorder)
805 126960003 Neoplasm of cerebellum (disorder)
805 36982001 Fuchs' adenoma (disorder)
805 92051001 Benign neoplasm of cerebral meninges (disorder)
805 109913001 Benign neoplasm of meninges (disorder)
805 126959008 Neoplasm of cerebral meninges (disorder)
805 92052008 Benign neoplasm of cerebral ventricle (disorder)
805 126958000 Neoplasm of cerebral ventricle (disorder)
805 275269004 Benign cerebral tumor (disorder)
805 416753001 Neoplasm of nasolacrimal duct (disorder)
805 188281006 Malignant neoplasm of basal ganglia (disorder)
805 302823005 Glucagonoma (disorder)
805 188282004 Malignant neoplasm of cerebral cortex (disorder)
805 302824004 Gastrinoma (disorder)
805 188283009 Malignant neoplasm of corpus striatum (disorder)
805 92054009 Benign neoplasm of cervical esophagus (disorder)
805 188285002 Malignant neoplasm of globus pallidus (disorder)
805 126818001 Neoplasm of cervical esophagus (disorder)
805 302826002 Adrenal cortical adenoma (disorder)
805 188286001 Malignant tumor of hypothalamus (disorder)
805 188287005 Malignant neoplasm of thalamus (disorder)
805 92055005 Benign neoplasm of cervical vertebral column (disorder)
805 126553002 Neoplasm of cervical vertebral column (disorder)
805 92056006 Benign neoplasm of uterine cervix (disorder)
805 419958000 Benign neoplasm of mouth region (disorder)
805 126633007 Neoplasm of cheek (disorder)
805 92058007 Benign neoplasm of chest wall (disorder)
805 126640008 Neoplasm of chest wall (disorder)
805 302829009 Adenoma of nipple (disorder)
805 188289008 Malignant neoplasm of hippocampus (disorder)
805 188290004 Malignant neoplasm of uncus (disorder)
805 302837001 Lentigo maligna melanoma (disorder)
805 188292007 Malignant tumor of choroid plexus (disorder)
805 254942002 Tumor of choroid plexus (disorder)
805 188293002 Malignant neoplasm of floor of cerebral ventricle (disorder)
805 188295009 Malignant neoplasm of cerebral peduncle (disorder)
805 188297001 Malignant neoplasm of midbrain (disorder)
805 188296005 Malignant neoplasm of medulla oblongata (disorder)
805 188298006 Malignant neoplasm of pons (disorder)
805 188301005 Malignant neoplasm of corpus callosum (disorder)
805 188302003 Malignant neoplasm of tapetum (disorder)
805 92060009 Benign neoplasm of ciliary body (disorder)
805 302838006 Dermal cellular nevus (disorder)
805 302841002 Malignant lymphoma - small lymphocytic (disorder)
805 188308004 Malignant neoplasm of olfactory bulb (disorder)
805 302845006 Nodular malignant lymphoma, lymphocytic - well differentiated (disorder)
805 302846007 Rhabdomyoma (disorder)
805 302848008 Nodular malignant lymphoma, lymphocytic - intermediate differentiation (disorder)
805 302851001 Synovial sarcoma (disorder)
805 92059004 Benign neoplasm of choroid (disorder)
805 372087000 Primary malignant neoplasm (disorder)
805 127001008 Neoplasm of choroid (disorder)
805 302857002 Angiofibroma (disorder)
805 92471004 Benign neoplasm of uveal tract (disorder)
805 92097004 Benign neoplasm of eye (disorder)
805 126998003 Neoplasm of ciliary body (disorder)
805 39295002 Subungual fibroma (disorder)
805 400186008 Neoplasm of integumentary system (disorder)
805 363227003 Neoplasm of extremity (disorder)
805 254980001 Malignant tumor of acoustic vestibular nerve (disorder)
805 302859004 Osteoid osteoma (disorder)
805 92061008 Benign neoplasm of clavicle (disorder)
805 188312005 Malignant neoplasm of cerebral dura mater (disorder)
805 302861008 Chondromatosis (disorder)
805 188313000 Malignant neoplasm of cerebral arachnoid mater (disorder)
805 302862001 Fibro-osteoma (disorder)
805 303017006 Malignant lymphoma, convoluted cell type (disorder)
805 303055001 Malignant lymphoma, follicular center cell (disorder)
805 188315007 Malignant neoplasm of cerebral pia mater (disorder)
805 303056000 Malignant lymphoma, follicular center cell, cleaved (disorder)
805 303057009 Malignant lymphoma, follicular center cell, non-cleaved (disorder)
805 39308007 Equine cutaneous papillomatosis (disorder)
805 188317004 Malignant neoplasm of spinal dura mater (disorder)
805 39843000 Cutaneous papillomatosis (disorder)
805 304545002 Adenocarcinoma of ileum (disorder)
805 188318009 Malignant neoplasm of spinal arachnoid mater (disorder)
805 188319001 Malignant neoplasm of spinal pia mater (disorder)
805 39629007 Pyogenic granuloma of skin (disorder)
805 271475004 Benign neoplasm of ribs and/or sternum and/or clavicle (disorder)
805 126560008 Neoplasm of clavicle (disorder)
805 188321006 Malignant neoplasm of peripheral nerves and autonomic nervous system (disorder)
805 188322004 Malignant neoplasm of peripheral nerves of head, face and neck (disorder)
805 39795003 Hand-Schüller-Christian disease (disorder)
805 424440001 Adenocarcinoma of small intestine (disorder)
805 307216009 Perforated carcinoma of esophagus (disorder)
805 307219002 Retroperitoneal sarcoma (disorder)
805 188324003 Malignant neoplasm of peripheral nerves of lower limb, including hip (disorder)
805 188325002 Malignant neoplasm of peripheral nerve of thorax (disorder)
805 188326001 Malignant neoplasm of peripheral nerve of abdomen (disorder)
805 307226002 Metastatic adenocarcinoma of unknown origin (disorder)
805 188327005 Malignant neoplasm of peripheral nerve of pelvis (disorder)
805 188339002 Malignant neoplasm of pituitary gland and craniopharyngeal duct (disorder)
805 307340003 Monosomy 7 syndrome (disorder)
805 307341004 Atypical hairy cell leukemia (disorder)
805 188353002 Malignant neoplasm of head, neck and face (disorder)
805 65399007 Langerhans cell histiocytosis (disorder)
805 126537000 Neoplasm of bone (disorder)
805 402811003 Squamous neoplasm of surface epithelium (disorder)
805 254658001 Benign epithelial neoplasm of skin (disorder)
805 255116009 Secondary carcinoma of respiratory and/or digestive systems (disorder)
805 269473008 Secondary malignant neoplasm of respiratory and digestive systems (disorder)
805 128462008 Secondary malignant neoplastic disease (disorder)
805 188445006 Secondary malignant neoplasm of retroperitoneum and peritoneum (disorder)
805 237249000 Complete hydatidiform mole (disorder)
805 417475006 Gestational trophoblastic neoplasm (disorder)
805 417044008 Hydatidiform mole, benign (disorder)
805 307501007 Transglottic tumor (disorder)
805 92062001 Benign neoplasm of clitoris (disorder)
805 188458007 Secondary malignant neoplasm of skin of shoulder and arm (disorder)
805 188459004 Secondary malignant neoplasm of skin of hip and leg (disorder)
805 41495000 Disseminated superficial actinic porokeratosis (disorder)
805 400080004 Porokeratosis (disorder)
805 359987004 Krukenberg tumor (disorder)
805 41615007 Marek's disease (disorder)
805 109958007 Hematologic neoplasm of uncertain behavior (disorder)
805 277606000 Lymphoreticular tumor (disorder)
805 126925009 Neoplasm of clitoris (disorder)
805 92486005 Benign neoplasm of vulva (disorder)
805 92063006 Benign neoplasm of coccygeal body (disorder)
805 127032009 Neoplasm of coccygeal body (disorder)
805 92064000 Benign neoplasm of coccyx (disorder)
805 307573009 Chondroma of bone (disorder)
805 307576001 Osteosarcoma of bone (disorder)
805 92283000 Benign neoplasm of pelvic bone (disorder)
805 255178004 Benign neoplasm of spine (disorder)
805 126557001 Neoplasm of coccyx (disorder)
805 126838000 Neoplasm of colon (disorder)
805 41991004 Angiectasis pregnancy (disorder)
805 56975005 Strawberry nevus of skin (disorder)
805 92066003 Benign neoplasm of commissure of lip (disorder)
805 307592006 Basophilic leukemia (disorder)
805 426336007 Solitary osseous myeloma (disorder)
805 425657001 Osteosclerotic myeloma (disorder)
805 126851005 Neoplasm of liver (disorder)
805 126880001 Neoplasm of kidney (disorder)
805 127016006 Neoplasm of multiple endocrine glands (disorder)
805 94938005 Neoplasm of uncertain behavior of multiple endocrine glands (disorder)
805 47014000 Fibroma of prostate (disorder)
805 373627005 Bronchioloalveolar carcinoma (disorder)
805 50587001 Hare fibroma (disorder)
805 307596009 Apocrine adenoma (disorder)
805 424568000 Fibroma (disorder)
805 307597000 Papillary hidradenoma (disorder)
805 307598005 Sebaceous adenoma of skin (disorder)
805 51056004 Lymphoproliferative disease of turkey (disorder)
805 307599002 Sebaceous adenocarcinoma (disorder)
805 307601000 Pseudomyxoma peritonei (disorder)
805 188471005 Secondary malignant neoplasm of epididymis AND vas deferens (disorder)
805 188478004 Malignant neoplasms of independent (primary) multiple sites (disorder)
805 310504009 Primary malignant neoplasm of unknown site (disorder)
805 274088005 Secondary malignant neoplasm of unknown site (disorder)
805 188487008 Lymphosarcoma and reticulosarcoma (disorder)
805 188500005 Lymphosarcoma of lymph nodes of head, face and neck (disorder)
805 53132006 Zollinger-Ellison syndrome (disorder)
805 188501009 Lymphosarcoma of intrathoracic lymph nodes (disorder)
805 92185002 Benign neoplasm of lip (disorder)
805 188502002 Lymphosarcoma of intra-abdominal lymph nodes (disorder)
805 92369000 Benign neoplasm of skin of lip (disorder)
805 188503007 Lymphosarcoma of lymph nodes of axilla and upper limb (disorder)
805 188504001 Lymphosarcoma of lymph nodes of inguinal region and lower limb (disorder)
805 126777006 Neoplasm of commissure of lip (disorder)
805 126857009 Neoplasm of common bile duct (disorder)
805 188505000 Lymphosarcoma of intrapelvic lymph nodes (disorder)
805 188506004 Lymphosarcoma of spleen (disorder)
805 92096008 Benign neoplasm of extrahepatic bile ducts (disorder)
805 188507008 Lymphosarcoma of lymph nodes of multiple sites (disorder)
805 92068002 Benign neoplasm of conjunctiva (disorder)
805 126996004 Neoplasm of conjunctiva (disorder)
805 92070006 Benign neoplasm of cornea (disorder)
805 188510001 Burkitt's lymphoma of lymph nodes of head, face and neck (disorder)
805 188511002 Burkitt's lymphoma of intrathoracic lymph nodes (disorder)
805 398028009 Halo nevus (disorder)
805 188512009 Burkitt's lymphoma of intra-abdominal lymph nodes (disorder)
805 307603002 Malignant blue nevus of skin (disorder)
805 188513004 Burkitt's lymphoma of lymph nodes of axilla and upper limb (disorder)
805 188514005 Burkitt's lymphoma of lymph nodes of inguinal region and lower limb (disorder)
805 307604008 Mesoblastic nephroma (disorder)
805 307605009 Osteoblastoma of bone (disorder)
805 307606005 Osteochondroma of bone (disorder)
805 443093007 Osteochondroma (disorder)
805 307607001 Chondromyxoid fibroma of bone (disorder)
805 307608006 Ewing's sarcoma of bone (disorder)
805 188515006 Burkitt's lymphoma of intrapelvic lymph nodes (disorder)
805 307610008 Pilomatrix carcinoma of skin (disorder)
805 126997008 Neoplasm of cornea (disorder)
805 307617006 Neutrophilic leukemia (disorder)
805 126966009 Neoplasm of cranial nerve (disorder)
805 92072003 Benign neoplasm of craniopharyngeal duct (disorder)
805 94820008 Neoplasm of uncertain behavior of endocrine gland (disorder)
805 188516007 Burkitt's lymphoma of spleen (disorder)
805 188517003 Burkitt's lymphoma of lymph nodes of multiple sites (disorder)
805 307618001 Juxtaglomerular tumor (disorder)
805 188534006 Hodgkin's granuloma of lymph nodes of head, face and neck (disorder)
805 188537004 Hodgkin's granuloma of lymph nodes of axilla and upper limb (disorder)
805 188538009 Hodgkin's granuloma of lymph nodes of inguinal region and lower limb (disorder)
805 188544008 Hodgkin's sarcoma of lymph nodes of head, face and neck (disorder)
805 188547001 Hodgkin's sarcoma of lymph nodes of axilla and upper limb (disorder)
805 188548006 Hodgkin's sarcoma of lymph nodes of inguinal region and lower limb (disorder)
805 188554007 Hodgkin's disease, lymphocytic-histiocytic predominance of lymph nodes of head, face and neck (disorder)
805 188558005 Hodgkin's disease, lymphocytic-histiocytic predominance of lymph nodes of axilla and upper limb (disorder)
805 188559002 Hodgkin's disease, lymphocytic-histiocytic predominance of lymph nodes of inguinal region and lower limb (disorder)
805 188561006 Hodgkin's, lymphocytic-histiocytic predominance of spleen (disorder)
805 188565002 Hodgkin's disease, nodular sclerosis of lymph nodes of head, face and neck (disorder)
805 188568000 Hodgkin's disease, nodular sclerosis of lymph nodes of axilla and upper limb (disorder)
805 188569008 Hodgkin's disease, nodular sclerosis of lymph nodes of inguinal region and lower limb (disorder)
805 188575004 Hodgkin's disease, mixed cellularity of lymph nodes of head, face and neck (disorder)
805 188578002 Hodgkin's disease, mixed cellularity of lymph nodes of axilla and upper limb (disorder)
805 188579005 Hodgkin's disease, mixed cellularity of lymph nodes of inguinal region and lower limb (disorder)
805 188585003 Hodgkin's disease, lymphocytic depletion of lymph nodes of head, face and neck (disorder)
805 307622006 Prolymphocytic lymphosarcoma (disorder)
805 307624007 Diffuse malignant lymphoma - centroblastic-centrocytic (disorder)
805 127025000 Neoplasm of craniopharyngeal duct (disorder)
805 307625008 Malignant lymphoma - centrocytic (disorder)
805 307633009 Hodgkin's disease, lymphocytic depletion, diffuse fibrosis (disorder)
805 92296004 Benign neoplasm of pituitary gland (disorder)
805 307634003 Hodgkin's disease, lymphocytic depletion, reticular type (disorder)
805 188589009 Hodgkin's disease, lymphocytic depletion of lymph nodes of axilla and upper limb (disorder)
805 307635002 Hodgkin's disease, nodular sclerosis - cellular phase (disorder)
805 307636001 Malignant lymphoma, mixed lymphocytic-histiocytic, nodular (disorder)
805 307637005 Malignant lymphoma, centroblastic-centrocytic, follicular (disorder)
805 188590000 Hodgkin's disease, lymphocytic depletion of lymph nodes of inguinal region and lower limb (disorder)
805 92073008 Benign neoplasm of cubital lymph nodes (disorder)
805 127259005 Neoplasm of cubital lymph nodes (disorder)
805 307646004 Malignant lymphoma, lymphocytic, poorly differentiated, nodular (disorder)
805 307647008 Malignant lymphoma, centroblastic type, follicular (disorder)
805 188591001 Hodgkin's disease, lymphocytic depletion of intrapelvic lymph nodes (disorder)
805 307649006 Microglioma (disorder)
805 188630009 Sézary's disease of lymph nodes of head, face and neck (disorder)
805 53435002 Brunner's gland adenoma (disorder)
805 92074002 Benign neoplasm of cuboid (disorder)
805 309084001 Villous adenoma of colon (disorder)
805 188633006 Sézary's disease of lymph nodes of axilla and upper limb (disorder)
805 188634000 Sézary's disease of lymph nodes of inguinal region and lower limb (disorder)
805 399432003 Adenoma of large intestine (disorder)
805 188640007 Malignant histiocytosis of lymph nodes of head, face and neck (disorder)
805 312104005 Cholangiocarcinoma of biliary tract (disorder)
805 188641006 Malignant histiocytosis of lymph nodes of axilla and upper limb (disorder)
805 399422005 Adenoma of small intestine (disorder)
805 92080005 Benign neoplasm of duodenum (disorder)
805 92387002 Benign neoplasm of soft tissues of abdomen (disorder)
805 312823001 Villous adenoma of rectum (disorder)
805 399730005 Adenoma of rectum (disorder)
805 55352002 Familial neoplastic disease (disorder)
805 312937006 Cavernous hemangioma of retina (disorder)
805 188642004 Malignant histiocytosis of lymph nodes of inguinal region and lower limb (disorder)
805 126591002 Neoplasm of cuboid (disorder)
805 92425006 Benign neoplasm of tarsal bone (disorder)
805 56346006 Lucke frog kidney carcinoma (disorder)
805 92075001 Benign neoplasm of cystic duct (disorder)
805 188645002 Leukemic reticuloendotheliosis of lymph nodes of head, face and neck (disorder)
805 126856000 Neoplasm of cystic duct (disorder)
805 188648000 Leukemic reticuloendotheliosis of lymph nodes of axilla and upper limb (disorder)
805 92076000 Benign neoplasm of descending colon (disorder)
805 126844001 Neoplasm of descending colon (disorder)
805 188649008 Leukemic reticuloendotheliosis of lymph nodes of inguinal region and lower limb (disorder)
805 188651007 Leukemic reticuloendotheliosis of spleen (disorder)
805 188660004 Malignant mast cell tumors (disorder)
805 397011009 Mast cell malignancy of lymph nodes (disorder)
805 277625002 Follicular malignant lymphoma - small cleaved cell (disorder)
805 92077009 Benign neoplasm of diaphragm (disorder)
805 188672005 Follicular non-Hodgkin's mixed small cleaved and large cell lymphoma (disorder)
805 277624003 Follicular malignant lymphoma - mixed cell type (disorder)
805 277641001 Follicular malignant lymphoma - large cell (disorder)
805 188674006 Diffuse malignant lymphoma - small non-cleaved cell (disorder)
805 188675007 Malignant lymphoma - small cleaved cell (disorder)
805 277616008 Diffuse low grade B-cell lymphoma (disorder)
805 188676008 Malignant lymphoma - mixed small and large cell (disorder)
805 188679001 Diffuse non-Hodgkin's lymphoma undifferentiated (diffuse) (disorder)
805 302842009 Diffuse malignant lymphoma - centroblastic (disorder)
805 188691005 Malignant immunoproliferative small intestinal disease (disorder)
805 313427003 Lambda light chain myeloma (disorder)
805 420788006 Intraocular non-Hodgkin malignant lymphoma (disorder)
805 312949007 Retinal pigment epithelial adenocarcinoma (disorder)
805 92234004 Benign neoplasm of muscle of thorax (disorder)
805 126728003 Neoplasm of diaphragm (disorder)
805 269481009 Benign tumor of respiratory and intrathoracic organ (disorder)
805 92078004 Benign neoplasm of dorsal surface of tongue (disorder)
805 126780007 Neoplasm of dorsal surface of tongue (disorder)
805 92079007 Benign neoplasm of thoracic vertebral column (disorder)
805 255168002 Benign tumor of esophagus, stomach and/or duodenum (disorder)
805 126833009 Neoplasm of duodenum (disorder)
805 92385005 Benign neoplasm of small intestine (disorder)
805 92081009 Benign neoplasm of ectopic female breast tissue (disorder)
805 126936002 Neoplasm of ectopic female breast tissue (disorder)
805 92082002 Benign neoplasm of ectopic male breast tissue (disorder)
805 313351009 Bowen's disease of vulva (disorder)
805 403880001 Intraepidermal squamous carcinoma of trunk (disorder)
805 402814006 Intraepithelial squamous carcinoma of anogenital region (disorder)
805 313353007 Squamous cell carcinoma of bronchus in left lower lobe (disorder)
805 313354001 Squamous cell carcinoma of bronchus in left upper lobe (disorder)
805 313355000 Squamous cell carcinoma of bronchus in right lower lobe (disorder)
805 313356004 Squamous cell carcinoma of bronchus in right middle lobe (disorder)
805 313357008 Squamous cell carcinoma of bronchus in right upper lobe (disorder)
805 385430001 Osteochondroma of scapula (disorder)
805 126940006 Neoplasm of ectopic male breast tissue (disorder)
805 188728002 Aleukemic lymphoid leukemia (disorder)
805 188729005 Adult T-cell leukemia (disorder)
805 93849006 Primary malignant neoplasm of kidney (disorder)
805 255066001 Carcinoma of genitourinary organ (disorder)
805 423746001 Adenocarcinoma of pelvis (disorder)
805 385427008 Osteochondroma of elbow (disorder)
805 402867006 Capillary hemangioma (disorder)
805 188733003 Chronic eosinophilic leukemia (disorder)
805 92083007 Benign neoplasm of endocardium (disorder)
805 188734009 Chronic neutrophilic leukemia (disorder)
805 188737002 Chloroma (disorder)
805 92132009 Benign neoplasm of heart (disorder)
805 188738007 Granulocytic sarcoma (disorder)
805 188741003 Aleukemic myeloid leukemia (disorder)
805 126731002 Neoplasm of endocardium (disorder)
805 92084001 Benign neoplasm of endocervix (disorder)
805 188745007 Chronic monocytic leukemia (disorder)
805 188748009 Aleukemic monocytic leukemia (disorder)
805 188754005 Megakaryocytic leukemia (disorder)
805 188770007 Subacute myelomonocytic leukemia (disorder)
805 126912001 Neoplasm of endocervix (disorder)
805 387922007 Neoplasm of endocrine gland (disorder)
805 92086004 Benign neoplasm of endometrium (disorder)
805 58037000 Cowden syndrome (disorder)
805 58961005 Lethal midline granuloma (disorder)
805 414166008 Extranodal NK/T-cell lymphoma, nasal type (disorder)
805 93792007 Primary malignant neoplasm of face (disorder)
805 123844007 Neoplasm of endometrium (disorder)
805 92087008 Benign neoplasm of epicardium (disorder)
805 92289001 Benign neoplasm of pericardium (disorder)
805 126733004 Neoplasm of epicardium (disorder)
805 385429006 Osteochondroma of foot (disorder)
805 314408000 Leukemic infiltrate of choroid (disorder)
805 314418005 Leukemic infiltrate of retina (disorder)
805 59821002 Cutaneous papillomatosis of rabbit (disorder)
805 307651005 Myelosclerosis with myeloid metaplasia (disorder)
805 188777005 Benign neoplasm of external upper lip (disorder)
805 254819008 Atypical mole syndrome (disorder)
805 314419002 Bilateral diffuse uveal melanocytic proliferation (disorder)
805 60088004 Temporal odontoma (disorder)
805 92426007 Benign neoplasm of temporal bone (disorder)
805 255196008 Adenomatous polyp of cervix uteri (disorder)
805 60620005 Epsilon heavy chain disease (disorder)
805 314514005 Neurofibroma of eyelid (disorder)
805 188779008 Benign tumor of frenum of upper lip (disorder)
805 254395006 Benign tumor of frenum of lip (disorder)
805 92088003 Benign neoplasm of epididymis (disorder)
805 92207002 Benign neoplasm of male genital organ (disorder)
805 92175003 Benign neoplasm of larynx (disorder)
805 188781005 Benign tumor of frenum of lower lip (disorder)
805 314601002 Gastrointestinal anastomotic tumor recurrence (disorder)
805 314947008 Carcinoid tumor of ampulla of Vater (disorder)
805 314951005 Local recurrence of malignant tumor of tongue (disorder)
805 314952003 Local recurrence of malignant tumor of buccal cavity (disorder)
805 314953008 Local recurrence of malignant tumor of thyroid gland (disorder)
805 60968001 Adenomatous goiter (disorder)
805 314954002 Local recurrence of malignant tumor of lung (disorder)
805 126699008 Neoplasm of epiglottis (disorder)
805 92439006 Benign neoplasm of thyroid gland (disorder)
805 92090002 Benign neoplasm of epitrochlear lymph nodes (disorder)
805 127260000 Neoplasm of epitrochlear lymph nodes (disorder)
805 61493004 Mu heavy chain disease (disorder)
805 126817006 Neoplasm of esophagus (disorder)
805 277473004 B-cell chronic lymphocytic leukemia (disorder)
805 92118007 Benign neoplasm of gastrointestinal tract (disorder)
805 92092005 Benign neoplasm of ethmoid bone (disorder)
805 314955001 Local recurrence of malignant tumor of breast (disorder)
805 314960002 Local recurrence of malignant tumor of esophagus (disorder)
805 314961003 Local recurrence of malignant tumor of stomach (disorder)
805 126544009 Neoplasm of ethmoid bone (disorder)
805 92093000 Benign neoplasm of ethmoidal sinus (disorder)
805 126677000 Neoplasm of ethmoidal sinus (disorder)
805 92094006 Benign neoplasm of eustachian tube (disorder)
805 314962005 Local recurrence of malignant tumor of gallbladder (disorder)
805 61530001 Multiple endocrine neoplasia, type 3 (disorder)
805 255155005 Pleomorphic adenoma of parotid gland (disorder)
805 61808009 Multiple endocrine neoplasia, type 2 (disorder)
805 314963000 Local recurrence of malignant tumor of liver (disorder)
805 314964006 Local recurrence of malignant tumor of pancreas (disorder)
805 188795008 Benign neoplasm of anterior tonsillar pillar (disorder)
805 62379007 Squirrel fibroma (disorder)
805 314965007 Local recurrence of malignant tumor of colon (disorder)
805 387837005 Neoplasm of soft tissue (disorder)
805 314966008 Local recurrence of malignant tumor of rectum (disorder)
805 62497000 Stewart-Treves syndrome (disorder)
805 254468002 Tumor of Eustachian tube (disorder)
805 254458007 Tumor of anterior pillar of fauces (disorder)
805 92218002 Benign neoplasm of middle ear (disorder)
805 188796009 Benign neoplasm of posterior tonsillar pillar (disorder)
805 314967004 Local recurrence of malignant tumor of kidney (disorder)
805 92095007 Benign neoplasm of exocervix (disorder)
805 188802006 Benign neoplasm of pharyngeal recess (disorder)
805 94047004 Primary malignant neoplasm of skin (disorder)
805 94116007 Primary malignant neoplasm of upper limb (disorder)
805 188803001 Benign neoplasm of nasopharyngeal floor (disorder)
805 403986008 Lymphangiosarcoma (disorder)
805 255169005 Benign esophageal polyp (disorder)
805 62557001 Leiomyomatosis peritonealis disseminata (disorder)
805 314968009 Local recurrence of malignant tumor of urinary bladder (disorder)
805 126913006 Neoplasm of exocervix (disorder)
805 126865007 Neoplasm of peritoneum (disorder)
805 126855001 Neoplasm of extrahepatic bile ducts (disorder)
805 92432002 Benign neoplasm of the peritoneum (disorder)
805 188845004 Benign neoplasm of bile duct (disorder)
805 62727008 Angiokeratoma of Mibelli (disorder)
805 371486001 Neoplasm of eye proper (disorder)
805 126632002 Neoplasm of face (disorder)
805 92099001 Benign neoplasm of facial nerve (disorder)
805 255171005 Jejunal polyp (disorder)
805 126973004 Neoplasm of facial nerve (disorder)
805 63175003 Localized extracutaneous mastocytosis (disorder)
805 92100009 Benign neoplasm of fallopian tube (disorder)
805 414653009 Mast cell neoplasm (disorder)
805 126916003 Neoplasm of fallopian tube (disorder)
805 314969001 Local recurrence of malignant tumor of prostate (disorder)
805 92101008 Benign neoplasm of false vocal cord (disorder)
805 255172003 Benign neoplasm of ileocecal valve (disorder)
805 126698000 Neoplasm of false vocal cord (disorder)
805 126692004 Neoplasm of larynx (disorder)
805 126927001 Neoplasm of female breast (disorder)
805 314970000 Local recurrence of malignant tumor of cervix (disorder)
805 314973003 Local recurrence of malignant tumor of bone (disorder)
805 126907002 Neoplasm of female genital organ (disorder)
805 286904004 Benign genital neoplasm (disorder)
805 92104000 Benign neoplasm of femoral lymph nodes (disorder)
805 409705005 Benign neoplasm of colostomy site (disorder)
805 188838004 Benign neoplasm of rectum and anal canal (disorder)
805 271527007 Benign neoplasm of liver and/or biliary ducts (disorder)
805 188844000 Benign neoplasm of hepatic duct (disorder)
805 188846003 Benign neoplasm of sphincter of Oddi (disorder)
805 188848002 Benign neoplasm of pancreas, excluding islets of Langerhans (disorder)
805 269480005 Benign islet cell tumor (disorder)
805 188857008 Benign tumor of peritoneum and retroperitoneum (disorder)
805 188859006 Benign neoplasm of perinephric tissue (disorder)
805 314974009 Local recurrence of malignant tumor of soft tissue (disorder)
805 188862009 Benign neoplasm of mesorectum (disorder)
805 188868008 Benign neoplasm of connective and soft tissue of peritoneum (disorder)
805 271472001 Benign neoplasm of nose, middle ear and accessory sinuses (disorder)
805 314975005 Local recurrence of malignant tumor of skin (disorder)
805 63365006 Madelung's neck (disorder)
805 314976006 Local recurrence of malignant melanoma of skin (disorder)
805 314987003 Metastasis from malignant melanoma of skin (disorder)
805 314988008 Metastasis from malignant tumor of skin (disorder)
805 92144007 Benign neoplasm of inguinal lymph nodes (disorder)
805 314989000 Metastasis from malignant tumor of soft tissues (disorder)
805 314990009 Metastasis from malignant tumor of bone (disorder)
805 314991008 Metastasis from malignant tumor of adrenal gland (disorder)
805 314992001 Metastasis from malignant tumor of cervix (disorder)
805 314993006 Metastasis from malignant tumor of uterus (disorder)
805 127264009 Neoplasm of femoral lymph nodes (disorder)
805 188877001 Benign neoplasm of thyroid cartilage (disorder)
805 92105004 Benign neoplasm of femur (disorder)
805 314994000 Metastasis from malignant tumor of prostate (disorder)
805 314995004 Metastasis from malignant tumor of bladder (disorder)
805 314996003 Metastasis from malignant tumor of kidney (disorder)
805 314997007 Metastasis from malignant tumor of rectum (disorder)
805 314998002 Metastasis from malignant tumor of colon (disorder)
805 314999005 Metastasis from malignant tumor of pancreas (disorder)
805 254529007 Benign tumor of laryngeal cartilage (disorder)
805 315000005 Metastasis from malignant tumor of liver (disorder)
805 315001009 Metastasis from malignant tumor of gallbladder (disorder)
805 315002002 Metastasis from malignant tumor of stomach (disorder)
805 315003007 Metastasis from malignant tumor of esophagus (disorder)
805 315004001 Metastasis from malignant tumor of breast (disorder)
805 315005000 Metastasis from malignant tumor of bronchus (disorder)
805 315006004 Metastasis from malignant tumor of lung (disorder)
805 315007008 Metastasis from malignant tumor of thyroid (disorder)
805 315008003 Metastasis from malignant tumor of buccal cavity (disorder)
805 315009006 Metastasis from malignant tumor of tongue (disorder)
805 315058005 Hereditary nonpolyposis colon cancer (disorder)
805 188878006 Benign neoplasm of cricoid cartilage (disorder)
805 126583006 Neoplasm of femur (disorder)
805 188963000 Benign neoplasm of long bones of lower limb (disorder)
805 92106003 Benign neoplasm of fibula (disorder)
805 254832003 Benign symmetric lipomatosis (disorder)
805 126635000 Neoplasm of neck (disorder)
805 188880000 Benign neoplasm of arytenoid cartilage (disorder)
805 399970005 Xanthoma disseminatum (disorder)
805 188881001 Benign neoplasm of corniculate cartilage (disorder)
805 64862009 Congenital rhabdomyoma of heart (disorder)
805 188882008 Benign neoplasm of cuneiform cartilage (disorder)
805 126584000 Neoplasm of fibula (disorder)
805 255163006 Benign papilloma of larynx (disorder)
805 254640007 Benign tumor of lung parenchyma (disorder)
805 188890008 Benign neoplasm of middle lobe bronchus and lung (disorder)
805 188972008 Benign neoplasm of medial cuneiform (disorder)
805 188898001 Benign neoplasm of lower anterior mediastinum (disorder)
805 188899009 Benign neoplasm of lower middle mediastinum (disorder)
805 387842002 Neoplasm of heart (disorder)
805 402877008 Rhabdomyomatous neoplasm (disorder)
805 414825006 Neoplasm of hematopoietic cell type (disorder)
805 188900004 Benign neoplasm of lower posterior mediastinum (disorder)
805 92108002 Benign neoplasm of flank (disorder)
805 65569004 Bovine cutaneous papillomatosis (disorder)
805 126642000 Neoplasm of flank (disorder)
805 92109005 Benign neoplasm of floor of mouth (disorder)
805 126799003 Neoplasm of floor of mouth (disorder)
805 126658002 Neoplasm of foot (disorder)
805 416824008 Cavernous hemangioma (disorder)
805 188915003 Benign neoplasm of bony palate (disorder)
805 67853001 Polyp of urethra (disorder)
805 126653006 Neoplasm of forearm (disorder)
805 359619007 Pinealoma (disorder)
805 92466006 Benign neoplasm of urethra (disorder)
805 67944007 Lhermitte-Duclos disease (disorder)
805 254935002 Intracranial tumor (disorder)
805 363397008 Malignant tumor of roof of nasopharynx (disorder)
805 188917006 Benign neoplasm of lacrimal bone (disorder)
805 254479007 Benign tumor of inferior turbinate (disorder)
805 269483007 Benign neoplasm of vertebral column, excluding sacrum and coccyx (disorder)
805 369448007 Malignant tumor involving rectum by direct extension from endometrium (disorder)
805 92112008 Benign neoplasm of prepuce (disorder)
805 369449004 Malignant tumor involving rectum by direct extension from fallopian tube (disorder)
805 369450004 Malignant tumor involving rectum by direct extension from ovary (disorder)
805 369451000 Malignant tumor involving rectum by direct extension from prostate (disorder)
805 369452007 Malignant tumor involving rectum by direct extension from uterine cervix (disorder)
805 369453002 Malignant tumor involving rectum by direct extension from uterus (disorder)
805 369454008 Malignant tumor involving rectum by direct extension from vagina (disorder)
805 126897007 Neoplasm of prepuce (disorder)
805 369455009 Malignant tumor involving rectum by separate metastasis from endometrium (disorder)
805 92113003 Benign neoplasm of frontal bone (disorder)
805 188925008 Benign neoplasm of cervical vertebra (disorder)
805 126539002 Neoplasm of frontal bone (disorder)
805 188926009 Benign neoplasm of thoracic vertebra (disorder)
805 369456005 Malignant tumor involving rectum by separate metastasis from fallopian tube (disorder)
805 92114009 Benign neoplasm of frontal lobe (disorder)
805 369457001 Malignant tumor involving rectum by separate metastasis from ovary (disorder)
805 188927000 Benign neoplasm of lumbar vertebra (disorder)
805 369458006 Malignant tumor involving rectum by separate metastasis from prostate (disorder)
805 188931006 Benign neoplasm of manubrium sterni (disorder)
805 188932004 Benign neoplasm of body of sternum (disorder)
805 369459003 Malignant tumor involving rectum by separate metastasis from uterine cervix (disorder)
805 188933009 Benign neoplasm of xiphoid process (disorder)
805 188934003 Benign neoplasm of costal cartilage (disorder)
805 369460008 Malignant tumor involving rectum by separate metastasis from uterus (disorder)
805 189162003 Benign neoplasm of brain, supratentorial (disorder)
805 126954003 Neoplasm of frontal lobe (disorder)
805 369461007 Malignant tumor involving rectum by separate metastasis from vagina (disorder)
805 369463005 Malignant tumor involving ureter by direct extension from bladder (disorder)
805 92115005 Benign neoplasm of frontal sinus (disorder)
805 126678005 Neoplasm of frontal sinus (disorder)
805 369464004 Malignant tumor involving ureter by separate metastasis from bladder (disorder)
805 92116006 Benign neoplasm of fundus of stomach (disorder)
805 126824007 Neoplasm of stomach (disorder)
805 188937005 Benign neoplasm of scapula and long bones of upper limb (disorder)
805 126826009 Neoplasm of fundus of stomach (disorder)
805 92126004 Benign neoplasm of gum (disorder)
805 369465003 Malignant tumor involving urethra by direct extension from bladder (disorder)
805 188939008 Benign neoplasm of humerus (disorder)
805 369466002 Malignant tumor involving urethra by direct extension from prostate (disorder)
805 188946004 Benign neoplasm of triquetrum (disorder)
805 369467006 Malignant tumor involving urethra by separate metastasis from bladder (disorder)
805 126795009 Neoplasm of gingival mucosa (disorder)
805 369468001 Malignant tumor involving urethra by separate metastasis from prostate (disorder)
805 92120005 Benign neoplasm of glans penis (disorder)
805 369469009 Malignant tumor involving bladder by direct extension from endometrium (disorder)
805 188950006 Benign neoplasm of capitate (disorder)
805 188955001 Benign neoplasm of pelvic bones, sacrum and coccyx (disorder)
805 369470005 Malignant tumor involving bladder by direct extension from fallopian tube (disorder)
805 369471009 Malignant tumor involving bladder by direct extension from ovary (disorder)
805 369472002 Malignant tumor involving bladder by direct extension from prostate (disorder)
805 369473007 Malignant tumor involving bladder by direct extension from uterine cervix (disorder)
805 188981002 Lipoma of forehead (disorder)
805 369474001 Malignant tumor involving bladder by direct extension from uterus (disorder)
805 188982009 Lipoma of eyebrow (disorder)
805 369475000 Malignant tumor involving bladder by direct extension from vagina (disorder)
805 369476004 Malignant tumor involving bladder by separate metastasis from endometrium (disorder)
805 369477008 Malignant tumor involving bladder by separate metastasis from fallopian tube (disorder)
805 188983004 Lipoma of eyelid (disorder)
805 369478003 Malignant tumor involving bladder by separate metastasis from ovary (disorder)
805 369479006 Malignant tumor involving bladder by separate metastasis from prostate (disorder)
805 188984005 Lipoma of external nose (disorder)
805 369480009 Malignant tumor involving bladder by separate metastasis from uterine cervix (disorder)
805 188985006 Lipoma of cheek (disorder)
805 369481008 Malignant tumor involving bladder by separate metastasis from uterus (disorder)
805 188986007 Lipoma of temple (disorder)
805 369482001 Malignant tumor involving bladder by separate metastasis from vagina (disorder)
805 188987003 Lipoma of ear (disorder)
805 369483006 Malignant tumor involving vasa deferentia by direct extension from prostate (disorder)
805 369484000 Malignant tumor involving vasa deferentia by separate metastasis from prostate (disorder)
805 369485004 Malignant tumor involving prostate by direct extension from bladder (disorder)
805 126898002 Neoplasm of glans penis (disorder)
805 369486003 Malignant tumor involving prostate by separate metastasis from bladder (disorder)
805 92121009 Benign neoplasm of glomus jugulare (disorder)
805 127030001 Neoplasm of glomus jugulare (disorder)
805 369487007 Primary malignant neoplasm of seminal vesicle (disorder)
805 92122002 Benign neoplasm of glossopharyngeal nerve (disorder)
805 369488002 Secondary malignant neoplasm of seminal vesicle (disorder)
805 369489005 Malignant tumor involving seminal vesicle by direct extension from bladder (disorder)
805 369490001 Malignant tumor involving seminal vesicle by direct extension from prostate (disorder)
805 369491002 Malignant tumor involving seminal vesicle by separate metastasis from bladder (disorder)
805 369492009 Malignant tumor involving seminal vesicle by separate metastasis from prostate (disorder)
805 369493004 Malignant tumor involving uterine corpus by direct extension from bladder (disorder)
805 369494005 Malignant tumor involving uterine corpus by direct extension from ovary (disorder)
805 369495006 Malignant tumor involving uterine corpus by direct extension from uterine cervix (disorder)
805 369496007 Malignant tumor involving uterine corpus by direct extension from vagina (disorder)
805 369497003 Malignant tumor involving uterine cervix by direct extension from fallopian tube (disorder)
805 126975006 Neoplasm of glossopharyngeal nerve (disorder)
805 92123007 Benign neoplasm of glottis (disorder)
805 188988008 Lipoma of external auditory meatus (disorder)
805 369498008 Malignant tumor involving uterine cervix by direct extension from ovary (disorder)
805 188990009 Lipoma of skin and subcutaneous tissue (excluding face) (disorder)
805 369499000 Malignant tumor involving uterine cervix by direct extension from vagina (disorder)
805 188991008 Lipoma of anterior chest wall (disorder)
805 188992001 Lipoma of posterior chest wall (disorder)
805 369500009 Malignant tumor involving uterine cervix by separate metastasis from fallopian tube (disorder)
805 369501008 Malignant tumor involving uterine cervix by separate metastasis from ovary (disorder)
805 126693009 Neoplasm of glottis (disorder)
805 369502001 Malignant tumor involving uterine corpus by separate metastasis from bladder (disorder)
805 92124001 Benign neoplasm of great vessels (disorder)
805 369503006 Malignant tumor involving vagina by direct extension from uterus (disorder)
805 188993006 Lipoma of axilla (disorder)
805 126737003 Neoplasm of great vessels (disorder)
805 369504000 Malignant tumor involving vagina by direct extension from bladder (disorder)
805 301872000 Lipoma of upper limb (disorder)
805 369505004 Malignant tumor involving vagina by direct extension from endometrium (disorder)
805 188994000 Lipoma of shoulder (disorder)
805 369506003 Malignant tumor involving vagina by direct extension from fallopian tube (disorder)
805 188995004 Lipoma of upper arm (disorder)
805 369507007 Malignant tumor involving vulva by direct extension from endometrium (disorder)
805 188996003 Lipoma of forearm (disorder)
805 92125000 Benign neoplasm of greater curvature of stomach (disorder)
805 188997007 Lipoma of hand (disorder)
805 369508002 Malignant tumor involving vulva by direct extension from fallopian tube (disorder)
805 188998002 Lipoma of abdominal wall (disorder)
805 369509005 Malignant tumor involving vulva by direct extension from ovary (disorder)
805 188999005 Lipoma of perineum (disorder)
805 369510000 Malignant tumor involving vulva by direct extension from uterine cervix (disorder)
805 369511001 Malignant tumor involving vulva by direct extension from uterus (disorder)
805 369512008 Malignant tumor involving vagina by direct extension from ovary (disorder)
805 189000007 Lipoma of groin (disorder)
805 126829002 Neoplasm of greater curvature of stomach (disorder)
805 126792007 Neoplasm of gum (disorder)
805 301873005 Lipoma of lower limb (disorder)
805 92161005 Benign neoplasm of jaw (disorder)
805 189002004 Lipoma of thigh (disorder)
805 188951005 Benign neoplasm of hamate (disorder)
805 126654000 Neoplasm of hand (disorder)
805 92129006 Benign neoplasm of hard palate (disorder)
805 189003009 Lipoma of knee and popliteal area (disorder)
805 189004003 Lipoma of lower leg (disorder)
805 369513003 Primary malignant neoplasm of left fallopian tube (disorder)
805 369514009 Secondary malignant neoplasm of left fallopian tube (disorder)
805 189006001 Lipoma of foot (disorder)
805 369515005 Malignant tumor involving left fallopian tube by direct extension from endometrium (disorder)
805 308123002 Lipoma of back (disorder)
805 307754008 Lipoma of lower back (disorder)
805 369516006 Malignant tumor involving left fallopian tube by direct extension from ovary (disorder)
805 314336009 Lipoma of lateral chest wall (disorder)
805 189017000 Lipoma of spinal cord (disorder)
805 369517002 Malignant tumor involving left fallopian tube by direct extension from right fallopian tube (disorder)
805 369518007 Malignant tumor involving left fallopian tube by direct extension from uterine cervix (disorder)
805 189015008 Lipoma of spinal canal - extradural (disorder)
805 369519004 Malignant tumor involving left fallopian tube by direct extension from uterus (disorder)
805 427939000 Benign neoplasm of spinal extradural space (disorder)
805 189016009 Lipoma of spinal canal - intradural (disorder)
805 369520005 Primary malignant neoplasm of right fallopian tube (disorder)
805 92261004 Benign neoplasm of palate (disorder)
805 126806005 Neoplasm of hard palate (disorder)
805 369521009 Secondary malignant neoplasm of right fallopian tube (disorder)
805 92130001 Benign neoplasm of head of pancreas (disorder)
805 369522002 Primary malignant neoplasm of left ovary (disorder)
805 126860002 Neoplasm of head of pancreas (disorder)
805 255057000 Benign tumor of head and neck (disorder)
805 126631009 Neoplasm of head (disorder)
805 92157004 Benign neoplasm of intrathoracic organs (disorder)
805 369523007 Secondary malignant neoplasm of left ovary (disorder)
805 92133004 Benign neoplasm of hepatic flexure of colon (disorder)
805 369524001 Malignant tumor involving left ovary by direct extension from endometrium (disorder)
805 189024004 Benign neoplasm soft tissue of cervical spine (disorder)
805 369525000 Malignant tumor involving left ovary by direct extension from fallopian tube (disorder)
805 369526004 Malignant tumor involving left ovary by direct extension from right ovary (disorder)
805 369527008 Malignant tumor involving left ovary by direct extension from uterine cervix (disorder)
805 369528003 Malignant tumor involving left ovary by direct extension from uterus (disorder)
805 369529006 Primary malignant neoplasm of right ovary (disorder)
805 92448001 Benign neoplasm of transverse colon (disorder)
805 369530001 Secondary malignant neoplasm of right ovary (disorder)
805 126841009 Neoplasm of hepatic flexure of colon (disorder)
805 369531002 Malignant tumor involving right ovary by direct extension from endometrium (disorder)
805 92134005 Benign neoplasm of hilus of lung (disorder)
805 369532009 Malignant tumor involving right ovary by direct extension from fallopian tube (disorder)
805 369533004 Malignant tumor involving right ovary by direct extension from left ovary (disorder)
805 369534005 Malignant tumor involving right ovary by direct extension from uterine cervix (disorder)
805 126707007 Neoplasm of hilus of lung (disorder)
805 92196005 Benign neoplasm of lung (disorder)
805 369535006 Secondary neoplasm of left broad ligament (disorder)
805 92135006 Benign neoplasm of hypogastric lymph nodes (disorder)
805 189040001 Benign neoplasm soft tissue of thoracic spine (disorder)
805 189042009 Benign neoplasm soft tissues of lumbar spine (disorder)
805 369536007 Secondary neoplasm of right broad ligament (disorder)
805 92152005 Benign neoplasm of intra-abdominal lymph nodes (disorder)
805 92155007 Benign neoplasm of intrapelvic lymph nodes (disorder)
805 369537003 Malignant tumor involving left broad ligament by direct extension from ovary (disorder)
805 127270003 Neoplasm of hypogastric lymph nodes (disorder)
805 369538008 Malignant tumor involving left broad ligament by metastasis from ovary (disorder)
805 253020008 Hidradenoma of skin (disorder)
805 369539000 Malignant tumor involving right broad ligament by direct extension from ovary (disorder)
805 369540003 Malignant tumor involving right broad ligament by metastasis from ovary (disorder)
805 369541004 Malignant tumor involving left fallopian tube by direct extension from vagina (disorder)
805 369542006 Malignant tumor involving left fallopian tube by separate metastasis from endometrium (disorder)
805 369543001 Malignant tumor involving left fallopian tube by separate metastasis from ovary (disorder)
805 369544007 Malignant tumor involving left fallopian tube by separate metastasis from right fallopian tube (disorder)
805 92136007 Benign neoplasm of hypoglossal nerve (disorder)
805 369545008 Malignant tumor involving left fallopian tube by separate metastasis from uterus (disorder)
805 126978008 Neoplasm of hypoglossal nerve (disorder)
805 254506004 Benign tumor aryepiglottic fold - hypopharyngeal aspect (disorder)
805 369546009 Malignant tumor involving left fallopian tube by separate metastasis from vagina (disorder)
805 369547000 Malignant tumor involving right fallopian tube by direct extension from endometrium (disorder)
805 92138008 Benign neoplasm of hypopharyngeal aspect of interarytenoid fold (disorder)
805 369548005 Malignant tumor involving right fallopian tube by direct extension from left fallopian tube (disorder)
805 126690007 Neoplasm of hypopharyngeal aspect of interarytenoid fold (disorder)
805 369549002 Malignant tumor involving right fallopian tube by direct extension from ovary (disorder)
805 188805008 Benign neoplasm of arytenoid fold (disorder)
805 369550002 Malignant tumor involving right fallopian tube by direct extension from uterine cervix (disorder)
805 369551003 Malignant tumor involving right fallopian tube by direct extension from uterus (disorder)
805 92139000 Benign neoplasm of hypopharynx (disorder)
805 369552005 Malignant tumor involving right fallopian tube by direct extension from vagina (disorder)
805 126686005 Neoplasm of hypopharynx (disorder)
805 369553000 Malignant tumor involving right fallopian tube by separate metastasis from endometrium (disorder)
805 92140003 Benign neoplasm of ileum (disorder)
805 369554006 Malignant tumor involving right fallopian tube by separate metastasis from left fallopian tube (disorder)
805 255184001 Papilloma of skin (disorder)
805 302828001 Syringoma of skin (disorder)
805 189053003 Benign neoplasm of eyelid including canthus (disorder)
805 126835002 Neoplasm of ileum (disorder)
805 369555007 Malignant tumor involving right fallopian tube by separate metastasis from ovary (disorder)
805 369556008 Malignant tumor involving right fallopian tube by separate metastasis from uterine cervix (disorder)
805 310600009 Benign neoplasm of canthus (disorder)
805 369557004 Malignant tumor involving right fallopian tube by separate metastasis from uterus (disorder)
805 92141004 Benign neoplasm of iliac lymph nodes (disorder)
805 369558009 Malignant tumor involving right fallopian tube by separate metastasis from vagina (disorder)
805 369559001 Malignant tumor involving left ovary by direct extension from vagina (disorder)
805 127268007 Neoplasm of iliac lymph nodes (disorder)
805 189057002 Benign neoplasm of skin of auricle (disorder)
805 369560006 Malignant tumor involving left ovary by separate metastasis from endometrium (disorder)
805 369561005 Malignant tumor involving left ovary by separate metastasis from fallopian tube (disorder)
805 369562003 Malignant tumor involving left ovary by separate metastasis from right ovary (disorder)
805 189062001 Benign neoplasm of skin of temple (disorder)
805 369563008 Malignant tumor involving left ovary by separate metastasis from uterine cervix (disorder)
805 189080005 Benign neoplasm of skin of upper arm (disorder)
805 369564002 Malignant tumor involving left ovary by separate metastasis from vagina (disorder)
805 369565001 Malignant tumor involving left ovary by separate metastasis uterus (disorder)
805 369566000 Malignant tumor involving right ovary by direct extension from uterus (disorder)
805 369567009 Malignant tumor involving right ovary by direct extension from vagina (disorder)
805 369568004 Malignant tumor involving right ovary by separate metastasis from endometrium (disorder)
805 92142006 Benign neoplasm of ilium (disorder)
805 369569007 Malignant tumor involving right ovary by separate metastasis from fallopian tube (disorder)
805 369570008 Malignant tumor involving right ovary by separate metastasis from ovary (disorder)
805 126562000 Neoplasm of ilium (disorder)
805 369571007 Malignant tumor involving right ovary by separate metastasis from uterine cervix (disorder)
805 369572000 Malignant tumor involving right ovary by separate metastasis from uterus (disorder)
805 92143001 Benign neoplasm of infraclavicular lymph nodes (disorder)
805 369573005 Malignant tumor involving right ovary by separate metastasis from vagina (disorder)
805 312359004 Benign nevus of sole of foot (disorder)
805 369574004 Malignant tumor involving uterine cervix by separate metastasis from vagina (disorder)
805 127243005 Neoplasm of infraclavicular lymph nodes (disorder)
805 92202008 Benign neoplasm of lymph nodes of neck (disorder)
805 92200000 Benign neoplasm of lymph nodes of lower limb (disorder)
805 127262008 Neoplasm of inguinal lymph nodes (disorder)
805 369575003 Malignant tumor involving uterine corpus by separate metastasis from fallopian tube (disorder)
805 189120005 Benign neoplasm of fallopian tubes and uterine ligaments (disorder)
805 369576002 Malignant tumor involving uterine corpus by separate metastasis from ovary (disorder)
805 189123007 Benign neoplasm of ovarian ligament (disorder)
805 369577006 Malignant tumor involving uterine corpus by separate metastasis from uterine cervix (disorder)
805 369578001 Malignant tumor involving uterine corpus by separate metastasis from vagina (disorder)
805 189125000 Skin tag in vagina (disorder)
805 369579009 Malignant tumor involving uterine corpus by direct extension from fallopian tube (disorder)
805 189130001 Benign neoplasm of Bartholin's gland (disorder)
805 369580007 Malignant tumor involving vagina by direct extension from uterine cervix (disorder)
805 189135006 Benign tumor of corpus spongiosum (disorder)
805 369581006 Malignant tumor involving vagina by separate metastasis from bladder (disorder)
805 126645003 Neoplasm of inguinal region (disorder)
805 369582004 Malignant tumor involving vagina by separate metastasis from endometrium (disorder)
805 369583009 Malignant tumor involving vagina by separate metastasis from fallopian tube (disorder)
805 188780006 Benign tumor of labial mucosa (disorder)
805 369584003 Malignant tumor involving vagina by separate metastasis from ovary (disorder)
805 369585002 Malignant tumor involving vagina by separate metastasis from uterine cervix (disorder)
805 369586001 Malignant tumor involving vagina by separate metastasis from uterus (disorder)
805 369587005 Malignant tumor involving vulva by direct extension from vagina (disorder)
805 255153003 Benign tumor of lower labial mucosa (disorder)
805 369588000 Malignant tumor involving vulva by separate metastasis from endometrium (disorder)
805 369589008 Malignant tumor involving vulva by separate metastasis from fallopian tube (disorder)
805 189136007 Benign tumor of corpus cavernosum (disorder)
805 369590004 Malignant tumor involving vulva by separate metastasis from ovary (disorder)
805 254911007 Tumor of corpus cavernosum (disorder)
805 189138008 Benign tumor of scrotal skin (disorder)
805 369591000 Malignant tumor involving vulva by separate metastasis from uterine cervix (disorder)
805 188778000 Benign tumor of upper labial mucosa (disorder)
805 369592007 Malignant tumor involving vulva by separate metastasis from uterus (disorder)
805 369593002 Malignant tumor involving vulva by separate metastasis from vagina (disorder)
805 92149002 Benign neoplasm of intercostal lymph nodes (disorder)
805 369594008 Malignant tumor involving an organ by direct extension from bladder (disorder)
805 127249009 Neoplasm of intercostal lymph nodes (disorder)
805 369595009 Malignant tumor involving an organ by direct extension from endometrium (disorder)
805 92150002 Benign neoplasm of intestinal lymph nodes (disorder)
805 369596005 Malignant tumor involving an organ by direct extension from fallopian tube (disorder)
805 369597001 Malignant tumor involving an organ by direct extension from ovary (disorder)
805 127251008 Neoplasm of intestinal lymph nodes (disorder)
805 369598006 Malignant tumor involving an organ by direct extension from prostate (disorder)
805 369599003 Malignant tumor involving an organ by direct extension from uterine cervix (disorder)
805 92151003 Benign neoplasm of intestinal tract (disorder)
805 369600000 Malignant tumor involving an organ by direct extension from uterus (disorder)
805 369601001 Malignant tumor involving an organ by direct extension from vagina (disorder)
805 126769007 Neoplasm of intestinal tract (disorder)
805 369602008 Malignant tumor involving an organ by separate metastasis from bladder (disorder)
805 369603003 Malignant tumor involving an organ by separate metastasis from endometrium (disorder)
805 127250009 Neoplasm of intra-abdominal lymph nodes (disorder)
805 369604009 Malignant tumor involving an organ by separate metastasis from fallopian tube (disorder)
805 369605005 Malignant tumor involving an organ by separate metastasis from ovary (disorder)
805 369606006 Malignant tumor involving an organ by separate metastasis from prostate (disorder)
805 126643005 Neoplasm of intra-abdominal organs (disorder)
805 369607002 Malignant tumor involving an organ by separate metastasis from uterine cervix (disorder)
805 369608007 Malignant tumor involving an organ by separate metastasis from uterus (disorder)
805 369609004 Malignant tumor involving an organ by separate metastasis from vagina (disorder)
805 369610009 Malignant tumor involving left fallopian tube by separate metastasis from uterine cervix (disorder)
805 92154006 Benign neoplasm of intrahepatic bile ducts (disorder)
805 370468006 Cystic trichoblastoma (disorder)
805 126852003 Neoplasm of intrahepatic bile ducts (disorder)
805 92186001 Benign neoplasm of liver (disorder)
805 127267002 Neoplasm of intrapelvic lymph node (disorder)
805 127245003 Neoplasm of intrathoracic lymph nodes (disorder)
805 92158009 Benign neoplasm of ischium (disorder)
805 126563005 Neoplasm of ischium (disorder)
805 254614001 Benign tumor of endocrine pancreas (disorder)
805 370511006 Vaccine-induced fibrosarcoma (disorder)
805 370987005 Anaplastic astrocytoma of spinal cord (disorder)
805 92160006 Benign neoplasm of isthmus of uterus (disorder)
805 189140003 Benign tumor of seminal vesicle (disorder)
805 126911008 Neoplasm of isthmus of uterus (disorder)
805 269489006 Benign tumor of renal parenchyma (disorder)
805 92162003 Benign neoplasm of jejunum (disorder)
805 371004008 Rupture of neoplasm (disorder)
805 371012000 Acute lymphoblastic leukemia, transitional pre-B-cell (disorder)
805 281700003 Benign papilloma of bladder (disorder)
805 92163008 Benign neoplasm of junctional region of epiglottis (disorder)
805 189155007 Benign neoplasm lacrimal sac (disorder)
805 189156008 Benign neoplasm nasolacrimal duct (disorder)
805 371134001 Malignant lymphoma, large cell, polymorphous, immunoblastic (disorder)
805 189164002 Cerebral meningioma (disorder)
805 302820008 Intracranial meningioma (disorder)
805 189167009 Spinal meningioma (disorder)
805 373888000 Extrauterine adenocarcinoma (disorder)
805 253032007 Benign pheochromocytoma (disorder)
805 126814004 Neoplasm of junctional region of epiglottis (disorder)
805 188883003 Benign neoplasm of aryepiglottic fold (disorder)
805 385478001 Adenoma malignum (disorder)
805 271479005 Benign neoplasm of pituitary gland and craniopharyngeal duct (disorder)
805 92164002 Benign neoplasm of junctional zone of tongue (disorder)
805 189179009 Craniopharyngioma (disorder)
805 237721006 Tumor of pituitary and suprasellar region (disorder)
805 126786001 Neoplasm of junctional zone of tongue (disorder)
805 189180007 Benign tumor of sella turcica (disorder)
805 92165001 Benign neoplasm of kidney (disorder)
805 189188000 Benign neoplasm of pluriglandular involvement (disorder)
805 92166000 Benign neoplasm of labia majora (disorder)
805 126923002 Neoplasm of labia majora (disorder)
805 92167009 Benign neoplasm of labia minora (disorder)
805 388871003 Primary optic nerve sheath meningioma (disorder)
805 398768004 Queyrat's erythroplasia (disorder)
805 388872005 Secondary optic nerve sheath meningioma (disorder)
805 126924008 Neoplasm of labia minora (disorder)
805 280960002 Benign tumor of lacrimal drainage structure (disorder)
805 398831006 Bowen's disease of penis (disorder)
805 398679002 Bowenoid papulosis of penis (disorder)
805 92169007 Benign neoplasm of lacrimal gland (disorder)
805 127004000 Neoplasm of lacrimal gland (disorder)
805 389216001 Diaphyseal medullary stenosis with bone malignancy (disorder)
805 126837005 Neoplasm of large intestine (disorder)
805 189231007 Carcinoma in situ of rectum and rectosigmoid junction (disorder)
805 92171007 Benign neoplasm of laryngeal aspect of aryepiglottic fold (disorder)
805 126701008 Neoplasm of laryngeal aspect of aryepiglottic fold (disorder)
805 92172000 Benign neoplasm of laryngeal aspect of interarytenoid fold (disorder)
805 126702001 Neoplasm of laryngeal aspect of interarytenoid fold (disorder)
805 396198006 Small cell carcinoma of prostate (disorder)
805 271525004 Carcinoma in situ of liver and/or biliary system (disorder)
805 92173005 Benign neoplasm of laryngeal commissure (disorder)
805 126694003 Neoplasm of laryngeal commissure (disorder)
805 92174004 Benign neoplasm of laryngeal surface of epiglottis (disorder)
805 189243008 Carcinoma in situ of hepatic duct (disorder)
805 126700009 Neoplasm of laryngeal surface of epiglottis (disorder)
805 92176002 Benign neoplasm of lateral portion of floor of mouth (disorder)
805 397008008 Aggressive lymphadenopathic mastocytosis with eosinophilia (disorder)
805 189246000 Carcinoma in situ of sphincter of Oddi (disorder)
805 254430004 Tumor of lateral floor of mouth (disorder)
805 92177006 Benign neoplasm of lateral wall of nasopharynx (disorder)
805 397015000 Systemic mastocytosis with associated clonal hematological non-mast cell lineage disease (disorder)
805 188800003 Benign tumor of nasopharynx (disorder)
805 126683002 Neoplasm of lateral wall of nasopharynx (disorder)
805 402913004 Bowenoid papulosis (disorder)
805 92178001 Benign neoplasm of lateral wall of oropharynx (disorder)
805 126815003 Neoplasm of lateral wall of oropharynx (disorder)
805 188798005 Benign neoplasm of oropharyngeal wall (disorder)
805 92179009 Benign neoplasm of lateral wall of urinary bladder (disorder)
805 255142009 Carcinoma in situ of respiratory and intrathoracic organ (disorder)
805 189252004 Carcinoma in situ of thyroid cartilage (disorder)
805 404014008 Malignant fibrous histiocytoma of skin (disorder)
805 126888008 Neoplasm of lateral wall of urinary bladder (disorder)
805 254528004 Tumor of laryngeal cartilage (disorder)
805 126718007 Neoplasm of left lower lobe of lung (disorder)
805 189253009 Carcinoma in situ of cricoid cartilage (disorder)
805 399590005 Squamous cell carcinoma of prostate (disorder)
805 189255002 Carcinoma in situ of arytenoid cartilage (disorder)
805 126717002 Neoplasm of left upper lobe of lung (disorder)
805 189256001 Carcinoma in situ of corniculate cartilage (disorder)
805 189257005 Carcinoma in situ of cuneiform cartilage (disorder)
805 189265008 Carcinoma in situ of upper lobe bronchus and lung (disorder)
805 189266009 Carcinoma in situ of middle lobe bronchus and lung (disorder)
805 189267000 Carcinoma in situ of lower lobe bronchus and lung (disorder)
805 92183009 Benign neoplasm of lesser curvature of stomach (disorder)
805 189271002 Carcinoma in situ of tympanic cavity (disorder)
805 126828005 Neoplasm of lesser curvature of stomach (disorder)
805 399660006 Ring melanoma of ciliary body (disorder)
805 92184003 Benign neoplasm of lingual tonsil (disorder)
805 189272009 Carcinoma in situ of tympanic antrum (disorder)
805 189277003 Carcinoma in situ of skin of eyelid including canthus (disorder)
805 127229000 Neoplasm of lingual tonsil (disorder)
805 126770008 Neoplasm of lip (disorder)
805 92188000 Benign neoplasm of long bone of upper limb (disorder)
805 126568001 Neoplasm of long bone of upper limb (disorder)
805 92189008 Benign neoplasm of lower gum (disorder)
805 126794008 Neoplasm of lower gum (disorder)
805 92190004 Benign neoplasm of lower inner quadrant of female breast (disorder)
805 189279000 Carcinoma in situ of skin of auricle (disorder)
805 189288009 Carcinoma in situ of skin of temple (disorder)
805 399897004 Basal cell carcinoma of postauricular skin (disorder)
805 189292002 Carcinoma in situ of scalp (disorder)
805 126932000 Neoplasm of lower inner quadrant of female breast (disorder)
805 126655004 Neoplasm of lower limb (disorder)
805 403915004 Basal cell carcinoma of scalp (disorder)
805 92192007 Benign neoplasm of lower outer quadrant of female breast (disorder)
805 126934004 Neoplasm of lower outer quadrant of female breast (disorder)
805 402820007 Basal cell carcinoma of ear (disorder)
805 189306009 Carcinoma in situ of skin of upper limb and shoulder (disorder)
805 126823001 Neoplasm of lower third of esophagus (disorder)
805 92194008 Benign neoplasm of lumbar vertebral column (disorder)
805 399911003 Bowenoid papulosis of vulva with vulval intraepithelial neoplasia grade III (disorder)
805 188945000 Benign neoplasm of lunate (disorder)
805 189308005 Carcinoma in situ of skin of upper arm (disorder)
805 189309002 Carcinoma in situ of skin of lower arm (disorder)
805 126713003 Neoplasm of lung (disorder)
805 127232002 Neoplasm of lymph node (disorder)
805 189317005 Carcinoma in situ of skin of lower leg (disorder)
805 92198006 Benign neoplasm of lymph nodes of face (disorder)
805 315036008 Melanoma in situ of back of hand (disorder)
805 127234001 Neoplasm of lymph node of face (disorder)
805 92199003 Benign neoplasm of lymph nodes of head (disorder)
805 127233007 Neoplasm of lymph node of head (disorder)
805 315230006 Melanoma in situ of back (disorder)
805 127261001 Neoplasm of lymph node of lower limb (disorder)
805 254463006 Mixed parotid tumor (disorder)
805 92201001 Benign neoplasm of lymph nodes of multiple sites (disorder)
805 127235000 Neoplasm of lymph node of neck (disorder)
805 189392000 Neoplasm of uncertain behavior of hepatic duct (disorder)
805 127254000 Neoplasm of lymph nodes of upper limb (disorder)
805 92204009 Benign neoplasm of main bronchus (disorder)
805 189397006 Neoplasm of uncertain behavior of sphincter of Oddi (disorder)
805 126706003 Neoplasm of main bronchus (disorder)
805 189399009 Neoplasm of uncertain behavior of retroperitoneum and peritoneum (disorder)
805 92205005 Benign neoplasm of major salivary gland (disorder)
805 126787005 Neoplasm of major salivary gland (disorder)
805 255154009 Benign tumor of salivary gland (disorder)
805 126937006 Neoplasm of male breast (disorder)
805 189406008 Neoplasm of uncertain behavior of anal canal and sphincter (disorder)
805 126895004 Neoplasm of male genital organ (disorder)
805 399990001 Bowenoid papulosis of vulva (disorder)
805 399929008 Bowenoid papulosis of anus with anal intraepithelial neoplasia grade III (disorder)
805 92208007 Benign neoplasm of mandible (disorder)
805 189410006 Neoplasm of uncertain behavior of thyroid cartilage (disorder)
805 126551000 Neoplasm of mandible (disorder)
805 189412003 Neoplasm of uncertain behavior of cricoid cartilage (disorder)
805 189414002 Neoplasm of uncertain behavior of arytenoid cartilage (disorder)
805 92209004 Benign neoplasm of mastoid air cells (disorder)
805 127008002 Neoplasm of mastoid air cells (disorder)
805 189415001 Neoplasm of uncertain behavior of corniculate cartilage (disorder)
805 255157002 Benign tumor of middle ear and mastoid (disorder)
805 189416000 Neoplasm of uncertain behavior of cuneiform cartilage (disorder)
805 92210009 Benign neoplasm of maxilla (disorder)
805 189432002 Neoplasm of uncertain behavior of tympanic cavity (disorder)
805 126550004 Neoplasm of maxilla (disorder)
805 189433007 Neoplasm of uncertain behavior of tympanic antrum (disorder)
805 271474000 Benign neoplasm of skull and facial bones (disorder)
805 189494003 Neoplasm of uncertain or unknown behavior of peripheral nerves and autonomic nervous system (disorder)
805 92211008 Benign neoplasm of maxillary sinus (disorder)
805 126676009 Neoplasm of maxillary sinus (disorder)
805 189509003 Refractory anemia without sideroblasts, so stated (disorder)
805 92212001 Benign neoplasm of Meckel's diverticulum (disorder)
805 190030009 Compound leukemias (disorder)
805 190955000 Histiocytosis X syndrome (disorder)
805 126836001 Neoplasm of Meckel's diverticulum (disorder)
805 92213006 Benign neoplasm of mediastinal lymph nodes (disorder)
805 127248001 Neoplasm of mediastinal lymph nodes (disorder)
805 126725000 Neoplasm of mediastinum (disorder)
805 92215004 Benign neoplasm of mesenteric lymph nodes (disorder)
805 127252001 Neoplasm of mesenteric lymph nodes (disorder)
805 188952003 Benign neoplasm of metacarpal (disorder)
805 92217007 Benign neoplasm of metatarsal bone (disorder)
805 255180005 Benign neoplasm of bone of foot (disorder)
805 126596007 Neoplasm of metatarsal bone (disorder)
805 127006003 Neoplasm of middle ear (disorder)
805 255181009 Benign neoplasm of ear (disorder)
805 92219005 Benign neoplasm of middle third of esophagus (disorder)
805 126822006 Neoplasm of middle third of esophagus (disorder)
805 92220004 Benign neoplasm of minor salivary gland (disorder)
805 126798006 Neoplasm of minor salivary gland (disorder)
805 92222007 Benign neoplasm of multiple endocrine glands (disorder)
805 195470008 Rectal skin tag (disorder)
805 403484002 Bowenoid papulosis of anus (disorder)
805 403485001 Anal intraepithelial neoplasia (AIN III) (disorder)
805 399931004 Dermal nerve sheath myxoma, cellular (disorder)
805 404034009 Dermal nerve sheath myxoma (disorder)
805 399934007 Basal cell carcinoma of preauricular skin (disorder)
805 197821004 Ureteric polyp (disorder)
805 198297004 Simple cystoma of the ovary (disorder)
805 399945005 Castleman's superficial pseudotumor, involving skin (disorder)
805 92223002 Benign neoplasm of muscle of abdomen (disorder)
805 276871002 Vaginal intraepithelial neoplasia grade 1 (disorder)
805 276872009 Vaginal intraepithelial neoplasia grade 2 (disorder)
805 276873004 Vulval intraepithelial neoplasia grade 1 (disorder)
805 399954008 Basal cell carcinoma of earlobe (disorder)
805 276874005 Vulval intraepithelial neoplasia grade 2 (disorder)
805 424666005 Basal cell carcinoma of auricle of ear (disorder)
805 237250000 Incomplete hydatidiform mole (disorder)
805 92235003 Benign neoplasm of muscle of trunk (disorder)
805 92224008 Benign neoplasm of muscle of buttock (disorder)
805 237217000 Uterine fibroids in pregnancy, childbirth and the puerperium (disorder)
805 399994005 Desmoid fibromatosis (disorder)
805 92227001 Benign neoplasm of muscle of hip (disorder)
805 126628008 Neoplasm of muscle of buttock (disorder)
805 92237006 Benign neoplasm of muscle (disorder)
805 267219007 Tumor of uterine body in pregnancy, childbirth and the puerperium (disorder)
805 92225009 Benign neoplasm of muscle of face (disorder)
805 237216009 Uterine fibroid affecting obstetric care (disorder)
805 267220001 Tumor of uterine body affecting obstetric care (disorder)
805 267221002 Tumor of uterine body - baby delivered (disorder)
805 237215008 Uterine fibroid - baby delivered (disorder)
805 92226005 Benign neoplasm of muscle of head (disorder)
805 126618004 Neoplasm of muscle of face (disorder)
805 267222009 Tumor of uterine body - baby delivered with postpartum complication (disorder)
805 400057007 Basal cell carcinoma of pinnal sulcus (disorder)
805 237214007 Uterine fibroid - baby delivered with postpartum complication (disorder)
805 126617009 Neoplasm of muscle of head (disorder)
805 126622009 Neoplasm of muscle of hip (disorder)
805 237213001 Uterine fibroid complicating antenatal care, baby not yet delivered (disorder)
805 92231007 Benign neoplasm of muscle of pelvis (disorder)
805 267223004 Tumor of uterine body complicating antenatal care, baby not yet delivered (disorder)
805 92229003 Benign neoplasm of muscle of lower limb (disorder)
805 237212006 Uterine fibroid complicating postpartum care - baby delivered during previous episode of care (disorder)
805 267224005 Tumor of uterine body complicating postpartum care - baby delivered during previous episode of care (disorder)
805 92228006 Benign neoplasm of muscle of inguinal region (disorder)
805 126629000 Neoplasm of muscle of inguinal region (disorder)
805 200721005 Pyogenic progressive granuloma (disorder)
805 126623004 Neoplasm of muscle of lower limb (disorder)
805 200722003 Pyogenic granuloma (disorder)
805 201101007 Actinic keratosis (disorder)
805 92230008 Benign neoplasm of muscle of neck (disorder)
805 126619007 Neoplasm of muscle of neck (disorder)
805 126627003 Neoplasm of muscle of pelvis (disorder)
805 92232000 Benign neoplasm of muscle of perineum (disorder)
805 126630005 Neoplasm of muscle of perineum (disorder)
805 402514004 Basal cell carcinoma of obverse of pinna (disorder)
805 92233005 Benign neoplasm of muscle of shoulder (disorder)
805 400076009 Melanotic neuroectodermal tumor of maxilla (disorder)
805 92236002 Benign neoplasm of muscle of upper limb (disorder)
805 126625006 Neoplasm of muscle of thorax (disorder)
805 126624005 Neoplasm of muscle of trunk (disorder)
805 126621002 Neoplasm of muscle of upper limb (disorder)
805 126616000 Neoplasm of muscle (disorder)
805 92238001 Benign neoplasm of myocardium (disorder)
805 126732009 Neoplasm of myocardium (disorder)
805 92239009 Benign neoplasm of myometrium (disorder)
805 126910009 Neoplasm of myometrium (disorder)
805 92240006 Benign neoplasm of nasal bone (disorder)
805 402812005 Superficial keratosis (disorder)
805 400092004 Penile intraepithelial neoplasia grade III (disorder)
805 202424007 Villonodular synovitis of the shoulder region (disorder)
805 312819009 Villonodular synovitis of upper limb (disorder)
805 202425008 Villonodular synovitis of the upper arm (disorder)
805 202426009 Villonodular synovitis of the forearm (disorder)
805 421098004 Lipoblastoma/lipoblastomatosis (disorder)
805 202427000 Villonodular synovitis of the hand (disorder)
805 400118002 Bowenoid papulosis of penis with penile intraepithelial neoplasia grade III (disorder)
805 202428005 Villonodular synovitis of the pelvic region and thigh (disorder)
805 312820003 Villonodular synovitis of lower limb (disorder)
805 202429002 Villonodular synovitis of the lower leg (disorder)
805 400153009 Abdominal fibromatosis (disorder)
805 400173004 Eccrine carcinoma of skin (disorder)
805 126548007 Neoplasm of nasal bone (disorder)
805 400174005 Basal cell carcinoma of antihelix of ear (disorder)
805 92241005 Benign neoplasm of nasal cavity (disorder)
805 202430007 Villonodular synovitis of the ankle and foot (disorder)
805 202432004 Villonodular synovitis of multiple sites (disorder)
805 400175006 Myxofibrosarcoma of skin (disorder)
805 202434003 Villonodular synovitis of sternoclavicular joint (disorder)
805 126670003 Neoplasm of nasal cavity (disorder)
805 92242003 Benign neoplasm of nasal concha (disorder)
805 202435002 Villonodular synovitis of acromioclavicular joint (disorder)
805 202436001 Villonodular synovitis of elbow (disorder)
805 126674007 Neoplasm of nasal concha (disorder)
805 188976006 Benign neoplasm of navicular (disorder)
805 401312001 Anal intraepithelial neoplasia grade II (disorder)
805 188944001 Benign neoplasm of scaphoid (disorder)
805 126950007 Neoplasm of nervous system (disorder)
805 401313006 Anal intraepithelial neoplasia grade I (disorder)
805 92248004 Benign neoplasm of nipple of female breast (disorder)
805 126928006 Neoplasm of nipple of female breast (disorder)
805 402123007 Human papilloma virus-associated intraepithelial neoplasia (disorder)
805 92249007 Benign neoplasm of nipple of male breast (disorder)
805 126938001 Neoplasm of nipple of male breast (disorder)
805 202437005 Villonodular synovitis of distal radioulnar joint (disorder)
805 126669004 Neoplasm of nose (disorder)
805 402494003 Basal cell carcinoma of lower eyelid (disorder)
805 92251006 Benign neoplasm of obturator lymph nodes (disorder)
805 127269004 Neoplasm of obturator lymph nodes (disorder)
805 92252004 Benign neoplasm of occipital bone (disorder)
805 126542008 Neoplasm of occipital bone (disorder)
805 92253009 Benign neoplasm of occipital lobe (disorder)
805 202438000 Villonodular synovitis of wrist (disorder)
805 402495002 Basal cell carcinoma of medial canthus (disorder)
805 126957005 Neoplasm of occipital lobe (disorder)
805 92254003 Benign neoplasm of occipital lymph nodes (disorder)
805 127236004 Neoplasm of occipital lymph nodes (disorder)
805 92255002 Benign neoplasm of oculomotor nerve (disorder)
805 402496001 Basal cell carcinoma of lateral canthus (disorder)
805 402497005 Basal cell carcinoma of root of nose (disorder)
805 402818009 Basal cell carcinoma of nose (disorder)
805 402498000 Basal cell carcinoma of dorsum of nose (disorder)
805 402499008 Basal cell carcinoma of lateral side wall of nose (disorder)
805 402500004 Basal cell carcinoma of ala nasi (disorder)
805 402501000 Basal cell carcinoma of supratip of nose (disorder)
805 402502007 Basal cell carcinoma of tip of nose (disorder)
805 423349005 Carcinoma of tip of nose (disorder)
805 402503002 Basal cell carcinoma of nasal columella (disorder)
805 402504008 Basal cell carcinoma of nasolabial groove (disorder)
805 126969002 Neoplasm of oculomotor nerve (disorder)
805 202439008 Villonodular synovitis of metacarpophalangeal joint (disorder)
805 402505009 Basal cell carcinoma of upper lip (disorder)
805 92256001 Benign neoplasm of olfactory nerve (disorder)
805 202441009 Villonodular synovitis of proximal interphalangeal joint of finger (disorder)
805 126967000 Neoplasm of olfactory nerve (disorder)
805 202442002 Villonodular synovitis of distal interphalangeal joint of finger (disorder)
805 92257005 Benign neoplasm of optic nerve (disorder)
805 395505000 Neoplasm of optic nerve (disorder)
805 92258000 Benign neoplasm of orbit (disorder)
805 402819001 Basal cell carcinoma of skin of lip (disorder)
805 127003006 Neoplasm of orbit proper (disorder)
805 126809003 Neoplasm of oropharynx (disorder)
805 402506005 Basal cell carcinoma of lower lip (disorder)
805 92260003 Benign neoplasm of ovary (disorder)
805 402507001 Basal cell carcinoma of cheek (disorder)
805 123843001 Neoplasm of ovary (disorder)
805 126805009 Neoplasm of palate (disorder)
805 92262006 Benign neoplasm of palatine bone (disorder)
805 202443007 Villonodular synovitis of hip (disorder)
805 402508006 Basal cell carcinoma of chin (disorder)
805 126547002 Neoplasm of palatine bone (disorder)
805 92263001 Benign neoplasm of tonsil (disorder)
805 402509003 Basal cell carcinoma of neck (disorder)
805 202444001 Villonodular synovitis of sacroiliac joint (disorder)
805 127227003 Neoplasm of palatine tonsil (disorder)
805 126859007 Neoplasm of pancreas (disorder)
805 271956003 Benign tumor of exocrine pancreas (disorder)
805 126863000 Neoplasm of pancreatic duct (disorder)
805 92266009 Benign neoplasm of para-aortic body (disorder)
805 127031002 Neoplasm of para-aortic body (disorder)
805 402510008 Basal cell carcinoma of helix of ear (disorder)
805 127027008 Neoplasm of paraganglion (disorder)
805 402511007 Basal cell carcinoma of conchal bowl of ear (disorder)
805 202445000 Villonodular synovitis of knee (disorder)
805 202446004 Villonodular synovitis of tibiofibular joint (disorder)
805 402512000 Basal cell carcinoma of antitragus (disorder)
805 92268005 Benign neoplasm of paramammary lymph nodes (disorder)
805 402513005 Basal cell carcinoma of tragus (disorder)
805 402515003 Basal cell carcinoma of anterior chest (disorder)
805 127258002 Neoplasm of paramammary lymph nodes (disorder)
805 92282005 Benign neoplasm of pectoral axillary lymph nodes (disorder)
805 402523001 Basal cell carcinoma of truncal skin (disorder)
805 423535002 Basal cell carcinoma of chest wall (disorder)
805 92269002 Benign neoplasm of parametrial lymph nodes (disorder)
805 402516002 Basal cell carcinoma of abdomen (disorder)
805 202447008 Villonodular synovitis of ankle (disorder)
805 127271004 Neoplasm of parametrial lymph nodes (disorder)
805 92270001 Benign neoplasm of parametrium (disorder)
805 402517006 Basal cell carcinoma of upper back (disorder)
805 423463003 Basal cell carcinoma of back (disorder)
805 402518001 Basal cell carcinoma of lower back (disorder)
805 402520003 Basal cell carcinoma of hand (disorder)
805 126918002 Neoplasm of parametrium (disorder)
805 92271002 Benign neoplasm of pararectal lymph nodes (disorder)
805 127273001 Neoplasm of pararectal lymph nodes (disorder)
805 92272009 Benign neoplasm of parathyroid gland (disorder)
805 402521004 Basal cell carcinoma of upper extremity (disorder)
805 402522006 Basal cell carcinoma of lower extremity (disorder)
805 402525008 Basal cell carcinoma - adenoid (disorder)
805 402526009 Basal cell carcinoma - follicular (disorder)
805 402527000 Basal cell carcinoma - infiltrative (disorder)
805 402528005 Basal cell carcinoma - keratotic (disorder)
805 127020005 Neoplasm of parathyroid gland (disorder)
805 402529002 Basal cell carcinoma - micronodular (disorder)
805 403910009 Circumscribed solid basal cell carcinoma (disorder)
805 402530007 Basal cell carcinoma with matrical differentiation (disorder)
805 402531006 Basal cell carcinoma with granular cell change (disorder)
805 402532004 Basal cell carcinoma with monster cells (disorder)
805 92273004 Benign neoplasm of paraurethral glands (disorder)
805 402533009 Basal cell carcinoma with sebaceous differentiation (disorder)
805 402534003 Basal cell carcinoma with signet ring change (disorder)
805 402536001 Basal cell carcinoma - primary (disorder)
805 402537005 Metastatic basal cell carcinoma (disorder)
805 402538000 Recurrent basal cell carcinoma (disorder)
805 402539008 Basal cell carcinoma recurrent following excision (disorder)
805 402540005 Basal cell carcinoma recurrent following Mohs' excision (disorder)
805 126884005 Neoplasm of paraurethral glands (disorder)
805 402541009 Basal cell carcinoma recurrent following curettage (disorder)
805 402542002 Basal cell carcinoma recurrent following cryosurgery (disorder)
805 92274005 Benign neoplasm of paravaginal lymph nodes (disorder)
805 402543007 Basal cell carcinoma recurrent following radiotherapy (disorder)
805 127272006 Neoplasm of paravaginal lymph nodes (disorder)
805 92275006 Benign neoplasm of parietal bone (disorder)
805 402544001 Basal cell carcinoma - first recurrence (disorder)
805 402545000 Basal cell carcinoma - second recurrence (disorder)
805 402546004 Basal cell carcinoma - third recurrence (disorder)
805 402547008 Basal cell carcinoma - multiple recurrences (more than three times) (disorder)
805 402548003 Verrucous compound melanocytic nevus (disorder)
805 402549006 Deep penetrating melanocytic nevus (disorder)
805 402550006 Multiple agminated spitz nevi (disorder)
805 402551005 Spitz nevus with intraepidermal pagetoid spread (disorder)
805 402552003 Combined melanocytic nevus (disorder)
805 402554002 Eruptive melanocytic nevi (disorder)
805 402555001 Multiple benign melanocytic nevi (disorder)
805 126540000 Neoplasm of parietal bone (disorder)
805 402556000 Malignant melanoma (radial growth phase) (disorder)
805 92276007 Benign neoplasm of parietal lobe (disorder)
805 402557009 In situ acral lentiginous malignant melanoma (disorder)
805 402558004 Malignant melanoma (vertical growth phase) (disorder)
805 402559007 Congenital malignant melanoma (disorder)
805 402560002 Materno-fetal metastatic malignant melanoma (disorder)
805 402561003 Malignant melanoma of soft tissues (disorder)
805 402562005 Malignant melanoma animal-type (disorder)
805 402563000 Metastatic malignant melanoma with diffuse hypermelanosis (disorder)
805 126956001 Neoplasm of parietal lobe (disorder)
805 92277003 Benign neoplasm of parietal peritoneum (disorder)
805 126866008 Neoplasm of parietal peritoneum (disorder)
805 202448003 Villonodular synovitis of subtalar joint (disorder)
805 92278008 Benign neoplasm of parietal pleura (disorder)
805 202449006 Villonodular synovitis of talonavicular joint (disorder)
805 126720005 Neoplasm of parietal pleura (disorder)
805 92298003 Benign neoplasm of pleura (disorder)
805 92279000 Benign neoplasm of parotid gland (disorder)
805 202451005 Villonodular synovitis of first metatarsophalangeal joint (disorder)
805 202452003 Villonodular synovitis of lesser metatarsophalangeal joint (disorder)
805 202453008 Villonodular synovitis of interphalangeal joint of toe (disorder)
805 126788000 Neoplasm of parotid gland (disorder)
805 92280002 Benign neoplasm of parotid lymph nodes (disorder)
805 202909008 Villonodular synovitis of tendon sheath (disorder)
805 127237008 Neoplasm of parotid lymph nodes (disorder)
805 402564006 Multiple primary malignant melanomata (disorder)
805 402636006 Malignant neoplasm of nail apparatus (disorder)
805 402652009 Malignant vascular tumor of skin (disorder)
805 402817004 Squamous cell carcinoma of nail apparatus (disorder)
805 92281003 Benign neoplasm of patella (disorder)
805 126587007 Neoplasm of patella (disorder)
805 127257007 Neoplasm of pectoral axillary lymph nodes (disorder)
805 126561007 Neoplasm of pelvic bone (disorder)
805 126867004 Neoplasm of pelvic peritoneum (disorder)
805 126644004 Neoplasm of pelvis (disorder)
805 126896003 Neoplasm of penis (disorder)
805 402838005 Congenital/hereditary angiokeratoma (disorder)
805 402839002 Acquired angiokeratoma (disorder)
805 402840000 Solitary papular angiokeratoma (disorder)
805 402841001 Angiokeratoma of vulva (disorder)
805 402842008 Acral pseudolymphomatous angiokeratoma of children (APACHE) (disorder)
805 402868001 Benign neoplasm of lymph vessels (disorder)
805 402871009 Malignant neoplasm of subcutaneous fibrous tissue (disorder)
805 402872002 Benign fibrohistiocytic neoplasm of skin (disorder)
805 402879006 T-cell leukemic infiltration of skin (disorder)
805 402881008 Primary cutaneous B-cell lymphoma (disorder)
805 402882001 Hodgkin's disease affecting skin (disorder)
805 92287004 Benign neoplasm of periadrenal tissue (disorder)
805 230156002 Malignant meningitis (disorder)
805 188867003 Benign neoplasm of connective and soft tissue of retroperitoneum (disorder)
805 126873003 Neoplasm of periadrenal tissue (disorder)
805 92288009 Benign neoplasm of perianal skin (disorder)
805 126514006 Neoplasm of perianal skin (disorder)
805 126734005 Neoplasm of pericardium (disorder)
805 92290005 Benign neoplasm of perirenal tissue (disorder)
805 402910001 Anogenital verrucous carcinoma of Buschke-Löwenstein (disorder)
805 126874009 Neoplasm of perirenal tissue (disorder)
805 92291009 Benign neoplasm of phalanx of foot (disorder)
805 126597003 Neoplasm of phalanx of foot (disorder)
805 92292002 Benign neoplasm of phalanx of hand (disorder)
805 188943007 Benign neoplasm of hand bones (disorder)
805 126580009 Neoplasm of phalanx of hand (disorder)
805 402912009 Vulval verrucous carcinoma of Buschke-Löwenstein (disorder)
805 126685009 Neoplasm of pharynx (disorder)
805 271324001 Benign neoplasm of lip, oral cavity and/or pharynx (disorder)
805 92294001 Benign neoplasm of pineal gland (disorder)
805 230805009 Neuroma of nerve repair (disorder)
805 127026004 Neoplasm of pineal gland (disorder)
805 188947008 Benign neoplasm of pisiform (disorder)
805 127024001 Neoplasm of pituitary gland (disorder)
805 402944008 Condylomata lata of perianal skin (disorder)
805 255200003 Benign tumor of hypothalamus (disorder)
805 231825000 Squamous cell papilloma of eyelid (disorder)
805 92297008 Benign neoplasm of placenta (disorder)
805 314515006 Papilloma of eyelid (disorder)
805 231826004 Seborrheic keratosis of eyelid (disorder)
805 231827008 Nevus of eyelid (disorder)
805 126920004 Neoplasm of placenta (disorder)
805 402945009 Condylomata lata of penis (disorder)
805 255166003 Benign neoplasm of respiratory system (disorder)
805 126719004 Neoplasm of pleura (disorder)
805 92299006 Benign neoplasm of popliteal lymph nodes (disorder)
805 402946005 Condylomata lata of vulva (disorder)
805 231828003 Capillary hemangioma of eyelid (disorder)
805 127265005 Neoplasm of popliteal lymph nodes (disorder)
805 92300003 Benign neoplasm of postcricoid region (disorder)
805 231830001 Bowen's disease of eyelid (disorder)
805 403874009 Intraepidermal squamous carcinoma of face (disorder)
805 126687001 Neoplasm of postcricoid region (disorder)
805 92301004 Benign neoplasm of posterior hypopharyngeal wall (disorder)
805 403198004 Lichenoid actinic keratosis (disorder)
805 126691006 Neoplasm of posterior hypopharyngeal wall (disorder)
805 92302006 Benign neoplasm of posterior mediastinum (disorder)
805 231831002 Squamous cell carcinoma of eyelid (disorder)
805 126727008 Neoplasm of posterior mediastinum (disorder)
805 126682007 Neoplasm of posterior wall of nasopharynx (disorder)
805 92304007 Benign neoplasm of posterior wall of oropharynx (disorder)
805 403892001 Squamous cell carcinoma of skin of face (disorder)
805 403199007 Acantholytic actinic keratosis (disorder)
805 231832009 Basal cell carcinoma of eyelid (disorder)
805 403200005 Atrophic actinic keratosis (disorder)
805 402519009 Basal cell carcinoma of face (disorder)
805 403201009 Proliferative actinic keratosis (disorder)
805 231833004 Sebaceous adenocarcinoma of eyelid (disorder)
805 126816002 Neoplasm of posterior wall of oropharynx (disorder)
805 403202002 Multiple actinic keratoses (disorder)
805 92305008 Benign neoplasm of posterior wall of urinary bladder (disorder)
805 403203007 Multiple actinic keratoses involving scalp (disorder)
805 403204001 Multiple actinic keratoses involving face (disorder)
805 403205000 Multiple actinic keratoses involving forehead and temples (disorder)
805 403206004 Multiple actinic keratoses involving hands (disorder)
805 254650008 Malignant epithelial neoplasm of skin (disorder)
805 441535001 Adenocarcinoma of head and neck (disorder)
805 231835006 Kaposi's sarcoma of eyelid (disorder)
805 232075002 Lymphoma of retina (disorder)
805 126890009 Neoplasm of posterior wall of urinary bladder (disorder)
805 92306009 Benign neoplasm of preauricular lymph nodes (disorder)
805 232338000 Tumor of middle ear and mastoid (disorder)
805 403207008 Multiple actinic keratoses involving lower limbs (disorder)
805 127238003 Neoplasm of preauricular lymph nodes (disorder)
805 92307000 Benign neoplasm of presacral region (disorder)
805 403208003 Diffuse actinic hyperkeratosis (disorder)
805 403311004 Junctional melanocytic nevus of nail matrix (disorder)
805 232388008 Tumor of nasal cavity and nasopharynx (disorder)
805 126646002 Neoplasm of presacral region (disorder)
805 126906006 Neoplasm of prostate (disorder)
805 403409009 Solitary infantile myofibromatosis (disorder)
805 233717003 Diffuse pulmonary neurofibromatosis (disorder)
805 403410004 Multicentric infantile myofibromatosis (disorder)
805 403411000 Aggressive systemic infantile myofibromatosis (disorder)
805 403458008 Localized skin involvement by breast carcinoma (disorder)
805 92309002 Benign neoplasm of pubis (disorder)
805 233719000 Lymphangioleiomyomatosis of skin (disorder)
805 126564004 Neoplasm of pubis (disorder)
805 233854003 Atrial myxoma (disorder)
805 92310007 Benign neoplasm of pyloric antrum (disorder)
805 126830007 Neoplasm of pyloric antrum (disorder)
805 92311006 Benign neoplasm of pylorus (disorder)
805 426191007 Myxoma of heart (disorder)
805 126831006 Neoplasm of pylorus (disorder)
805 233855002 Familial atrial myoxoma (disorder)
805 92312004 Benign neoplasm of pyriform sinus (disorder)
805 403467008 Lichen sclerosus-associated penile intraepithelial neoplasia (disorder)
805 126688006 Neoplasm of pyriform sinus (disorder)
805 403468003 Squamous cell carcinoma of penis (disorder)
805 233940007 Pulmonary tumor embolism (disorder)
805 92313009 Benign neoplasm of radius (disorder)
805 126569009 Neoplasm of radius (disorder)
805 403475002 Vulval intraepithelial neoplasia with lichen sclerosus (disorder)
805 92314003 Benign neoplasm of rectosigmoid junction (disorder)
805 126848003 Neoplasm of rectosigmoid junction (disorder)
805 92318000 Benign neoplasm of rectum (disorder)
805 92343006 Benign neoplasm of sigmoid colon (disorder)
805 92315002 Benign neoplasm of rectouterine pouch (disorder)
805 126868009 Neoplasm of rectouterine pouch (disorder)
805 92316001 Benign neoplasm of rectovaginal septum (disorder)
805 92396002 Benign neoplasm of soft tissues of pelvis (disorder)
805 92473001 Benign neoplasm of vagina (disorder)
805 126648001 Neoplasm of rectovaginal septum (disorder)
805 92317005 Benign neoplasm of rectovesical septum (disorder)
805 126649009 Neoplasm of rectovesical septum (disorder)
805 126847008 Neoplasm of rectum (disorder)
805 92319008 Benign neoplasm of renal pelvis (disorder)
805 126881002 Neoplasm of renal pelvis (disorder)
805 126667002 Neoplasm of respiratory tract (disorder)
805 92321003 Benign neoplasm of retina (disorder)
805 127002001 Neoplasm of retina (disorder)
805 92322005 Benign neoplasm of retrocecal tissue (disorder)
805 126875005 Neoplasm of retrocecal tissue (disorder)
805 92323000 Benign neoplasm of retromolar area (disorder)
805 126804008 Neoplasm of retromolar area (disorder)
805 92324006 Benign neoplasm of retroperitoneal lymph nodes (disorder)
805 127253006 Neoplasm of retroperitoneal lymph nodes (disorder)
805 234140000 Cavernous hemangiomas of face and supraumbilical midline raphe (disorder)
805 92325007 Benign neoplasm of retropharyngeal lymph nodes (disorder)
805 127242000 Neoplasm of retropharyngeal lymph nodes (disorder)
805 92326008 Benign neoplasm of rib (disorder)
805 126558006 Neoplasm of rib (disorder)
805 399965003 Deep hemangioma of skin (disorder)
805 126716006 Neoplasm of right lower lobe of lung (disorder)
805 126715005 Neoplasm of right middle lobe of lung (disorder)
805 126714009 Neoplasm of right upper lobe of lung (disorder)
805 92330006 Benign neoplasm of round ligament of uterus (disorder)
805 126919005 Neoplasm of round ligament of uterus (disorder)
805 92331005 Benign neoplasm of sacrococcygeal region (disorder)
805 403476001 Vulval intraepithelial neoplasia with squamous epithelial hyperplasia (disorder)
805 126647006 Neoplasm of sacrococcygeal region (disorder)
805 92332003 Benign neoplasm of sacrum (disorder)
805 126556005 Neoplasm of sacrum (disorder)
805 92333008 Benign neoplasm of scalene lymph nodes (disorder)
805 127244004 Neoplasm of scalene lymph nodes (disorder)
805 126566002 Neoplasm of scapula (disorder)
805 92335001 Benign neoplasm of sclera (disorder)
805 235001002 Gingival fibroepithelial polyp (disorder)
805 126999006 Neoplasm of sclera (disorder)
805 126905005 Neoplasm of scrotum (disorder)
805 92337009 Benign neoplasm of sebaceous gland (disorder)
805 403711001 Psoralen and long-wave ultraviolet radiation (PUVA) therapy-associated skin malignancy (disorder)
805 403712008 Psoralen and long-wave ultraviolet radiation (PUVA) therapy-associated basal cell carcinoma (disorder)
805 403713003 Psoralen and long-wave ultraviolet radiation (PUVA) therapy-associated squamous cell carcinoma (disorder)
805 235686008 Fundic gland polyposis of stomach (disorder)
805 403714009 Psoralen and long-wave ultraviolet radiation (PUVA) therapy-associated malignant melanoma (disorder)
805 188973003 Benign neoplasm of middle cuneiform (disorder)
805 403728003 Radiation-induced keratosis (disorder)
805 403729006 Radiation-induced skin malignancy (disorder)
805 92339007 Benign neoplasm of septum of nose (disorder)
805 271476003 Benign neoplasm of short bones of lower limb (disorder)
805 92341008 Benign neoplasm of short bone of upper limb (disorder)
805 126571009 Neoplasm of short bone of upper limb (disorder)
805 235964005 Neoplastic cyst of pancreas (disorder)
805 126651008 Neoplasm of shoulder (disorder)
805 126845000 Neoplasm of sigmoid colon (disorder)
805 235965006 Malignant cystic tumor of exocrine pancreas (disorder)
805 92344000 Benign neoplasm of skin of abdomen (disorder)
805 235966007 Cystadenocarcinoma of pancreas (disorder)
805 126507009 Neoplasm of skin of abdomen (disorder)
805 92380000 Benign neoplasm of skin of trunk (disorder)
805 235967003 Cystadenoma of pancreas (disorder)
805 92345004 Benign neoplasm of skin of ankle (disorder)
805 235968008 Benign cystic tumor of exocrine pancreas (disorder)
805 92394004 Benign neoplasm of soft tissues of lower limb (disorder)
805 92370004 Benign neoplasm of skin of lower limb (disorder)
805 126530003 Neoplasm of skin of ankle (disorder)
805 236512004 Leukemic infiltrate of kidney (disorder)
805 92346003 Benign neoplasm of skin of arm (disorder)
805 92382008 Benign neoplasm of skin of upper limb (disorder)
805 92347007 Benign neoplasm of skin of axilla (disorder)
805 236513009 Lymphoma of kidney (disorder)
805 237058000 Sex cord tumor of ovary (disorder)
805 92352002 Benign neoplasm of skin of chest (disorder)
805 126506000 Neoplasm of skin of axilla (disorder)
805 92348002 Benign neoplasm of skin of back (disorder)
805 126508004 Neoplasm of skin of back (disorder)
805 92349005 Benign neoplasm of skin of breast (disorder)
805 126510002 Neoplasm of skin of breast (disorder)
805 237059008 Germ cell tumor of ovary (disorder)
805 403741004 Arsenical keratosis (disorder)
805 92350005 Benign neoplasm of skin of buttock (disorder)
805 126511003 Neoplasm of skin of buttock (disorder)
805 92389004 Benign neoplasm of soft tissues of buttock (disorder)
805 237063001 Primary broad ligament fibroid (disorder)
805 237064007 Round ligament fibroid (disorder)
805 92351009 Benign neoplasm of skin of cheek (disorder)
805 237065008 Ovarian ligament fibroid (disorder)
805 403742006 Arsenic-induced skin malignancy (disorder)
805 92359006 Benign neoplasm of skin of face (disorder)
805 237252008 Placental site trophoblastic tumor (disorder)
805 126493001 Neoplasm of skin of cheek (disorder)
805 237268002 Chorioangioma (disorder)
805 126509007 Neoplasm of skin of chest (disorder)
805 92399009 Benign neoplasm of soft tissues of thorax (disorder)
805 237457000 Cutaneous papilloma of breast (disorder)
805 92353007 Benign neoplasm of skin of chin (disorder)
805 237467005 Erosive adenomatosis of nipple (disorder)
805 403815003 Axillary freckling due to neurofibromatosis (disorder)
805 237468000 Cutaneous papilloma of nipple (disorder)
805 254959007 Thyrotroph adenoma (disorder)
805 126497000 Neoplasm of skin of chin (disorder)
805 92354001 Benign neoplasm of skin of ear (disorder)
805 302822000 Insulinoma (disorder)
805 403816002 Multiple café-au-lait macules due to neurofibromatosis (disorder)
805 126501005 Neoplasm of skin of ear (disorder)
805 403817006 Multiple neurofibromas in neurofibromatosis (disorder)
805 271477007 Benign neoplasm of skin of ear and external auditory meatus (disorder)
805 277157002 Benign tumor of external ear (disorder)
805 403818001 Plexiform neurofibroma (disorder)
805 403819009 Elephantiasis neurofibromatosa (disorder)
805 237719001 Pituitary adenoma with extrasellar extension (disorder)
805 403820003 Café-au-lait macules with pulmonary stenosis (disorder)
805 403821004 Café-au-lait macules with temporal dysrhythmia (disorder)
805 92355000 Benign neoplasm of skin of elbow (disorder)
805 403822006 Familial multiple café-au-lait macules without neurofibromatosis (disorder)
805 403823001 Periungual fibroma in tuberous sclerosis (disorder)
805 237795006 Virilizing ovarian tumor (disorder)
805 403824007 Torré-Muir syndrome (disorder)
805 189058007 Benign neoplasm of skin of external auditory meatus (disorder)
805 237832001 Gastrointestinal hormone-secreting endocrine tumor (disorder)
805 255046005 Neuroendocrine tumor (disorder)
805 237833006 Carcinoid crisis (disorder)
805 403825008 Familial multiple trichoepitheliomata (disorder)
805 237865009 Primary amyloidosis of light chain type (disorder)
805 92357008 Benign neoplasm of skin of eyebrow (disorder)
805 403826009 Familial multiple cylindroma (disorder)
805 403857009 Multiple skin tags (disorder)
805 92363004 Benign neoplasm of skin of forehead (disorder)
805 403858004 Multiple skin tags of eyelids (disorder)
805 126494007 Neoplasm of skin of eyebrow (disorder)
805 92358003 Benign neoplasm of skin of eyelid (disorder)
805 231824001 Benign tumor of eyelid (disorder)
805 403859007 Multiple skin tags on neck (disorder)
805 126499002 Neoplasm of skin of eyelid (disorder)
805 297134004 Benign neoplasm of skin of head and neck (disorder)
805 126492006 Neoplasm of skin of face (disorder)
805 403860002 Multiple axillary skin tags (disorder)
805 238528004 Actinic reaction (disorder)
805 238631008 Linear porokeratosis (disorder)
805 238632001 Giant porokeratosis (disorder)
805 238633006 Disseminated superficial porokeratosis (disorder)
805 403861003 Multiple skin tags in groin (disorder)
805 92360001 Benign neoplasm of skin of finger (disorder)
805 238770007 Intravascular papillary endothelial hyperplasia (disorder)
805 238805008 Acquired lymphangioma (disorder)
805 254146000 Infantile myofibromatosis (disorder)
805 403862005 Plane basal cell papilloma (disorder)
805 403863000 Multiple basal cell papillomata (disorder)
805 126523009 Neoplasm of skin of finger (disorder)
805 403864006 Basal cell papilloma solid (acanthotic) type (disorder)
805 403865007 Basal cell papilloma hyperkeratotic type (disorder)
805 403866008 Basal cell papilloma reticulated (adenoid) type (disorder)
805 126531004 Neoplasm of skin of foot (disorder)
805 403867004 Basal cell papilloma clonal type (disorder)
805 403869001 Stucco keratosis (disorder)
805 403870000 Multiple stucco keratoses (disorder)
805 403871001 Cutaneous horn (disorder)
805 403872008 Tar keratosis (disorder)
805 238863004 Giant cell fibroblastoma of skin (disorder)
805 254749001 Fibrohistiocytic tumor of skin (disorder)
805 238864005 Aggressive infantile fibromatosis (disorder)
805 403873003 Intraepidermal squamous carcinoma of scalp (disorder)
805 239096008 Neonatal adnexal polyp (disorder)
805 92362009 Benign neoplasm of skin of forearm (disorder)
805 126520007 Neoplasm of skin of forearm (disorder)
805 403875005 Intraepidermal squamous carcinoma of forehead (disorder)
805 126496009 Neoplasm of skin of forehead (disorder)
805 403876006 Intraepidermal squamous carcinoma of ear (disorder)
805 92364005 Benign neoplasm of skin of groin (disorder)
805 126512005 Neoplasm of skin of groin (disorder)
805 189066003 Benign neoplasm of skin of trunk, excluding scrotum (disorder)
805 403877002 Intraepidermal squamous carcinoma of hand (disorder)
805 126522004 Neoplasm of skin of hand (disorder)
805 92366007 Benign neoplasm of skin of hip (disorder)
805 403878007 Intraepidermal squamous carcinoma of upper extremity (disorder)
805 403879004 Intraepidermal squamous carcinoma of lower extremity (disorder)
805 126525002 Neoplasm of skin of hip (disorder)
805 403881002 Bowen's disease, atrophic (disorder)
805 403882009 Bowen's disease, verrucous (disorder)
805 92367003 Benign neoplasm of skin of knee (disorder)
805 239132009 Atrial myxoma with lentigines (disorder)
805 403883004 Bowen's disease, psoriasiform (disorder)
805 403884005 Bowen's disease, pigmented (disorder)
805 403885006 Bowen's disease, pagetoid (disorder)
805 403886007 Bowen's disease, clonal (disorder)
805 403887003 Bowen's disease, clear cell (disorder)
805 126528000 Neoplasm of skin of knee (disorder)
805 403888008 Multiple intraepidermal squamous carcinomata (disorder)
805 189084001 Benign neoplasm of skin of lower leg (disorder)
805 126498005 Neoplasm of skin of lip (disorder)
805 239147000 Mast cell nevus (disorder)
805 403889000 Verrucous carcinoma of oral cavity (disorder)
805 240204004 Synovial-like neoplasm (disorder)
805 126524003 Neoplasm of skin of lower limb (disorder)
805 240531002 African Burkitt's lymphoma (disorder)
805 92371000 Benign neoplasm of skin of neck (disorder)
805 126504002 Neoplasm of skin of neck (disorder)
805 240545008 Anogenital papillomaviral intraepithelial neoplasia (disorder)
805 189064000 Benign neoplasm of scalp and skin of neck (disorder)
805 92372007 Benign neoplasm of skin of nose (disorder)
805 126495008 Neoplasm of skin of nose (disorder)
805 126513000 Neoplasm of skin of perineum (disorder)
805 92397006 Benign neoplasm of soft tissues of perineum (disorder)
805 92374008 Benign neoplasm of skin of popliteal area (disorder)
805 126527005 Neoplasm of skin of popliteal area (disorder)
805 92375009 Benign neoplasm of skin of scalp (disorder)
805 126500006 Neoplasm of skin of scalp (disorder)
805 92376005 Benign neoplasm of skin of shoulder (disorder)
805 423464009 Squamous cell carcinoma of oropharynx (disorder)
805 189078004 Benign neoplasm of skin of upper limb and shoulder (disorder)
805 92377001 Benign neoplasm of skin of temporal region (disorder)
805 403890009 Squamous cell carcinoma of vulva due to lichen sclerosus (disorder)
805 126503008 Neoplasm of skin of temporal region (disorder)
805 403891008 Squamous cell carcinoma of scalp (disorder)
805 92378006 Benign neoplasm of skin of thigh (disorder)
805 403893006 Squamous cell carcinoma of forehead (disorder)
805 126526001 Neoplasm of skin of thigh (disorder)
805 403894000 Squamous cell carcinoma of skin of ear (disorder)
805 92379003 Benign neoplasm of skin of toe (disorder)
805 252991009 Cervical intraepithelial neoplasia grade III with severe dysplasia (disorder)
805 403898002 Squamous cell carcinoma of skin of lower extremity (disorder)
805 276875006 Vulval intraepithelial neoplasia grade 3 (disorder)
805 403896003 Squamous cell carcinoma of hand (disorder)
805 252997008 Sebaceous trichofolliculoma (disorder)
805 274899008 Trichofolliculoma (disorder)
805 403897007 Squamous cell carcinoma of upper extremity (disorder)
805 253000007 Neuroendocrine carcinoma (disorder)
805 253001006 Merkel cell carcinoma (disorder)
805 403903003 Signet ring squamous cell carcinoma (disorder)
805 403905005 Multiple squamous cell carcinomata (disorder)
805 253096008 Peripheral neuroectodermal tumor (disorder)
805 403906006 Metastatic squamous cell carcinoma (disorder)
805 403907002 Giant keratoacanthoma (disorder)
805 253002004 Carcinoid tumor of appendix (disorder)
805 403908007 Subungual keratoacanthoma (disorder)
805 126532006 Neoplasm of skin of toe (disorder)
805 403909004 Pigmented basal cell carcinoma (disorder)
805 126505001 Neoplasm of skin of trunk (disorder)
805 403911008 Nodulo-ulcerative basal cell carcinoma (disorder)
805 403912001 Cystic basal cell carcinoma (disorder)
805 403913006 Morpheic basal cell carcinoma (disorder)
805 403914000 Superficial basal cell carcinoma (disorder)
805 403916003 Basal cell carcinoma of forehead (disorder)
805 403917007 Basal cell carcinoma of temple (disorder)
805 403918002 Basal cell carcinoma of glabella (disorder)
805 92381001 Benign neoplasm of skin of umbilicus (disorder)
805 403919005 Basal cell carcinoma of upper eyelid (disorder)
805 126515007 Neoplasm of skin of umbilicus (disorder)
805 92401003 Benign neoplasm of soft tissues of upper limb (disorder)
805 403920004 Minimal deviation malignant melanoma (disorder)
805 126516008 Neoplasm of skin of upper limb (disorder)
805 403921000 Borderline malignant melanoma (disorder)
805 403922007 Balloon cell malignant melanoma (disorder)
805 403923002 Spindle cell malignant melanoma (disorder)
805 403924008 Desmoplastic malignant melanoma (disorder)
805 403925009 Neurotropic malignant melanoma (disorder)
805 276819005 Carcinoid tumor of large intestine (disorder)
805 403927001 Malignant melanoma of nail apparatus (disorder)
805 253003009 Carcinoid bronchial adenoma (disorder)
805 92383003 Benign neoplasm of skin of wrist (disorder)
805 403928006 Desmoplastic trichilemmoma (disorder)
805 403929003 Trichilemmal carcinoma (disorder)
805 126521006 Neoplasm of skin of wrist (disorder)
805 443492008 Carcinoid tumor (disorder)
805 253005002 Vasoactive intestinal peptide-secreting tumor (disorder)
805 126488004 Neoplasm of skin (disorder)
805 403930008 Familial multiple pilomatrixoma (disorder)
805 126832004 Neoplasm of small intestine (disorder)
805 403931007 Mantleoma (disorder)
805 253006001 Somatostatinoma (disorder)
805 403932000 Trichogerminoma (disorder)
805 253008000 Apudoma (disorder)
805 253010003 Microprolactinoma (disorder)
805 403933005 Sebaceoma (disorder)
805 403934004 Clear cell syringoma (disorder)
805 403935003 Familial multiple syringomata (disorder)
805 403936002 Eccrine syringofibroadenoma of skin (disorder)
805 403937006 Hidroacanthoma simplex of skin (disorder)
805 403938001 Eccrine spiradenoma of skin (disorder)
805 92386006 Benign neoplasm of soft palate (disorder)
805 403939009 Eccrine ductal carcinoma of skin (disorder)
805 403940006 Clear cell eccrine hidradenocarcinoma of skin (disorder)
805 403941005 Malignant cylindroma of skin (disorder)
805 403942003 Malignant eccrine spiradenoma of skin (disorder)
805 403943008 Malignant chondroid syringoma of skin (disorder)
805 403944002 Small cell eccrine carcinoma of skin (disorder)
805 253011004 Macroprolactinoma (disorder)
805 403945001 Ceruminous adenoma (disorder)
805 253017000 Klatskin's tumor (disorder)
805 403946000 Paget's disease of nipple (disorder)
805 253018005 Fibrolamellar hepatocellular carcinoma (disorder)
805 254715009 Benign skin tumor with eccrine differentiation (disorder)
805 253021007 Eccrine papillary adenoma of skin (disorder)
805 253029009 Gangliocytic paraganglioma (disorder)
805 302833002 Paraganglioma (disorder)
805 253030004 Glomus vagale tumor (disorder)
805 253031000 Glomus tympanicum tumor (disorder)
805 253038006 Spindle cell nevus (disorder)
805 398670003 Pigmented dermatofibrosarcoma protuberans of skin (disorder)
805 403947009 Perianal Paget's disease (disorder)
805 398903003 Pleomorphic malignant fibrous histiocytoma of skin (disorder)
805 253042009 Myxoid dermatofibrosarcoma protuberans (disorder)
805 254240003 Neurofibromatosis type 3 (disorder)
805 126807001 Neoplasm of soft palate (disorder)
805 254241004 Segmental neurofibromatosis (disorder)
805 126611005 Neoplasm of soft tissues of abdomen (disorder)
805 92400002 Benign neoplasm of soft tissues of trunk (disorder)
805 403948004 Vulval Paget's disease (disorder)
805 92388007 Benign neoplasm of soft tissues of axilla (disorder)
805 254242006 Diffuse neurofibroma (disorder)
805 404029005 Neurofibroma (disorder)
805 254289008 Post-transplant neoplasia (disorder)
805 254389005 Carcinoma of vermilion border of upper lip (disorder)
805 126610006 Neoplasm of soft tissues of axilla (disorder)
805 126613008 Neoplasm of soft tissues of buttock (disorder)
805 254390001 Carcinoma of vermilion border of lower lip (disorder)
805 403949007 Apocrine adenocarcinoma of skin (disorder)
805 254391002 Tumor of labial mucosa (disorder)
805 254392009 Tumor of frenum of lip (disorder)
805 254393004 Carcinoma of frenum of lip (disorder)
805 92392000 Benign neoplasm of soft tissues of hip (disorder)
805 403950007 Moll's gland adenocarcinoma (disorder)
805 254394005 Carcinoma in situ of frenum of lip (disorder)
805 92390008 Benign neoplasm of soft tissues of face (disorder)
805 126602005 Neoplasm of soft tissues of face (disorder)
805 255195007 Benign tumor of soft tissue of head, face and neck (disorder)
805 126606008 Neoplasm of soft tissues of hip (disorder)
805 403951006 Ceruminous gland adenocarcinoma of skin (disorder)
805 403952004 Lymphoepithelial tumor of skin (disorder)
805 403953009 Cutaneous lymphadenoma (disorder)
805 403954003 Mixed eccrine/pilar adnexal carcinoma of skin (disorder)
805 403955002 Undifferentiated adnexal carcinoma of skin (disorder)
805 254396007 Tumor of upper labial mucosa (disorder)
805 403956001 Mixed adnexal neoplasm of skin, unclassifiable (disorder)
805 254398008 Carcinoma of frenum of upper lip (disorder)
805 403957005 Angiomatous nevus with complication (disorder)
805 403958000 Ulcerated angiomatous nevus (disorder)
805 254399000 Carcinoma in situ of frenum of upper lip (disorder)
805 403959008 Angiomatous nevus impairing vision (disorder)
805 403961004 Pyogenic granuloma of lip (disorder)
805 92393005 Benign neoplasm of soft tissues of inguinal region (disorder)
805 126614002 Neoplasm of soft tissues of inguinal region (disorder)
805 403962006 Epithelioid hemangioma involving ear (disorder)
805 126607004 Neoplasm of soft tissues of lower limb (disorder)
805 403970001 Glomangioma of skin (disorder)
805 403971002 Glomangiomyoma of skin (disorder)
805 92395003 Benign neoplasm of soft tissues of neck (disorder)
805 254400007 Tumor of lower labial mucosa (disorder)
805 254402004 Carcinoma of frenum of lower lip (disorder)
805 126603000 Neoplasm of soft tissues of neck (disorder)
805 126612003 Neoplasm of soft tissues of pelvis (disorder)
805 126615001 Neoplasm of soft tissues of perineum (disorder)
805 254403009 Carcinoma in situ of frenum of lower lip (disorder)
805 92398001 Benign neoplasm of soft tissues of shoulder (disorder)
805 403972009 Familial glomus tumor of skin (disorder)
805 254404003 Carcinoma of commissure of lip (disorder)
805 403973004 Subungual glomus tumor (disorder)
805 254406001 Carcinoma in situ of anterior two-thirds of tongue - dorsal surface (disorder)
805 403974005 Myopericytoma of skin (disorder)
805 403975006 Acquired progressive lymphangioma (disorder)
805 126609001 Neoplasm of soft tissues of thorax (disorder)
805 126608009 Neoplasm of soft tissues of trunk (disorder)
805 126605007 Neoplasm of soft tissues of upper limb (disorder)
805 254407005 Tumor of anterior two-thirds of tongue - lateral margin (disorder)
805 403978008 Kaposi's sarcoma - sporadic (disorder)
805 403979000 Kaposi's sarcoma - endemic (disorder)
805 254408000 Malignant tumor of anterior two-thirds of tongue - lateral margin (disorder)
805 403981003 Epithelioid hemangioendothelioma (disorder)
805 403982005 Retiform hemangioendothelioma (disorder)
805 403983000 Kaposiform hemangioendothelioma (disorder)
805 403984006 Composite hemangioendothelioma (disorder)
805 403985007 Intravascular angiosarcoma (disorder)
805 254409008 Carcinoma in situ of anterior two-thirds of tongue - lateral margin (disorder)
805 403987004 Nuchal fibroma (disorder)
805 254410003 Benign tumor of anterior two-thirds of tongue - lateral margin (disorder)
805 254412006 Malignant tumor of tip of tongue (disorder)
805 403991009 Fibro-osseous pseudotumor (disorder)
805 254413001 Carcinoma in situ of tip of tongue (disorder)
805 403992002 Fibroma of tendon sheath (disorder)
805 254414007 Benign tumor of tip of tongue (disorder)
805 403993007 Storiform collagenoma (disorder)
805 254417000 Carcinoma of frenum linguae (disorder)
805 403994001 Giant cell storiform collagenoma (disorder)
805 403995000 Dermatomyofibroma (disorder)
805 254418005 Carcinoma in situ of frenum linguae (disorder)
805 403996004 Infantile fibrosarcoma (disorder)
805 254419002 Benign tumor of frenum linguae (disorder)
805 427186000 Dermatofibroma (disorder)
805 403998003 Pigmented histiocytoma of skin (disorder)
805 254423005 Carcinoma of lingual tonsil (disorder)
805 403999006 Sclerosing angioma of skin (disorder)
805 404000008 Atrophic dermatofibroma (disorder)
805 404001007 Cellular histiocytoma of skin (disorder)
805 404002000 Atypical (pseudosarcomatous) histiocytoma of skin (disorder)
805 254424004 Carcinoma of upper gum (disorder)
805 404003005 Aneurysmal histiocytoma of skin (disorder)
805 404004004 Keloidal histiocytoma of skin (disorder)
805 404005003 Palisaded histiocytoma of skin (disorder)
805 254425003 Carcinoma of lower gum (disorder)
805 404006002 Clear cell histiocytoma of skin (disorder)
805 404007006 Granular cell histiocytoma of skin (disorder)
805 371997009 Primary malignant neoplasm of lower gum (disorder)
805 404008001 Dermatofibrosarcoma protuberans with myoid differentiation (disorder)
805 404009009 Dermatofibrosarcoma protuberans with granular cell change (disorder)
805 254427006 Carcinoma of anterior part of floor of mouth (disorder)
805 254431000 Carcinoma of lateral part of floor of mouth (disorder)
805 404010004 Dermatofibrosarcoma protuberans with giant cell fibroblastoma (disorder)
805 404011000 Plexiform fibrohistiocytic tumor of skin (disorder)
805 92402005 Benign neoplasm of spermatic cord (disorder)
805 254434008 Carcinoma of hard palate (disorder)
805 404012007 Atypical fibroxanthoma - spindle cell type (disorder)
805 254435009 Carcinoma of soft palate (disorder)
805 404013002 Angiomatoid fibrous histiocytoma of skin (disorder)
805 404015009 Superficial malignant fibrous histiocytoma of skin (disorder)
805 404016005 Giant cell malignant fibrous histiocytoma of skin (disorder)
805 404017001 Inflammatory malignant fibrous histiocytoma of skin (disorder)
805 254436005 Carcinoma of uvula (disorder)
805 404018006 Cutaneous neuroma (disorder)
805 404019003 Palisaded encapsulated neuroma (disorder)
805 404020009 Digital pacinian neuroma (disorder)
805 404021008 Cutaneous meningioma (disorder)
805 419842002 Squamous cell carcinoma of oral mucous membrane (disorder)
805 404023006 Ancient neurilemmoma (disorder)
805 404024000 Melanotic neurilemmoma (disorder)
805 126904009 Neoplasm of spermatic cord (disorder)
805 404025004 Plexiform neurilemmoma (disorder)
805 404026003 Cellular neurilemmoma (disorder)
805 92403000 Benign neoplasm of sphenoid bone (disorder)
805 404027007 Glandular neurilemmoma (disorder)
805 404028002 Pacinian neurilemmoma (disorder)
805 404030000 Solitary neurofibroma (disorder)
805 126543003 Neoplasm of sphenoid bone (disorder)
805 404031001 Myxoid neurofibroma (disorder)
805 404032008 Epithelioid neurofibroma (disorder)
805 404033003 Pacinian neurofibroma (disorder)
805 92404006 Benign neoplasm of sphenoidal sinus (disorder)
805 404036006 Perineurioma (disorder)
805 404037002 Malignant peripheral nerve sheath tumor (disorder)
805 404038007 Epithelioid malignant nerve sheath tumor (disorder)
805 254438006 Tumor of buccal sulcus (disorder)
805 404039004 Melanotic malignant nerve sheath tumor (disorder)
805 404040002 Malignant Triton tumor (disorder)
805 404041003 Malignant granular cell tumor (disorder)
805 404042005 Pigmented neuroectodermal tumor of infancy (disorder)
805 254441002 Carcinoma of upper buccal sulcus (disorder)
805 404043000 Familial multiple leiomyoma cutis (disorder)
805 404044006 Genital leiomyoma (disorder)
805 254442009 Carcinoma in situ of upper buccal sulcus (disorder)
805 126679002 Neoplasm of sphenoidal sinus (disorder)
805 92405007 Benign neoplasm of spinal cord (disorder)
805 254443004 Benign tumor of upper buccal sulcus (disorder)
805 404045007 Epithelioid leiomyosarcoma of skin (disorder)
805 404046008 Myxoid leiomyosarcoma of skin (disorder)
805 254445006 Carcinoma of lower buccal sulcus (disorder)
805 404047004 Cutaneous leiomyosarcoma with granular cell change (disorder)
805 404048009 Adult rhabdomyoma (disorder)
805 254446007 Carcinoma in situ of lower buccal sulcus (disorder)
805 404049001 Fetal rhabdomyoma (disorder)
805 404050001 Genital rhabdomyoma (disorder)
805 254447003 Benign tumor of lower buccal sulcus (disorder)
805 404051002 Embryonal rhabdomyosarcoma (disorder)
805 404052009 Botryoid rhabdomyosarcoma (disorder)
805 404053004 Alveolar rhabdomyosarcoma (disorder)
805 254448008 Tumor of labial sulcus (disorder)
805 404054005 Pleomorphic rhabdomyosarcoma (disorder)
805 404055006 Spindle cell rhabdomyosarcoma (disorder)
805 404056007 Alveolar soft part sarcoma (disorder)
805 404057003 Angiolipoma (disorder)
805 254450000 Carcinoma of upper labial sulcus (disorder)
805 126962006 Neoplasm of spinal cord (disorder)
805 254451001 Carcinoma in situ upper labial sulcus (disorder)
805 92406008 Benign neoplasm of spinal meninges (disorder)
805 254452008 Benign tumor of upper labial sulcus (disorder)
805 404058008 Spindle cell lipoma (disorder)
805 404059000 Pleomorphic lipoma (disorder)
805 254454009 Carcinoma of lower labial sulcus (disorder)
805 404060005 Frontalis-associated lipoma (disorder)
805 254455005 Carcinoma in situ of lower labial sulcus (disorder)
805 404061009 Oral lipoma (disorder)
805 254456006 Benign tumor of lower labial sulcus (disorder)
805 126964007 Neoplasm of spinal meninges (disorder)
805 254457002 Carcinoma of retromolar area (disorder)
805 92408009 Benign neoplasm of spleen (disorder)
805 404062002 Multiple lipomata (disorder)
805 404063007 Familial multiple lipomata (disorder)
805 254460009 Carcinoma in situ of anterior pillar of fauces (disorder)
805 404064001 Hibernoma (disorder)
805 404065000 Chondroid lipoma (disorder)
805 404066004 Myolipoma (disorder)
805 254470006 Benign tumor of tympanic cavity (disorder)
805 404067008 Adipocytic liposarcoma (disorder)
805 404068003 Sclerosing liposarcoma (disorder)
805 404069006 Myxoid liposarcoma (disorder)
805 404070007 Round cell liposarcoma (disorder)
805 127230005 Neoplasm of spleen (disorder)
805 404071006 Pleomorphic liposarcoma (disorder)
805 92409001 Benign neoplasm of splenic flexure of colon (disorder)
805 404072004 Dedifferentiated liposarcoma (disorder)
805 404073009 Spindle cell liposarcoma (disorder)
805 404076001 Ossifying fibromyxoid tumor (disorder)
805 404077005 Extraskeletal osteosarcoma (disorder)
805 404078000 Soft tissue chondroma (disorder)
805 404079008 Extraskeletal myxoid chondrosarcoma (disorder)
805 443520009 Chondrosarcoma (disorder)
805 404080006 Extraskeletal mesenchymal chondrosarcoma (disorder)
805 404081005 Yolk sac tumor (disorder)
805 404082003 Myxoma (disorder)
805 404083008 Angiomyxoma (disorder)
805 404084002 Superficial angiomyxoma (disorder)
805 404085001 Aggressive angiomyxoma (disorder)
805 404086000 Parachordoma (disorder)
805 404087009 Carcinosarcoma of skin (disorder)
805 404088004 Low-grade fibromyxoid sarcoma (disorder)
805 404089007 Extrarenal rhabdoid tumor (disorder)
805 92410006 Benign neoplasm of sternum (disorder)
805 254472003 Benign tumor of tympanic antrum (disorder)
805 404090003 Malignant infiltration of oral cavity by underlying tumor (disorder)
805 404091004 Malignant infiltration of skin by underlying tumor (disorder)
805 404092006 Carcinomatous metastasis in skin (disorder)
805 404093001 Sarcomatous metastasis in skin (disorder)
805 126559003 Neoplasm of sternum (disorder)
805 404094007 Metastasis involving oral cavity (disorder)
805 92412003 Benign neoplasm of subglottis (disorder)
805 404103007 Lymphomatoid papulosis type A (CD-30 positive type) (disorder)
805 254473008 Tumor of nasal skeleton, bony and cartilaginous (disorder)
805 254474002 Malignant tumor of nasal skeleton (disorder)
805 254475001 Benign tumor of nasal skeleton (disorder)
805 404104001 Lymphomatoid papulosis type B - mycosis fungoides-like (disorder)
805 254476000 Tumor of lateral nasal wall (disorder)
805 404105000 Lymphomatoid papulosis type C (anaplastic large-cell lymphoma-like) (disorder)
805 404106004 Lymphomatoid papulosis with Hodgkin's disease (disorder)
805 254477009 Tumor of inferior turbinate (disorder)
805 254478004 Malignant tumor of inferior turbinate (disorder)
805 404107008 Patch/plaque stage mycosis fungoides (disorder)
805 254480005 Tumor of middle turbinate (disorder)
805 254481009 Malignant tumor of middle turbinate (disorder)
805 126696001 Neoplasm of subglottis (disorder)
805 92413008 Benign neoplasm of sublingual gland (disorder)
805 126790004 Neoplasm of sublingual gland (disorder)
805 92414002 Benign neoplasm of submandibular lymph nodes (disorder)
805 254482002 Benign tumor of middle turbinate (disorder)
805 404108003 Poikilodermatous mycosis fungoides (disorder)
805 404109006 Follicular mucinosis type mycosis fungoides (disorder)
805 127239006 Neoplasm of submandibular lymph nodes (disorder)
805 254483007 Tumor of posterior margin of nasal septum and choanae (disorder)
805 92415001 Benign neoplasm of submaxillary gland (disorder)
805 254492005 Tumor of nasopharyngeal surface of soft palate (disorder)
805 254464000 Tumor of submandibular gland (disorder)
805 92416000 Benign neoplasm of submental lymph nodes (disorder)
805 92417009 Benign neoplasm of superficial inguinal lymph nodes (disorder)
805 254497004 Tumor of anterior tonsillar pillar (disorder)
805 254498009 Tumor of posterior tonsillar pillar (disorder)
805 127263003 Neoplasm of superficial inguinal lymph nodes (disorder)
805 254501009 Tumor of inferior surface of soft palate (disorder)
805 92418004 Benign neoplasm of superior wall of nasopharynx (disorder)
805 254503007 Malignant tumor of inferior surface of soft palate (disorder)
805 126681000 Neoplasm of superior wall of nasopharynx (disorder)
805 404110001 Hypomelanotic mycosis fungoides (disorder)
805 254504001 Benign tumor of inferior surface of soft palate (disorder)
805 92419007 Benign neoplasm of supraclavicular lymph nodes (disorder)
805 92420001 Benign neoplasm of supraclavicular region (disorder)
805 127241007 Neoplasm of supraclavicular lymph nodes (disorder)
805 126697005 Neoplasm of supraglottis (disorder)
805 254508003 Tumor of anterior commissure (disorder)
805 92422009 Benign neoplasm of sweat gland (disorder)
805 126490003 Neoplasm of sweat gland (disorder)
805 404111002 Lymphomatoid papulosis-associated mycosis fungoides (disorder)
805 92423004 Benign neoplasm of tail of pancreas (disorder)
805 404112009 Granulomatous mycosis fungoides (disorder)
805 126862005 Neoplasm of tail of pancreas (disorder)
805 404113004 Tumor stage mycosis fungoides (disorder)
805 404114005 Erythrodermic mycosis fungoides (disorder)
805 254509006 Malignant tumor of anterior commissure (disorder)
805 404115006 Bullous mycosis fungoides (disorder)
805 254510001 Carcinoma in situ of anterior commissure (disorder)
805 404116007 Mycosis fungoides with systemic infiltration (disorder)
805 404117003 Spongiotic mycosis fungoides (disorder)
805 254511002 Benign tumor of anterior commissure (disorder)
805 404118008 Syringotropic mycosis fungoides (disorder)
805 254512009 Tumor of posterior commissure (disorder)
805 404119000 Pagetoid reticulosis (disorder)
805 254513004 Malignant tumor of posterior commissure (disorder)
805 404120006 Localized pagetoid reticulosis (disorder)
805 404121005 Generalized pagetoid reticulosis (disorder)
805 254514005 Carcinoma in situ of posterior commissure (disorder)
805 404122003 Leukemic infiltration of skin (chronic T-cell lymphocytic leukemia) (disorder)
805 254515006 Benign tumor of posterior commissure (disorder)
805 254516007 Tumor of suprahyoid epiglottis (disorder)
805 404123008 Leukemic infiltration of skin (T-cell prolymphocytic leukemia) (disorder)
805 254517003 Malignant tumor of suprahyoid epiglottis (disorder)
805 404124002 Leukemic infiltration of skin (T-cell lymphoblastic leukemia) (disorder)
805 254518008 Benign tumor of suprahyoid epiglottis (disorder)
805 92424005 Benign neoplasm of talus (disorder)
805 254519000 Tumor of infrahyoid epiglottis (disorder)
805 254520006 Malignant tumor of infrahyoid epiglottis (disorder)
805 254521005 Benign tumor of infrahyoid epiglottis (disorder)
805 254525001 Tumor of laryngeal ventricle (disorder)
805 254526000 Malignant tumor of laryngeal ventricle (disorder)
805 254527009 Benign tumor of laryngeal ventricle (disorder)
805 254530002 Malignant tumor of parapharyngeal space (disorder)
805 254531003 Benign tumor of parapharyngeal space (disorder)
805 254535007 Carcinoma of cervical part of esophagus (disorder)
805 404125001 CD-30 positive anaplastic large T-cell cutaneous lymphoma (disorder)
805 126590001 Neoplasm of talus (disorder)
805 126588002 Neoplasm of tarsal bone (disorder)
805 404126000 CD-30 positive pleomorphic large T-cell cutaneous lymphoma (disorder)
805 126541001 Neoplasm of temporal bone (disorder)
805 404127009 CD-30 positive T-immunoblastic cutaneous lymphoma (disorder)
805 404128004 CD-30 negative cutaneous T-cell lymphoma (disorder)
805 404129007 CD-30 negative anaplastic large T-cell cutaneous lymphoma (disorder)
805 254539001 Carcinoma of thoracic part of esophagus (disorder)
805 404130002 CD-30 negative pleomorphic large T-cell cutaneous lymphoma (disorder)
805 404131003 CD-30 negative T-immunoblastic cutaneous lymphoma (disorder)
805 404132005 Pleomorphic small/medium-sized cell cutaneous T-cell lymphoma (disorder)
805 404133000 Subcutaneous panniculitic cutaneous T-cell lymphoma (disorder)
805 92427003 Benign neoplasm of temporal lobe (disorder)
805 404134006 Anaplastic large T-cell systemic malignant lymphoma (disorder)
805 404135007 Angiocentric NK/T-cell malignant lymphoma involving skin (disorder)
805 126955002 Neoplasm of temporal lobe (disorder)
805 404136008 Aggressive NK-cell leukemia involving skin (disorder)
805 404137004 Precursor B-cell lymphoblastic lymphoma involving skin (disorder)
805 404138009 Small lymphocytic B-cell lymphoma involving skin (disorder)
805 254543002 Carcinoma of abdominal part of esophagus (disorder)
805 92428008 Benign neoplasm of testis (disorder)
805 404139001 Leukemic infiltration of skin in hairy-cell leukemia (disorder)
805 254553001 Carcinoma of cardia (disorder)
805 126900000 Neoplasm of testis (disorder)
805 92429000 Benign neoplasm of the mesentery (disorder)
805 404140004 Primary cutaneous marginal zone B-cell lymphoma (disorder)
805 254559002 Carcinoma of pyloric antrum (disorder)
805 126869001 Neoplasm of mesentery (disorder)
805 188861002 Benign neoplasm of mesocolon (disorder)
805 254567005 Carcinoma of greater curve of stomach (disorder)
805 188863004 Benign neoplasm of omentum (disorder)
805 126872008 Neoplasm of retroperitoneum (disorder)
805 254570009 Carcinoma of duodenum (disorder)
805 404141000 Primary cutaneous immunocytoma (disorder)
805 126656003 Neoplasm of thigh (disorder)
805 404142007 Primary cutaneous plasmacytoma (disorder)
805 188974009 Benign neoplasm of lateral cuneiform (disorder)
805 404143002 Primary cutaneous follicular center B-cell lymphoma (disorder)
805 404145009 Primary cutaneous anaplastic large cell B-cell lymphoma (disorder)
805 254574000 Diffuse leiomyomatosis of esophagus (disorder)
805 404146005 Primary cutaneous diffuse large cell B-cell lymphoma of the leg (disorder)
805 408645001 Adenocarcinoma of large intestine (disorder)
805 404147001 Follicular center B-cell lymphoma (nodal/systemic with skin involvement) (disorder)
805 92436004 Benign neoplasm of thoracic esophagus (disorder)
805 404148006 Diffuse large B-cell lymphoma (nodal/systemic with skin involvement) (disorder)
805 404149003 Lymphoplasmacytic B-cell lymphoma, nodal/systemic with skin involvement (disorder)
805 254583005 Tumor of anus and anal canal (disorder)
805 126819009 Neoplasm of thoracic esophagus (disorder)
805 254586002 Malignant tumor of anorectal junction (disorder)
805 92437008 Benign neoplasm of thymus (disorder)
805 254592008 Benign lymphoid polyposis of intestine (disorder)
805 188897006 Benign neoplasm of superior mediastinum (disorder)
805 404150003 Mantle cell B-cell lymphoma (nodal/systemic with skin involvement) (disorder)
805 443487006 Mantle cell lymphoma (disorder)
805 404151004 Leukemic infiltration of skin in myeloid leukemia (disorder)
805 404152006 Leukemic infiltration of skin in acute myeloid leukemia (disorder)
805 254609000 Carcinoma of ampulla of Vater (disorder)
805 404153001 Leukemic infiltration of skin in chronic myeloid leukemia (disorder)
805 92438003 Benign neoplasm of thyroglossal duct (disorder)
805 254610005 Neoplastic cyst of exocrine pancreas (disorder)
805 254612002 Carcinoma of endocrine pancreas (disorder)
805 254613007 Carcinoid tumor of pancreas (disorder)
805 404154007 Leukemic infiltration of skin in monocytic leukemia (disorder)
805 254615000 Endocrine pancreatic adenoma (disorder)
805 254619006 Adenoid cystic carcinoma of trachea (disorder)
805 127019004 Neoplasm of thyroglossal duct (disorder)
805 127018007 Neoplasm of thyroid gland (disorder)
805 92440008 Benign neoplasm of tibia (disorder)
805 404155008 Granulocytic sarcoma affecting skin (disorder)
805 126585004 Neoplasm of tibia (disorder)
805 404156009 Leukemic infiltration of skin (disorder)
805 404157000 Specific skin infiltration in Hodgkin's disease (disorder)
805 443961001 Malignant adenomatous neoplasm (disorder)
805 254620000 Squamous cell carcinoma of trachea (disorder)
805 404160007 Langerhans cell histiocytosis - Hashimoto-Pritzker type (disorder)
805 402815007 Squamous cell carcinoma (disorder)
805 404169008 Malignant histiocytosis involving skin (disorder)
805 92441007 Benign neoplasm of tibial lymph nodes (disorder)
805 254621001 Laryngotracheal papillomatosis (disorder)
805 127266006 Neoplasm of tibial lymph nodes (disorder)
805 92442000 Benign neoplasm of border of tongue (disorder)
805 404653000 Chiasmal glioma (disorder)
805 254623003 Papilloma of bronchus (disorder)
805 254624009 Tumor of lung parenchyma (disorder)
805 254625005 Malignant tumor of lung parenchyma (disorder)
805 404664002 Malignant optic glioma (disorder)
805 404810003 5-hydroxytryptamine secreting neuroendocrine tumor (disorder)
805 254626006 Adenocarcinoma of lung (disorder)
805 254627002 Carcinoid tumor of lung (disorder)
805 126783009 Neoplasm of border of tongue (disorder)
805 254628007 Carcinoma of lung parenchyma (disorder)
805 126778001 Neoplasm of tongue (disorder)
805 254629004 Large cell carcinoma of lung (disorder)
805 92444004 Benign neoplasm of tonsillar fossa (disorder)
805 254630009 Clear cell carcinoma of lung (disorder)
805 254631008 Giant cell carcinoma of lung (disorder)
805 254632001 Small cell carcinoma of lung (disorder)
805 254633006 Oat cell carcinoma of lung (disorder)
805 254634000 Squamous cell carcinoma of lung (disorder)
805 254635004 Epithelioid hemangioendothelioma of lung (disorder)
805 254637007 Non-small cell lung cancer (disorder)
805 254639005 Carcinoma in situ of lung parenchyma (disorder)
805 254641006 Histiocytoma of lung (disorder)
805 254642004 Adenoma of lung (disorder)
805 405546008 Malignant pericardial effusion (disorder)
805 254643009 Intrapulmonary teratoma (disorder)
805 254644003 Hamartoma of lung (disorder)
805 254646001 Pleural fibroma (disorder)
805 254647005 Benign mediastinal teratoma (disorder)
805 405822008 Squamous cell carcinoma of larynx (disorder)
805 254651007 Squamous cell carcinoma of skin (disorder)
805 406103009 Squamous cell carcinoma in situ of uterine cervix (disorder)
805 126810008 Neoplasm of tonsillar fossa (disorder)
805 92445003 Benign neoplasm of tonsillar pillar (disorder)
805 126811007 Neoplasm of tonsillar pillar (disorder)
805 92446002 Benign neoplasm of trachea (disorder)
805 126703006 Neoplasm of trachea (disorder)
805 92447006 Benign neoplasm of tracheobronchial lymph nodes (disorder)
805 408642003 Transitional cell carcinoma of kidney (disorder)
805 254652000 Clear cell squamous cell carcinoma of skin (disorder)
805 254653005 Spindle cell squamous carcinoma of skin (disorder)
805 403900000 Spindle cell squamous cell carcinoma (disorder)
805 254654004 Acantholytic squamous cell carcinoma of skin (disorder)
805 126842002 Neoplasm of transverse colon (disorder)
805 403901001 Acantholytic squamous cell carcinoma (disorder)
805 254655003 Plantar verrucous carcinoma (disorder)
805 408643008 Infiltrating duct carcinoma of breast (disorder)
805 403904009 Verrucous squamous cell carcinoma (disorder)
805 403895004 Squamous cell carcinoma of foot (disorder)
805 408644002 Adenocarcinoma of duodenum (disorder)
805 400066006 Intraepithelial squamous cell carcinoma (disorder)
805 254659009 Multiple self-healing epithelioma of Ferguson-Smith (disorder)
805 408647009 Adenocarcinoma of stomach (disorder)
805 254661000 Squamous cell papilloma of skin (disorder)
805 254663002 Solitary keratoacanthoma (disorder)
805 408648004 Squamous cell carcinoma of epiglottis (disorder)
805 254664008 Eruptive keratoacanthoma (disorder)
805 254667001 Hypertrophic solar keratosis (disorder)
805 408649007 Squamous cell carcinoma of pharynx (disorder)
805 254668006 Irritated basal cell papilloma (disorder)
805 254669003 Dermatosis papulosa nigra (disorder)
805 254670002 Clear cell acanthoma (disorder)
805 276739001 Tumor of skin with pilar differentiation (disorder)
805 254692003 Winer's dilated pore (disorder)
805 254693008 Pilar sheath acanthoma (disorder)
805 254694002 Tumor of follicular infundibulum (disorder)
805 254695001 Trichoadenoma (disorder)
805 413214004 Submucosal tumor of intestine (disorder)
805 254696000 Desmoplastic trichoepithelioma (disorder)
805 274898000 Trichoepithelioma (disorder)
805 415654007 Submucosal tumor of gastrointestinal tract (disorder)
805 254697009 Giant solitary trichoepithelioma (disorder)
805 413389003 Accelerated phase chronic myeloid leukemia (disorder)
805 254700008 Trichodiscoma (disorder)
805 429114002 Malignant basal cell neoplasm of skin (disorder)
805 413445002 Adenocarcinoma of appendix (disorder)
805 254702000 Basosquamous carcinoma of skin (disorder)
805 254703005 Fibroepithelioma of Pinkus (disorder)
805 254706002 Sebaceous epithelioma (disorder)
805 92449009 Benign neoplasm of trapezium (disorder)
805 254707006 Malignant skin tumor with eccrine differentiation (disorder)
805 254708001 Eccrine porocarcinoma of skin (disorder)
805 254709009 Digital papillary eccrine carcinoma of skin (disorder)
805 254710004 Basal cell carcinoma with eccrine differentiation (disorder)
805 254711000 Adenoid cystic eccrine carcinoma of skin (disorder)
805 254712007 Microcystic adnexal carcinoma of skin (disorder)
805 188949006 Benign neoplasm of trapezoid (disorder)
805 254713002 Mucoepidermoid carcinoma of skin (disorder)
805 254714008 Mucinous eccrine carcinoma of skin (disorder)
805 413446001 Adenocarcinoma of cecum (disorder)
805 254716005 Eccrine hidrocystoma of skin (disorder)
805 254717001 Syringocystadenoma (disorder)
805 254724000 Benign skin tumor with apocrine differentiation (disorder)
805 413587002 Smoldering myeloma (disorder)
805 254718006 Eccrine dermal duct tumor of skin (disorder)
805 440422002 Asymptomatic multiple myeloma (disorder)
805 400099008 Eccrine hidradenoma of skin (disorder)
805 413656006 Blastic phase chronic myeloid leukemia (disorder)
805 400062008 Eruptive syringomata (disorder)
805 413842007 Chronic myeloid leukemia in lymphoid blast crisis (disorder)
805 399985004 Eccrine poroma of skin (disorder)
805 413843002 Chronic myeloid leukemia in myeloid blast crisis (disorder)
805 254720009 Eccrine mixed tumor of skin (disorder)
805 413847001 Chronic phase chronic myeloid leukemia (disorder)
805 254722001 Eccrine epithelioma of skin (disorder)
805 254723006 Tumor of skin with apocrine differentiation (disorder)
805 414250001 Fibrous histiocytoma of orbit (disorder)
805 254726003 Malignant skin tumor with apocrine differentiation (disorder)
805 254727007 Extramammary Paget's disease of skin (disorder)
805 402524007 Basal cell carcinoma - adamantinoid (disorder)
805 254729005 Apudoma of skin (disorder)
805 414552005 Juvenile xanthogranuloma of skin (disorder)
805 254730000 Superficial spreading malignant melanoma of skin (disorder)
805 254731001 Nodular malignant melanoma of skin (disorder)
805 414553000 Kappa light chain myeloma (disorder)
805 254732008 Acral lentiginous malignant melanoma of skin (disorder)
805 414626005 Lymphangioma of orbit (disorder)
805 254733003 Malignant melanoma arising in intradermal nevus (disorder)
805 414666009 Meningioma of orbit (disorder)
805 254734009 Malignant melanoma arising in congenital nevus (disorder)
805 254736006 Fibrous tissue neoplasm of skin (disorder)
805 254739004 Elastofibroma of skin (disorder)
805 92451008 Benign neoplasm of trigeminal nerve (disorder)
805 126971002 Neoplasm of trigeminal nerve (disorder)
805 414676007 Metastatic neuroblastoma of orbit proper (disorder)
805 92452001 Benign neoplasm of trigone of urinary bladder (disorder)
805 254744006 Fibrous papule of face (disorder)
805 254745007 Fibrous papule of nose (disorder)
805 254747004 Desmoid fibromatosis of skin (disorder)
805 414780005 Mucosa-associated lymphoid tissue (MALT) lymphoma of orbit (disorder)
805 400129003 Extra-abdominal fibromatosis (disorder)
805 254748009 Cutaneous fibrosarcoma (disorder)
805 414785000 Multiple solitary plasmacytomas (disorder)
805 254750001 Fibrous histiocytoma of skin (disorder)
805 403997008 Cutaneous histiocytoma (disorder)
805 254751002 Solitary eruptive xanthogranuloma (disorder)
805 414791003 Myelodysplastic syndrome, unclassified by WHO classification (disorder)
805 254754005 Atypical fibroxanthoma of skin (disorder)
805 414823004 Neoplasm affecting hematopoietic structure (disorder)
805 254756007 Verruciform xanthoma of skin (disorder)
805 254758008 Skin tumor of neural origin (disorder)
805 414950005 Optic nerve glioma of orbit (disorder)
805 254761009 Cutaneous neurofibroma (disorder)
805 254762002 Cutaneous storiform neurofibroma (disorder)
805 254763007 Granular cell tumor of skin (disorder)
805 415283002 Refractory anemia with excess blasts-1 (disorder)
805 404035005 Granular cell tumor (disorder)
805 415284008 Refractory anemia with excess blasts-2 (disorder)
805 254764001 Peripheral neuroepithelioma (disorder)
805 254765000 Skin tumor of smooth muscle origin (disorder)
805 415285009 Refractory cytopenia with multilineage dysplasia (disorder)
805 254766004 Ganglioneuroma of skin (disorder)
805 415286005 Refractory cytopenia with multilineage dysplasia and ringed sideroblasts (disorder)
805 254767008 Cutaneous leiomyoma (disorder)
805 254768003 Multiple piloleiomyoma (disorder)
805 254769006 Solitary leiomyoma (disorder)
805 415287001 Relapsing chronic myeloid leukemia (disorder)
805 254770007 Dartoic myoma (disorder)
805 415652006 Submucosal tumor of duodenum (disorder)
805 254771006 Cutaneous leiomyosarcoma (disorder)
805 443719001 Leiomyosarcoma (disorder)
805 415653001 Submucosal tumor of esophagus (disorder)
805 254776001 Multiple angiomatous nevi of skin (disorder)
805 403960003 Multiple angiomatous nevi (disorder)
805 126886007 Neoplasm of trigone of urinary bladder (disorder)
805 254782003 Multiple progressive hemangiomata (disorder)
805 254786000 Tufted angioma of skin (disorder)
805 92453006 Benign neoplasm of trochlear nerve (disorder)
805 254790003 Targetoid hemosiderotic hemangioma (disorder)
805 126970001 Neoplasm of trochlear nerve (disorder)
805 126637008 Neoplasm of trunk (disorder)
805 254792006 Proliferating angioendotheliomatosis (disorder)
805 254794007 Angiosarcoma of skin (disorder)
805 92455004 Benign neoplasm of ulna (disorder)
805 415655008 Submucosal tumor of stomach (disorder)
805 416053008 Estrogen receptor positive tumor (disorder)
805 254795008 Glomus tumor of skin (disorder)
805 417742002 Hormone receptor positive tumor (disorder)
805 416351002 Intraocular optic nerve glioma (disorder)
805 403969002 Glomus tumor (disorder)
805 254796009 Hemangiopericytoma of skin (disorder)
805 254797000 Malignant hemangiopericytoma of skin (disorder)
805 416561008 Progesterone receptor positive tumor (disorder)
805 403980002 Hemangioendothelioma (disorder)
805 254799002 Endovascular papillary angioendothelioma of childhood (disorder)
805 254800003 Epithelioid cell sarcoma of skin (disorder)
805 416842003 Malignant sacral teratoma (disorder)
805 126570005 Neoplasm of ulna (disorder)
805 254802006 Junctional melanocytic nevus of skin (disorder)
805 254803001 Myerson's nevus (disorder)
805 92456003 Benign neoplasm of undescended testis (disorder)
805 254804007 Cockade nevus (disorder)
805 254805008 Compound nevus of skin (disorder)
805 254806009 Blue nevus of skin (disorder)
805 254807000 Common blue nevus of skin (disorder)
805 126901001 Neoplasm of undescended testis (disorder)
805 254808005 Cellular blue nevus of skin (disorder)
805 92457007 Benign neoplasm of upper gum (disorder)
805 254809002 Giant cellular blue nevus of scalp (disorder)
805 254810007 Balloon cell nevus of skin (disorder)
805 254811006 Epithelioid and spindle cell nevus (disorder)
805 416864007 Retinocytoma (disorder)
805 254812004 Spindle cell nevus of Reed (disorder)
805 400022009 Desmoplastic spindle and epithelioid cell melanocytic nevus of skin (disorder)
805 254818000 Dysplastic nevus of skin (disorder)
805 402553008 Multiple atypical melanocytic nevi (disorder)
805 422607004 Carcinoma in situ of lacrimal drainage system (disorder)
805 417181009 Hormone receptor positive malignant neoplasm of breast (disorder)
805 126793002 Neoplasm of upper gum (disorder)
805 92458002 Benign neoplasm of upper inner quadrant of female breast (disorder)
805 417234002 Benign sacral teratoma (disorder)
805 126931007 Neoplasm of upper inner quadrant of female breast (disorder)
805 417264005 Keratoacanthoma of skin (disorder)
805 126650009 Neoplasm of upper limb (disorder)
805 92460000 Benign neoplasm of upper outer quadrant of female breast (disorder)
805 126933005 Neoplasm of upper outer quadrant of female breast (disorder)
805 126668007 Neoplasm of upper respiratory tract (disorder)
805 92462008 Benign neoplasm of upper third of esophagus (disorder)
805 417619001 Intracranial optic nerve glioma (disorder)
805 126821004 Neoplasm of upper third of esophagus (disorder)
805 92463003 Benign neoplasm of urachus (disorder)
805 126893006 Neoplasm of urachus (disorder)
805 418040002 Littoral cell angioma (disorder)
805 418134006 Conjunctival intraepithelial neoplasia (disorder)
805 92464009 Benign neoplasm of ureter (disorder)
805 254820002 Follicular atrophoderma and basal cell epitheliomata (disorder)
805 418372008 Squamous cell carcinoma of mucous membrane of lower lip (disorder)
805 254826008 Benign mesothelioma of pericardium (disorder)
805 126882009 Neoplasm of ureter (disorder)
805 92465005 Benign neoplasm of ureteric orifice of urinary bladder (disorder)
805 126892001 Neoplasm of ureteric orifice of urinary bladder (disorder)
805 254827004 Lipomatous tumor (disorder)
805 126883004 Neoplasm of urethra (disorder)
805 254828009 Malignant lipomatous tumor (disorder)
805 254829001 Liposarcoma (disorder)
805 254831005 Tumor of adipose tissue (disorder)
805 254839007 Scirrhous carcinoma of breast (disorder)
805 92467002 Benign neoplasm of urinary bladder neck (disorder)
805 254840009 Inflammatory carcinoma of breast (disorder)
805 126891008 Neoplasm of urinary bladder neck (disorder)
805 126879004 Neoplasm of urinary system (disorder)
805 254841008 Cancer en cuirasse (disorder)
805 126915004 Neoplasm of uterine adnexa (disorder)
805 254843006 Familial cancer of breast (disorder)
805 126908007 Neoplasm of uterus (disorder)
805 254846003 Giant fibroadenoma of breast (disorder)
805 254847007 Juvenile fibroadenoma of breast (disorder)
805 127000009 Neoplasm of uveal tract (disorder)
805 254848002 Duct papilloma of breast (disorder)
805 418439007 Sessile conjunctival papilloma (disorder)
805 92472006 Benign neoplasm of uvula (disorder)
805 254849005 Malignant epithelial tumor of ovary (disorder)
805 254850005 Serous papillary cystadenocarcinoma ovary (disorder)
805 126808006 Neoplasm of uvula (disorder)
805 314191009 Cystadenocarcinoma of ovary (disorder)
805 254851009 Mucinous cystadenocarcinoma of ovary (disorder)
805 254852002 Endometrioid carcinoma ovary (disorder)
805 416274001 Primary malignant clear cell tumor of ovary (disorder)
805 416712009 Clear cell (mesonephric) neoplasm of ovary (disorder)
805 254854001 Borderline epithelial tumor (disorder)
805 254855000 Mixed epithelial tumor of ovary (disorder)
805 254856004 Undifferentiated carcinoma of ovary (disorder)
805 254858003 Serous papillary cystadenoma of ovary (disorder)
805 254859006 Brenner tumor of ovary (disorder)
805 92474007 Benign neoplasm of vagus nerve (disorder)
805 126976007 Neoplasm of vagus nerve (disorder)
805 254860001 Malignant sex cord tumor of ovary (disorder)
805 92475008 Benign neoplasm of vallecula (disorder)
805 254861002 Malignant granulosa cell tumor of ovary (disorder)
805 254862009 Benign sex cord tumor of ovary (disorder)
805 418590005 Leiomyoma of iris (disorder)
805 254863004 Granulosa cell tumor of ovary (disorder)
805 254864005 Theca cell tumor of ovary (disorder)
805 254865006 Fibroma of ovary (disorder)
805 254866007 Sertoli-Leydig cell tumor of ovary (disorder)
805 126812000 Neoplasm of vallecula (disorder)
805 418686001 Actinic keratosis of eyelid (disorder)
805 254867003 Gynandroblastoma of ovary (disorder)
805 254868008 Hilus cell tumor of ovary (disorder)
805 254869000 Malignant germ cell tumor of ovary (disorder)
805 419240004 Squamous cell carcinoma of mucous membrane of upper lip (disorder)
805 254870004 Choriocarcinoma of ovary (disorder)
805 419327006 Endometrial intraepithelial neoplasia (disorder)
805 254871000 Immature teratoma of ovary (disorder)
805 254872007 Embryonal carcinoma of ovary (disorder)
805 419738008 Pedunculated conjunctival papilloma (disorder)
805 254874008 Dysgerminoma of ovary (disorder)
805 419977003 Choroidal leiomyoma (disorder)
805 92476009 Benign neoplasm of vas deferens (disorder)
805 126903003 Neoplasm of vas deferens (disorder)
805 92477000 Benign neoplasm of ventral surface of tongue (disorder)
805 420120006 Gastrointestinal stromal tumor (disorder)
805 442537007 Non-Hodgkin lymphoma associated with Human immunodeficiency virus infection (disorder)
805 254875009 Mature solid teratoma of ovary (disorder)
805 422282000 Malignant neoplasm associated with AIDS (disorder)
805 254876005 Endodermal sinus tumor of ovary (disorder)
805 420835009 Corneal intraepithelial neoplasia (disorder)
805 254877001 Sarcoma of uterus (disorder)
805 421696004 Precursor T-cell neoplasm (disorder)
805 421246008 Precursor T-cell lymphoblastic lymphoma (disorder)
805 254879003 Pseudo broad ligament fibroid (disorder)
805 126784003 Neoplasm of ventral surface of tongue (disorder)
805 254880000 Uterine fibroid polyp (disorder)
805 422378004 Squamous cell carcinoma of bridge of nose (disorder)
805 92478005 Benign neoplasm of vermilion border of lip (disorder)
805 126771007 Neoplasm of vermilion border of lip (disorder)
805 422470007 Adenolymphoma (disorder)
805 92479002 Benign neoplasm of vermilion border of lower lip (disorder)
805 254881001 Leiomyoblastoma of uterus (disorder)
805 126773005 Neoplasm of vermilion border of lower lip (disorder)
805 254882008 Epithelioid leiomyoma of uterus (disorder)
805 92480004 Benign neoplasm of vermilion border of upper lip (disorder)
805 254883003 Intravenous leiomyomatosis (disorder)
805 126772000 Neoplasm of vermilion border of upper lip (disorder)
805 254884009 Benign metastasizing leiomyoma of uterus (disorder)
805 92481000 Benign neoplasm of vestibule of mouth (disorder)
805 254886006 Squamous cell carcinoma of cervix (disorder)
805 126803002 Neoplasm of vestibule of mouth (disorder)
805 254486004 Benign neoplasm of nasal vestibule (disorder)
805 422508004 Syringoma of eyelid (disorder)
805 254888007 Adenosquamous carcinoma of cervix (disorder)
805 403902008 Adenosquamous cell carcinoma (disorder)
805 254890008 Adenocarcinoma in situ of cervix (disorder)
805 422541001 Undifferentiated carcinoma of nasopharynx (disorder)
805 254891007 Cervical fibroid (disorder)
805 92483002 Benign neoplasm of visceral pleura (disorder)
805 126721009 Neoplasm of visceral pleura (disorder)
805 92484008 Benign neoplasm of vocal cord (disorder)
805 126695002 Neoplasm of vocal cord (disorder)
805 92485009 Benign neoplasm of vomer (disorder)
805 254892000 Fibroid polyp of cervix (disorder)
805 127226007 Neoplasm of Waldeyer's ring (disorder)
805 254893005 Carcinoma of vagina (disorder)
805 422572002 Squamous cell carcinoma of chin (disorder)
805 92488006 Benign neoplasm of zygomatic bone (disorder)
805 254895003 Squamous cell carcinoma of vulva (disorder)
805 422599000 Squamous cell carcinoma of back (disorder)
805 126546006 Neoplasm of zygomatic bone (disorder)
805 402816008 Squamous cell carcinoma of anogenital area (disorder)
805 254896002 Malignant melanoma of vulva (disorder)
805 92503002 Neurofibromatosis, type 2 (disorder)
805 254897006 Sarcoma of vulva (disorder)
805 422676009 Squamous cell carcinoma of ala nasi (disorder)
805 254898001 Paget's disease of vulva (disorder)
805 422691006 Squamous cell carcinoma of nasopharynx (disorder)
805 422706003 Fibroma of tongue (disorder)
805 422758009 Carcinoma of nasal meatus (disorder)
805 254901000 Prostatic intraepithelial neoplasia (disorder)
805 422782004 Primary malignant neoplasm of ovary, with widespread metastatic disease (disorder)
805 126949007 Acoustic neuroma (disorder)
805 254904008 Carcinoma of glans penis (disorder)
805 254908006 Malignant tumor of skin of penis (disorder)
805 254909003 Carcinoma of foreskin (disorder)
805 92508006 Burkitt's tumor of intra-abdominal lymph nodes (disorder)
805 422833009 Adenoid cystic carcinoma of salivary gland (disorder)
805 254910008 Tumor of corpus spongiosum (disorder)
805 254912000 Regressed malignant testicular tumor (disorder)
805 422853008 Lymphoma of retroperitoneal space (disorder)
805 254914004 Tumor of kidney parenchyma (disorder)
805 422886007 Olfactory neuroblastoma (disorder)
805 422968005 Non-small cell carcinoma of lung, TNM stage 3 (disorder)
805 254915003 Clear cell carcinoma of kidney (disorder)
805 118617000 Burkitt's lymphoma (disorder)
805 127220001 Malignant lymphoma of lymph nodes (disorder)
805 188366002 Malignant neoplasm of abdomen (disorder)
805 423032007 Leukemic infiltration of orbit (disorder)
805 92509003 Burkitt's tumor of intrapelvic lymph nodes (disorder)
805 254916002 Cystadenocarcinoma of kidney (disorder)
805 93192003 Malignant lymphoma of intrapelvic lymph nodes (disorder)
805 93953009 Primary malignant neoplasm of pelvis (disorder)
805 254917006 Papillary cystadenocarcinoma of kidney (disorder)
805 92510008 Burkitt's tumor of intrathoracic lymph nodes (disorder)
805 254918001 Sarcoma of kidney (disorder)
805 93193008 Malignant lymphoma of intrathoracic lymph nodes (disorder)
805 92511007 Burkitt's tumor of lymph nodes of axilla AND/OR upper limb (disorder)
805 254919009 Cortical adenoma of kidney (disorder)
805 423038006 Polymorphous low grade adenocarcinoma of salivary gland (disorder)
805 254920003 Cystadenoma of kidney (disorder)
805 423050000 Large cell carcinoma of lung, TNM stage 2 (disorder)
805 254921004 Angiomyolipoma of kidney (disorder)
805 423106003 Adenocarcinoma of nasopharynx (disorder)
805 254922006 Oncocytoma of kidney (disorder)
805 423121009 Non-small cell carcinoma of lung, TNM stage 4 (disorder)
805 93194002 Malignant lymphoma of lymph nodes of axilla AND/OR upper limb (disorder)
805 92512000 Burkitt's tumor of lymph nodes of head, face AND/OR neck (disorder)
805 254923001 Hemangiopericytoma of kidney (disorder)
805 93195001 Malignant lymphoma of lymph nodes of head, face AND/OR neck (disorder)
805 92513005 Burkitt's tumor of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 254925008 Benign tumor of renal calyx (disorder)
805 423158009 Hurthle cell carcinoma of thyroid (disorder)
805 254927000 Benign papilloma of renal pelvis (disorder)
805 443261008 Oxyphilic adenocarcinoma (disorder)
805 426470009 Lipoma of terminal spinal cord (disorder)
805 93196000 Malignant lymphoma of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 423361002 Lipoma of dorsal spinal cord (disorder)
805 93875005 Primary malignant neoplasm of lower limb (disorder)
805 92514004 Burkitt's tumor of lymph nodes of multiple sites (disorder)
805 423189008 Adenoid cystic carcinoma of submandibular gland (disorder)
805 254929002 Tumor of vault of bladder (disorder)
805 92515003 Burkitt's tumor of spleen (disorder)
805 93198004 Malignant lymphoma of spleen (disorder)
805 423210009 Osteoid osteoma of spine (disorder)
805 94071006 Primary malignant neoplasm of spleen (disorder)
805 92516002 Burkitt's tumor of extranodal AND/OR solid organ site (disorder)
805 93199007 Malignant lymphoma of extranodal AND/OR solid organ site (disorder)
805 423278008 Lentigo maligna of skin of eyelid (disorder)
805 254932004 Tumor of bladder neck (disorder)
805 254544008 Carcinoma in situ of abdominal part of esophagus (disorder)
805 92523001 Carcinoma in situ of accessory sinus (disorder)
805 254934003 Malignant tumor of urethral stump (disorder)
805 92779001 Carcinoma in situ of upper respiratory tract (disorder)
805 254936001 Glial tumor of brain (disorder)
805 423280002 Malignant melanoma of skin of canthus of eye (disorder)
805 92524007 Carcinoma in situ of adenoid (disorder)
805 254937005 Intracranial glioma (disorder)
805 393564001 Glioma (disorder)
805 254938000 Astrocytoma of brain (disorder)
805 276826005 Malignant glioma of brain (disorder)
805 92688004 Carcinoma in situ of posterior wall of nasopharynx (disorder)
805 254939008 Ependymoma of brain (disorder)
805 92525008 Carcinoma in situ of adnexa of skin (disorder)
805 443643007 Ependymoma (disorder)
805 92749008 Carcinoma in situ of skin (disorder)
805 254940005 Oligodendroglioma of brain (disorder)
805 443936004 Oligodendroglioma (disorder)
805 254941009 Mixed glial tumor of brain (disorder)
805 423284006 Squamous cell carcinoma of skin of neck (disorder)
805 254943007 Benign tumor of choroid plexus (disorder)
805 92526009 Carcinoma in situ of adrenal cortex (disorder)
805 423295000 Squamous cell carcinoma of lung, TNM stage 1 (disorder)
805 92527000 Carcinoma in situ of adrenal gland (disorder)
805 254944001 Neuronal and mixed neuronal - glial tumor of brain (disorder)
805 92581002 Carcinoma in situ of endocrine gland (disorder)
805 423318000 Adenoid cystic carcinoma of oropharynx (disorder)
805 254945000 Embryonal tumor of brain (disorder)
805 254946004 Glial tumor of spinal cord (disorder)
805 254947008 Glioma of spinal cord (disorder)
805 92528005 Carcinoma in situ of adrenal medulla (disorder)
805 254948003 Astrocytoma of spinal cord (disorder)
805 254949006 Ependymoma of spinal cord (disorder)
805 92529002 Carcinoma in situ of alveolar ridge mucosa (disorder)
805 423325007 Basal cell carcinoma of external auditory canal (disorder)
805 254950006 Oligodendroglioma of spinal cord (disorder)
805 254951005 Mixed glial tumor of spinal cord (disorder)
805 254953008 Neuronal and mixed neuronal - glial tumor of spinal cord (disorder)
805 92605003 Carcinoma in situ of gum (disorder)
805 254954002 Embryonal tumor of spinal cord (disorder)
805 92601007 Carcinoma in situ of gingival mucosa (disorder)
805 254955001 Pituitary carcinoma (disorder)
805 254957009 Somatotroph adenoma (disorder)
805 92530007 Carcinoma in situ of ampulla of Vater (disorder)
805 254958004 Corticotroph adenoma (disorder)
805 254960002 Gonadotroph adenoma (disorder)
805 423421002 Enchondroma of hand bone (disorder)
805 254961003 Mixed-functioning pituitary adenoma (disorder)
805 254962005 Functionless pituitary adenoma (disorder)
805 443496006 Enchondroma of bone (disorder)
805 254963000 Pituitary microadenoma (disorder)
805 254964006 Pituitary mesoadenoma (disorder)
805 254965007 Pituitary macroadenoma (disorder)
805 254966008 Suprasellar extension of pituitary adenoma (disorder)
805 423424005 Mucoepidermoid carcinoma of submandibular gland (disorder)
805 92577002 Carcinoma in situ of duodenum (disorder)
805 92570000 Carcinoma in situ of common bile duct (disorder)
805 254969001 Malignant tumor of olfactory tract (disorder)
805 92673009 Carcinoma in situ of pancreatic duct (disorder)
805 92531006 Carcinoma in situ of anal canal (disorder)
805 254970000 Benign tumor of olfactory tract (disorder)
805 92537005 Carcinoma in situ of anus (disorder)
805 254972008 Malignant tumor of optic nerve and sheath (disorder)
805 254974009 Malignant tumor of optic nerve sheath (disorder)
805 423708008 Mucoepidermoid carcinoma of salivary gland (disorder)
805 423435000 Neuroma of upper limb (disorder)
805 92532004 Carcinoma in situ of anterior aspect of epiglottis (disorder)
805 254973003 Malignant astrocytoma of optic nerve (disorder)
805 423447006 Malignant melanoma of skin of lower eyelid (disorder)
805 254975005 Malignant meningioma of optic nerve sheath (disorder)
805 254978007 Meningioma of optic nerve sheath (disorder)
805 254976006 Optic nerve glioma (disorder)
805 404662003 Optic glioma (disorder)
805 254977002 Benign tumor of optic nerve and sheath (disorder)
805 92584005 Carcinoma in situ of epiglottis (disorder)
805 254428001 Carcinoma in situ anterior floor of mouth (disorder)
805 92534003 Carcinoma in situ of anterior two-thirds of tongue (disorder)
805 423468007 Squamous cell carcinoma of lung, TNM stage 2 (disorder)
805 92769003 Carcinoma in situ of tongue (disorder)
805 254979004 Melanocytoma of optic nerve head (disorder)
805 254982009 Tumor of spinal nerve and sheath (disorder)
805 423494003 Malignant melanoma of skin of upper eyelid (disorder)
805 254983004 Malignant tumor of spinal nerve and sheath (disorder)
805 402876004 Malignant tumor of nerve sheath origin (disorder)
805 92535002 Carcinoma in situ of anterior wall of nasopharynx (disorder)
805 254984005 Benign tumor of spinal nerve and sheath (disorder)
805 423506005 Squamous cell carcinoma of external auditory canal (disorder)
805 402875000 Benign neoplasm of nerve sheath origin (disorder)
805 92664001 Carcinoma in situ of nasopharynx (disorder)
805 254987003 Adenoid cystic carcinoma of lacrimal gland (disorder)
805 92536001 Carcinoma in situ of anterior wall of urinary bladder (disorder)
805 254988008 Adenocarcinoma of lacrimal gland (disorder)
805 254989000 Carcinoma ex pleomorphic adenoma of lacrimal gland (disorder)
805 254990009 Mucoepidermoid tumor of lacrimal gland (disorder)
805 423586007 Osteoma of skull (disorder)
805 254992001 Pleomorphic adenoma of lacrimal gland (disorder)
805 254993006 Liposarcoma of orbit (disorder)
805 423595004 Adenocarcinoma carcinomatosis (disorder)
805 423600008 Large cell carcinoma of lung, TNM stage 4 (disorder)
805 254994000 Rhabdomyosarcoma of orbit (disorder)
805 423607006 Adenocarcinoma of anus (disorder)
805 302847003 Rhabdomyosarcoma (disorder)
805 424952003 Sarcoma of soft tissue (disorder)
805 254995004 Malignant hemangiopericytoma of orbit (disorder)
805 423610004 Rhabdomyosarcoma of connective or soft tissue (disorder)
805 423615009 Adenoid cystic carcinoma of parotid gland (disorder)
805 254996003 Malignant fibrous histiocytoma of orbit (disorder)
805 423619003 Teratoma of orbit (disorder)
805 92546004 Carcinoma in situ of bladder (disorder)
805 423627007 Sarcoma of ovary (disorder)
805 92629005 Carcinoma in situ of large intestine (disorder)
805 92617001 Carcinoma in situ of intestinal tract (disorder)
805 443439001 Malignant fibrous histiocytoma (disorder)
805 92538000 Carcinoma in situ of apex of urinary bladder (disorder)
805 92539008 Carcinoma in situ of appendix (disorder)
805 254997007 Capillary hemangioma of orbit (disorder)
805 254998002 Cavernous hemangioma of orbit (disorder)
805 254999005 Hemangiopericytoma of orbit (disorder)
805 255000005 Neurofibroma of orbit proper (disorder)
805 255001009 Schwannoma of orbit proper (disorder)
805 92540005 Carcinoma in situ of areola of female breast (disorder)
805 255003007 Squamous cell carcinoma of conjunctiva (disorder)
805 423673009 Malignant melanoma of retina (disorder)
805 423691004 Malignant neoplasm of gum and contiguous sites (disorder)
805 423700001 Squamous cell carcinoma of auricle of ear (disorder)
805 255004001 Malignant melanoma of conjunctiva (disorder)
805 255005000 Papilloma of conjunctiva (disorder)
805 189336000 Carcinoma in situ of breast (disorder)
805 92593006 Carcinoma in situ of female breast (disorder)
805 92541009 Carcinoma in situ of areola of male breast (disorder)
805 92652009 Carcinoma in situ of male breast (disorder)
805 255006004 Nevus of conjunctiva (disorder)
805 255007008 Bowen's disease of cornea (disorder)
805 92542002 Carcinoma in situ of ascending colon (disorder)
805 92568009 Carcinoma in situ of colon (disorder)
805 92543007 Carcinoma in situ of axillary tail of female breast (disorder)
805 423789002 Osteoma of face (disorder)
805 423793008 Mucoepidermoid carcinoma of parotid gland (disorder)
805 423807009 Primary leiomyosarcoma (disorder)
805 423829008 Invasive vulval Paget's disease (disorder)
805 423896007 Squamous cell carcinoma of tip of nose (disorder)
805 423973006 Carcinoma of uterine cervix, invasive (disorder)
805 255008003 Squamous cell carcinoma of cornea (disorder)
805 255010001 Papilloma of cornea (disorder)
805 255011002 Nevus of cornea (disorder)
805 255012009 Malignant melanoma of iris (disorder)
805 423987006 Primary malignant neoplasm of vulva, with widespread metastatic disease (disorder)
805 424052001 Small cell carcinoma carcinomatosis (disorder)
805 424091006 Cholangioadenoma (disorder)
805 92544001 Carcinoma in situ of base of tongue (disorder)
805 92668003 Carcinoma in situ of oropharynx (disorder)
805 92761000 Carcinoma in situ of supraglottis (disorder)
805 92545000 Carcinoma in situ of biliary tract (disorder)
805 109850001 Carcinoma in situ of digestive organ (disorder)
805 255150000 Carcinoma in situ of urinary tract proper (disorder)
805 92547008 Carcinoma in situ of body of pancreas (disorder)
805 92672004 Carcinoma in situ of pancreas (disorder)
805 92548003 Carcinoma in situ of body of penis (disorder)
805 92679008 Carcinoma in situ of penis (disorder)
805 92549006 Carcinoma in situ of body of stomach (disorder)
805 424132000 Non-small cell carcinoma of lung, TNM stage 1 (disorder)
805 424151006 Anaplastic glioma of brain (disorder)
805 424190005 Malignant melanoma of unknown origin (disorder)
805 255013004 Juvenile xanthogranuloma of iris (disorder)
805 92756002 Carcinoma in situ of stomach (disorder)
805 92550006 Carcinoma in situ of body of uterus (disorder)
805 424260006 Squamous cell carcinoma of nasolabial fold (disorder)
805 424263008 Adenoma of liver (disorder)
805 417647002 Benign medulloepithelioma of ciliary body (disorder)
805 416901002 Malignant medulloepithelioma of ciliary body (disorder)
805 255015006 Malignant melanoma of ciliary body (disorder)
805 255016007 Adenocarcinoma of pigmented epithelium of ciliary body (disorder)
805 255017003 Adenocarcinoma of non-pigmented epithelium of ciliary body (disorder)
805 255018008 Adenoma of pigmented epithelium of ciliary body (disorder)
805 255019000 Adenoma of non-pigmented epithelium of ciliary body (disorder)
805 92788005 Carcinoma in situ of uterus (disorder)
805 255020006 Leiomyoma of ciliary body (disorder)
805 419498005 Intraocular leiomyoma (disorder)
805 255021005 Malignant melanoma of choroid (disorder)
805 92551005 Carcinoma in situ of broad ligament (disorder)
805 255023008 Neurofibroma of choroid (disorder)
805 255024002 Nevus of choroid (disorder)
805 255025001 Osteoma of choroid (disorder)
805 255026000 Astrocytoma of retina (disorder)
805 424276002 Malignant glioma of brainstem (disorder)
805 444545003 Glioma of brainstem (disorder)
805 424279009 Leiomyoma of small intestine (disorder)
805 424302003 Malignant melanoma of skin of lower lip (disorder)
805 255027009 Retinoma (disorder)
805 255028004 Follicular thyroid carcinoma (disorder)
805 424334007 Malignant tumor of spinal cord, intramedullary (disorder)
805 92787000 Carcinoma in situ of uterine adnexa (disorder)
805 92552003 Carcinoma in situ of bronchus of left lower lobe (disorder)
805 424408000 Keratoacanthoma of eyelid (disorder)
805 424422000 Osteoma of orbit (disorder)
805 255029007 Papillary thyroid carcinoma (disorder)
805 255030002 Mixed follicular and papillary thyroid carcinoma (disorder)
805 255031003 Anaplastic thyroid carcinoma (disorder)
805 255032005 Medullary thyroid carcinoma (disorder)
805 92639004 Carcinoma in situ of left lower lobe of lung (disorder)
805 189262006 Carcinoma in situ of bronchus and lung (disorder)
805 255034006 Thyroid follicular adenoma (disorder)
805 255035007 Adrenal carcinoma (disorder)
805 255036008 Adrenal adenoma (disorder)
805 255037004 Parathyroid carcinoma (disorder)
805 255038009 Growth hormone releasing factor-secreting tumor (disorder)
805 255039001 Pancreatic polypeptidoma (disorder)
805 255040004 Parathyroid hormone-related peptide-secreting tumor (disorder)
805 255041000 Human pancreatic polypeptide-secreting tumor (disorder)
805 255042007 Gastric inhibitory peptide-secreting tumor (disorder)
805 255043002 Mixed pancreatic endocrine tumor (disorder)
805 255044008 Malignant pinealoma (disorder)
805 424487008 Malignant melanoma of skin of upper lip (disorder)
805 424549003 Malignant tumor of spinal cord, extramedullary (disorder)
805 424567005 Benign oncocytoma of salivary gland (disorder)
805 92553008 Carcinoma in situ of bronchus of left upper lobe (disorder)
805 429565004 Germ cell tumor of the brain (disorder)
805 255045009 Benign pinealoma (disorder)
805 92640002 Carcinoma in situ of left upper lobe of lung (disorder)
805 92554002 Carcinoma in situ of bronchus of right lower lobe (disorder)
805 92701002 Carcinoma in situ of right lower lobe of lung (disorder)
805 92555001 Carcinoma in situ of bronchus of right middle lobe (disorder)
805 92702009 Carcinoma in situ of right middle lobe of lung (disorder)
805 255047001 Benign neuroendocrine tumor (disorder)
805 255050003 Tumor of unknown origin or ill-defined site (disorder)
805 255051004 Tumor of unknown origin (disorder)
805 255052006 Malignant tumor of unknown origin (disorder)
805 255053001 Benign tumor of unknown origin (disorder)
805 255201004 Benign tumor of unknown origin or ill-defined site (disorder)
805 255054007 Tumor of ill-defined site (disorder)
805 255070009 Malignant tumor of oral cavity, lips, salivary glands (disorder)
805 92556000 Carcinoma in situ of bronchus of right upper lobe (disorder)
805 92703004 Carcinoma in situ of right upper lobe of lung (disorder)
805 92557009 Carcinoma in situ of bronchus (disorder)
805 92698005 Carcinoma in situ of respiratory tract (disorder)
805 92558004 Carcinoma in situ of buccal mucosa (disorder)
805 255071008 Squamous cell carcinoma of lip (disorder)
805 255072001 Malignant tumor of salivary gland (disorder)
805 255074000 Malignant tumor of nasal cavity and nasopharynx (disorder)
805 255075004 Malignant tumor of lateral nasal wall (disorder)
805 255078002 Malignant tumor of esophagus, stomach and duodenum (disorder)
805 402813000 Carcinoma-in-situ of oral mucosa (disorder)
805 92660005 Carcinoma in situ of mouth (disorder)
805 92559007 Carcinoma in situ of cecum (disorder)
805 92560002 Carcinoma in situ of cardia of stomach (disorder)
805 424631008 Ganglioneuroma of mediastinum (disorder)
805 424779008 Primary Kaposi's sarcoma of oral cavity (disorder)
805 371977004 Primary malignant neoplasm of cecum (disorder)
805 189263001 Carcinoma in situ of carina of bronchus (disorder)
805 92562005 Carcinoma in situ of central portion of female breast (disorder)
805 92563000 Carcinoma in situ of cervical esophagus (disorder)
805 424849005 Primary sarcoma of tongue (disorder)
805 424887002 Primary malignant neoplasm of thyroid gland, metastatic to bone (disorder)
805 92585006 Carcinoma in situ of esophagus (disorder)
805 92564006 Carcinoma in situ of uterine cervix (disorder)
805 255087006 Malignant polyp of biliary tract (disorder)
805 400001003 Primary cutaneous lymphoma (disorder)
805 285636001 Cervical intraepithelial neoplasia (disorder)
805 92565007 Carcinoma in situ of choroid (disorder)
805 424938000 Large cell carcinoma of lung, TNM stage 1 (disorder)
805 92789002 Carcinoma in situ of uveal tract (disorder)
805 92590009 Carcinoma in situ of eye (disorder)
805 92566008 Carcinoma in situ of ciliary body (disorder)
805 424954002 Undifferentiated large cell carcinomatosis (disorder)
805 424970000 Large cell carcinoma of lung, TNM stage 3 (disorder)
805 425048006 Non-small cell carcinoma of lung, TNM stage 2 (disorder)
805 425066001 Carcinoma of urinary bladder, invasive (disorder)
805 255101006 Sézary disease of skin (disorder)
805 404144008 Primary cutaneous diffuse large cell B-cell lymphoma (disorder)
805 443675005 Seminoma (disorder)
805 255109008 Transitional cell carcinoma of bladder (disorder)
805 255110003 Adenocarcinoma of bladder (disorder)
805 255111004 Squamous cell carcinoma of bladder (disorder)
805 425127006 Carcinoma ex pleomorphic adenoma of parotid gland (disorder)
805 425148008 Squamous cell carcinoma of temple (disorder)
805 425178004 Adenocarcinoma of rectosigmoid junction (disorder)
805 425225007 Malignant mixed tumor of salivary gland (disorder)
805 425230006 Squamous cell carcinoma of lung, TNM stage 3 (disorder)
805 425231005 Carcinoma of urinary bladder, superficial (disorder)
805 425303004 Squamous cell carcinomatosis (disorder)
805 425318003 Carcinoid tumor of ileum (disorder)
805 425327002 Neurofibroma of subcutaneous tissue (disorder)
805 425376008 Squamous cell carcinoma of lung, TNM stage 4 (disorder)
805 255112006 Malignant tumor of pituitary and hypothalamus (disorder)
805 255114007 Kaposi's sarcoma of conjunctiva (disorder)
805 92567004 Carcinoma in situ of clitoris (disorder)
805 425607009 Hemangioendothelioma of retroperitoneum (disorder)
805 255115008 Kaposi's sarcoma of cornea (disorder)
805 255118005 Secondary lymphangitic carcinoma (disorder)
805 92802003 Carcinoma in situ of vulva (disorder)
805 92569001 Carcinoma in situ of commissure of lip (disorder)
805 429176009 Hemangioendothelioma of abdomen (disorder)
805 425688002 Philadelphia chromosome-positive acute lymphoblastic leukemia (disorder)
805 92643000 Carcinoma in situ of lip (disorder)
805 255119002 Lymphangitis carcinomatosa (disorder)
805 92734000 Carcinoma in situ of skin of lip (disorder)
805 92589000 Carcinoma in situ of extrahepatic bile ducts (disorder)
805 92571001 Carcinoma in situ of conjunctiva (disorder)
805 92572008 Carcinoma in situ of cornea (disorder)
805 92573003 Carcinoma in situ of craniopharyngeal duct (disorder)
805 425719009 Lipoma of genital labium (disorder)
805 425749006 Subacute myeloid leukemia in remission (disorder)
805 425868004 Benign papilloma of choroid plexus (disorder)
805 429408002 Low grade glioma of brain (disorder)
805 425869007 Acute promyelocytic leukemia, FAB M3, in remission (disorder)
805 92683008 Carcinoma in situ of pituitary gland (disorder)
805 92574009 Carcinoma in situ of cystic duct (disorder)
805 92575005 Carcinoma in situ of descending colon (disorder)
805 92576006 Carcinoma in situ of dorsal surface of tongue (disorder)
805 425941003 Pre B-cell acute lymphoblastic leukemia in remission (disorder)
805 426071002 Hodgkin's disease in remission (disorder)
805 426124006 Acute myeloid leukemia with maturation, FAB M2, in remission (disorder)
805 92750008 Carcinoma in situ of small intestine (disorder)
805 92578007 Carcinoma in situ of ectopic female breast tissue (disorder)
805 109355002 Carcinoma in situ (disorder)
805 92579004 Carcinoma in situ of ectopic male breast tissue (disorder)
805 92580001 Carcinoma in situ of endocervix (disorder)
805 371983001 Primary malignant neoplasm of endocrine gland (disorder)
805 92582009 Carcinoma in situ of endometrium (disorder)
805 92583004 Carcinoma in situ of epididymis (disorder)
805 92653004 Carcinoma in situ of male genital organ (disorder)
805 92634009 Carcinoma in situ of larynx (disorder)
805 92612007 Carcinoma in situ of hypopharynx (disorder)
805 92600008 Carcinoma in situ of gastrointestinal tract (disorder)
805 92586007 Carcinoma in situ of ethmoidal sinus (disorder)
805 255121007 Carcinomatosis of peritoneal cavity (disorder)
805 92587003 Carcinoma in situ of eustachian tube (disorder)
805 426134002 Benign ganglioneuroma of abdomen (disorder)
805 255123005 Metastasis to nervous system and eye (disorder)
805 255124004 Metastasis to peripheral nerve (disorder)
805 426217000 Aleukemic leukemia in remission (disorder)
805 255139003 Carcinoma in situ of middle ear and mastoid (disorder)
805 255127006 Local tumor spread (disorder)
805 255128001 Malignant infiltration of peripheral nerve (disorder)
805 92588008 Carcinoma in situ of exocervix (disorder)
805 426248008 Aleukemic lymphoid leukemia in remission (disorder)
805 426370008 Subacute lymphoid leukemia in remission (disorder)
805 426510004 Schwannoma of spinal cord (disorder)
805 92591008 Carcinoma in situ of fallopian tube (disorder)
805 92592001 Carcinoma in situ of false vocal cord (disorder)
805 189259008 Carcinoma in situ of vestibular fold (disorder)
805 94835009 Neoplasm of uncertain behavior of false vocal cord (disorder)
805 92594000 Carcinoma in situ of female genital organ (disorder)
805 92595004 Carcinoma in situ of floor of mouth (disorder)
805 92596003 Carcinoma in situ of prepuce (disorder)
805 255129009 Malignant infiltration of peripheral nerve plexus (disorder)
805 255131000 Carcinoma in situ of oral cavity, lips, salivary glands (disorder)
805 92745002 Carcinoma in situ of skin of trunk (disorder)
805 92597007 Carcinoma in situ of frontal sinus (disorder)
805 92598002 Carcinoma in situ of fundus of stomach (disorder)
805 92599005 Carcinoma in situ of gallbladder (disorder)
805 92602000 Carcinoma in situ of glans penis (disorder)
805 92603005 Carcinoma in situ of glottis (disorder)
805 92604004 Carcinoma in situ of greater curvature of stomach (disorder)
805 92606002 Carcinoma in situ of hard palate (disorder)
805 426642002 Erythroleukemia, FAB M6 in remission (disorder)
805 426885008 Hodgkin's disease, lymphocytic depletion of lymph nodes of head (disorder)
805 426964009 Non-small cell lung cancer, positive for epidermal growth factor receptor expression (disorder)
805 427038005 Non-small cell lung cancer, negative for epidermal growth factor receptor expression (disorder)
805 427056005 Subacute leukemia in remission (disorder)
805 427141003 Malignant lymphoma in remission (disorder)
805 427285006 Atypical lipoma of soft tissue (disorder)
805 427374007 Immunoproliferative neoplasm in remission (disorder)
805 427492003 Hormone refractory prostate cancer (disorder)
805 255132007 Carcinoma in situ of anterior two-thirds of tongue - ventral surface (disorder)
805 427642009 T-cell acute lymphoblastic leukemia in remission (disorder)
805 427658007 Acute myelomonocytic leukemia, FAB M4, in remission (disorder)
805 427685000 HER2-positive carcinoma of breast (disorder)
805 427744002 Hemangioendothelioma of liver (disorder)
805 255140001 Carcinoma in situ of nasal cavity and nasopharynx (disorder)
805 255143004 Anal intraepithelial neoplasia (disorder)
805 255145006 Carcinoma in situ of surface epithelium (disorder)
805 427942006 Phyllodes tumor of breast, borderline (disorder)
805 92670007 Carcinoma in situ of palate (disorder)
805 92607006 Carcinoma in situ of head of pancreas (disorder)
805 92608001 Carcinoma in situ of hepatic flexure of colon (disorder)
805 92773000 Carcinoma in situ of transverse colon (disorder)
805 255146007 Carcinoma in situ of epidermal appendage (disorder)
805 255148008 Penile intraepithelial neoplasia (disorder)
805 255149000 Carcinoma in situ of prostatic ducts (disorder)
805 255158007 Benign tumor of nasal cavities and nasopharynx (disorder)
805 92609009 Carcinoma in situ of hilus of lung (disorder)
805 92649001 Carcinoma in situ of lung (disorder)
805 428054006 Adenomatous polyp of colon (disorder)
805 92610004 Carcinoma in situ of hypopharyngeal aspect of aryepiglottic fold (disorder)
805 255159004 Benign tumor of lateral nasal wall (disorder)
805 428733008 Neuroma of lower limb (disorder)
805 428850001 Li-Fraumeni syndrome (disorder)
805 428960009 Low grade glioma of brainstem (disorder)
805 255174002 Benign polyp of biliary tract (disorder)
805 255175001 Papilloma of ampulla of Vater (disorder)
805 428964000 Low grade glioma of cerebrum (disorder)
805 428965004 Low grade glioma of thalamus (disorder)
805 254505000 Tumor of aryepiglottic fold - hypopharyngeal aspect (disorder)
805 189258000 Carcinoma in situ of aryepiglottic fold (disorder)
805 92611000 Carcinoma in situ of hypopharyngeal aspect of interarytenoid fold (disorder)
805 92681005 Carcinoma in situ of pharynx (disorder)
805 92613002 Carcinoma in situ of ileum (disorder)
805 429306002 Benign neoplasm of spinal intradural intramedullary space (disorder)
805 92614008 Carcinoma in situ of inner aspect of lip (disorder)
805 429691007 Benign neoplasm of spinal intradural space (disorder)
805 126774004 Neoplasm of inner aspect of lip (disorder)
805 255185000 Benign tumor of skin with sebaceous differentiation (disorder)
805 429570006 Atypical fibrous histiocytoma of soft tissue (disorder)
805 255137001 Carcinoma in situ of lower labial mucosa (disorder)
805 255136005 Carcinoma in situ of upper labial mucosa (disorder)
805 92618006 Carcinoma in situ of intrahepatic bile ducts (disorder)
805 429661002 Neuroma of foot (disorder)
805 92644006 Carcinoma in situ of liver (disorder)
805 92619003 Carcinoma in situ of islets of Langerhans (disorder)
805 126864006 Neoplasm of islets of Langerhans (disorder)
805 429765002 Benign neoplasm of medulla oblongata (disorder)
805 92620009 Carcinoma in situ of isthmus of uterus (disorder)
805 255186004 Benign tumor of dermis (disorder)
805 255187008 Lipoma of skin (disorder)
805 255188003 Angiomyoma of skin (disorder)
805 255189006 Benign cutaneous vascular tumor (disorder)
805 430338009 Smoldering chronic lymphocytic leukemia (disorder)
805 255190002 Ulcero - mutilating hemangiomatosis (disorder)
805 92621008 Carcinoma in situ of jejunum (disorder)
805 255191003 Localized malignant reticulohistiocytoma (disorder)
805 255192005 Benign cephalic histiocytosis (disorder)
805 255202006 Benign tumor of ill-defined site (disorder)
805 264561009 Periungual fibroma (disorder)
805 92622001 Carcinoma in situ of junctional region of epiglottis (disorder)
805 92623006 Carcinoma in situ of junctional zone of tongue (disorder)
805 92624000 Carcinoma in situ of kidney (disorder)
805 92786009 Carcinoma in situ of urinary system (disorder)
805 92625004 Carcinoma in situ of labia majora (disorder)
805 402635005 Benign neoplasm of nail apparatus (disorder)
805 264564001 Red pulp hamartoma (disorder)
805 431396003 Human epidermal growth factor 2 negative carcinoma of breast (disorder)
805 431902003 Glomus tumor of ear (disorder)
805 264906008 Pituitary macroadenoma with extrasellar extension (disorder)
805 92626003 Carcinoma in situ of labia minora (disorder)
805 422893006 Carcinoma in situ of lacrimal gland duct (disorder)
805 432082001 Non-seminomatous malignant neoplasm of testis (disorder)
805 286896005 Carcinoma breast - lower, outer quadrant (disorder)
805 372092003 Primary malignant neoplasm of axillary tail of breast (disorder)
805 399343007 Chromaffinoma (disorder)
805 286902000 Secondary carcinoma of gastrointestinal tract (disorder)
805 416921001 Carcinoma in situ of nasolacrimal duct (disorder)
805 92628002 Carcinoma in situ of lacrimal gland (disorder)
805 92630000 Carcinoma in situ of laryngeal aspect of aryepiglottic fold (disorder)
805 92631001 Carcinoma in situ of laryngeal aspect of interarytenoid fold (disorder)
805 92632008 Carcinoma in situ of laryngeal commissure (disorder)
805 92633003 Carcinoma in situ of laryngeal surface of epiglottis (disorder)
805 255138006 Carcinoma in situ of ear, nose and throat (disorder)
805 254432007 Carcinoma in situ lateral floor of mouth (disorder)
805 92636006 Carcinoma in situ of lateral wall of nasopharynx (disorder)
805 92637002 Carcinoma in situ of lateral wall of oropharynx (disorder)
805 92638007 Carcinoma in situ of lateral wall of urinary bladder (disorder)
805 254564003 Carcinoma in situ of lesser curve of stomach (disorder)
805 271943005 Carcinoma of base of tongue (disorder)
805 92642005 Carcinoma in situ of lingual tonsil (disorder)
805 433067002 Adamantinoma of femur (disorder)
805 92645007 Carcinoma in situ of lower gum (disorder)
805 92646008 Carcinoma in situ of lower inner quadrant of female breast (disorder)
805 92647004 Carcinoma in situ of lower outer quadrant of female breast (disorder)
805 92648009 Carcinoma in situ of lower third of esophagus (disorder)
805 438628005 Hormone receptor negative neoplasm (disorder)
805 438946002 Siewert type I adenocarcinoma of esophagogastric junction (disorder)
805 439023008 Mature cystic teratoma of testis (disorder)
805 439478008 Siewert type III adenocarcinoma of esophagogastric junction (disorder)
805 92650001 Carcinoma in situ of main bronchus (disorder)
805 440173001 Nonsquamous nonsmall cell neoplasm of lung (disorder)
805 92651002 Carcinoma in situ of major salivary gland (disorder)
805 189212001 Carcinoma in situ of salivary gland (disorder)
805 92654005 Carcinoma in situ of mastoid air cells (disorder)
805 440397000 Primary osteosarcoma of pelvis (disorder)
805 440501006 Siewert type II adenocarcinoma of esophagogastric junction (disorder)
805 440525003 Primary small cell neoplasm of thymus (disorder)
805 92655006 Carcinoma in situ of maxillary sinus (disorder)
805 92656007 Carcinoma in situ of Meckel's diverticulum (disorder)
805 440527006 Primary squamous cell carcinoma of naris (disorder)
805 441117001 Estrogen receptor negative neoplasm (disorder)
805 441118006 Progesterone receptor negative neoplasm (disorder)
805 441313008 Indolent multiple myeloma (disorder)
805 441559006 Mantle cell lymphoma of spleen (disorder)
805 441962003 Large cell lymphoma of intrapelvic lymph nodes (disorder)
805 442348004 Inflamed seborrheic keratosis (disorder)
805 443144000 Metastatic sarcoma (disorder)
805 443493003 Metastatic malignant melanoma (disorder)
805 443937008 Mixed glioma (disorder)
805 444231005 Thymoma (disorder)
805 444374006 Type C thymoma (disorder)
805 444408007 Tubular adenoma (disorder)
805 444596001 Malignant thymoma (disorder)
805 444597005 Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue of stomach (disorder)
805 444604002 Carcinoma of breast with ductal and lobular features (disorder)
805 444712000 Mucinous carcinoma of breast (disorder)
805 444869007 Cavernous hemangioma of brain (disorder)
805 445513004 Intracranial cavernous hemangioma (disorder)
805 444898006 Tubular adenoma of colon (disorder)
805 444910004 Primary mediastinal (thymic) large B-cell lymphoma (disorder)
805 444911000 Acute myeloid leukemia with t(9:11)(p22;q23); MLLT3-MLL (disorder)
805 92657003 Carcinoma in situ of middle ear (disorder)
805 445105005 Blastic plasmacytoid dendritic cell neoplasm (disorder)
805 445227008 Juvenile myelomonocytic leukemia (disorder)
805 445238008 Malignant carcinoid tumor (disorder)
805 255144005 Carcinoma in situ of ear (disorder)
805 445266000 Pigmented villonodular synovitis of knee joint (disorder)
805 92658008 Carcinoma in situ of middle third of esophagus (disorder)
805 92659000 Carcinoma in situ of minor salivary gland (disorder)
805 271325000 Carcinoma in situ of lip, oral cavity and/or pharynx (disorder)
805 126797001 Neoplasm of mouth (disorder)
805 92661009 Carcinoma in situ of multiple endocrine glands (disorder)
805 92662002 Carcinoma in situ of myometrium (disorder)
805 92663007 Carcinoma in situ of nasal cavity (disorder)
805 126680004 Neoplasm of nasopharynx (disorder)
805 92665000 Carcinoma in situ of nipple of female breast (disorder)
805 92666004 Carcinoma in situ of nipple of male breast (disorder)
805 92669006 Carcinoma in situ of ovary (disorder)
805 237057005 Epithelial tumor of ovary (disorder)
805 445304002 Pigmented villonodular synovitis of hip joint (disorder)
805 92671006 Carcinoma in situ of tonsil (disorder)
805 445305001 Cavernous hemangioma of skin (disorder)
805 445406001 Hepatosplenic T-cell lymphoma (disorder)
805 445448008 Acute myeloid leukemia with myelodysplasia-related changes (disorder)
805 445476000 Pigmented villonodular synovitis of ankle joint (disorder)
805 92803008 Carcinoma in situ of Waldeyer's ring (disorder)
805 92674003 Carcinoma in situ of parametrium (disorder)
805 92675002 Carcinoma in situ of parathyroid gland (disorder)
805 92676001 Carcinoma in situ of paraurethral glands (disorder)
805 92784007 Carcinoma in situ of urethra (disorder)
805 92677005 Carcinoma in situ of parietal pleura (disorder)
805 92685001 Carcinoma in situ of pleura (disorder)
805 92678000 Carcinoma in situ of parotid gland (disorder)
805 92680006 Carcinoma in situ of perianal skin (disorder)
805 92738002 Carcinoma in situ of skin of perineum (disorder)
805 189295000 Carcinoma in situ of skin of trunk, excluding scrotum (disorder)
805 92682003 Carcinoma in situ of pineal gland (disorder)
805 92684002 Carcinoma in situ of placenta (disorder)
805 92686000 Carcinoma in situ of postcricoid region (disorder)
805 92687009 Carcinoma in situ of posterior hypopharyngeal wall (disorder)
805 92689007 Carcinoma in situ of posterior wall of oropharynx (disorder)
805 92690003 Carcinoma in situ of posterior wall of urinary bladder (disorder)
805 92691004 Carcinoma in situ of prostate (disorder)
805 92692006 Carcinoma in situ of pyloric antrum (disorder)
805 92693001 Carcinoma in situ of pylorus (disorder)
805 92694007 Carcinoma in situ of pyriform sinus (disorder)
805 92695008 Carcinoma in situ of rectosigmoid junction (disorder)
805 92696009 Carcinoma in situ of rectum (disorder)
805 92708008 Carcinoma in situ of sigmoid colon (disorder)
805 92697000 Carcinoma in situ of renal pelvis (disorder)
805 189251006 Carcinoma in situ of respiratory system (disorder)
805 92699002 Carcinoma in situ of retina (disorder)
805 92700001 Carcinoma in situ of retromolar area (disorder)
805 92704005 Carcinoma in situ of round ligament of uterus (disorder)
805 92705006 Carcinoma in situ of sclera (disorder)
805 92706007 Carcinoma in situ of scrotum (disorder)
805 92707003 Carcinoma in situ of sebaceous gland (disorder)
805 126491004 Tumor of skin with sebaceous differentiation (disorder)
805 92709000 Carcinoma in situ of skin of abdomen (disorder)
805 92710005 Carcinoma in situ of skin of ankle (disorder)
805 92747005 Carcinoma in situ of skin of upper limb (disorder)
805 92712002 Carcinoma in situ of skin of axilla (disorder)
805 92717008 Carcinoma in situ of skin of chest (disorder)
805 92713007 Carcinoma in situ of skin of back (disorder)
805 92714001 Carcinoma in situ of skin of breast (disorder)
805 92715000 Carcinoma in situ of skin of buttock (disorder)
805 92716004 Carcinoma in situ of skin of cheek (disorder)
805 92724009 Carcinoma in situ of skin of face (disorder)
805 92718003 Carcinoma in situ of skin of chin (disorder)
805 189289001 Carcinoma in situ of skin of jaw (disorder)
805 92719006 Carcinoma in situ of skin of ear (disorder)
805 92720000 Carcinoma in situ of skin of elbow (disorder)
805 189280002 Carcinoma in situ of skin of external auditory canal (disorder)
805 92722008 Carcinoma in situ of skin of eyebrow (disorder)
805 92728007 Carcinoma in situ of skin of forehead (disorder)
805 92723003 Carcinoma in situ of skin of eyelid (disorder)
805 92725005 Carcinoma in situ of skin of finger (disorder)
805 92730009 Carcinoma in situ of skin of hand (disorder)
805 92726006 Carcinoma in situ of skin of foot (disorder)
805 189313009 Carcinoma in situ of skin of lower limb and hip (disorder)
805 92727002 Carcinoma in situ of skin of forearm (disorder)
805 92729004 Carcinoma in situ of skin of groin (disorder)
805 189300003 Carcinoma in situ of skin of abdominal wall (disorder)
805 92731008 Carcinoma in situ of skin of hip (disorder)
805 92732001 Carcinoma in situ of skin of knee (disorder)
805 92733006 Carcinoma in situ of skin of leg (disorder)
805 126529008 Neoplasm of skin of leg (disorder)
805 92735004 Carcinoma in situ of skin of lower limb (disorder)
805 92736003 Carcinoma in situ of skin of neck (disorder)
805 189291009 Carcinoma in situ of scalp and skin of neck (disorder)
805 92737007 Carcinoma in situ of skin of nose (disorder)
805 92739005 Carcinoma in situ of skin of popliteal area (disorder)
805 92740007 Carcinoma in situ of skin of scalp (disorder)
805 92741006 Carcinoma in situ of skin of shoulder (disorder)
805 92742004 Carcinoma in situ of skin of temporal region (disorder)
805 92743009 Carcinoma in situ of skin of thigh (disorder)
805 92744003 Carcinoma in situ of skin of toe (disorder)
805 92746001 Carcinoma in situ of skin of umbilicus (disorder)
805 92748000 Carcinoma in situ of skin of wrist (disorder)
805 254649008 Epithelial neoplasm of skin (disorder)
805 92751007 Carcinoma in situ of soft palate (disorder)
805 92752000 Carcinoma in situ of spermatic cord (disorder)
805 92753005 Carcinoma in situ of sphenoidal sinus (disorder)
805 92754004 Carcinoma in situ of spleen (disorder)
805 189229003 Carcinoma in situ of splenic flexure (disorder)
805 92757006 Carcinoma in situ of subglottis (disorder)
805 92758001 Carcinoma in situ of sublingual gland (disorder)
805 92759009 Carcinoma in situ of submaxillary gland (disorder)
805 126789008 Neoplasm of submaxillary gland (disorder)
805 92760004 Carcinoma in situ of superior wall of nasopharynx (disorder)
805 92762007 Carcinoma in situ of sweat gland (disorder)
805 92763002 Carcinoma in situ of tail of pancreas (disorder)
805 92764008 Carcinoma in situ of testis (disorder)
805 254540004 Carcinoma in situ of thoracic part of esophagus (disorder)
805 92766005 Carcinoma in situ of thyroglossal duct (disorder)
805 92767001 Carcinoma in situ of thyroid gland (disorder)
805 92768006 Carcinoma in situ of border of tongue (disorder)
805 92770002 Carcinoma in situ of tonsillar fossa (disorder)
805 92771003 Carcinoma in situ of tonsillar pillar (disorder)
805 92772005 Carcinoma in situ of trachea (disorder)
805 92774006 Carcinoma in situ of trigone of urinary bladder (disorder)
805 92775007 Carcinoma in situ of undescended testis (disorder)
805 92776008 Carcinoma in situ of upper gum (disorder)
805 92777004 Carcinoma in situ of upper inner quadrant of female breast (disorder)
805 92778009 Carcinoma in situ of upper outer quadrant of female breast (disorder)
805 92780003 Carcinoma in situ of upper third of esophagus (disorder)
805 92781004 Carcinoma in situ of urachus (disorder)
805 92782006 Carcinoma in situ of ureter (disorder)
805 92783001 Carcinoma in situ of ureteric orifice of urinary bladder (disorder)
805 92785008 Carcinoma in situ of urinary bladder neck (disorder)
805 92790006 Carcinoma in situ of uvula (disorder)
805 92791005 Carcinoma in situ of vagina (disorder)
805 254894004 Vaginal intraepithelial neoplasia (disorder)
805 92792003 Carcinoma in situ of vallecula (disorder)
805 92793008 Carcinoma in situ of vas deferens (disorder)
805 92794002 Carcinoma in situ of ventral surface of tongue (disorder)
805 92795001 Carcinoma in situ of vermilion border of lip (disorder)
805 92796000 Carcinoma in situ of vermilion border of lower lip (disorder)
805 92797009 Carcinoma in situ of vermilion border of upper lip (disorder)
805 92798004 Carcinoma in situ of vestibule of mouth (disorder)
805 92799007 Carcinoma in situ of vestibule of nose (disorder)
805 254485000 Neoplasm of nasal vestibule (disorder)
805 92800006 Carcinoma in situ of visceral pleura (disorder)
805 92801005 Carcinoma in situ of vocal cord (disorder)
805 95181001 Neoplasm of uncertain behavior of vocal cord (disorder)
805 399966002 In situ neoplasm of vulva (disorder)
805 109992005 Polycythemia vera (disorder)
805 92811003 Chronic leukemia in remission (disorder)
805 92812005 Chronic leukemia, disease (disorder)
805 92813000 Chronic lymphoid leukemia in remission (disorder)
805 92814006 Chronic lymphoid leukemia, disease (disorder)
805 92817004 Chronic myeloid leukemia in remission (disorder)
805 92818009 Chronic myeloid leukemia, disease (disorder)
805 92824003 Neurofibromatosis, type 1 (disorder)
805 95087004 Neoplasm of uncertain behavior of skin (disorder)
805 402874001 Neoplasm of nerve sheath origin (disorder)
805 93133006 Letterer-Siwe disease of intra-abdominal lymph nodes (disorder)
805 118614007 Langerhans cell histiocytosis, disseminated (disorder)
805 93134000 Letterer-Siwe disease of intrapelvic lymph nodes (disorder)
805 93135004 Letterer-Siwe disease of intrathoracic lymph nodes (disorder)
805 93136003 Letterer-Siwe disease of lymph nodes of axilla AND/OR upper limb (disorder)
805 93137007 Letterer-Siwe disease of lymph nodes of head, face AND/OR neck (disorder)
805 255056009 Malignant tumor of head and/or neck (disorder)
805 93138002 Letterer-Siwe disease of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 93139005 Letterer-Siwe disease of lymph nodes of multiple sites (disorder)
805 127274007 Neoplasm of lymph nodes of multiple sites (disorder)
805 93140007 Letterer-Siwe disease of spleen (disorder)
805 93141006 Letterer-Siwe disease of extranodal AND/OR solid organ site (disorder)
805 129154003 Hematologic neoplasm (disorder)
805 93144003 Leukemic reticuloendotheliosis of intra-abdominal lymph nodes (disorder)
805 118613001 Hairy cell leukemia (disorder)
805 93145002 Leukemic reticuloendotheliosis of intrapelvic lymph nodes (disorder)
805 94350006 Secondary malignant neoplasm of intrapelvic lymph nodes (disorder)
805 93146001 Leukemic reticuloendotheliosis of intrathoracic lymph nodes (disorder)
805 93147005 Leukemic reticuloendotheliosis of lymph nodes of axilla AND/OR upper limb (disorder)
805 93148000 Leukemic reticuloendotheliosis of lymph nodes of head, face AND/OR neck (disorder)
805 93149008 Leukemic reticuloendotheliosis of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 93150008 Leukemic reticuloendotheliosis of lymph nodes of multiple sites (disorder)
805 93151007 Hairy cell leukemia of spleen (disorder)
805 93152000 Leukemic reticuloendotheliosis of extranodal AND/OR solid organ site (disorder)
805 93156002 Lipoma of buttock (disorder)
805 189001006 Lipoma of hip (disorder)
805 93163002 Lipoma (disorder)
805 93157006 Lipoma of intra-abdominal organs (disorder)
805 93158001 Lipoma of intrathoracic organs (disorder)
805 93159009 Lipoma of skin and subcutaneous tissue of face (disorder)
805 301871007 Lipoma of head and neck (disorder)
805 93160004 Lipoma of skin and subcutaneous tissue of neck (disorder)
805 93161000 Lipoma of skin and subcutaneous tissue of scalp (disorder)
805 93162007 Lipoma of spermatic cord (disorder)
805 254830006 Benign lipomatous tumor (disorder)
805 93169003 Lymphoid leukemia in remission (disorder)
805 94686001 Mixed cell type lymphosarcoma of intra-abdominal lymph nodes (disorder)
805 118601006 Non-Hodgkin's lymphoma (disorder)
805 94688000 Mixed cell type lymphosarcoma of intrathoracic lymph nodes (disorder)
805 93182006 Malignant histiocytosis of intra-abdominal lymph nodes (disorder)
805 118612006 Malignant histiocytosis (disorder)
805 93183001 Malignant histiocytosis of intrapelvic lymph nodes (disorder)
805 93184007 Malignant histiocytosis of intrathoracic lymph nodes (disorder)
805 93185008 Malignant histiocytosis of lymph nodes of axilla AND/OR upper limb (disorder)
805 93186009 Malignant histiocytosis of lymph nodes of head, face AND/OR neck (disorder)
805 93187000 Malignant histiocytosis of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 93188005 Malignant histiocytosis of lymph nodes of multiple sites (disorder)
805 93189002 Malignant histiocytosis of spleen (disorder)
805 93190006 Malignant histiocytosis of extranodal AND/OR solid organ site (disorder)
805 93191005 Malignant lymphoma of intra-abdominal lymph nodes (disorder)
805 363484005 Malignant tumor of pelvis (disorder)
805 363503004 Malignant tumor of upper limb (disorder)
805 363504005 Malignant tumor of lower limb (disorder)
805 93197009 Malignant lymphoma of lymph nodes of multiple sites (disorder)
805 118600007 Malignant lymphoma (disorder)
805 363499005 Malignant tumor of spleen (disorder)
805 93200005 Malignant mast cell tumor of intra-abdominal lymph nodes (disorder)
805 188664008 Mast cell malignancy of intra-abdominal lymph nodes (disorder)
805 118615008 Malignant mast cell tumor (disorder)
805 93201009 Malignant mast cell tumor of intrapelvic lymph nodes (disorder)
805 188667001 Mast cell malignancy of intrapelvic lymph nodes (disorder)
805 93202002 Malignant mast cell tumor of intrathoracic lymph nodes (disorder)
805 188663002 Mast cell malignancy of intrathoracic lymph nodes (disorder)
805 93203007 Malignant mast cell tumor of lymph nodes of axilla AND/OR upper limb (disorder)
805 188665009 Mast cell malignancy of lymph nodes of axilla and upper limb (disorder)
805 93204001 Malignant mast cell tumor of lymph nodes of head, face AND/OR neck (disorder)
805 423812005 Sarcoma of head and neck (disorder)
805 188662007 Mast cell malignancy of lymph nodes of head, face and neck (disorder)
805 93205000 Malignant mast cell tumor of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 188666005 Mast cell malignancy of lymph nodes of inguinal region and lower limb (disorder)
805 93206004 Malignant mast cell tumor of lymph nodes of multiple sites (disorder)
805 188669003 Mast cell malignancy of lymph nodes of multiple sites (disorder)
805 93207008 Malignant mast cell tumor of spleen (disorder)
805 188668006 Mast cell malignancy of spleen (disorder)
805 93208003 Malignant mast cell tumor of extranodal AND/OR solid organ site (disorder)
805 93209006 Malignant melanoma of perianal skin (disorder)
805 93644004 Malignant melanoma of skin of perineum (disorder)
805 269579005 Malignant melanoma of trunk (disorder)
805 93210001 Malignant melanoma of skin of abdomen (disorder)
805 93651008 Malignant melanoma of skin of trunk (disorder)
805 188110009 Malignant neoplasm of skin of abdominal wall (disorder)
805 93211002 Malignant melanoma of skin of ankle (disorder)
805 188073001 Malignant melanoma of ankle (disorder)
805 188072006 Malignant melanoma of lower leg (disorder)
805 269469005 Malignant neoplasm of soft tissue (disorder)
805 93641007 Malignant melanoma of skin of lower limb (disorder)
805 93212009 Malignant melanoma of skin of arm (disorder)
805 188061001 Malignant melanoma of upper arm (disorder)
805 93653006 Malignant melanoma of skin of upper limb (disorder)
805 126518009 Neoplasm of skin of arm (disorder)
805 93213004 Malignant melanoma of skin of axilla (disorder)
805 188049009 Malignant melanoma of axilla (disorder)
805 93218008 Malignant melanoma of skin of chest (disorder)
805 93214005 Malignant melanoma of skin of back (disorder)
805 310498001 Malignant melanoma of back (disorder)
805 93215006 Malignant melanoma of skin of breast (disorder)
805 188050009 Malignant melanoma of breast (disorder)
805 93216007 Malignant melanoma of skin of buttock (disorder)
805 188051008 Malignant melanoma of buttock (disorder)
805 269581007 Malignant melanoma of lower limb (disorder)
805 363364007 Malignant tumor of soft tissue of hip (disorder)
805 93217003 Malignant melanoma of skin of cheek (disorder)
805 93225001 Malignant melanoma of skin of face (disorder)
805 188095002 Malignant neoplasm of skin of cheek, external (disorder)
805 363365008 Malignant tumor of soft tissue of thorax (disorder)
805 313248004 Malignant melanoma of chest wall (disorder)
805 93219000 Malignant melanoma of skin of chin (disorder)
805 188038003 Malignant melanoma of chin (disorder)
805 93220006 Malignant melanoma of skin of ear (disorder)
805 93655004 Malignant melanoma of skin (disorder)
805 277156006 Malignant tumor of external ear (disorder)
805 188032002 Malignant melanoma of ear and/or external auditory canal (disorder)
805 93221005 Malignant melanoma of skin of elbow (disorder)
805 93222003 Malignant melanoma of skin of external auditory canal (disorder)
805 188034001 Malignant melanoma of external auditory meatus (disorder)
805 188091006 Malignant neoplasm of skin of external auditory meatus (disorder)
805 93223008 Malignant melanoma of skin of eyebrow (disorder)
805 128516002 Neoplasm of ocular adnexa (disorder)
805 93224002 Malignant melanoma of skin of eyelid (disorder)
805 423425006 Malignant neoplasm of skin of eyelid (disorder)
805 231834005 Malignant melanoma of eyelid (disorder)
805 269578002 Malignant melanoma of head and neck (disorder)
805 443136000 Malignant neoplasm of skin of face (disorder)
805 93226000 Malignant melanoma of skin of finger (disorder)
805 93636004 Malignant melanoma of skin of hand (disorder)
805 188064009 Malignant melanoma of finger (disorder)
805 93227009 Malignant melanoma of skin of foot (disorder)
805 188075008 Malignant melanoma of foot (disorder)
805 93228004 Malignant melanoma of skin of forearm (disorder)
805 188062008 Malignant melanoma of fore-arm (disorder)
805 93229007 Malignant melanoma of skin of forehead (disorder)
805 188040008 Malignant melanoma of forehead (disorder)
805 93230002 Malignant melanoma of skin of groin (disorder)
805 188052001 Malignant melanoma of groin (disorder)
805 363366009 Malignant tumor of soft tissue of pelvis (disorder)
805 93472004 Hemangioma of spleen (disorder)
805 118599009 Hodgkin's disease (disorder)
805 188587006 Hodgkin's disease, lymphocytic depletion of intra-abdominal lymph nodes (disorder)
805 188586002 Hodgkin's disease, lymphocytic depletion of intrathoracic lymph nodes (disorder)
805 93487009 Hodgkin's disease, lymphocytic depletion of lymph nodes of axilla AND/OR upper limb (disorder)
805 118610003 Hodgkin's disease, lymphocytic depletion (disorder)
805 93523009 Hodgkin's disease of lymph nodes of axilla AND/OR upper limb (disorder)
805 93488004 Hodgkin's disease, lymphocytic depletion of lymph nodes of head, face AND/OR neck (disorder)
805 93524003 Hodgkin's disease of lymph nodes of head, face AND/OR neck (disorder)
805 93489007 Hodgkin's disease, lymphocytic depletion of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 188593003 Hodgkin's disease, lymphocytic depletion of lymph nodes of multiple sites (disorder)
805 188592008 Hodgkin's disease, lymphocytic depletion of spleen (disorder)
805 93492006 Hodgkin's disease, lymphocytic depletion of extranodal AND/OR solid organ site (disorder)
805 93493001 Hodgkin's disease, lymphocytic-histiocytic predominance of intra-abdominal lymph nodes (disorder)
805 93520007 Hodgkin's disease of intra-abdominal lymph nodes (disorder)
805 118607005 Hodgkin lymphoma, lymphocyte-rich (disorder)
805 93494007 Hodgkin's disease, lymphocytic-histiocytic predominance of intrapelvic lymph nodes (disorder)
805 93521006 Hodgkin's disease of intrapelvic lymph nodes (disorder)
805 93495008 Hodgkin's disease, lymphocytic-histiocytic predominance of intrathoracic lymph nodes (disorder)
805 93522004 Hodgkin's disease of intrathoracic lymph nodes (disorder)
805 93496009 Hodgkin's disease, lymphocytic-histiocytic predominance of lymph nodes of axilla AND/OR upper limb (disorder)
805 93497000 Hodgkin's disease, lymphocytic-histiocytic predominance of lymph nodes of head, face AND/OR neck (disorder)
805 93498005 Hodgkin's disease, lymphocytic-histiocytic predominance of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 188562004 Hodgkin's disease, lymphocytic-histiocytic predominance of lymph nodes of multiple sites (disorder)
805 93500006 Hodgkin's disease, lymphocytic-histiocytic predominance of spleen (disorder)
805 93527005 Hodgkin's disease of spleen (disorder)
805 93501005 Hodgkin's disease, lymphocytic-histiocytic predominance of extranodal AND/OR solid organ site (disorder)
805 188577007 Hodgkin's disease, mixed cellularity of intra-abdominal lymph nodes (disorder)
805 188580008 Hodgkin's disease, mixed cellularity of intrapelvic lymph nodes (disorder)
805 188576003 Hodgkin's disease, mixed cellularity of intrathoracic lymph nodes (disorder)
805 93505001 Hodgkin's disease, mixed cellularity of lymph nodes of axilla AND/OR upper limb (disorder)
805 118609008 Hodgkin's disease, mixed cellularity (disorder)
805 93506000 Hodgkin's disease, mixed cellularity of lymph nodes of head, face AND/OR neck (disorder)
805 93507009 Hodgkin's disease, mixed cellularity of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 188582000 Hodgkin's disease, mixed cellularity of lymph nodes of multiple sites (disorder)
805 93509007 Hodgkin's disease, mixed cellularity of spleen (disorder)
805 93510002 Hodgkin's disease, mixed cellularity of extranodal AND/OR solid organ site (disorder)
805 188567005 Hodgkin's disease, nodular sclerosis of intra-abdominal lymph nodes (disorder)
805 188570009 Hodgkin's disease, nodular sclerosis of intrapelvic lymph nodes (disorder)
805 188566001 Hodgkin's disease, nodular sclerosis of intrathoracic lymph nodes (disorder)
805 93514006 Hodgkin's disease, nodular sclerosis of lymph nodes of axilla AND/OR upper limb (disorder)
805 118608000 Hodgkin's disease, nodular sclerosis (disorder)
805 93515007 Hodgkin's disease, nodular sclerosis of lymph nodes of head, face AND/OR neck (disorder)
805 93516008 Hodgkin's disease, nodular sclerosis of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 188572001 Hodgkin's disease, nodular sclerosis of lymph nodes of multiple sites (disorder)
805 93518009 Hodgkin's disease, nodular sclerosis of spleen (disorder)
805 93519001 Hodgkin's disease, nodular sclerosis of extranodal AND/OR solid organ site (disorder)
805 93525002 Hodgkin's disease of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 93526001 Hodgkin's disease of lymph nodes of multiple sites (disorder)
805 93528000 Hodgkin's disease of extranodal AND/OR solid organ site (disorder)
805 188536008 Hodgkin's granuloma of intra-abdominal lymph nodes (disorder)
805 93530003 Hodgkin's granuloma of intrapelvic lymph nodes (disorder)
805 118602004 Hodgkin's granuloma (disorder)
805 93531004 Hodgkin's granuloma of intrathoracic lymph nodes (disorder)
805 93532006 Hodgkin's granuloma of lymph nodes of axilla AND/OR upper limb (disorder)
805 93533001 Hodgkin's granuloma of lymph nodes of head, face AND/OR neck (disorder)
805 93534007 Hodgkin's granuloma of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 188541000 Hodgkin's granuloma of lymph nodes of multiple sites (disorder)
805 93536009 Hodgkin's granuloma of spleen (disorder)
805 93537000 Hodgkin's granuloma of extranodal AND/OR solid organ site (disorder)
805 188526000 Hodgkin's paragranuloma of intra-abdominal lymph nodes (disorder)
805 188529007 Hodgkin's paragranuloma of intrapelvic lymph nodes (disorder)
805 188524002 Hodgkin's paragranuloma of intrathoracic lymph nodes (disorder)
805 93541001 Hodgkin's paragranuloma of lymph nodes of axilla AND/OR upper limb (disorder)
805 118605002 Hodgkin lymphoma, nodular lymphocyte predominance (disorder)
805 93542008 Hodgkin's paragranuloma of lymph nodes of head, face AND/OR neck (disorder)
805 93543003 Hodgkin's paragranuloma of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 188531003 Hodgkin's paragranuloma of lymph nodes of multiple sites (disorder)
805 93545005 Hodgkin's paragranuloma of spleen (disorder)
805 93546006 Hodgkin's paragranuloma of extranodal AND/OR solid organ site (disorder)
805 93547002 Hodgkin's sarcoma of intra-abdominal lymph nodes (disorder)
805 118606001 Hodgkin's sarcoma (disorder)
805 93548007 Hodgkin's sarcoma of intrapelvic lymph nodes (disorder)
805 93549004 Hodgkin's sarcoma of intrathoracic lymph nodes (disorder)
805 93550004 Hodgkin's sarcoma of lymph nodes of axilla AND/OR upper limb (disorder)
805 93551000 Hodgkin's sarcoma of lymph nodes of head, face AND/OR neck (disorder)
805 93552007 Hodgkin's sarcoma of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 188551004 Hodgkin's sarcoma of lymph nodes of multiple sites (disorder)
805 93554008 Hodgkin's sarcoma of spleen (disorder)
805 93555009 Hodgkin's sarcoma of extranodal AND/OR solid organ site (disorder)
805 93616000 Intramural leiomyoma of uterus (disorder)
805 188063003 Malignant melanoma of hand (disorder)
805 93637008 Malignant melanoma of skin of hip (disorder)
805 188068007 Malignant melanoma of hip (disorder)
805 93638003 Malignant melanoma of skin of knee (disorder)
805 188070003 Malignant melanoma of knee (disorder)
805 93639006 Malignant melanoma of skin of leg (disorder)
805 93640008 Malignant melanoma of skin of lip (disorder)
805 188030005 Malignant melanoma of lip (disorder)
805 372124007 Malignant neoplasm of skin of lower limb (disorder)
805 93642000 Malignant melanoma of skin of neck (disorder)
805 188046002 Malignant melanoma of neck (disorder)
805 188102008 Malignant neoplasm of scalp AND/OR skin of neck (disorder)
805 93643005 Malignant melanoma of skin of nose (disorder)
805 363501002 Malignant tumor of face (disorder)
805 188054000 Malignant melanoma of perineum (disorder)
805 93645003 Malignant melanoma of skin of popliteal area (disorder)
805 188071004 Malignant melanoma of popliteal fossa area (disorder)
805 93646002 Malignant melanoma of skin of scalp (disorder)
805 188103003 Malignant neoplasm of skin of scalp (disorder)
805 188045003 Malignant melanoma of scalp (disorder)
805 93647006 Malignant melanoma of skin of shoulder (disorder)
805 188060000 Malignant melanoma of shoulder (disorder)
805 93648001 Malignant melanoma of skin of temporal region (disorder)
805 188042000 Malignant melanoma of temple (disorder)
805 93649009 Malignant melanoma of skin of thigh (disorder)
805 93650009 Malignant melanoma of skin of toe (disorder)
805 188076009 Malignant melanoma of toe (disorder)
805 372126009 Malignant neoplasm of skin of trunk (disorder)
805 93652001 Malignant melanoma of skin of umbilicus (disorder)
805 188055004 Malignant melanoma of umbilicus (disorder)
805 269580008 Malignant melanoma of upper limb (disorder)
805 372128005 Malignant neoplasm of skin of upper limb (disorder)
805 93654000 Malignant melanoma of skin of wrist (disorder)
805 276728004 Melanocytic tumor of skin (disorder)
805 372130007 Malignant neoplasm of skin (disorder)
805 372244006 Malignant melanoma (disorder)
805 187724003 Malignant tumor of abdominal part of esophagus (disorder)
805 371962007 Primary malignant neoplasm of abdominal esophagus (disorder)
805 93657007 Primary malignant neoplasm of abducens nerve (disorder)
805 93767009 Primary malignant neoplasm of cranial nerve (disorder)
805 93658002 Primary malignant neoplasm of accessory nerve (disorder)
805 93659005 Primary malignant neoplasm of accessory sinus (disorder)
805 94118008 Primary malignant neoplasm of upper respiratory tract (disorder)
805 363506007 Malignant tumor of nasal sinuses (disorder)
805 93660000 Primary malignant neoplasm of acoustic nerve (disorder)
805 93661001 Primary malignant neoplasm of acromion (disorder)
805 93997008 Primary malignant neoplasm of scapula (disorder)
805 93662008 Primary malignant neoplasm of adenoid (disorder)
805 93970001 Primary malignant neoplasm of posterior wall of nasopharynx (disorder)
805 94144008 Primary malignant neoplasm of Waldeyer's ring (disorder)
805 187694000 Malignant tumor of adenoid (disorder)
805 93663003 Primary malignant neoplasm of skin with adnexal differentiation (disorder)
805 255093003 Malignant skin tumor with adnexal differentiation (disorder)
805 371964008 Malignant neoplasm of adrenal cortex (disorder)
805 371963002 Primary malignant neoplasm of adrenal cortex (disorder)
805 93665005 Primary malignant neoplasm of adrenal gland (disorder)
805 363355002 Malignant tumor of adrenal gland (disorder)
805 94092006 Primary malignant neoplasm of retroperitoneum (disorder)
805 93839008 Primary malignant neoplasm of intra-abdominal organs (disorder)
805 371965009 Malignant neoplasm of adrenal medulla (disorder)
805 371966005 Primary malignant neoplasm of adrenal medulla (disorder)
805 93667002 Primary malignant neoplasm of alveolar ridge mucosa (disorder)
805 371990006 Primary malignant neoplasm of gum (disorder)
805 93812000 Primary malignant neoplasm of gingival mucosa (disorder)
805 363417006 Malignant tumor of ampulla of Vater (disorder)
805 371967001 Primary malignant neoplasm of ampulla of vater (disorder)
805 93669004 Primary malignant neoplasm of anal canal (disorder)
805 363352004 Malignant tumor of anal canal (disorder)
805 93676009 Primary malignant neoplasm of anus (disorder)
805 93670003 Primary malignant neoplasm of anterior aspect of epiglottis (disorder)
805 93961004 Primary malignant neoplasm of pharynx (disorder)
805 93784003 Primary malignant neoplasm of epiglottis (disorder)
805 187681002 Malignant neoplasm of anterior epiglottis (disorder)
805 93671004 Primary malignant neoplasm of anterior mediastinum (disorder)
805 93891008 Primary malignant neoplasm of mediastinum (disorder)
805 93672006 Primary malignant neoplasm of anterior portion of floor of mouth (disorder)
805 93802007 Primary malignant neoplasm of floor of mouth (disorder)
805 187652003 Malignant tumor of anterior floor of mouth (disorder)
805 363360003 Malignant tumor of anterior two-thirds of tongue (disorder)
805 371968006 Primary malignant neoplasm of anterior two-thirds of tongue (disorder)
805 93674007 Primary malignant neoplasm of anterior wall of nasopharynx (disorder)
805 187700006 Malignant tumor of anterior wall of nasopharynx (disorder)
805 188242006 Malignant neoplasm of anterior wall of urinary bladder (disorder)
805 363490009 Malignant tumor of anus (disorder)
805 93854002 Primary malignant neoplasm of large intestine (disorder)
805 93677000 Primary malignant neoplasm of aortic body (disorder)
805 93941005 Primary malignant neoplasm of paraganglion (disorder)
805 371969003 Primary malignant neoplasm of apex of urinary bladder (disorder)
805 188240003 Malignant tumor of vault of bladder (disorder)
805 93679002 Primary malignant neoplasm of appendix (disorder)
805 363411007 Malignant tumor of appendix (disorder)
805 93680004 Primary malignant neoplasm of areola of female breast (disorder)
805 372064008 Malignant neoplasm of female breast (disorder)
805 93796005 Primary malignant neoplasm of female breast (disorder)
805 93681000 Primary malignant neoplasm of areola of male breast (disorder)
805 93884005 Primary malignant neoplasm of male breast (disorder)
805 93682007 Primary malignant neoplasm of upper arm (disorder)
805 93683002 Primary malignant neoplasm of ascending colon (disorder)
805 363412000 Malignant tumor of ascending colon (disorder)
805 93761005 Primary malignant neoplasm of colon (disorder)
805 93684008 Primary malignant neoplasm of axilla (disorder)
805 363502009 Malignant tumor of axilla (disorder)
805 188156001 Malignant neoplasm of axillary tail of female breast (disorder)
805 93686005 Primary malignant neoplasm of back (disorder)
805 93687001 Primary malignant neoplasm of base of tongue (disorder)
805 94080006 Primary malignant neoplasm of supraglottis (disorder)
805 363376007 Malignant tumor of base of tongue (disorder)
805 94101009 Primary malignant neoplasm of tongue (disorder)
805 93933005 Primary malignant neoplasm of oropharynx (disorder)
805 363415003 Malignant tumor of biliary tract (disorder)
805 371970002 Primary malignant neoplasm of biliary tract (disorder)
805 93689003 Primary malignant neoplasm of bladder (disorder)
805 399326009 Malignant tumor of urinary bladder (disorder)
805 94125001 Primary malignant neoplasm of urinary system (disorder)
805 93690007 Primary malignant neoplasm of blood vessel of abdomen (disorder)
805 93714009 Primary malignant neoplasm of blood vessel (disorder)
805 93713003 Primary malignant neoplasm of blood vessel of upper limb (disorder)
805 399884001 Primary malignant neoplasm of blood vessel of upper arm (disorder)
805 93692004 Primary malignant neoplasm of blood vessel of axilla (disorder)
805 93693009 Primary malignant neoplasm of blood vessel of buttock (disorder)
805 93694003 Primary malignant neoplasm of blood vessel of face (disorder)
805 93695002 Primary malignant neoplasm of blood vessel of finger (disorder)
805 93698000 Primary malignant neoplasm of blood vessel of hand (disorder)
805 126746009 Neoplasm of blood vessel of finger (disorder)
805 93696001 Primary malignant neoplasm of blood vessel of foot (disorder)
805 93803002 Primary malignant neoplasm of foot (disorder)
805 400074007 Primary malignant neoplasm of blood vessel of lower leg (disorder)
805 93697005 Primary malignant neoplasm of blood vessel of forearm (disorder)
805 126744007 Neoplasm of blood vessel of forearm (disorder)
805 93804008 Primary malignant neoplasm of forearm (disorder)
805 93821004 Primary malignant neoplasm of hand (disorder)
805 126745008 Neoplasm of blood vessel of hand (disorder)
805 93699008 Primary malignant neoplasm of blood vessel of head (disorder)
805 93824007 Primary malignant neoplasm of head (disorder)
805 126738008 Neoplasm of blood vessel of head (disorder)
805 372010005 Primary malignant neoplasm of soft tissues (disorder)
805 93700009 Primary malignant neoplasm of blood vessel of hip (disorder)
805 126748005 Neoplasm of blood vessel of hip (disorder)
805 93712008 Primary malignant neoplasm of blood vessel of trunk (disorder)
805 93703006 Primary malignant neoplasm of blood vessel of lower limb (disorder)
805 93701008 Primary malignant neoplasm of blood vessel of inguinal region (disorder)
805 93705004 Primary malignant neoplasm of blood vessel of pelvis (disorder)
805 126747000 Neoplasm of blood vessel of lower limb (disorder)
805 93704000 Primary malignant neoplasm of blood vessel of neck (disorder)
805 126740003 Neoplasm of blood vessel of neck (disorder)
805 93922007 Primary malignant neoplasm of neck (disorder)
805 93706003 Primary malignant neoplasm of blood vessel of perineum (disorder)
805 126761005 Neoplasm of blood vessel of perineum (disorder)
805 93707007 Primary malignant neoplasm of blood vessel of popliteal space (disorder)
805 126750002 Neoplasm of blood vessel of popliteal space (disorder)
805 93708002 Primary malignant neoplasm of blood vessel of shoulder (disorder)
805 126742006 Neoplasm of blood vessel of shoulder (disorder)
805 94005003 Primary malignant neoplasm of shoulder (disorder)
805 93709005 Primary malignant neoplasm of blood vessel of thigh (disorder)
805 94093001 Primary malignant neoplasm of thigh (disorder)
805 126749002 Neoplasm of blood vessel of thigh (disorder)
805 93710000 Primary malignant neoplasm of blood vessel of thorax (disorder)
805 188361007 Malignant neoplasm of thorax (disorder)
805 126755007 Neoplasm of blood vessel of thorax (disorder)
805 93711001 Primary malignant neoplasm of blood vessel of toe (disorder)
805 126753000 Neoplasm of blood vessel of toe (disorder)
805 126754006 Neoplasm of blood vessel of trunk (disorder)
805 126741004 Neoplasm of blood vessel of upper limb (disorder)
805 93715005 Primary malignant neoplasm of body of pancreas (disorder)
805 372003004 Primary malignant neoplasm of pancreas (disorder)
805 187791002 Malignant tumor of body of pancreas (disorder)
805 93716006 Primary malignant neoplasm of body of penis (disorder)
805 372005006 Primary malignant neoplasm of penis (disorder)
805 188230001 Malignant tumor of body of penis (disorder)
805 93717002 Primary malignant neoplasm of body of stomach (disorder)
805 372014001 Primary malignant neoplasm of stomach (disorder)
805 187742008 Malignant tumor of body of stomach (disorder)
805 371972005 Malignant neoplasm of body of uterus (disorder)
805 371971003 Primary malignant neoplasm of body of uterus (disorder)
805 371973000 Malignant neoplasm of uterus (disorder)
805 93725000 Primary malignant neoplasm of bone (disorder)
805 93721009 Primary malignant neoplasm of bone of face (disorder)
805 126545005 Neoplasm of bone of face (disorder)
805 93723007 Primary malignant neoplasm of bone of skull (disorder)
805 93722002 Primary malignant neoplasm of bone of lower limb (disorder)
805 372108006 Malignant neoplasm of bone of lower limb (disorder)
805 187900002 Malignant neoplasm of bones of skull and face (disorder)
805 93724001 Primary malignant neoplasm of bone of upper limb (disorder)
805 428281000 Malignant neoplasm of bone (disorder)
805 93726004 Primary malignant neoplasm of brain stem (disorder)
805 93727008 Primary malignant neoplasm of brain (disorder)
805 363473003 Malignant neoplasm of brainstem (disorder)
805 93744007 Primary malignant neoplasm of central nervous system (disorder)
805 428061005 Malignant neoplasm of brain (disorder)
805 93728003 Primary malignant neoplasm of broad ligament (disorder)
805 94126000 Primary malignant neoplasm of uterine adnexa (disorder)
805 372016004 Primary malignant neoplasm of the peritoneum (disorder)
805 93729006 Primary malignant neoplasm of bronchus of left lower lobe (disorder)
805 187869003 Malignant neoplasm of lower lobe bronchus (disorder)
805 93734005 Primary malignant neoplasm of bronchus (disorder)
805 93864006 Primary malignant neoplasm of left lower lobe of lung (disorder)
805 93730001 Primary malignant neoplasm of bronchus of left upper lobe (disorder)
805 187861000 Malignant neoplasm of upper lobe bronchus (disorder)
805 93865007 Primary malignant neoplasm of left upper lobe of lung (disorder)
805 93731002 Primary malignant neoplasm of bronchus of right lower lobe (disorder)
805 93991009 Primary malignant neoplasm of right lower lobe of lung (disorder)
805 93732009 Primary malignant neoplasm of bronchus of right middle lobe (disorder)
805 187865009 Malignant neoplasm of middle lobe bronchus (disorder)
805 93992002 Primary malignant neoplasm of right middle lobe of lung (disorder)
805 93733004 Primary malignant neoplasm of bronchus of right upper lobe (disorder)
805 93993007 Primary malignant neoplasm of right upper lobe of lung (disorder)
805 93986008 Primary malignant neoplasm of respiratory tract (disorder)
805 363493006 Malignant tumor of bronchus (disorder)
805 363386008 Malignant tumor of buccal mucosa (disorder)
805 371976008 Primary malignant neoplasm of buccal mucosa (disorder)
805 363350007 Malignant tumor of cecum (disorder)
805 93737003 Primary malignant neoplasm of calcaneus (disorder)
805 126589005 Neoplasm of calcaneus (disorder)
805 94084002 Primary malignant neoplasm of tarsal bone (disorder)
805 93738008 Primary malignant neoplasm of cardia of stomach (disorder)
805 187732006 Malignant tumor of cardia (disorder)
805 93739000 Primary malignant neoplasm of carina (disorder)
805 94104001 Primary malignant neoplasm of trachea (disorder)
805 126704000 Neoplasm of carina (disorder)
805 93740003 Primary malignant neoplasm of carotid body (disorder)
805 93741004 Primary malignant neoplasm of carpal bone (disorder)
805 255090000 Malignant neoplasm of carpal bones (disorder)
805 93742006 Primary malignant neoplasm of cartilage of nose (disorder)
805 93926005 Primary malignant neoplasm of nose (disorder)
805 187829004 Malignant neoplasm of cartilage of nose (disorder)
805 94054005 Primary malignant neoplasm of soft tissues of head (disorder)
805 93743001 Primary malignant neoplasm of cauda equina (disorder)
805 363477002 Malignant neoplasm of cauda equina (disorder)
805 109947003 Primary malignant neoplasm of peripheral nerves of trunk (disorder)
805 372062007 Malignant neoplasm of central nervous system (disorder)
805 93923002 Primary malignant neoplasm of nervous system (disorder)
805 93745008 Primary malignant neoplasm of central portion of female breast (disorder)
805 188151006 Malignant neoplasm of central part of female breast (disorder)
805 93746009 Primary malignant neoplasm of cerebellum (disorder)
805 93747000 Primary malignant neoplasm of cerebral meninges (disorder)
805 363474009 Malignant neoplasm of cerebral meninges (disorder)
805 109915008 Primary malignant neoplasm of meninges (disorder)
805 93748005 Primary malignant neoplasm of cerebral ventricle (disorder)
805 363471001 Malignant neoplasm of cerebral ventricles (disorder)
805 93749002 Primary malignant neoplasm of cerebrum (disorder)
805 429033009 Malignant neoplasm of cerebrum (disorder)
805 187722004 Malignant tumor of cervical part of esophagus (disorder)
805 371978009 Primary malignant neoplasm of cervical esophagus (disorder)
805 93751003 Primary malignant neoplasm of cervical vertebral column (disorder)
805 363354003 Malignant tumor of cervix (disorder)
805 93753000 Primary malignant neoplasm of cheek (disorder)
805 271323007 Malignant neoplasm of lip, oral cavity and/or pharynx (disorder)
805 93754006 Primary malignant neoplasm of chest wall (disorder)
805 93755007 Primary malignant neoplasm of choroid, primary (disorder)
805 371986009 Primary malignant neoplasm of eye (disorder)
805 363466008 Malignant tumor of choroid (disorder)
805 93756008 Primary malignant neoplasm of ciliary body, primary (disorder)
805 188263008 Malignant tumor of ciliary body (disorder)
805 94128004 Primary malignant neoplasm of uveal tract, primary (disorder)
805 93757004 Primary malignant neoplasm of clavicle (disorder)
805 372107001 Primary malignant neoplasm of ribs and/or sternum and/or clavicle (disorder)
805 371980003 Primary malignant neoplasm of clitoris (disorder)
805 371979001 Malignant neoplasm of clitoris (disorder)
805 93759001 Primary malignant neoplasm of coccygeal body (disorder)
805 93760006 Primary malignant neoplasm of coccyx (disorder)
805 372028007 Primary malignant neoplasm of vertebral column (disorder)
805 93951006 Primary malignant neoplasm of pelvic bone (disorder)
805 363406005 Malignant tumor of colon (disorder)
805 363374005 Malignant tumor of commissure of lip (disorder)
805 371981004 Primary malignant neoplasm of commissure of lip (disorder)
805 93763008 Primary malignant neoplasm of common bile duct (disorder)
805 371985008 Primary malignant neoplasm of extrahepatic bile ducts (disorder)
805 93764002 Primary malignant neoplasm of conjunctiva, primary (disorder)
805 363463000 Malignant tumor of conjunctiva (disorder)
805 93766000 Primary malignant neoplasm of cornea, primary (disorder)
805 363464006 Malignant tumor of cornea (disorder)
805 188307009 Malignant tumor of cranial nerve (disorder)
805 93768004 Primary malignant neoplasm of craniopharyngeal duct (disorder)
805 188340000 Malignant tumor of craniopharyngeal duct (disorder)
805 93964007 Primary malignant neoplasm of pituitary gland (disorder)
805 93769007 Primary malignant neoplasm of cuboid (disorder)
805 93770008 Primary malignant neoplasm of cystic duct (disorder)
805 93771007 Primary malignant neoplasm of descending colon (disorder)
805 363409003 Malignant tumor of descending colon (disorder)
805 93772000 Primary malignant neoplasm of diaphragm (disorder)
805 93910009 Primary malignant neoplasm of muscle of thorax (disorder)
805 428100006 Malignant neoplasm of thoracic cavity structure (disorder)
805 93773005 Primary malignant neoplasm of dorsal surface of tongue (disorder)
805 372019006 Primary malignant neoplasm of thoracic vertebral column (disorder)
805 372018003 Malignant neoplasm of thoracic vertebral column (disorder)
805 93775003 Primary malignant neoplasm of duodenum (disorder)
805 94048009 Primary malignant neoplasm of small intestine (disorder)
805 363403002 Malignant tumor of duodenum (disorder)
805 93776002 Primary malignant neoplasm of ectopic female breast tissue (disorder)
805 188159008 Malignant neoplasm of ectopic site of female breast (disorder)
805 93777006 Primary malignant neoplasm of ectopic male breast tissue (disorder)
805 188168005 Malignant neoplasm of ectopic site of male breast (disorder)
805 93778001 Primary malignant neoplasm of endocardium (disorder)
805 93825008 Primary malignant neoplasm of heart (disorder)
805 363436001 Malignant tumor of endocardium (disorder)
805 93779009 Primary malignant neoplasm of endocervix (disorder)
805 372097009 Malignant neoplasm of endocervix (disorder)
805 371982006 Malignant neoplasm of endocrine gland (disorder)
805 93781006 Primary malignant neoplasm of endometrium (disorder)
805 188192002 Malignant neoplasm of endometrium of corpus uteri (disorder)
805 93782004 Primary malignant neoplasm of epicardium (disorder)
805 93957005 Primary malignant neoplasm of pericardium (disorder)
805 93783009 Primary malignant neoplasm of epididymis (disorder)
805 93885006 Primary malignant neoplasm of male genital organ (disorder)
805 363452003 Malignant tumor of epididymis (disorder)
805 363429002 Malignant tumor of larynx (disorder)
805 371984007 Primary malignant neoplasm of esophagus (disorder)
805 363402007 Malignant tumor of esophagus (disorder)
805 93786001 Primary malignant neoplasm of ethmoid bone (disorder)
805 93787005 Primary malignant neoplasm of ethmoidal sinus (disorder)
805 363426009 Malignant tumor of ethmoid sinus (disorder)
805 93788000 Primary malignant neoplasm of eustachian tube (disorder)
805 93894000 Primary malignant neoplasm of middle ear (disorder)
805 93789008 Primary malignant neoplasm of exocervix (disorder)
805 372099007 Malignant neoplasm of exocervix (disorder)
805 363416002 Malignant tumor of extrahepatic bile duct (disorder)
805 372101000 Carcinoma of extrahepatic bile duct (disorder)
805 363461003 Malignant tumor of eye (disorder)
805 93793002 Primary malignant neoplasm of facial nerve (disorder)
805 363444001 Malignant tumor of fallopian tube (disorder)
805 371987000 Primary malignant neoplasm of fallopian tube (disorder)
805 371988005 Primary malignant neoplasm of false vocal cord (disorder)
805 254837009 Malignant tumor of breast (disorder)
805 372137005 Primary malignant neoplasm of breast (disorder)
805 93797001 Primary malignant neoplasm of female genital organ (disorder)
805 363514001 Malignant tumor of female genital organ (disorder)
805 93798006 Primary malignant neoplasm of femur (disorder)
805 93871001 Primary malignant neoplasm of long bone of lower limb (disorder)
805 93799003 Primary malignant neoplasm of fibula (disorder)
805 93866008 Primary malignant neoplasm of leg (disorder)
805 187959005 Malignant neoplasm of long bones of leg (disorder)
805 93800004 Primary malignant neoplasm of first cuneiform bone of foot (disorder)
805 187968007 Malignant neoplasm of medial cuneiform (disorder)
805 93801000 Primary malignant neoplasm of flank (disorder)
805 372001002 Primary malignant neoplasm of oral cavity (disorder)
805 363385007 Malignant tumor of floor of mouth (disorder)
805 372006007 Primary malignant neoplasm of prepuce (disorder)
805 363450006 Malignant tumor of foreskin (disorder)
805 93806005 Primary malignant neoplasm of frontal bone (disorder)
805 93807001 Primary malignant neoplasm of frontal lobe (disorder)
805 363467004 Malignant neoplasm of frontal lobe (disorder)
805 93808006 Primary malignant neoplasm of frontal sinus (disorder)
805 363427000 Malignant tumor of frontal sinus (disorder)
805 93809003 Primary malignant neoplasm of fundus of stomach (disorder)
805 187741001 Malignant tumor of fundus of stomach (disorder)
805 372139008 Primary malignant neoplasm of gallbladder (disorder)
805 363353009 Malignant tumor of gallbladder (disorder)
805 372140005 Carcinoma of gallbladder (disorder)
805 363745004 Primary malignant neoplasm of gastrointestinal tract (disorder)
805 109357005 Primary malignant neoplasm of ill-defined site (disorder)
805 371989002 Primary malignant neoplasm of glans penis (disorder)
805 363451005 Malignant tumor of glans penis (disorder)
805 93814004 Primary malignant neoplasm of glomus jugulare (disorder)
805 93815003 Primary malignant neoplasm of glossopharyngeal nerve (disorder)
805 93816002 Primary malignant neoplasm of glottis (disorder)
805 371995001 Primary malignant neoplasm of larynx (disorder)
805 187841006 Malignant tumor of glottis (disorder)
805 93817006 Primary malignant neoplasm of great vessels (disorder)
805 93818001 Primary malignant neoplasm of greater curvature of stomach (disorder)
805 269460009 Malignant tumor of greater curve of stomach (disorder)
805 363382005 Malignant tumor of gum (disorder)
805 93820003 Primary malignant neoplasm of hamate bone (disorder)
805 187944004 Malignant neoplasm of carpal bone - hamate (disorder)
805 363387004 Malignant tumor of hard palate (disorder)
805 371991005 Primary malignant neoplasm of hard palate (disorder)
805 326072005 Carcinoma of head of pancreas (disorder)
805 372119009 Primary malignant neoplasm of head of pancreas (disorder)
805 363419009 Malignant tumor of head of pancreas (disorder)
805 363435002 Malignant tumor of heart (disorder)
805 93841009 Primary malignant neoplasm of intrathoracic organs (disorder)
805 93826009 Primary malignant neoplasm of hepatic flexure of colon (disorder)
805 363407001 Malignant tumor of hepatic flexure (disorder)
805 94105000 Primary malignant neoplasm of transverse colon (disorder)
805 93827000 Primary malignant neoplasm of hilus of lung (disorder)
805 93880001 Primary malignant neoplasm of lung (disorder)
805 93828005 Primary malignant neoplasm of hypoglossal nerve (disorder)
805 93829002 Primary malignant neoplasm of hypopharyngeal aspect of aryepiglottic fold (disorder)
805 187708004 Malignant tumor aryepiglottic fold - hypopharyngeal aspect (disorder)
805 93831006 Primary malignant neoplasm of hypopharynx (disorder)
805 93830007 Primary malignant neoplasm of hypopharyngeal aspect of interarytenoid fold (disorder)
805 363399006 Malignant tumor of hypopharynx (disorder)
805 93832004 Primary malignant neoplasm of ileum (disorder)
805 363405009 Malignant tumor of ileum (disorder)
805 93833009 Primary malignant neoplasm of ilium (disorder)
805 187952001 Malignant neoplasm of pelvic bones, sacrum and coccyx (disorder)
805 93834003 Primary malignant neoplasm of inguinal region (disorder)
805 93835002 Primary malignant neoplasm of inner aspect of lip (disorder)
805 187622006 Malignant tumor of labial mucosa (disorder)
805 371996000 Primary malignant neoplasm of lip (disorder)
805 93836001 Primary malignant neoplasm of inner aspect of lower lip (disorder)
805 271568003 Malignant tumor of lower labial mucosa (disorder)
805 93837005 Primary malignant neoplasm of inner aspect of upper lip (disorder)
805 187606005 Malignant tumor of upper labial mucosa (disorder)
805 363508008 Malignant tumor of intestine (disorder)
805 371992003 Primary malignant neoplasm of intestinal tract (disorder)
805 93840005 Primary malignant neoplasm of intrahepatic bile ducts (disorder)
805 95214007 Primary malignant neoplasm of liver (disorder)
805 187777008 Malignant neoplasm of intrahepatic gall duct (disorder)
805 93870000 Malignant neoplasm of liver (disorder)
805 93842002 Primary malignant neoplasm of ischium (disorder)
805 93843007 Primary malignant neoplasm of islets of Langerhans (disorder)
805 254611009 Malignant tumor of endocrine pancreas (disorder)
805 93844001 Primary malignant neoplasm of isthmus of uterus (disorder)
805 93845000 Primary malignant neoplasm of jaw (disorder)
805 126634001 Neoplasm of jaw (disorder)
805 93846004 Primary malignant neoplasm of jejunum (disorder)
805 363404008 Malignant tumor of jejunum (disorder)
805 93848003 Primary malignant neoplasm of junctional zone of tongue (disorder)
805 187644001 Malignant tumor of junctional zone of tongue (disorder)
805 363518003 Malignant tumor of kidney (disorder)
805 93850006 Primary malignant neoplasm of labia majora (disorder)
805 94143002 Primary malignant neoplasm of vulva (disorder)
805 363446004 Malignant neoplasm of labia majora (disorder)
805 93851005 Primary malignant neoplasm of labia minora (disorder)
805 363447008 Malignant neoplasm of labia minora (disorder)
805 423005002 Primary malignant neoplasm of lacrimal gland duct (disorder)
805 423195009 Primary malignant neoplasm of lacrimal drainage system (disorder)
805 188272000 Malignant tumor of lacrimal gland (disorder)
805 371993008 Primary malignant neoplasm of lacrimal gland (disorder)
805 363510005 Malignant tumor of large intestine (disorder)
805 363487003 Malignant tumor of aryepiglottic fold - laryngeal aspect (disorder)
805 371994002 Primary malignant neoplasm of laryngeal aspect of aryepiglottic fold (disorder)
805 93857009 Primary malignant neoplasm of laryngeal commissure (disorder)
805 93858004 Primary malignant neoplasm of laryngeal surface of epiglottis (disorder)
805 93860002 Primary malignant neoplasm of lateral portion of floor of mouth (disorder)
805 187653008 Malignant tumor of lateral floor of mouth (disorder)
805 93861003 Primary malignant neoplasm of lateral wall of nasopharynx (disorder)
805 363398003 Malignant tumor of lateral wall of nasopharynx (disorder)
805 93862005 Primary malignant neoplasm of lateral wall of oropharynx (disorder)
805 188241004 Malignant neoplasm of lateral wall of urinary bladder (disorder)
805 187862007 Malignant neoplasm of upper lobe of lung (disorder)
805 126657007 Neoplasm of lower leg (disorder)
805 93867004 Primary malignant neoplasm of lesser curvature of stomach (disorder)
805 269459004 Malignant tumor of lesser curve of stomach (disorder)
805 93868009 Primary malignant neoplasm of lingual tonsil (disorder)
805 363377003 Malignant tumor of lingual tonsil (disorder)
805 363348004 Malignant tumor of lip (disorder)
805 255077007 Malignant tumor of digestive organ (disorder)
805 126582001 Neoplasm of long bone of lower limb (disorder)
805 93872008 Primary malignant neoplasm of long bone of upper limb (disorder)
805 363384006 Malignant tumor of lower gingiva (disorder)
805 93874009 Primary malignant neoplasm of lower inner quadrant of female breast (disorder)
805 373090000 Primary malignant neoplasm of breast lower inner quadrant (disorder)
805 188153009 Malignant neoplasm of lower-inner quadrant of female breast (disorder)
805 93876006 Primary malignant neoplasm of lower outer quadrant of female breast (disorder)
805 188155002 Malignant neoplasm of lower-outer quadrant of female breast (disorder)
805 373091001 Primary malignant neoplasm of breast lower outer quadrant (disorder)
805 371998004 Primary malignant neoplasm of lower third of esophagus (disorder)
805 187727005 Malignant tumor of lower third of esophagus (disorder)
805 93878007 Primary malignant neoplasm of lumbar vertebral column (disorder)
805 93879004 Primary malignant neoplasm of lunate bone (disorder)
805 187938003 Malignant neoplasm of carpal bone - lunate (disorder)
805 363358000 Malignant tumor of lung (disorder)
805 93882009 Primary malignant neoplasm of main bronchus (disorder)
805 372065009 Malignant neoplasm of main bronchus (disorder)
805 93883004 Primary malignant neoplasm of major salivary gland (disorder)
805 363378008 Malignant tumor of major salivary gland (disorder)
805 372095001 Malignant neoplasm of male breast (disorder)
805 363515000 Malignant tumor of male genital organ (disorder)
805 93886007 Primary malignant neoplasm of mandible (disorder)
805 93887003 Primary malignant neoplasm of mastoid air cells (disorder)
805 94085001 Primary malignant neoplasm of temporal bone (disorder)
805 363424007 Malignant tumor of mastoid air cells (disorder)
805 93888008 Primary malignant neoplasm of maxilla (disorder)
805 93889000 Primary malignant neoplasm of maxillary sinus (disorder)
805 363425008 Malignant tumor of maxillary sinus (disorder)
805 93890009 Primary malignant neoplasm of Meckel's diverticulum (disorder)
805 187752007 Malignant tumor of Meckel's diverticulum (disorder)
805 363494000 Malignant tumor of mediastinum (disorder)
805 93892001 Primary malignant neoplasm of metacarpal bone (disorder)
805 255091001 Malignant neoplasm of metacarpal bones (disorder)
805 93893006 Primary malignant neoplasm of metatarsal bone (disorder)
805 405945003 Malignant neoplasm of metatarsal bone of foot (disorder)
805 415177008 Primary malignant neoplasm of ear, nose AND/OR throat (disorder)
805 363359008 Malignant tumor of middle ear (disorder)
805 187726001 Malignant tumor of middle third of esophagus (disorder)
805 371999007 Primary malignant neoplasm of middle third of esophagus (disorder)
805 372000001 Primary malignant neoplasm of minor salivary gland (disorder)
805 363485006 Malignant tumor of minor salivary gland (disorder)
805 363505006 Malignant tumor of oral cavity (disorder)
805 93898002 Primary malignant neoplasm of multiple endocrine glands (disorder)
805 93899005 Primary malignant neoplasm of muscle of abdomen (disorder)
805 93913006 Primary malignant neoplasm of muscle (disorder)
805 126626007 Neoplasm of muscle of abdomen (disorder)
805 93900000 Primary malignant neoplasm of muscle of buttock (disorder)
805 93903003 Primary malignant neoplasm of muscle of hip (disorder)
805 93901001 Primary malignant neoplasm of muscle of face (disorder)
805 93902008 Primary malignant neoplasm of muscle of head (disorder)
805 93907002 Primary malignant neoplasm of muscle of pelvis (disorder)
805 93911008 Primary malignant neoplasm of muscle of trunk (disorder)
805 93905005 Primary malignant neoplasm of muscle of lower limb (disorder)
805 93904009 Primary malignant neoplasm of muscle of inguinal region (disorder)
805 363495004 Malignant tumor of muscle (disorder)
805 93906006 Primary malignant neoplasm of muscle of neck (disorder)
805 363489000 Malignant tumor of neck (disorder)
805 93908007 Primary malignant neoplasm of muscle of perineum (disorder)
805 93909004 Primary malignant neoplasm of muscle of shoulder (disorder)
805 126620001 Neoplasm of muscle of shoulder (disorder)
805 93912001 Primary malignant neoplasm of muscle of upper limb (disorder)
805 93914000 Primary malignant neoplasm of myocardium (disorder)
805 363437005 Malignant tumor of myocardium (disorder)
805 93915004 Primary malignant neoplasm of myometrium (disorder)
805 188193007 Malignant neoplasm of myometrium of corpus uteri (disorder)
805 93916003 Primary malignant neoplasm of nasal bone (disorder)
805 93917007 Primary malignant neoplasm of nasal cavity (disorder)
805 363422006 Malignant tumor of nasal cavity (disorder)
805 93918002 Primary malignant neoplasm of nasal concha (disorder)
805 187830009 Malignant neoplasm of nasal conchae (disorder)
805 187692001 Malignant tumor of nasopharynx (disorder)
805 240163000 Malignant neoplasm of nasopharyngeal wall (disorder)
805 93920004 Primary malignant neoplasm of navicular bone of foot (disorder)
805 187972006 Malignant neoplasm of navicular (disorder)
805 372008008 Primary malignant neoplasm of scaphoid bone (disorder)
805 187937008 Malignant neoplasm of carpal bone - scaphoid (disorder)
805 372063002 Malignant neoplasm of nervous system (disorder)
805 93924008 Primary malignant neoplasm of nipple of female breast (disorder)
805 93925009 Primary malignant neoplasm of nipple of male breast (disorder)
805 93927001 Primary malignant neoplasm of occipital bone (disorder)
805 93928006 Primary malignant neoplasm of occipital lobe (disorder)
805 363470000 Malignant neoplasm of occipital lobe (disorder)
805 93929003 Primary malignant neoplasm of oculomotor nerve (disorder)
805 93930008 Primary malignant neoplasm of olfactory nerve (disorder)
805 93931007 Primary malignant neoplasm of optic nerve (disorder)
805 363498002 Malignant tumor of optic nerve (disorder)
805 93932000 Primary malignant neoplasm of orbit (disorder)
805 363392002 Malignant tumor of oropharynx (disorder)
805 93934004 Primary malignant neoplasm of ovary (disorder)
805 363443007 Malignant tumor of ovary (disorder)
805 363390005 Malignant tumor of palate (disorder)
805 372002009 Primary malignant neoplasm of palate (disorder)
805 93936002 Primary malignant neoplasm of palatine bone (disorder)
805 363393007 Malignant tumor of tonsil (disorder)
805 372020000 Primary malignant neoplasm of tonsil (disorder)
805 372142002 Carcinoma of pancreas (disorder)
805 363418001 Malignant tumor of pancreas (disorder)
805 93939009 Primary malignant neoplasm of pancreatic duct (disorder)
805 187793004 Malignant tumor of pancreatic duct (disorder)
805 93940006 Primary malignant neoplasm of para-aortic body (disorder)
805 93942003 Primary malignant neoplasm of parametrium (disorder)
805 93943008 Primary malignant neoplasm of parathyroid gland (disorder)
805 363481002 Malignant tumor of parathyroid gland (disorder)
805 93944002 Primary malignant neoplasm of paraurethral glands (disorder)
805 94123008 Primary malignant neoplasm of urethra (disorder)
805 363460002 Malignant tumor of paraurethral gland (disorder)
805 93945001 Primary malignant neoplasm of parietal bone (disorder)
805 93946000 Primary malignant neoplasm of parietal lobe (disorder)
805 363469001 Malignant neoplasm of parietal lobe (disorder)
805 93947009 Primary malignant neoplasm of parietal peritoneum (disorder)
805 93948004 Primary malignant neoplasm of parietal pleura (disorder)
805 93966009 Primary malignant neoplasm of pleura (disorder)
805 372004005 Primary malignant neoplasm of parotid gland (disorder)
805 363379000 Malignant tumor of parotid gland (disorder)
805 93950007 Primary malignant neoplasm of patella (disorder)
805 93952004 Primary malignant neoplasm of pelvic peritoneum (disorder)
805 187808008 Malignant neoplasm of specified parts of peritoneum (disorder)
805 363516004 Malignant tumor of penis (disorder)
805 93955002 Primary malignant neoplasm of periadrenal tissue (disorder)
805 94050001 Primary malignant neoplasm of soft tissues of abdomen (disorder)
805 93956001 Primary malignant neoplasm of perianal skin (disorder)
805 94036006 Primary malignant neoplasm of skin of perineum (disorder)
805 93958000 Primary malignant neoplasm of perirenal tissue (disorder)
805 187803004 Malignant neoplasm of perinephric tissue (disorder)
805 93959008 Primary malignant neoplasm of phalanx of foot (disorder)
805 187978005 Malignant neoplasm of phalanges of foot (disorder)
805 93960003 Primary malignant neoplasm of phalanx of hand (disorder)
805 187950009 Malignant neoplasm of phalanges of hand (disorder)
805 363507003 Malignant tumor of pharynx (disorder)
805 93962006 Primary malignant neoplasm of pineal gland (disorder)
805 363483004 Malignant tumor of pineal gland (disorder)
805 93963001 Primary malignant neoplasm of pisiform bone of hand (disorder)
805 363482009 Malignant tumor of pituitary gland (disorder)
805 93965008 Primary malignant neoplasm of placenta (disorder)
805 363433009 Malignant tumor of pleura (disorder)
805 93967000 Primary malignant neoplasm of postcricoid region (disorder)
805 363400004 Malignant tumor of postcricoid region (disorder)
805 93968005 Primary malignant neoplasm of posterior hypopharyngeal wall (disorder)
805 303012000 Malignant tumor of posterior wall of hypopharynx (disorder)
805 93969002 Primary malignant neoplasm of posterior mediastinum (disorder)
805 187693006 Malignant tumor of posterior wall of nasopharynx (disorder)
805 93971002 Primary malignant neoplasm of posterior wall of oropharynx (disorder)
805 187688008 Malignant tumor of posterior wall of oropharynx (disorder)
805 188243001 Malignant neoplasm of posterior wall of urinary bladder (disorder)
805 93973004 Primary malignant neoplasm of presacral region (disorder)
805 93974005 Primary malignant neoplasm of prostate (disorder)
805 399068003 Malignant tumor of prostate (disorder)
805 93975006 Primary malignant neoplasm of pubis (disorder)
805 93976007 Primary malignant neoplasm of pyloric antrum (disorder)
805 187740000 Malignant tumor of pyloric antrum (disorder)
805 93977003 Primary malignant neoplasm of pylorus (disorder)
805 187736009 Malignant tumor of pylorus (disorder)
805 93978008 Primary malignant neoplasm of pyriform sinus (disorder)
805 363401000 Malignant tumor of pyriform fossa (disorder)
805 93979000 Primary malignant neoplasm of radius (disorder)
805 93980002 Primary malignant neoplasm of rectosigmoid junction (disorder)
805 94006002 Primary malignant neoplasm of sigmoid colon (disorder)
805 93984006 Primary malignant neoplasm of rectum (disorder)
805 363414004 Malignant tumor of rectosigmoid junction (disorder)
805 93981003 Primary malignant neoplasm of rectouterine pouch (disorder)
805 93982005 Primary malignant neoplasm of rectovaginal septum (disorder)
805 94059000 Primary malignant neoplasm of soft tissues of pelvis (disorder)
805 372025005 Primary malignant neoplasm of vagina (disorder)
805 93983000 Primary malignant neoplasm of rectovesical septum (disorder)
805 363351006 Malignant tumor of rectum (disorder)
805 93985007 Primary malignant neoplasm of renal pelvis (disorder)
805 363457009 Malignant tumor of renal pelvis (disorder)
805 93987004 Primary malignant neoplasm of retina, primary (disorder)
805 363465007 Malignant tumor of retina (disorder)
805 187804005 Malignant neoplasm of retrocecal tissue (disorder)
805 372007003 Primary malignant neoplasm of retrocecal tissue (disorder)
805 93989001 Primary malignant neoplasm of retromolar area (disorder)
805 363391009 Malignant tumor of retromolar area (disorder)
805 93990005 Primary malignant neoplasm of rib (disorder)
805 187920001 Malignant neoplasm of ribs and/or sternum and/or clavicle (disorder)
805 93994001 Primary malignant neoplasm of round ligament of uterus (disorder)
805 188204000 Malignant neoplasm of round ligament (disorder)
805 93995000 Primary malignant neoplasm of sacrococcygeal region (disorder)
805 93996004 Primary malignant neoplasm of sacrum (disorder)
805 93998003 Primary malignant neoplasm of sclera, primary (disorder)
805 188266000 Malignant neoplasm of sclera (disorder)
805 372009000 Primary malignant neoplasm of scrotum (disorder)
805 363454002 Malignant tumor of scrotum (disorder)
805 94000008 Primary malignant neoplasm of sebaceous gland (disorder)
805 94001007 Primary malignant neoplasm of second cuneiform bone of foot (disorder)
805 187969004 Malignant neoplasm of intermediate cuneiform (disorder)
805 94002000 Primary malignant neoplasm of septum of nose (disorder)
805 363423001 Malignant tumor of nasal septum (disorder)
805 94003005 Primary malignant neoplasm of short bone of lower limb (disorder)
805 126586003 Neoplasm of short bone of lower limb (disorder)
805 94004004 Primary malignant neoplasm of short bone of upper limb (disorder)
805 363410008 Malignant tumor of sigmoid colon (disorder)
805 94007006 Primary malignant neoplasm of skin of abdomen (disorder)
805 94043000 Primary malignant neoplasm of skin of trunk (disorder)
805 94008001 Primary malignant neoplasm of skin of ankle (disorder)
805 188127001 Malignant neoplasm of skin of lower limb and hip (disorder)
805 94033003 Primary malignant neoplasm of skin of lower limb (disorder)
805 94057003 Primary malignant neoplasm of soft tissues of lower limb (disorder)
805 94045007 Primary malignant neoplasm of skin of upper limb (disorder)
805 94010004 Primary malignant neoplasm of skin of axilla (disorder)
805 94015009 Primary malignant neoplasm of skin of chest (disorder)
805 94011000 Primary malignant neoplasm of skin of back (disorder)
805 94012007 Primary malignant neoplasm of skin of breast (disorder)
805 94013002 Primary malignant neoplasm of skin of buttock (disorder)
805 94052009 Primary malignant neoplasm of soft tissues of buttock (disorder)
805 94014008 Primary malignant neoplasm of skin of cheek (disorder)
805 94022001 Primary malignant neoplasm of skin of face (disorder)
805 94062002 Primary malignant neoplasm of soft tissues of thorax (disorder)
805 94016005 Primary malignant neoplasm of skin of chin (disorder)
805 94017001 Primary malignant neoplasm of skin of ear (disorder)
805 94018006 Primary malignant neoplasm of skin of elbow (disorder)
805 94019003 Primary malignant neoplasm of skin of external auditory canal (disorder)
805 94020009 Primary malignant neoplasm of skin of eyebrow (disorder)
805 94021008 Primary malignant neoplasm of skin of eyelid (disorder)
805 372123001 Primary malignant neoplasm of skin head and neck (disorder)
805 94023006 Primary malignant neoplasm of skin of finger (disorder)
805 94028002 Primary malignant neoplasm of skin of hand (disorder)
805 188119005 Malignant neoplasm of skin of upper limb and shoulder (disorder)
805 94024000 Primary malignant neoplasm of skin of foot (disorder)
805 94025004 Primary malignant neoplasm of skin of forearm (disorder)
805 94026003 Primary malignant neoplasm of skin of forehead (disorder)
805 94027007 Primary malignant neoplasm of skin of groin (disorder)
805 94029005 Primary malignant neoplasm of skin of hip (disorder)
805 94030000 Primary malignant neoplasm of skin of knee (disorder)
805 94031001 Primary malignant neoplasm of skin of leg (disorder)
805 94032008 Primary malignant neoplasm of skin of lip (disorder)
805 94034009 Primary malignant neoplasm of skin of neck (disorder)
805 94035005 Primary malignant neoplasm of skin of nose (disorder)
805 94060005 Primary malignant neoplasm of soft tissues of perineum (disorder)
805 94037002 Primary malignant neoplasm of skin of popliteal area (disorder)
805 94038007 Primary malignant neoplasm of skin of scalp (disorder)
805 94039004 Primary malignant neoplasm of skin of shoulder (disorder)
805 94040002 Primary malignant neoplasm of skin of temporal region (disorder)
805 94041003 Primary malignant neoplasm of skin of thigh (disorder)
805 94042005 Primary malignant neoplasm of skin of toe (disorder)
805 94044006 Primary malignant neoplasm of skin of umbilicus (disorder)
805 372012002 Primary malignant neoplasm of soft tissues of upper limb (disorder)
805 94046008 Primary malignant neoplasm of skin of wrist (disorder)
805 363509000 Malignant tumor of small intestine (disorder)
805 94049001 Primary malignant neoplasm of soft palate (disorder)
805 363388009 Malignant tumor of soft palate (disorder)
805 363496003 Malignant tumor of soft tissue of abdomen (disorder)
805 94063007 Primary malignant neoplasm of soft tissues of trunk (disorder)
805 94051002 Primary malignant neoplasm of soft tissues of axilla (disorder)
805 94055006 Primary malignant neoplasm of soft tissues of hip (disorder)
805 94053004 Primary malignant neoplasm of soft tissues of face (disorder)
805 363440005 Malignant tumor of soft tissue of face (disorder)
805 363439008 Malignant tumor of soft tissue of head (disorder)
805 94056007 Primary malignant neoplasm of soft tissues of inguinal region (disorder)
805 94058008 Primary malignant neoplasm of soft tissues of neck (disorder)
805 363441009 Malignant tumor of soft tissue of neck (disorder)
805 94061009 Primary malignant neoplasm of soft tissues of shoulder (disorder)
805 363363001 Malignant tumor of soft tissue of shoulder (disorder)
805 372011009 Malignant tumor of soft tissue of upper limb (disorder)
805 363453008 Malignant tumor of spermatic cord (disorder)
805 372013007 Primary malignant neoplasm of spermatic cord (disorder)
805 94066004 Primary malignant neoplasm of sphenoid bone (disorder)
805 94067008 Primary malignant neoplasm of sphenoidal sinus (disorder)
805 363428005 Malignant tumor of sphenoid sinus (disorder)
805 94068003 Primary malignant neoplasm of spinal cord (disorder)
805 363475005 Malignant tumor of spinal cord (disorder)
805 94069006 Primary malignant neoplasm of spinal meninges (disorder)
805 363476006 Malignant neoplasm of spinal meninges (disorder)
805 363438000 Malignant tumor of vertebral column (disorder)
805 94072004 Primary malignant neoplasm of splenic flexure of colon (disorder)
805 363413005 Malignant tumor of splenic flexure (disorder)
805 94073009 Primary malignant neoplasm of sternum (disorder)
805 363349007 Malignant tumor of stomach (disorder)
805 94075002 Primary malignant neoplasm of subglottis (disorder)
805 363430007 Malignant tumor of subglottis (disorder)
805 94076001 Primary malignant neoplasm of sublingual gland (disorder)
805 363381003 Malignant tumor of sublingual gland (disorder)
805 94077005 Primary malignant neoplasm of submaxillary gland (disorder)
805 363380002 Malignant tumor of submandibular gland (disorder)
805 94078000 Primary malignant neoplasm of superior wall of nasopharynx (disorder)
805 94079008 Primary malignant neoplasm of supraclavicular region (disorder)
805 126636004 Neoplasm of supraclavicular region (disorder)
805 187842004 Malignant tumor of supraglottis (disorder)
805 94081005 Primary malignant neoplasm of sweat gland (disorder)
805 94082003 Primary malignant neoplasm of tail of pancreas (disorder)
805 187792009 Malignant tumor of tail of pancreas (disorder)
805 94083008 Primary malignant neoplasm of talus (disorder)
805 94086000 Primary malignant neoplasm of temporal lobe (disorder)
805 363468009 Malignant neoplasm of temporal lobe (disorder)
805 94087009 Primary malignant neoplasm of testis (disorder)
805 363449006 Malignant tumor of testis (disorder)
805 372015000 Primary malignant neoplasm of the mesentery (disorder)
805 363370001 Malignant neoplasm of mesentery (disorder)
805 94089007 Primary malignant neoplasm of the mesocolon (disorder)
805 126870000 Neoplasm of the mesocolon (disorder)
805 94090003 Primary malignant neoplasm of the omentum (disorder)
805 363421004 Malignant neoplasm of omentum (disorder)
805 363492001 Malignant tumor of peritoneum (disorder)
805 363420003 Malignant retroperitoneal tumor (disorder)
805 94094007 Primary malignant neoplasm of third cuneiform bone of foot (disorder)
805 187970003 Malignant neoplasm of lateral cuneiform (disorder)
805 372017008 Primary malignant neoplasm of thoracic esophagus (disorder)
805 187723009 Malignant tumor of thoracic part of esophagus (disorder)
805 94096009 Primary malignant neoplasm of thymus (disorder)
805 363434003 Malignant tumor of thymus (disorder)
805 94097000 Primary malignant neoplasm of thyroglossal duct (disorder)
805 94098005 Primary malignant neoplasm of thyroid gland (disorder)
805 363478007 Malignant tumor of thyroid gland (disorder)
805 94099002 Primary malignant neoplasm of tibia (disorder)
805 371974006 Malignant neoplasm of border of tongue (disorder)
805 371975007 Primary malignant neoplasm of border of tongue (disorder)
805 363375006 Malignant tumor of tongue (disorder)
805 94102002 Primary malignant neoplasm of tonsillar fossa (disorder)
805 363394001 Malignant tumor of tonsillar fossa (disorder)
805 94103007 Primary malignant neoplasm of tonsillar pillar (disorder)
805 187675005 Malignant tumor of tonsillar pillar (disorder)
805 363432004 Malignant tumor of trachea (disorder)
805 363408006 Malignant tumor of transverse colon (disorder)
805 187941007 Malignant neoplasm of carpal bone - trapezium (disorder)
805 372021001 Primary malignant neoplasm of trapezium (disorder)
805 94107008 Primary malignant neoplasm of trapezoid bone (disorder)
805 94108003 Primary malignant neoplasm of trigeminal nerve (disorder)
805 94109006 Primary malignant neoplasm of trigone of urinary bladder (disorder)
805 188239000 Malignant tumor of trigone of urinary bladder (disorder)
805 94110001 Primary malignant neoplasm of trochlear nerve (disorder)
805 94112009 Primary malignant neoplasm of ulna (disorder)
805 94113004 Primary malignant neoplasm of undescended testis (disorder)
805 188219004 Malignant tumor of undescended testis (disorder)
805 372022008 Primary malignant neoplasm of upper gum (disorder)
805 363383000 Malignant tumor of upper gingiva (disorder)
805 94115006 Primary malignant neoplasm of upper inner quadrant of female breast (disorder)
805 373089009 Primary malignant neoplasm of breast upper inner quadrant (disorder)
805 188152004 Malignant neoplasm of upper-inner quadrant of female breast (disorder)
805 94117003 Primary malignant neoplasm of upper outer quadrant of female breast (disorder)
805 373088001 Primary malignant neoplasm of breast upper outer quadrant (disorder)
805 188154003 Malignant neoplasm of upper-outer quadrant of female breast (disorder)
805 187725002 Malignant tumor of upper third of esophagus (disorder)
805 372023003 Primary malignant neoplasm of upper third of esophagus (disorder)
805 94120006 Primary malignant neoplasm of urachus (disorder)
805 363456000 Malignant tumor of urachus (disorder)
805 94121005 Primary malignant neoplasm of ureter (disorder)
805 363458004 Malignant tumor of ureter (disorder)
805 94122003 Primary malignant neoplasm of ureteric orifice of urinary bladder (disorder)
805 188245008 Malignant tumor of ureteric orifice (disorder)
805 363459007 Malignant tumor of urethra (disorder)
805 94124002 Primary malignant neoplasm of urinary bladder neck (disorder)
805 188244007 Malignant tumor of bladder neck (disorder)
805 419052002 Malignant tumor of urinary system (disorder)
805 428322007 Malignant neoplasm of uterine adnexa (disorder)
805 94129007 Primary malignant neoplasm of uvula (disorder)
805 363389001 Malignant tumor of uvula (disorder)
805 363445000 Malignant tumor of vagina (disorder)
805 94131003 Primary malignant neoplasm of vagus nerve (disorder)
805 94132005 Primary malignant neoplasm of vallecula (disorder)
805 363395000 Malignant tumor of vallecula (disorder)
805 94133000 Primary malignant neoplasm of vas deferens (disorder)
805 94134006 Primary malignant neoplasm of ventral surface of tongue (disorder)
805 94135007 Primary malignant neoplasm of vermilion border of lip (disorder)
805 421249001 Malignant tumor of vermilion border of lip (disorder)
805 372026006 Primary malignant neoplasm of vermilion border of lower lip (disorder)
805 363373004 Malignant tumor of vermilion border of lower lip (disorder)
805 363372009 Malignant tumor of vermilion border of upper lip (disorder)
805 372027002 Primary malignant neoplasm of vermilion border of upper lip (disorder)
805 94138009 Primary malignant neoplasm of vestibule of mouth (disorder)
805 187658004 Malignant tumor of vestibule of mouth (disorder)
805 94139001 Primary malignant neoplasm of vestibule of nose (disorder)
805 187831008 Malignant tumor of nasal vestibule (disorder)
805 94140004 Primary malignant neoplasm of visceral pleura (disorder)
805 363486007 Malignant tumor of vocal cord (disorder)
805 372030009 Primary malignant neoplasm of vocal cord (disorder)
805 94142007 Primary malignant neoplasm of vomer (disorder)
805 363367000 Malignant tumor of vulva (disorder)
805 275419009 Primary vulval cancer (disorder)
805 187716008 Malignant tumor of Waldeyer's ring (disorder)
805 94145009 Primary malignant neoplasm of zygomatic bone (disorder)
805 187903000 Malignant neoplasm of malar bone (disorder)
805 94148006 Megakaryocytic leukemia in remission (disorder)
805 277602003 Acute megakaryoblastic leukemia (disorder)
805 94152006 Secondary malignant neoplasm of abdominal esophagus (disorder)
805 94388008 Secondary malignant neoplasm of lower third of esophagus (disorder)
805 94348003 Secondary malignant neoplasm of intra-abdominal organs (disorder)
805 94286009 Secondary malignant neoplasm of esophagus (disorder)
805 94153001 Secondary malignant neoplasm of abducens nerve (disorder)
805 94266005 Secondary malignant neoplasm of cranial nerve (disorder)
805 94154007 Secondary malignant neoplasm of accessory nerve (disorder)
805 94155008 Secondary malignant neoplasm of accessory sinus (disorder)
805 94293008 Secondary malignant neoplasm of face (disorder)
805 94656008 Secondary malignant neoplasm of upper respiratory tract (disorder)
805 255117000 Metastasis to respiratory and intrathoracic organ (disorder)
805 94156009 Secondary malignant neoplasm of acoustic nerve (disorder)
805 94157000 Secondary malignant neoplasm of acromion (disorder)
805 94222008 Secondary malignant neoplasm of bone (disorder)
805 94529003 Secondary malignant neoplasm of scapula (disorder)
805 94158005 Secondary malignant neoplasm of adenoid (disorder)
805 94498001 Secondary malignant neoplasm of posterior wall of nasopharynx (disorder)
805 94159002 Secondary malignant neoplasm of adnexa of skin (disorder)
805 94160007 Secondary malignant neoplasm of adrenal cortex (disorder)
805 94161006 Secondary malignant neoplasm of adrenal gland (disorder)
805 94280003 Secondary malignant neoplasm of endocrine gland (disorder)
805 94628003 Secondary malignant neoplasm of retroperitoneum (disorder)
805 94162004 Secondary malignant neoplasm of adrenal medulla (disorder)
805 94163009 Secondary malignant neoplasm of alveolar ridge mucosa (disorder)
805 94321004 Secondary malignant neoplasm of gum (disorder)
805 94314004 Secondary malignant neoplasm of gingival mucosa (disorder)
805 94164003 Secondary malignant neoplasm of ampulla of Vater (disorder)
805 94262007 Secondary malignant neoplasm of common bile duct (disorder)
805 94275007 Secondary malignant neoplasm of duodenum (disorder)
805 94459006 Secondary malignant neoplasm of pancreas (disorder)
805 94460001 Secondary malignant neoplasm of pancreatic duct (disorder)
805 94165002 Secondary malignant neoplasm of anal canal (disorder)
805 94365007 Secondary malignant neoplasm of large intestine (disorder)
805 94172001 Secondary malignant neoplasm of anus (disorder)
805 94166001 Secondary malignant neoplasm of anterior aspect of epiglottis (disorder)
805 94284007 Secondary malignant neoplasm of epiglottis (disorder)
805 94488007 Secondary malignant neoplasm of pharynx (disorder)
805 94167005 Secondary malignant neoplasm of anterior mediastinum (disorder)
805 94409002 Secondary malignant neoplasm of mediastinum (disorder)
805 94168000 Secondary malignant neoplasm of anterior portion of floor of mouth (disorder)
805 94416001 Secondary malignant neoplasm of mouth (disorder)
805 94304008 Secondary malignant neoplasm of floor of mouth (disorder)
805 94169008 Secondary malignant neoplasm of anterior two-thirds of tongue (disorder)
805 94638008 Secondary malignant neoplasm of tongue (disorder)
805 94170009 Secondary malignant neoplasm of anterior wall of nasopharynx (disorder)
805 241861008 Metastatic malignant neoplasm to nasopharynx (disorder)
805 94171008 Secondary malignant neoplasm of anterior wall of urinary bladder (disorder)
805 94186002 Secondary malignant neoplasm of bladder (disorder)
805 94480000 Secondary malignant neoplasm of pelvis (disorder)
805 94173006 Secondary malignant neoplasm of aortic body (disorder)
805 94462009 Secondary malignant neoplasm of paraganglion (disorder)
805 359782004 Metastatic malignant neoplasm to apex of urinary bladder (disorder)
805 359785002 Metastatic malignant neoplasm to dome of urinary bladder (disorder)
805 94175004 Secondary malignant neoplasm of appendix (disorder)
805 94313005 Secondary malignant neoplasm of gastrointestinal tract (disorder)
805 94176003 Secondary malignant neoplasm of areola of female breast (disorder)
805 94297009 Secondary malignant neoplasm of female breast (disorder)
805 94177007 Secondary malignant neoplasm of areola of male breast (disorder)
805 94401004 Secondary malignant neoplasm of male breast (disorder)
805 94178002 Secondary malignant neoplasm of arm (disorder)
805 94654006 Secondary malignant neoplasm of upper limb (disorder)
805 94179005 Secondary malignant neoplasm of ascending colon (disorder)
805 94260004 Secondary malignant neoplasm of colon (disorder)
805 94180008 Secondary malignant neoplasm of axilla (disorder)
805 94649002 Secondary malignant neoplasm of trunk (disorder)
805 94181007 Secondary malignant neoplasm of axillary lymph nodes (disorder)
805 94398002 Secondary malignant neoplasm of lymph nodes of upper limb (disorder)
805 94392001 Secondary malignant neoplasm of lymph node (disorder)
805 94182000 Secondary malignant neoplasm of axillary tail of female breast (disorder)
805 372093008 Secondary malignant neoplasm of axillary tail of breast (disorder)
805 94183005 Secondary malignant neoplasm of back (disorder)
805 94184004 Secondary malignant neoplasm of base of tongue (disorder)
805 94454001 Secondary malignant neoplasm of oropharynx (disorder)
805 94616006 Secondary malignant neoplasm of supraglottis (disorder)
805 94185003 Secondary malignant neoplasm of biliary tract (disorder)
805 275266006 Metastasis to digestive organs (disorder)
805 94663008 Secondary malignant neoplasm of urinary system (disorder)
805 94187006 Secondary malignant neoplasm of blood vessel of abdomen (disorder)
805 94211009 Secondary malignant neoplasm of blood vessel (disorder)
805 399969009 Secondary malignant neoplasm of blood vessel of upper arm (disorder)
805 94210005 Secondary malignant neoplasm of blood vessel of upper limb (disorder)
805 94189009 Secondary malignant neoplasm of blood vessel of axilla (disorder)
805 94207003 Secondary malignant neoplasm of blood vessel of thorax (disorder)
805 94190000 Secondary malignant neoplasm of blood vessel of buttock (disorder)
805 94197002 Secondary malignant neoplasm of blood vessel of hip (disorder)
805 94191001 Secondary malignant neoplasm of blood vessel of face (disorder)
805 94196006 Secondary malignant neoplasm of blood vessel of head (disorder)
805 94192008 Secondary malignant neoplasm of blood vessel of finger (disorder)
805 94195005 Secondary malignant neoplasm of blood vessel of hand (disorder)
805 94193003 Secondary malignant neoplasm of blood vessel of foot (disorder)
805 400058002 Secondary malignant neoplasm of blood vessel of lower leg (disorder)
805 94305009 Secondary malignant neoplasm of foot (disorder)
805 94194009 Secondary malignant neoplasm of blood vessel of forearm (disorder)
805 94306005 Secondary malignant neoplasm of forearm (disorder)
805 94323001 Secondary malignant neoplasm of hand (disorder)
805 94326009 Secondary malignant neoplasm of head (disorder)
805 94200001 Secondary malignant neoplasm of blood vessel of lower limb (disorder)
805 94209000 Secondary malignant neoplasm of blood vessel of trunk (disorder)
805 94198007 Secondary malignant neoplasm of blood vessel of inguinal region (disorder)
805 94340005 Secondary malignant neoplasm of inguinal region (disorder)
805 94202009 Secondary malignant neoplasm of blood vessel of pelvis (disorder)
805 94386007 Secondary malignant neoplasm of lower limb (disorder)
805 94201002 Secondary malignant neoplasm of blood vessel of neck (disorder)
805 94441008 Secondary malignant neoplasm of neck (disorder)
805 94203004 Secondary malignant neoplasm of blood vessel of perineum (disorder)
805 94204005 Secondary malignant neoplasm of blood vessel of popliteal space (disorder)
805 94205006 Secondary malignant neoplasm of blood vessel of shoulder (disorder)
805 94537006 Secondary malignant neoplasm of shoulder (disorder)
805 94206007 Secondary malignant neoplasm of blood vessel of thigh (disorder)
805 94629006 Secondary malignant neoplasm of thigh (disorder)
805 94208008 Secondary malignant neoplasm of blood vessel of toe (disorder)
805 94212002 Secondary malignant neoplasm of body of pancreas (disorder)
805 94213007 Secondary malignant neoplasm of body of penis (disorder)
805 94481001 Secondary malignant neoplasm of penis (disorder)
805 94214001 Secondary malignant neoplasm of body of stomach (disorder)
805 94606003 Secondary malignant neoplasm of stomach (disorder)
805 94215000 Secondary malignant neoplasm of body of uterus (disorder)
805 94665001 Secondary malignant neoplasm of uterus (disorder)
805 128465005 Secondary malignant neoplasm of articular cartilage (disorder)
805 94217008 Secondary malignant neoplasm of bone marrow (disorder)
805 94218003 Secondary malignant neoplasm of bone of face (disorder)
805 94219006 Secondary malignant neoplasm of bone of lower limb (disorder)
805 94220000 Secondary malignant neoplasm of bone of skull (disorder)
805 94221001 Secondary malignant neoplasm of bone of upper limb (disorder)
805 359780007 Metastatic malignant neoplasm to lateral axillary lymph nodes (disorder)
805 94224009 Secondary malignant neoplasm of brain stem (disorder)
805 94225005 Secondary malignant neoplasm of brain (disorder)
805 94243009 Secondary malignant neoplasm of central nervous system (disorder)
805 94226006 Secondary malignant neoplasm of broad ligament (disorder)
805 94664002 Secondary malignant neoplasm of uterine adnexa (disorder)
805 94479003 Secondary malignant neoplasm of pelvic peritoneum (disorder)
805 94227002 Secondary malignant neoplasm of bronchopulmonary lymph nodes (disorder)
805 94351005 Secondary malignant neoplasm of intrathoracic lymph nodes (disorder)
805 94228007 Secondary malignant neoplasm of bronchus of left lower lobe (disorder)
805 94375005 Secondary malignant neoplasm of left lower lobe of lung (disorder)
805 94233006 Secondary malignant neoplasm of bronchus (disorder)
805 94229004 Secondary malignant neoplasm of bronchus of left upper lobe (disorder)
805 94376006 Secondary malignant neoplasm of left upper lobe of lung (disorder)
805 94230009 Secondary malignant neoplasm of bronchus of right lower lobe (disorder)
805 94522007 Secondary malignant neoplasm of right lower lobe of lung (disorder)
805 94231008 Secondary malignant neoplasm of bronchus of right middle lobe (disorder)
805 94523002 Secondary malignant neoplasm of right middle lobe of lung (disorder)
805 94232001 Secondary malignant neoplasm of bronchus of right upper lobe (disorder)
805 94524008 Secondary malignant neoplasm of right upper lobe of lung (disorder)
805 94515004 Secondary malignant neoplasm of respiratory tract (disorder)
805 94234000 Secondary malignant neoplasm of buccal mucosa (disorder)
805 94252000 Secondary malignant neoplasm of cheek (disorder)
805 94586008 Secondary malignant neoplasm of soft tissues of head (disorder)
805 94235004 Secondary malignant neoplasm of cecum (disorder)
805 94236003 Secondary malignant neoplasm of calcaneus (disorder)
805 94620005 Secondary malignant neoplasm of tarsal bone (disorder)
805 94237007 Secondary malignant neoplasm of cardia of stomach (disorder)
805 94238002 Secondary malignant neoplasm of carina (disorder)
805 94641004 Secondary malignant neoplasm of trachea (disorder)
805 187857006 Malignant neoplasm of carina of bronchus (disorder)
805 94239005 Secondary malignant neoplasm of carotid body (disorder)
805 94240007 Secondary malignant neoplasm of carpal bone (disorder)
805 94241006 Secondary malignant neoplasm of cartilage of nose (disorder)
805 94445004 Secondary malignant neoplasm of nose (disorder)
805 94242004 Secondary malignant neoplasm of cauda equina (disorder)
805 94600009 Secondary malignant neoplasm of spinal cord (disorder)
805 94264008 Secondary malignant neoplasm of soft tissues (disorder)
805 94442001 Secondary malignant neoplasm of nervous system (disorder)
805 94244003 Secondary malignant neoplasm of central portion of female breast (disorder)
805 94245002 Secondary malignant neoplasm of cerebellum (disorder)
805 94246001 Secondary malignant neoplasm of cerebral meninges (disorder)
805 94247005 Secondary malignant neoplasm of cerebral ventricle (disorder)
805 94248000 Secondary malignant neoplasm of cerebrum (disorder)
805 94249008 Secondary malignant neoplasm of cervical esophagus (disorder)
805 94250008 Secondary malignant neoplasm of cervical vertebral column (disorder)
805 94602001 Secondary malignant neoplasm of vertebral column (disorder)
805 188469005 Secondary malignant neoplasm of cervix uteri (disorder)
805 94253005 Secondary malignant neoplasm of chest wall (disorder)
805 94254004 Secondary malignant neoplasm of choroid (disorder)
805 94666000 Secondary malignant neoplasm of uveal tract (disorder)
805 94255003 Secondary malignant neoplasm of ciliary body (disorder)
805 94292003 Secondary malignant neoplasm of eye (disorder)
805 94256002 Secondary malignant neoplasm of clavicle (disorder)
805 94257006 Secondary malignant neoplasm of clitoris (disorder)
805 94681006 Secondary malignant neoplasm of vulva (disorder)
805 94298004 Secondary malignant neoplasm of female genital organ (disorder)
805 94258001 Secondary malignant neoplasm of coccygeal body (disorder)
805 94259009 Secondary malignant neoplasm of coccyx (disorder)
805 94478006 Secondary malignant neoplasm of pelvic bone (disorder)
805 94261000 Secondary malignant neoplasm of commissure of lip (disorder)
805 94564007 Secondary malignant neoplasm of skin of lip (disorder)
805 94380001 Secondary malignant neoplasm of lip (disorder)
805 94291005 Secondary malignant neoplasm of extrahepatic bile ducts (disorder)
805 94263002 Secondary malignant neoplasm of conjunctiva (disorder)
805 94265009 Secondary malignant neoplasm of cornea (disorder)
805 94267001 Secondary malignant neoplasm of craniopharyngeal duct (disorder)
805 94491007 Secondary malignant neoplasm of pituitary gland (disorder)
805 94268006 Secondary malignant neoplasm of cubital lymph nodes (disorder)
805 94269003 Secondary malignant neoplasm of cuboid (disorder)
805 94270002 Secondary malignant neoplasm of cystic duct (disorder)
805 94271003 Secondary malignant neoplasm of descending colon (disorder)
805 94272005 Secondary malignant neoplasm of diaphragm (disorder)
805 94429001 Secondary malignant neoplasm of muscle of thorax (disorder)
805 94273000 Secondary malignant neoplasm of dorsal surface of tongue (disorder)
805 94274006 Secondary malignant neoplasm of thoracic vertebral column (disorder)
805 94580002 Secondary malignant neoplasm of small intestine (disorder)
805 94276008 Secondary malignant neoplasm of ectopic female breast tissue (disorder)
805 94277004 Secondary malignant neoplasm of ectopic male breast tissue (disorder)
805 94278009 Secondary malignant neoplasm of endocardium (disorder)
805 94327000 Secondary malignant neoplasm of heart (disorder)
805 94279001 Secondary malignant neoplasm of endocervix (disorder)
805 94281004 Secondary malignant neoplasm of endometrium (disorder)
805 94282006 Secondary malignant neoplasm of epicardium (disorder)
805 94484009 Secondary malignant neoplasm of pericardium (disorder)
805 94283001 Secondary malignant neoplasm of epididymis (disorder)
805 94402006 Secondary malignant neoplasm of male genital organ (disorder)
805 94370000 Secondary malignant neoplasm of larynx (disorder)
805 94285008 Secondary malignant neoplasm of epitrochlear lymph nodes (disorder)
805 94287000 Secondary malignant neoplasm of ethmoid bone (disorder)
805 94288005 Secondary malignant neoplasm of ethmoidal sinus (disorder)
805 94289002 Secondary malignant neoplasm of eustachian tube (disorder)
805 94290006 Secondary malignant neoplasm of exocervix (disorder)
805 94294002 Secondary malignant neoplasm of facial nerve (disorder)
805 94295001 Secondary malignant neoplasm of fallopian tube (disorder)
805 94296000 Secondary malignant neoplasm of false vocal cord (disorder)
805 363488008 Malignant tumor of false cord (disorder)
805 94299007 Secondary malignant neoplasm of femoral lymph nodes (disorder)
805 94339008 Secondary malignant neoplasm of inguinal lymph nodes (disorder)
805 94395004 Secondary malignant neoplasm of lymph nodes of lower limb (disorder)
805 94300004 Secondary malignant neoplasm of femur (disorder)
805 94382009 Secondary malignant neoplasm of long bone of lower limb (disorder)
805 94301000 Secondary malignant neoplasm of fibula (disorder)
805 94377002 Secondary malignant neoplasm of leg (disorder)
805 94302007 Secondary malignant neoplasm of first cuneiform bone of foot (disorder)
805 94303002 Secondary malignant neoplasm of flank (disorder)
805 94307001 Secondary malignant neoplasm of prepuce (disorder)
805 94568005 Secondary malignant neoplasm of skin of perineum (disorder)
805 94308006 Secondary malignant neoplasm of frontal bone (disorder)
805 94309003 Secondary malignant neoplasm of frontal lobe (disorder)
805 94310008 Secondary malignant neoplasm of frontal sinus (disorder)
805 94311007 Secondary malignant neoplasm of fundus of stomach (disorder)
805 94312000 Secondary malignant neoplasm of gallbladder (disorder)
805 428905002 Malignant neoplasm of gastrointestinal tract (disorder)
805 94315003 Secondary malignant neoplasm of glans penis (disorder)
805 94316002 Secondary malignant neoplasm of glomus jugulare (disorder)
805 94317006 Secondary malignant neoplasm of glossopharyngeal nerve (disorder)
805 94318001 Secondary malignant neoplasm of glottis (disorder)
805 94319009 Secondary malignant neoplasm of great vessels (disorder)
805 94320003 Secondary malignant neoplasm of greater curvature of stomach (disorder)
805 94356000 Secondary malignant neoplasm of jaw (disorder)
805 94322006 Secondary malignant neoplasm of hamate bone (disorder)
805 94324007 Secondary malignant neoplasm of hard palate (disorder)
805 94456004 Secondary malignant neoplasm of palate (disorder)
805 94325008 Secondary malignant neoplasm of head of pancreas (disorder)
805 94352003 Secondary malignant neoplasm of intrathoracic organs (disorder)
805 94328005 Secondary malignant neoplasm of hepatic flexure of colon (disorder)
805 94643001 Secondary malignant neoplasm of transverse colon (disorder)
805 94329002 Secondary malignant neoplasm of hilus of lung (disorder)
805 94391008 Secondary malignant neoplasm of lung (disorder)
805 94330007 Secondary malignant neoplasm of hypogastric lymph nodes (disorder)
805 94347008 Secondary malignant neoplasm of intra-abdominal lymph nodes (disorder)
805 94331006 Secondary malignant neoplasm of hypoglossal nerve (disorder)
805 94332004 Secondary malignant neoplasm of hypopharyngeal aspect of aryepiglottic fold (disorder)
805 94334003 Secondary malignant neoplasm of hypopharynx (disorder)
805 94333009 Secondary malignant neoplasm of hypopharyngeal aspect of interarytenoid fold (disorder)
805 94335002 Secondary malignant neoplasm of ileum (disorder)
805 94336001 Secondary malignant neoplasm of iliac lymph nodes (disorder)
805 94337005 Secondary malignant neoplasm of ilium (disorder)
805 94338000 Secondary malignant neoplasm of infraclavicular lymph nodes (disorder)
805 94341009 Secondary malignant neoplasm of inner aspect of lip (disorder)
805 94342002 Secondary malignant neoplasm of inner aspect of lower lip (disorder)
805 94343007 Secondary malignant neoplasm of inner aspect of upper lip (disorder)
805 94344001 Secondary malignant neoplasm of intercostal lymph nodes (disorder)
805 94345000 Secondary malignant neoplasm of intestinal lymph nodes (disorder)
805 94346004 Secondary malignant neoplasm of intestinal tract (disorder)
805 94349006 Secondary malignant neoplasm of intrahepatic bile ducts (disorder)
805 94381002 Secondary malignant neoplasm of liver (disorder)
805 94353008 Secondary malignant neoplasm of ischium (disorder)
805 94354002 Secondary malignant neoplasm of islets of Langerhans (disorder)
805 94355001 Secondary malignant neoplasm of isthmus of uterus (disorder)
805 94357009 Secondary malignant neoplasm of jejunum (disorder)
805 94358004 Secondary malignant neoplasm of junctional region of epiglottis (disorder)
805 187685006 Malignant neoplasm of junctional region of epiglottis (disorder)
805 94359007 Secondary malignant neoplasm of junctional zone of tongue (disorder)
805 94360002 Secondary malignant neoplasm of kidney (disorder)
805 94361003 Secondary malignant neoplasm of labia majora (disorder)
805 94362005 Secondary malignant neoplasm of labia minora (disorder)
805 418529003 Secondary malignant neoplasm of lacrimal drainage structure (disorder)
805 423384009 Secondary malignant neoplasm of lacrimal gland duct (disorder)
805 94364006 Secondary malignant neoplasm of lacrimal gland (disorder)
805 94366008 Secondary malignant neoplasm of laryngeal aspect of aryepiglottic fold (disorder)
805 94367004 Secondary malignant neoplasm of laryngeal aspect of interarytenoid fold (disorder)
805 94368009 Secondary malignant neoplasm of laryngeal commissure (disorder)
805 94369001 Secondary malignant neoplasm of laryngeal surface of epiglottis (disorder)
805 94371001 Secondary malignant neoplasm of lateral portion of floor of mouth (disorder)
805 94372008 Secondary malignant neoplasm of lateral wall of nasopharynx (disorder)
805 94373003 Secondary malignant neoplasm of lateral wall of oropharynx (disorder)
805 94374009 Secondary malignant neoplasm of lateral wall of urinary bladder (disorder)
805 94378007 Secondary malignant neoplasm of lesser curvature of stomach (disorder)
805 94379004 Secondary malignant neoplasm of lingual tonsil (disorder)
805 94383004 Secondary malignant neoplasm of long bone of upper limb (disorder)
805 94384005 Secondary malignant neoplasm of lower gum (disorder)
805 94385006 Secondary malignant neoplasm of lower inner quadrant of female breast (disorder)
805 94387003 Secondary malignant neoplasm of lower outer quadrant of female breast (disorder)
805 94389000 Secondary malignant neoplasm of lumbar vertebral column (disorder)
805 94390009 Secondary malignant neoplasm of lunate bone (disorder)
805 94393006 Secondary malignant neoplasm of lymph nodes of face (disorder)
805 94394000 Secondary malignant neoplasm of lymph nodes of head (disorder)
805 303194003 Metastasis to head and neck lymph node (disorder)
805 94396003 Secondary malignant neoplasm of lymph nodes of multiple sites (disorder)
805 94397007 Secondary malignant neoplasm of lymph nodes of neck (disorder)
805 94399005 Secondary malignant neoplasm of main bronchus (disorder)
805 94400003 Secondary malignant neoplasm of major salivary gland (disorder)
805 94403001 Secondary malignant neoplasm of mandible (disorder)
805 94404007 Secondary malignant neoplasm of mastoid air cells (disorder)
805 94621009 Secondary malignant neoplasm of temporal bone (disorder)
805 94405008 Secondary malignant neoplasm of maxilla (disorder)
805 94406009 Secondary malignant neoplasm of maxillary sinus (disorder)
805 94407000 Secondary malignant neoplasm of Meckel's diverticulum (disorder)
805 94408005 Secondary malignant neoplasm of mediastinal lymph nodes (disorder)
805 94410007 Secondary malignant neoplasm of mesenteric lymph nodes (disorder)
805 94411006 Secondary malignant neoplasm of metacarpal bone (disorder)
805 94412004 Secondary malignant neoplasm of metatarsal bone (disorder)
805 94413009 Secondary malignant neoplasm of middle ear (disorder)
805 94414003 Secondary malignant neoplasm of middle third of esophagus (disorder)
805 94415002 Secondary malignant neoplasm of minor salivary gland (disorder)
805 94417005 Secondary malignant neoplasm of multiple endocrine glands (disorder)
805 94418000 Secondary malignant neoplasm of muscle of abdomen (disorder)
805 94432003 Secondary malignant neoplasm of muscle (disorder)
805 94419008 Secondary malignant neoplasm of muscle of buttock (disorder)
805 94422005 Secondary malignant neoplasm of muscle of hip (disorder)
805 94420002 Secondary malignant neoplasm of muscle of face (disorder)
805 94421003 Secondary malignant neoplasm of muscle of head (disorder)
805 94426008 Secondary malignant neoplasm of muscle of pelvis (disorder)
805 94424006 Secondary malignant neoplasm of muscle of lower limb (disorder)
805 94430006 Secondary malignant neoplasm of muscle of trunk (disorder)
805 94423000 Secondary malignant neoplasm of muscle of inguinal region (disorder)
805 94425007 Secondary malignant neoplasm of muscle of neck (disorder)
805 94427004 Secondary malignant neoplasm of muscle of perineum (disorder)
805 94428009 Secondary malignant neoplasm of muscle of shoulder (disorder)
805 94431005 Secondary malignant neoplasm of muscle of upper limb (disorder)
805 94433008 Secondary malignant neoplasm of myocardium (disorder)
805 94434002 Secondary malignant neoplasm of myometrium (disorder)
805 94435001 Secondary malignant neoplasm of nasal bone (disorder)
805 94436000 Secondary malignant neoplasm of nasal cavity (disorder)
805 94437009 Secondary malignant neoplasm of nasal concha (disorder)
805 242862004 Secondary malignant neoplasm of nasopharyngeal wall (disorder)
805 94439007 Secondary malignant neoplasm of navicular bone of foot (disorder)
805 94440009 Secondary malignant neoplasm of scaphoid bone (disorder)
805 94443006 Secondary malignant neoplasm of nipple of female breast (disorder)
805 94444000 Secondary malignant neoplasm of nipple of male breast (disorder)
805 94446003 Secondary malignant neoplasm of obturator lymph nodes (disorder)
805 94447007 Secondary malignant neoplasm of occipital bone (disorder)
805 94448002 Secondary malignant neoplasm of occipital lobe (disorder)
805 94449005 Secondary malignant neoplasm of occipital lymph nodes (disorder)
805 94450005 Secondary malignant neoplasm of oculomotor nerve (disorder)
805 94451009 Secondary malignant neoplasm of olfactory nerve (disorder)
805 94452002 Secondary malignant neoplasm of optic nerve (disorder)
805 94453007 Secondary malignant neoplasm of orbit proper (disorder)
805 94455000 Secondary malignant neoplasm of ovary (disorder)
805 94457008 Secondary malignant neoplasm of palatine bone (disorder)
805 94458003 Secondary malignant neoplasm of tonsil (disorder)
805 94682004 Secondary malignant neoplasm of Waldeyer's ring (disorder)
805 94461002 Secondary malignant neoplasm of para-aortic body (disorder)
805 94463004 Secondary malignant neoplasm of paramammary lymph nodes (disorder)
805 94477001 Secondary malignant neoplasm of pectoral axillary lymph nodes (disorder)
805 94464005 Secondary malignant neoplasm of parametrial lymph nodes (disorder)
805 94465006 Secondary malignant neoplasm of parametrium (disorder)
805 94466007 Secondary malignant neoplasm of pararectal lymph nodes (disorder)
805 94467003 Secondary malignant neoplasm of parathyroid gland (disorder)
805 94468008 Secondary malignant neoplasm of paraurethral glands (disorder)
805 94661005 Secondary malignant neoplasm of urethra (disorder)
805 94469000 Secondary malignant neoplasm of paravaginal lymph nodes (disorder)
805 94470004 Secondary malignant neoplasm of parietal bone (disorder)
805 94471000 Secondary malignant neoplasm of parietal lobe (disorder)
805 94472007 Secondary malignant neoplasm of parietal peritoneum (disorder)
805 94627008 Secondary malignant neoplasm of the peritoneum (disorder)
805 94473002 Secondary malignant neoplasm of parietal pleura (disorder)
805 94493005 Secondary malignant neoplasm of pleura (disorder)
805 94474008 Secondary malignant neoplasm of parotid gland (disorder)
805 94475009 Secondary malignant neoplasm of parotid lymph nodes (disorder)
805 94476005 Secondary malignant neoplasm of patella (disorder)
805 94482008 Secondary malignant neoplasm of periadrenal tissue (disorder)
805 94582005 Secondary malignant neoplasm of soft tissues of abdomen (disorder)
805 94483003 Secondary malignant neoplasm of perianal skin (disorder)
805 94579000 Secondary malignant neoplasm of skin (disorder)
805 94485005 Secondary malignant neoplasm of perirenal tissue (disorder)
805 94486006 Secondary malignant neoplasm of phalanx of foot (disorder)
805 94487002 Secondary malignant neoplasm of phalanx of hand (disorder)
805 94489004 Secondary malignant neoplasm of pineal gland (disorder)
805 94490008 Secondary malignant neoplasm of pisiform bone of hand (disorder)
805 94492000 Secondary malignant neoplasm of placenta (disorder)
805 94494004 Secondary malignant neoplasm of popliteal lymph nodes (disorder)
805 94495003 Secondary malignant neoplasm of postcricoid region (disorder)
805 94496002 Secondary malignant neoplasm of posterior hypopharyngeal wall (disorder)
805 94497006 Secondary malignant neoplasm of posterior mediastinum (disorder)
805 94499009 Secondary malignant neoplasm of posterior wall of oropharynx (disorder)
805 94500000 Secondary malignant neoplasm of posterior wall of urinary bladder (disorder)
805 94501001 Secondary malignant neoplasm of preauricular lymph nodes (disorder)
805 94502008 Secondary malignant neoplasm of presacral region (disorder)
805 94503003 Secondary malignant neoplasm of prostate (disorder)
805 94504009 Secondary malignant neoplasm of pubis (disorder)
805 94505005 Secondary malignant neoplasm of pyloric antrum (disorder)
805 94506006 Secondary malignant neoplasm of pylorus (disorder)
805 94507002 Secondary malignant neoplasm of pyriform sinus (disorder)
805 94508007 Secondary malignant neoplasm of radius (disorder)
805 94509004 Secondary malignant neoplasm of rectosigmoid junction (disorder)
805 94513006 Secondary malignant neoplasm of rectum (disorder)
805 94538001 Secondary malignant neoplasm of sigmoid colon (disorder)
805 94510009 Secondary malignant neoplasm of rectouterine pouch (disorder)
805 94511008 Secondary malignant neoplasm of rectovaginal septum (disorder)
805 94591009 Secondary malignant neoplasm of soft tissues of pelvis (disorder)
805 94668004 Secondary malignant neoplasm of vagina (disorder)
805 94512001 Secondary malignant neoplasm of rectovesical septum (disorder)
805 94514000 Secondary malignant neoplasm of renal pelvis (disorder)
805 94516003 Secondary malignant neoplasm of retina (disorder)
805 94517007 Secondary malignant neoplasm of retrocecal tissue (disorder)
805 94518002 Secondary malignant neoplasm of retromolar area (disorder)
805 94519005 Secondary malignant neoplasm of retroperitoneal lymph nodes (disorder)
805 94520004 Secondary malignant neoplasm of retropharyngeal lymph nodes (disorder)
805 94521000 Secondary malignant neoplasm of rib (disorder)
805 94525009 Secondary malignant neoplasm of round ligament of uterus (disorder)
805 94526005 Secondary malignant neoplasm of sacrococcygeal region (disorder)
805 94527001 Secondary malignant neoplasm of sacrum (disorder)
805 94528006 Secondary malignant neoplasm of scalene lymph nodes (disorder)
805 94530008 Secondary malignant neoplasm of sclera (disorder)
805 94531007 Secondary malignant neoplasm of scrotum (disorder)
805 94532000 Secondary malignant neoplasm of sebaceous gland (disorder)
805 94533005 Secondary malignant neoplasm of second cuneiform bone of foot (disorder)
805 94534004 Secondary malignant neoplasm of septum of nose (disorder)
805 94535003 Secondary malignant neoplasm of short bone of lower limb (disorder)
805 94536002 Secondary malignant neoplasm of short bone of upper limb (disorder)
805 94539009 Secondary malignant neoplasm of skin of abdomen (disorder)
805 94540006 Secondary malignant neoplasm of skin of ankle (disorder)
805 94565008 Secondary malignant neoplasm of skin of lower limb (disorder)
805 94589001 Secondary malignant neoplasm of soft tissues of lower limb (disorder)
805 94541005 Secondary malignant neoplasm of skin of arm (disorder)
805 94577003 Secondary malignant neoplasm of skin of upper limb (disorder)
805 94542003 Secondary malignant neoplasm of skin of axilla (disorder)
805 94547009 Secondary malignant neoplasm of skin of chest (disorder)
805 94543008 Secondary malignant neoplasm of skin of back (disorder)
805 94575006 Secondary malignant neoplasm of skin of trunk (disorder)
805 94544002 Secondary malignant neoplasm of skin of breast (disorder)
805 94545001 Secondary malignant neoplasm of skin of buttock (disorder)
805 94584006 Secondary malignant neoplasm of soft tissues of buttock (disorder)
805 94546000 Secondary malignant neoplasm of skin of cheek (disorder)
805 94554003 Secondary malignant neoplasm of skin of face (disorder)
805 94594001 Secondary malignant neoplasm of soft tissues of thorax (disorder)
805 94548004 Secondary malignant neoplasm of skin of chin (disorder)
805 94549007 Secondary malignant neoplasm of skin of ear (disorder)
805 94550007 Secondary malignant neoplasm of skin of elbow (disorder)
805 94551006 Secondary malignant neoplasm of skin of external auditory canal (disorder)
805 94552004 Secondary malignant neoplasm of skin of eyebrow (disorder)
805 94558000 Secondary malignant neoplasm of skin of forehead (disorder)
805 94553009 Secondary malignant neoplasm of skin of eyelid (disorder)
805 188454009 Secondary malignant neoplasm of skin of head (disorder)
805 94555002 Secondary malignant neoplasm of skin of finger (disorder)
805 94560003 Secondary malignant neoplasm of skin of hand (disorder)
805 94556001 Secondary malignant neoplasm of skin of foot (disorder)
805 94557005 Secondary malignant neoplasm of skin of forearm (disorder)
805 94559008 Secondary malignant neoplasm of skin of groin (disorder)
805 94561004 Secondary malignant neoplasm of skin of hip (disorder)
805 94562006 Secondary malignant neoplasm of skin of knee (disorder)
805 94563001 Secondary malignant neoplasm of skin of leg (disorder)
805 94566009 Secondary malignant neoplasm of skin of neck (disorder)
805 94567000 Secondary malignant neoplasm of skin of nose (disorder)
805 94569002 Secondary malignant neoplasm of skin of popliteal area (disorder)
805 94570001 Secondary malignant neoplasm of skin of scalp (disorder)
805 94571002 Secondary malignant neoplasm of skin of shoulder (disorder)
805 94572009 Secondary malignant neoplasm of skin of temporal region (disorder)
805 94573004 Secondary malignant neoplasm of skin of thigh (disorder)
805 94574005 Secondary malignant neoplasm of skin of toe (disorder)
805 94576007 Secondary malignant neoplasm of skin of umbilicus (disorder)
805 94596004 Secondary malignant neoplasm of soft tissues of upper limb (disorder)
805 94578008 Secondary malignant neoplasm of skin of wrist (disorder)
805 94581003 Secondary malignant neoplasm of soft palate (disorder)
805 94595000 Secondary malignant neoplasm of soft tissues of trunk (disorder)
805 94583000 Secondary malignant neoplasm of soft tissues of axilla (disorder)
805 94587004 Secondary malignant neoplasm of soft tissues of hip (disorder)
805 94585007 Secondary malignant neoplasm of soft tissues of face (disorder)
805 94588009 Secondary malignant neoplasm of soft tissues of inguinal region (disorder)
805 94590005 Secondary malignant neoplasm of soft tissues of neck (disorder)
805 94592002 Secondary malignant neoplasm of soft tissues of perineum (disorder)
805 94593007 Secondary malignant neoplasm of soft tissues of shoulder (disorder)
805 94597008 Secondary malignant neoplasm of spermatic cord (disorder)
805 94598003 Secondary malignant neoplasm of sphenoid bone (disorder)
805 94599006 Secondary malignant neoplasm of sphenoidal sinus (disorder)
805 94601008 Secondary malignant neoplasm of spinal meninges (disorder)
805 94603006 Secondary malignant neoplasm of spleen (disorder)
805 94604000 Secondary malignant neoplasm of splenic flexure of colon (disorder)
805 94605004 Secondary malignant neoplasm of sternum (disorder)
805 94607007 Secondary malignant neoplasm of subglottis (disorder)
805 94608002 Secondary malignant neoplasm of sublingual gland (disorder)
805 94609005 Secondary malignant neoplasm of submandibular lymph nodes (disorder)
805 94610000 Secondary malignant neoplasm of submaxillary gland (disorder)
805 94611001 Secondary malignant neoplasm of submental lymph nodes (disorder)
805 94612008 Secondary malignant neoplasm of superficial inguinal lymph nodes (disorder)
805 94613003 Secondary malignant neoplasm of superior wall of nasopharynx (disorder)
805 94614009 Secondary malignant neoplasm of supraclavicular lymph nodes (disorder)
805 94615005 Secondary malignant neoplasm of supraclavicular region (disorder)
805 94617002 Secondary malignant neoplasm of sweat gland (disorder)
805 94618007 Secondary malignant neoplasm of tail of pancreas (disorder)
805 94619004 Secondary malignant neoplasm of talus (disorder)
805 94622002 Secondary malignant neoplasm of temporal lobe (disorder)
805 94623007 Secondary malignant neoplasm of testis (disorder)
805 94624001 Secondary malignant neoplasm of the mesentery (disorder)
805 94625000 Secondary malignant neoplasm of the mesocolon (disorder)
805 94626004 Secondary malignant neoplasm of the omentum (disorder)
805 94630001 Secondary malignant neoplasm of third cuneiform bone of foot (disorder)
805 94631002 Secondary malignant neoplasm of thoracic esophagus (disorder)
805 94632009 Secondary malignant neoplasm of thymus (disorder)
805 187881004 Malignant neoplasm of thymus, heart and mediastinum (disorder)
805 94633004 Secondary malignant neoplasm of thyroglossal duct (disorder)
805 94634005 Secondary malignant neoplasm of thyroid gland (disorder)
805 94635006 Secondary malignant neoplasm of tibia (disorder)
805 94636007 Secondary malignant neoplasm of tibial lymph nodes (disorder)
805 94637003 Secondary malignant neoplasm of tip and lateral border of tongue (disorder)
805 94639000 Secondary malignant neoplasm of tonsillar fossa (disorder)
805 94640003 Secondary malignant neoplasm of tonsillar pillar (disorder)
805 94642006 Secondary malignant neoplasm of tracheobronchial lymph nodes (disorder)
805 94644007 Secondary malignant neoplasm of trapezium (disorder)
805 94645008 Secondary malignant neoplasm of trapezoid bone (disorder)
805 94646009 Secondary malignant neoplasm of trigeminal nerve (disorder)
805 94647000 Secondary malignant neoplasm of trigone of urinary bladder (disorder)
805 94648005 Secondary malignant neoplasm of trochlear nerve (disorder)
805 94650002 Secondary malignant neoplasm of ulna (disorder)
805 94651003 Secondary malignant neoplasm of undescended testis (disorder)
805 94652005 Secondary malignant neoplasm of upper gum (disorder)
805 94653000 Secondary malignant neoplasm of upper inner quadrant of female breast (disorder)
805 94655007 Secondary malignant neoplasm of upper outer quadrant of female breast (disorder)
805 255073006 Malignant tumor of ear, nose and throat (disorder)
805 94657004 Secondary malignant neoplasm of upper third of esophagus (disorder)
805 94658009 Secondary malignant neoplasm of urachus (disorder)
805 94659001 Secondary malignant neoplasm of ureter (disorder)
805 94660006 Secondary malignant neoplasm of ureteric orifice of urinary bladder (disorder)
805 94662003 Secondary malignant neoplasm of urinary bladder neck (disorder)
805 94667009 Secondary malignant neoplasm of uvula (disorder)
805 94669007 Secondary malignant neoplasm of vagus nerve (disorder)
805 94670008 Secondary malignant neoplasm of vallecula (disorder)
805 94671007 Secondary malignant neoplasm of vas deferens (disorder)
805 94672000 Secondary malignant neoplasm of ventral surface of tongue (disorder)
805 94673005 Secondary malignant neoplasm of vermilion border of lip (disorder)
805 94674004 Secondary malignant neoplasm of vermilion border of lower lip (disorder)
805 94675003 Secondary malignant neoplasm of vermilion border of upper lip (disorder)
805 94676002 Secondary malignant neoplasm of vestibule of mouth (disorder)
805 94677006 Secondary malignant neoplasm of vestibule of nose (disorder)
805 94678001 Secondary malignant neoplasm of visceral pleura (disorder)
805 94679009 Secondary malignant neoplasm of vocal cord (disorder)
805 94680007 Secondary malignant neoplasm of vomer (disorder)
805 94683009 Secondary malignant neoplasm of zygomatic bone (disorder)
805 188498009 Lymphosarcoma (disorder)
805 94687005 Mixed cell type lymphosarcoma of intrapelvic lymph nodes (disorder)
805 94690004 Mixed cell type lymphosarcoma of lymph nodes of head, face, and neck (disorder)
805 188744006 Monocytic leukemia (disorder)
805 94704006 Multiple myeloma in remission (disorder)
805 94707004 Mycosis fungoides of intra-abdominal lymph nodes (disorder)
805 118618005 Mycosis fungoides (disorder)
805 94708009 Mycosis fungoides of intrapelvic lymph nodes (disorder)
805 94709001 Mycosis fungoides of intrathoracic lymph nodes (disorder)
805 94710006 Mycosis fungoides of lymph nodes of axilla AND/OR upper limb (disorder)
805 94711005 Mycosis fungoides of lymph nodes of head, face AND/OR neck (disorder)
805 94712003 Mycosis fungoides of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 188627002 Mycosis fungoides of lymph nodes of multiple sites (disorder)
805 94714002 Mycosis fungoides of spleen (disorder)
805 94715001 Mycosis fungoides of extranodal AND/OR solid organ site (disorder)
805 94718004 Myeloid sarcoma in remission (disorder)
805 94719007 Myeloid sarcoma, disease (disorder)
805 94721002 Neoplasm of uncertain behavior of abdominal esophagus (disorder)
805 94825003 Neoplasm of uncertain behavior of esophagus (disorder)
805 94917004 Neoplasm of uncertain behavior of lower third of esophagus (disorder)
805 94879007 Neoplasm of uncertain behavior of intra-abdominal organs (disorder)
805 94722009 Neoplasm of uncertain behavior of abducens nerve (disorder)
805 94807005 Neoplasm of uncertain behavior of cranial nerve (disorder)
805 94723004 Neoplasm of uncertain behavior of accessory nerve (disorder)
805 94963005 Neoplasm of uncertain behavior of nervous system (disorder)
805 94724005 Neoplasm of uncertain behavior of accessory sinus (disorder)
805 95158003 Neoplasm of uncertain behavior of upper respiratory tract (disorder)
805 94832007 Neoplasm of uncertain behavior of face (disorder)
805 94725006 Neoplasm of uncertain behavior of acoustic nerve (disorder)
805 94726007 Neoplasm of uncertain behavior of acromion (disorder)
805 95037006 Neoplasm of uncertain behavior of scapula (disorder)
805 94727003 Neoplasm of uncertain behavior of adenoid (disorder)
805 95010009 Neoplasm of uncertain behavior of posterior wall of nasopharynx (disorder)
805 94728008 Neoplasm of uncertain behavior of adnexa of skin (disorder)
805 94729000 Neoplasm of uncertain behavior of adrenal cortex (disorder)
805 94730005 Neoplasm of uncertain behavior of adrenal gland (disorder)
805 94731009 Neoplasm of uncertain behavior of adrenal medulla (disorder)
805 94732002 Neoplasm of uncertain behavior of alveolar ridge mucosa (disorder)
805 189371000 Neoplasm of uncertain behavior of gums (disorder)
805 94733007 Neoplasm of uncertain behavior of ampulla of Vater (disorder)
805 94803009 Neoplasm of uncertain behavior of common bile duct (disorder)
805 94979006 Neoplasm of uncertain behavior of pancreatic duct (disorder)
805 95088009 Neoplasm of uncertain behavior of small intestine (disorder)
805 271482000 Neoplasm of uncertain behavior of liver and/or biliary passages (disorder)
805 94734001 Neoplasm of uncertain behavior of anal canal (disorder)
805 94741007 Neoplasm of uncertain behavior of anus (disorder)
805 94735000 Neoplasm of uncertain behavior of anterior aspect of epiglottis (disorder)
805 94824004 Neoplasm of uncertain behavior of epiglottis (disorder)
805 95001001 Neoplasm of uncertain behavior of pharynx (disorder)
805 94736004 Neoplasm of uncertain behavior of anterior mediastinum (disorder)
805 94931004 Neoplasm of uncertain behavior of mediastinum (disorder)
805 94737008 Neoplasm of uncertain behavior of anterior portion of floor of mouth (disorder)
805 94842009 Neoplasm of uncertain behavior of floor of mouth (disorder)
805 254426002 Tumor of anterior floor of mouth (disorder)
805 94738003 Neoplasm of uncertain behavior of anterior two-thirds of tongue (disorder)
805 95141008 Neoplasm of uncertain behavior of tongue (disorder)
805 94739006 Neoplasm of uncertain behavior of anterior wall of nasopharynx (disorder)
805 94959003 Neoplasm of uncertain behavior of nasopharynx (disorder)
805 94740008 Neoplasm of uncertain behavior of anterior wall of urinary bladder (disorder)
805 95165006 Neoplasm of uncertain behavior of urinary system (disorder)
805 94754000 Neoplasm of uncertain behavior of bladder (disorder)
805 95131005 Neoplasm of uncertain behavior of the perineum (disorder)
805 94894006 Neoplasm of uncertain behavior of large intestine (disorder)
805 94742000 Neoplasm of uncertain behavior of aortic body (disorder)
805 189473001 Neoplasm of uncertain behavior of paraganglia (disorder)
805 94743005 Neoplasm of uncertain behavior of apex of urinary bladder (disorder)
805 94744004 Neoplasm of uncertain behavior of appendix (disorder)
805 94745003 Neoplasm of uncertain behavior of areola of female breast (disorder)
805 94836005 Neoplasm of uncertain behavior of female breast (disorder)
805 94746002 Neoplasm of uncertain behavior of areola of male breast (disorder)
805 94924003 Neoplasm of uncertain behavior of male breast (disorder)
805 94747006 Neoplasm of uncertain behavior of upper arm (disorder)
805 95156004 Neoplasm of uncertain behavior of upper limb (disorder)
805 94748001 Neoplasm of uncertain behavior of ascending colon (disorder)
805 94801006 Neoplasm of uncertain behavior of colon (disorder)
805 94749009 Neoplasm of uncertain behavior of axilla (disorder)
805 95151009 Neoplasm of uncertain behavior of trunk (disorder)
805 94750009 Neoplasm of uncertain behavior of axillary tail of female breast (disorder)
805 94751008 Neoplasm of uncertain behavior of back (disorder)
805 94752001 Neoplasm of uncertain behavior of base of tongue (disorder)
805 95120002 Neoplasm of uncertain behavior of supraglottis (disorder)
805 94973007 Neoplasm of uncertain behavior of oropharynx (disorder)
805 255064003 Neoplasm of uncertain behavior of biliary system (disorder)
805 94755004 Neoplasm of uncertain behavior of blood vessel (disorder)
805 94805002 Neoplasm of uncertain behavior of soft tissues (disorder)
805 94756003 Neoplasm of uncertain behavior of body of pancreas (disorder)
805 94757007 Neoplasm of uncertain behavior of body of penis (disorder)
805 94994005 Neoplasm of uncertain behavior of penis (disorder)
805 94758002 Neoplasm of uncertain behavior of body of stomach (disorder)
805 399967006 Neoplasm of uncertain behavior of stomach (disorder)
805 94759005 Neoplasm of uncertain behavior of body of uterus (disorder)
805 95167003 Neoplasm of uncertain behavior of uterus (disorder)
805 443042003 Neoplasm of uncertain behavior of skeletal system (disorder)
805 94761001 Neoplasm of uncertain behavior of bone of face (disorder)
805 94765005 Neoplasm of uncertain behavior of bone (disorder)
805 94762008 Neoplasm of uncertain behavior of bone of lower limb (disorder)
805 94915007 Neoplasm of uncertain behavior of lower limb (disorder)
805 94763003 Neoplasm of uncertain behavior of bone of skull (disorder)
805 94864000 Neoplasm of uncertain behavior of head (disorder)
805 94764009 Neoplasm of uncertain behavior of bone of upper limb (disorder)
805 94766006 Neoplasm of uncertain behavior of brain stem (disorder)
805 94767002 Neoplasm of uncertain behavior of brain (disorder)
805 189488006 Neoplasm of uncertain or unknown behavior of brain, infratentorial (disorder)
805 189484008 Neoplasm of uncertain behavior of brain and/or spinal cord (disorder)
805 94768007 Neoplasm of uncertain behavior of broad ligament of uterus (disorder)
805 95166007 Neoplasm of uncertain behavior of uterine adnexa (disorder)
805 94992009 Neoplasm of uncertain behavior of pelvic peritoneum (disorder)
805 94769004 Neoplasm of uncertain behavior of bronchus of left lower lobe (disorder)
805 94774007 Neoplasm of uncertain behavior of bronchus (disorder)
805 94904002 Neoplasm of uncertain behavior of left lower lobe of lung (disorder)
805 94770003 Neoplasm of uncertain behavior of bronchus of left upper lobe (disorder)
805 94905001 Neoplasm of uncertain behavior of left upper lobe of lung (disorder)
805 94771004 Neoplasm of uncertain behavior of bronchus of right lower lobe (disorder)
805 95031007 Neoplasm of uncertain behavior of right lower lobe of lung (disorder)
805 94772006 Neoplasm of uncertain behavior of bronchus of right middle lobe (disorder)
805 95032000 Neoplasm of uncertain behavior of right middle lobe of lung (disorder)
805 94773001 Neoplasm of uncertain behavior of bronchus of right upper lobe (disorder)
805 95033005 Neoplasm of uncertain behavior of right upper lobe of lung (disorder)
805 95026005 Neoplasm of uncertain behavior of respiratory tract (disorder)
805 94775008 Neoplasm of uncertain behavior of buccal mucosa (disorder)
805 94937000 Neoplasm of uncertain behavior of mouth (disorder)
805 94793009 Neoplasm of uncertain behavior of cheek (disorder)
805 255062004 Neoplasm of uncertain behavior of oral cavity (disorder)
805 95094001 Neoplasm of uncertain behavior of soft tissues of head (disorder)
805 94776009 Neoplasm of uncertain behavior of calcaneus (disorder)
805 94843004 Neoplasm of uncertain behavior of foot (disorder)
805 94777000 Neoplasm of uncertain behavior of cardia of stomach (disorder)
805 94778005 Neoplasm of uncertain behavior of carina of trachea-bg (disorder)
805 95144000 Neoplasm of uncertain behavior of trachea (disorder)
805 94779002 Neoplasm of uncertain behavior of carotid body (disorder)
805 94962000 Neoplasm of uncertain behavior of neck (disorder)
805 94780004 Neoplasm of uncertain behavior of carpal bone (disorder)
805 94781000 Neoplasm of uncertain behavior of cartilage of nose (disorder)
805 94966002 Neoplasm of uncertain behavior of nose (disorder)
805 94782007 Neoplasm of uncertain behavior of cauda equina (disorder)
805 94783002 Neoplasm of uncertain behavior of cecum (disorder)
805 94784008 Neoplasm of uncertain behavior of central nervous system (disorder)
805 94785009 Neoplasm of uncertain behavior of central portion of female breast (disorder)
805 94786005 Neoplasm of uncertain behavior of cerebellum (disorder)
805 94787001 Neoplasm of uncertain behavior of cerebral meninges (disorder)
805 109914007 Neoplasm of uncertain behavior of meninges (disorder)
805 94788006 Neoplasm of uncertain behavior of cerebral ventricle (disorder)
805 94789003 Neoplasm of uncertain behavior of cerebrum (disorder)
805 126953009 Neoplasm of cerebrum (disorder)
805 94790007 Neoplasm of uncertain behavior of cervical esophagus (disorder)
805 94791006 Neoplasm of uncertain behavior of cervical vertebral column (disorder)
805 95110007 Neoplasm of uncertain behavior of vertebral column (disorder)
805 94792004 Neoplasm of uncertain behavior of uterine cervix (disorder)
805 271326004 Neoplasm of uncertain behavior of lip, oral cavity and/or pharynx (disorder)
805 94794003 Neoplasm of uncertain behavior of chest wall (disorder)
805 94795002 Neoplasm of uncertain behavior of choroid (disorder)
805 95168008 Neoplasm of uncertain behavior of uveal tract (disorder)
805 94831000 Neoplasm of uncertain behavior of eye (disorder)
805 94796001 Neoplasm of uncertain behavior of ciliary body (disorder)
805 94797005 Neoplasm of uncertain behavior of clavicle (disorder)
805 95045001 Neoplasm of uncertain behavior of shoulder (disorder)
805 94798000 Neoplasm of uncertain behavior of clitoris (disorder)
805 94837001 Neoplasm of uncertain behavior of female genital organ (disorder)
805 95183003 Neoplasm of uncertain behavior of vulva (disorder)
805 94799008 Neoplasm of uncertain behavior of coccygeal body (disorder)
805 94800007 Neoplasm of uncertain behavior of coccyx (disorder)
805 94991002 Neoplasm of uncertain behavior of pelvic bone (disorder)
805 94851001 Neoplasm of uncertain behavior of gastrointestinal tract (disorder)
805 94802004 Neoplasm of uncertain behavior of commissure of lip (disorder)
805 95072009 Neoplasm of uncertain behavior of skin of lip (disorder)
805 94909007 Neoplasm of uncertain behavior of lip (disorder)
805 94830004 Neoplasm of uncertain behavior of extrahepatic bile ducts (disorder)
805 94804003 Neoplasm of uncertain behavior of conjunctiva (disorder)
805 94806001 Neoplasm of uncertain behavior of cornea (disorder)
805 94808000 Neoplasm of uncertain behavior of craniopharyngeal duct (disorder)
805 94809008 Neoplasm of uncertain behavior of cuboid (disorder)
805 94810003 Neoplasm of uncertain behavior of cystic duct (disorder)
805 94811004 Neoplasm of uncertain behavior of descending colon (disorder)
805 94812006 Neoplasm of uncertain behavior of diaphragm (disorder)
805 94950004 Neoplasm of uncertain behavior of muscle of thorax (disorder)
805 94813001 Neoplasm of uncertain behavior of dorsal surface of tongue (disorder)
805 94814007 Neoplasm of uncertain behavior of thoracic vertebral column (disorder)
805 94815008 Neoplasm of uncertain behavior of duodenum (disorder)
805 94816009 Neoplasm of uncertain behavior of ectopic female breast tissue (disorder)
805 94817000 Neoplasm of uncertain behavior of ectopic male breast tissue (disorder)
805 94818005 Neoplasm of uncertain behavior of endocardium (disorder)
805 94865004 Neoplasm of uncertain behavior of heart (disorder)
805 94819002 Neoplasm of uncertain behavior of endocervix (disorder)
805 94821007 Neoplasm of uncertain behavior of endometrium (disorder)
805 94822000 Neoplasm of uncertain behavior of epicardium (disorder)
805 94997003 Neoplasm of uncertain behavior of pericardium (disorder)
805 94823005 Neoplasm of uncertain behavior of epididymis (disorder)
805 126902008 Neoplasm of epididymis (disorder)
805 94925002 Neoplasm of uncertain behavior of male genital organ (disorder)
805 94899001 Neoplasm of uncertain behavior of larynx (disorder)
805 94826002 Neoplasm of uncertain behavior of ethmoid bone (disorder)
805 94827006 Neoplasm of uncertain behavior of ethmoidal sinus (disorder)
805 94828001 Neoplasm of uncertain behavior of eustachian tube (disorder)
805 94934007 Neoplasm of uncertain behavior of middle ear (disorder)
805 94829009 Neoplasm of uncertain behavior of exocervix (disorder)
805 94833002 Neoplasm of uncertain behavior of facial nerve (disorder)
805 94834008 Neoplasm of uncertain behavior of fallopian tube (disorder)
805 269497004 Neoplasm of uncertain behavior of breast (disorder)
805 189441007 Neoplasm of uncertain behavior of genitourinary organs (disorder)
805 94838006 Neoplasm of uncertain behavior of femur (disorder)
805 95133008 Neoplasm of uncertain behavior of thigh (disorder)
805 94911003 Neoplasm of uncertain behavior of long bone of lower limb (disorder)
805 94839003 Neoplasm of uncertain behavior of fibula (disorder)
805 94906000 Neoplasm of uncertain behavior of leg (disorder)
805 94840001 Neoplasm of uncertain behavior of first cuneiform bone of foot (disorder)
805 126593004 Neoplasm of first cuneiform bone of foot (disorder)
805 94841002 Neoplasm of uncertain behavior of flank (disorder)
805 94844005 Neoplasm of uncertain behavior of forearm (disorder)
805 94845006 Neoplasm of uncertain behavior of prepuce (disorder)
805 95076007 Neoplasm of uncertain behavior of skin of perineum (disorder)
805 94846007 Neoplasm of uncertain behavior of frontal bone (disorder)
805 94847003 Neoplasm of uncertain behavior of frontal lobe (disorder)
805 189487001 Neoplasm of uncertain or unknown behavior of brain, supratentorial (disorder)
805 94848008 Neoplasm of uncertain behavior of frontal sinus (disorder)
805 94849000 Neoplasm of uncertain behavior of fundus of stomach (disorder)
805 94850000 Neoplasm of uncertain behavior of gallbladder (disorder)
805 94852008 Neoplasm of uncertain behavior of gingival mucosa (disorder)
805 94853003 Neoplasm of uncertain behavior of glans penis (disorder)
805 94854009 Neoplasm of uncertain behavior of glomus jugulare (disorder)
805 94855005 Neoplasm of uncertain behavior of glossopharyngeal nerve (disorder)
805 94856006 Neoplasm of uncertain behavior of glottis (disorder)
805 94857002 Neoplasm of uncertain behavior of great vessels (disorder)
805 94858007 Neoplasm of uncertain behavior of greater curvature of stomach (disorder)
805 94860009 Neoplasm of uncertain behavior of hamate bone (disorder)
805 94861008 Neoplasm of uncertain behavior of hand (disorder)
805 94862001 Neoplasm of uncertain behavior of hard palate (disorder)
805 94975000 Neoplasm of uncertain behavior of palate (disorder)
805 94863006 Neoplasm of uncertain behavior of head of pancreas (disorder)
805 94866003 Neoplasm of uncertain behavior of hepatic flexure of colon (disorder)
805 95145004 Neoplasm of uncertain behavior of transverse colon (disorder)
805 94867007 Neoplasm of uncertain behavior of hilus of lung (disorder)
805 94868002 Neoplasm of uncertain behavior of hypoglossal nerve (disorder)
805 94869005 Neoplasm of uncertain behavior of hypopharyngeal aspect of aryepiglottic fold (disorder)
805 189417009 Neoplasm of uncertain behavior of aryepiglottic fold (disorder)
805 94871005 Neoplasm of uncertain behavior of hypopharynx (disorder)
805 94870006 Neoplasm of uncertain behavior of hypopharyngeal aspect of interarytenoid fold (disorder)
805 94872003 Neoplasm of uncertain behavior of ileum (disorder)
805 94873008 Neoplasm of uncertain behavior of ilium (disorder)
805 94993004 Neoplasm of uncertain behavior of pelvis (disorder)
805 94874002 Neoplasm of uncertain behavior of inguinal region (disorder)
805 94875001 Neoplasm of uncertain behavior of inner aspect of lip (disorder)
805 94876000 Neoplasm of uncertain behavior of inner aspect of lower lip (disorder)
805 126776002 Neoplasm of inner aspect of lower lip (disorder)
805 94877009 Neoplasm of uncertain behavior of inner aspect of upper lip (disorder)
805 126775003 Neoplasm of inner aspect of upper lip (disorder)
805 94878004 Neoplasm of uncertain behavior of intestinal tract (disorder)
805 94880005 Neoplasm of uncertain behavior of intrahepatic bile ducts (disorder)
805 94910002 Neoplasm of uncertain behavior of liver (disorder)
805 94881009 Neoplasm of uncertain behavior of intrathoracic organs (disorder)
805 126638003 Neoplasm of intrathoracic organs (disorder)
805 94882002 Neoplasm of uncertain behavior of ischium (disorder)
805 94883007 Neoplasm of uncertain behavior of islets of Langerhans (disorder)
805 94884001 Neoplasm of uncertain behavior of isthmus of uterus (disorder)
805 94885000 Neoplasm of uncertain behavior of jaw (disorder)
805 94886004 Neoplasm of uncertain behavior of jejunum (disorder)
805 94887008 Neoplasm of uncertain behavior of junctional region of epiglottis (disorder)
805 94888003 Neoplasm of uncertain behavior of junctional zone of tongue (disorder)
805 94889006 Neoplasm of uncertain behavior of kidney (disorder)
805 94890002 Neoplasm of uncertain behavior of labia majora (disorder)
805 94891003 Neoplasm of uncertain behavior of labia minora (disorder)
805 419317000 Neoplasm of uncertain behavior of lacrimal drainage structure (disorder)
805 94893000 Neoplasm of uncertain behavior of lacrimal gland (disorder)
805 94895007 Neoplasm of uncertain behavior of laryngeal aspect of aryepiglottic fold (disorder)
805 94896008 Neoplasm of uncertain behavior of laryngeal aspect of interarytenoid fold (disorder)
805 94897004 Neoplasm of uncertain behavior of laryngeal commissure (disorder)
805 94898009 Neoplasm of uncertain behavior of laryngeal surface of epiglottis (disorder)
805 94900006 Neoplasm of uncertain behavior of lateral portion of floor of mouth (disorder)
805 94901005 Neoplasm of uncertain behavior of lateral wall of nasopharynx (disorder)
805 94902003 Neoplasm of uncertain behavior of lateral wall of oropharynx (disorder)
805 94903008 Neoplasm of uncertain behavior of lateral wall of urinary bladder (disorder)
805 94907009 Neoplasm of uncertain behavior of lesser curvature of stomach (disorder)
805 94908004 Neoplasm of uncertain behavior of lingual tonsil (disorder)
805 94912005 Neoplasm of uncertain behavior of long bone of upper limb (disorder)
805 94913000 Neoplasm of uncertain behavior of lower gum (disorder)
805 94914006 Neoplasm of uncertain behavior of lower inner quadrant of female breast (disorder)
805 94916008 Neoplasm of uncertain behavior of lower outer quadrant of female breast (disorder)
805 94918009 Neoplasm of uncertain behavior of lumbar vertebral column (disorder)
805 94919001 Neoplasm of uncertain behavior of lunate bone (disorder)
805 94921006 Neoplasm of uncertain behavior of lymph node (disorder)
805 94922004 Neoplasm of uncertain behavior of main bronchus (disorder)
805 189362009 Neoplasm of uncertain behavior of major salivary gland (disorder)
805 94926001 Neoplasm of uncertain behavior of mandible (disorder)
805 189435000 Neoplasm of uncertain behavior of mastoid air cells (disorder)
805 94928000 Neoplasm of uncertain behavior of maxilla (disorder)
805 94929008 Neoplasm of uncertain behavior of maxillary sinus (disorder)
805 94930003 Neoplasm of uncertain behavior of Meckel's diverticulum (disorder)
805 94932006 Neoplasm of uncertain behavior of metacarpal bone (disorder)
805 126579006 Neoplasm of metacarpal bone (disorder)
805 94933001 Neoplasm of uncertain behavior of metatarsal bone (disorder)
805 94935008 Neoplasm of uncertain behavior of middle third of esophagus (disorder)
805 94936009 Neoplasm of uncertain behavior of minor salivary gland (disorder)
805 94939002 Neoplasm of uncertain behavior of muscle of abdomen (disorder)
805 94951000 Neoplasm of uncertain behavior of muscle of trunk (disorder)
805 94953002 Neoplasm of uncertain behavior of muscle (disorder)
805 94940000 Neoplasm of uncertain behavior of muscle of buttock (disorder)
805 94943003 Neoplasm of uncertain behavior of muscle of hip (disorder)
805 94941001 Neoplasm of uncertain behavior of muscle of face (disorder)
805 94942008 Neoplasm of uncertain behavior of muscle of head (disorder)
805 94945005 Neoplasm of uncertain behavior of muscle of lower limb (disorder)
805 94947002 Neoplasm of uncertain behavior of muscle of pelvis (disorder)
805 94944009 Neoplasm of uncertain behavior of muscle of inguinal region (disorder)
805 94946006 Neoplasm of uncertain behavior of muscle of neck (disorder)
805 94948007 Neoplasm of uncertain behavior of muscle of perineum (disorder)
805 94949004 Neoplasm of uncertain behavior of muscle of shoulder (disorder)
805 94952007 Neoplasm of uncertain behavior of muscle of upper limb (disorder)
805 94954008 Neoplasm of uncertain behavior of myocardium (disorder)
805 94955009 Neoplasm of uncertain behavior of myometrium (disorder)
805 94956005 Neoplasm of uncertain behavior of nasal bone (disorder)
805 94957001 Neoplasm of uncertain behavior of nasal cavity (disorder)
805 94958006 Neoplasm of uncertain behavior of nasal concha (disorder)
805 94960008 Neoplasm of uncertain behavior of navicular bone of foot (disorder)
805 126592009 Neoplasm of navicular bone of foot (disorder)
805 94961007 Neoplasm of uncertain behavior of scaphoid bone (disorder)
805 94964004 Neoplasm of uncertain behavior of nipple of female breast (disorder)
805 94965003 Neoplasm of uncertain behavior of nipple of male breast (disorder)
805 94967006 Neoplasm of uncertain behavior of occipital bone (disorder)
805 94968001 Neoplasm of uncertain behavior of occipital lobe (disorder)
805 94969009 Neoplasm of uncertain behavior of oculomotor nerve (disorder)
805 94970005 Neoplasm of uncertain behavior of olfactory nerve (disorder)
805 94971009 Neoplasm of uncertain behavior of optic nerve (disorder)
805 94972002 Neoplasm of uncertain behavior of orbit proper (disorder)
805 371481006 Neoplasm of eye region (disorder)
805 94974001 Neoplasm of uncertain behavior of ovary (disorder)
805 94976004 Neoplasm of uncertain behavior of palatine bone (disorder)
805 94977008 Neoplasm of uncertain behavior of tonsil (disorder)
805 95184009 Neoplasm of uncertain behavior of Waldeyer's ring (disorder)
805 94980009 Neoplasm of uncertain behavior of para-aortic body (disorder)
805 94982001 Neoplasm of uncertain behavior of parametrium (disorder)
805 94983006 Neoplasm of uncertain behavior of parathyroid gland (disorder)
805 94984000 Neoplasm of uncertain behavior of paraurethral glands (disorder)
805 94985004 Neoplasm of uncertain behavior of parietal bone (disorder)
805 94986003 Neoplasm of uncertain behavior of parietal lobe (disorder)
805 94987007 Neoplasm of uncertain behavior of parietal peritoneum (disorder)
805 189401003 Neoplasm of uncertain behavior of peritoneum (disorder)
805 94988002 Neoplasm of uncertain behavior of parietal pleura (disorder)
805 95006006 Neoplasm of uncertain behavior of pleura (disorder)
805 94989005 Neoplasm of uncertain behavior of parotid gland (disorder)
805 94990001 Neoplasm of uncertain behavior of patella (disorder)
805 94995006 Neoplasm of uncertain behavior of periadrenal tissue (disorder)
805 95090005 Neoplasm of uncertain behavior of soft tissues of abdomen (disorder)
805 95132003 Neoplasm of uncertain behavior of retroperitoneum (disorder)
805 94996007 Neoplasm of uncertain behavior of perianal skin (disorder)
805 94998008 Neoplasm of uncertain behavior of perirenal tissue (disorder)
805 94999000 Neoplasm of uncertain behavior of phalanx of foot (disorder)
805 95000000 Neoplasm of uncertain behavior of phalanx of hand (disorder)
805 189361002 Neoplasm of uncertain behavior of digestive and respiratory systems (disorder)
805 95002008 Neoplasm of uncertain behavior of pineal gland (disorder)
805 269496008 Neoplasm of uncertain behavior of endocrine glands and nervous system (disorder)
805 95003003 Neoplasm of uncertain behavior of pisiform bone of hand (disorder)
805 95005005 Neoplasm of uncertain behavior of placenta (disorder)
805 95007002 Neoplasm of uncertain behavior of postcricoid region (disorder)
805 95008007 Neoplasm of uncertain behavior of posterior hypopharyngeal wall (disorder)
805 95009004 Neoplasm of uncertain behavior of posterior mediastinum (disorder)
805 95011008 Neoplasm of uncertain behavior of posterior wall of oropharynx (disorder)
805 95012001 Neoplasm of uncertain behavior of posterior wall of urinary bladder (disorder)
805 95013006 Neoplasm of uncertain behavior of presacral region (disorder)
805 95014000 Neoplasm of uncertain behavior of prostate (disorder)
805 95015004 Neoplasm of uncertain behavior of pubis (disorder)
805 95016003 Neoplasm of uncertain behavior of pyloric antrum (disorder)
805 95017007 Neoplasm of uncertain behavior of pylorus (disorder)
805 95018002 Neoplasm of uncertain behavior of pyriform sinus (disorder)
805 95019005 Neoplasm of uncertain behavior of radius (disorder)
805 95020004 Neoplasm of uncertain behavior of rectosigmoid junction (disorder)
805 95024008 Neoplasm of uncertain behavior of rectum (disorder)
805 95046000 Neoplasm of uncertain behavior of sigmoid colon (disorder)
805 95021000 Neoplasm of uncertain behavior of rectouterine pouch (disorder)
805 95022007 Neoplasm of uncertain behavior of rectovaginal septum (disorder)
805 95170004 Neoplasm of uncertain behavior of vagina (disorder)
805 95099006 Neoplasm of uncertain behavior of soft tissues of pelvis (disorder)
805 95023002 Neoplasm of uncertain behavior of rectovesical septum (disorder)
805 95025009 Neoplasm of uncertain behavior of renal pelvis (disorder)
805 95027001 Neoplasm of uncertain behavior of retina (disorder)
805 95028006 Neoplasm of uncertain behavior of retrocecal tissue (disorder)
805 95029003 Neoplasm of uncertain behavior of retromolar area (disorder)
805 95030008 Neoplasm of uncertain behavior of rib (disorder)
805 95034004 Neoplasm of uncertain behavior of round ligament of uterus (disorder)
805 95035003 Neoplasm of uncertain behavior of sacrococcygeal region (disorder)
805 95036002 Neoplasm of uncertain behavior of sacrum (disorder)
805 95038001 Neoplasm of uncertain behavior of sclera (disorder)
805 95039009 Neoplasm of uncertain behavior of scrotum (disorder)
805 95040006 Neoplasm of uncertain behavior of sebaceous gland (disorder)
805 95041005 Neoplasm of uncertain behavior of second cuneiform bone of foot (disorder)
805 126594005 Neoplasm of second cuneiform bone of foot (disorder)
805 95042003 Neoplasm of uncertain behavior of septum of nose (disorder)
805 126672006 Neoplasm of septum of nose (disorder)
805 95043008 Neoplasm of uncertain behavior of short bone of lower limb (disorder)
805 95044002 Neoplasm of uncertain behavior of short bone of upper limb (disorder)
805 95047009 Neoplasm of uncertain behavior of skin of abdomen (disorder)
805 95083000 Neoplasm of uncertain behavior of skin of trunk (disorder)
805 95048004 Neoplasm of uncertain behavior of skin of ankle (disorder)
805 95097008 Neoplasm of uncertain behavior of soft tissues of lower limb (disorder)
805 95073004 Neoplasm of uncertain behavior of skin of lower limb (disorder)
805 95049007 Neoplasm of uncertain behavior of skin of upper arm (disorder)
805 95085007 Neoplasm of uncertain behavior of skin of upper limb (disorder)
805 95050007 Neoplasm of uncertain behavior of skin of axilla (disorder)
805 95055002 Neoplasm of uncertain behavior of skin of chest (disorder)
805 95051006 Neoplasm of uncertain behavior of skin of back (disorder)
805 95052004 Neoplasm of uncertain behavior of skin of breast (disorder)
805 95053009 Neoplasm of uncertain behavior of skin of buttock (disorder)
805 95092002 Neoplasm of uncertain behavior of soft tissues of buttock (disorder)
805 95054003 Neoplasm of uncertain behavior of skin of cheek (disorder)
805 95062006 Neoplasm of uncertain behavior of skin of face (disorder)
805 95102006 Neoplasm of uncertain behavior of soft tissues of thorax (disorder)
805 95056001 Neoplasm of uncertain behavior of skin of chin (disorder)
805 95057005 Neoplasm of uncertain behavior of skin of ear (disorder)
805 95058000 Neoplasm of uncertain behavior of skin of elbow (disorder)
805 95059008 Neoplasm of uncertain behavior of skin of external auditory canal (disorder)
805 126502003 Neoplasm of skin of external auditory canal (disorder)
805 95060003 Neoplasm of uncertain behavior of skin of eyebrow (disorder)
805 95066009 Neoplasm of uncertain behavior of skin of forehead (disorder)
805 95061004 Neoplasm of uncertain behavior of skin of eyelid (disorder)
805 95063001 Neoplasm of uncertain behavior of skin of finger (disorder)
805 95068005 Neoplasm of uncertain behavior of skin of hand (disorder)
805 95064007 Neoplasm of uncertain behavior of skin of foot (disorder)
805 95065008 Neoplasm of uncertain behavior of skin of forearm (disorder)
805 95067000 Neoplasm of uncertain behavior of skin of groin (disorder)
805 95069002 Neoplasm of uncertain behavior of skin of hip (disorder)
805 95070001 Neoplasm of uncertain behavior of skin of knee (disorder)
805 95071002 Neoplasm of uncertain behavior of skin of lower leg (disorder)
805 95074005 Neoplasm of uncertain behavior of skin of neck (disorder)
805 95075006 Neoplasm of uncertain behavior of skin of nose (disorder)
805 95100003 Neoplasm of uncertain behavior of soft tissues of perineum (disorder)
805 95077003 Neoplasm of uncertain behavior of skin of popliteal area (disorder)
805 95078008 Neoplasm of uncertain behavior of skin of scalp (disorder)
805 95079000 Neoplasm of uncertain behavior of skin of shoulder (disorder)
805 95080002 Neoplasm of uncertain behavior of skin of temporal region (disorder)
805 95081003 Neoplasm of uncertain behavior of skin of thigh (disorder)
805 95082005 Neoplasm of uncertain behavior of skin of toe (disorder)
805 95084006 Neoplasm of uncertain behavior of skin of umbilicus (disorder)
805 95104007 Neoplasm of uncertain behavior of soft tissues of upper limb (disorder)
805 95086008 Neoplasm of uncertain behavior of skin of wrist (disorder)
805 95089001 Neoplasm of uncertain behavior of soft palate (disorder)
805 95103001 Neoplasm of uncertain behavior of soft tissues of trunk (disorder)
805 95091009 Neoplasm of uncertain behavior of soft tissues of axilla (disorder)
805 95095000 Neoplasm of uncertain behavior of soft tissues of hip (disorder)
805 95093007 Neoplasm of uncertain behavior of soft tissues of face (disorder)
805 95096004 Neoplasm of uncertain behavior of soft tissues of inguinal region (disorder)
805 95098003 Neoplasm of uncertain behavior of soft tissues of neck (disorder)
805 95101004 Neoplasm of uncertain behavior of soft tissues of shoulder (disorder)
805 95105008 Neoplasm of uncertain behavior of spermatic cord (disorder)
805 95106009 Neoplasm of uncertain behavior of sphenoid bone (disorder)
805 95107000 Neoplasm of uncertain behavior of sphenoidal sinus (disorder)
805 95108005 Neoplasm of uncertain behavior of spinal cord (disorder)
805 95109002 Neoplasm of uncertain behavior of spinal meninges (disorder)
805 126552007 Neoplasm of vertebral column (disorder)
805 95111006 Neoplasm of uncertain behavior of spleen (disorder)
805 95112004 Neoplasm of uncertain behavior of splenic flexure of colon (disorder)
805 95113009 Neoplasm of uncertain behavior of sternum (disorder)
805 95115002 Neoplasm of uncertain behavior of subglottis (disorder)
805 95116001 Neoplasm of uncertain behavior of sublingual gland (disorder)
805 189365006 Neoplasm of uncertain behavior of submandibular gland (disorder)
805 95118000 Neoplasm of uncertain behavior of superior wall of nasopharynx (disorder)
805 95119008 Neoplasm of uncertain behavior of supraclavicular region (disorder)
805 95121003 Neoplasm of uncertain behavior of sweat gland (disorder)
805 95122005 Neoplasm of uncertain behavior of tail of pancreas (disorder)
805 95123000 Neoplasm of uncertain behavior of talus (disorder)
805 95124006 Neoplasm of uncertain behavior of tarsal bone (disorder)
805 95125007 Neoplasm of uncertain behavior of temporal bone (disorder)
805 95126008 Neoplasm of uncertain behavior of temporal lobe (disorder)
805 95127004 Neoplasm of uncertain behavior of testis (disorder)
805 95128009 Neoplasm of uncertain behavior of the mesentery (disorder)
805 95129001 Neoplasm of uncertain behavior of the mesocolon (disorder)
805 95130006 Neoplasm of uncertain behavior of the omentum (disorder)
805 126871001 Neoplasm of omentum (disorder)
805 95134002 Neoplasm of uncertain behavior of third cuneiform bone of foot (disorder)
805 126595006 Neoplasm of third cuneiform bone of foot (disorder)
805 95135001 Neoplasm of uncertain behavior of thoracic esophagus (disorder)
805 95136000 Neoplasm of uncertain behavior of thymus (disorder)
805 95137009 Neoplasm of uncertain behavior of thyroglossal duct (disorder)
805 95138004 Neoplasm of uncertain behavior of thyroid gland (disorder)
805 95139007 Neoplasm of uncertain behavior of tibia (disorder)
805 95140009 Neoplasm of uncertain behavior of border of tongue (disorder)
805 95142001 Neoplasm of uncertain behavior of tonsillar fossa (disorder)
805 95143006 Neoplasm of uncertain behavior of tonsillar pillar (disorder)
805 95146003 Neoplasm of uncertain behavior of trapezium (disorder)
805 95147007 Neoplasm of uncertain behavior of trapezoid bone (disorder)
805 95148002 Neoplasm of uncertain behavior of trigeminal nerve (disorder)
805 95149005 Neoplasm of uncertain behavior of trigone of urinary bladder (disorder)
805 95150005 Neoplasm of uncertain behavior of trochlear nerve (disorder)
805 95152002 Neoplasm of uncertain behavior of ulna (disorder)
805 95153007 Neoplasm of uncertain behavior of undescended testis (disorder)
805 95154001 Neoplasm of uncertain behavior of upper gum (disorder)
805 95155000 Neoplasm of uncertain behavior of upper inner quadrant of female breast (disorder)
805 95157008 Neoplasm of uncertain behavior of upper outer quadrant of female breast (disorder)
805 95159006 Neoplasm of uncertain behavior of upper third of esophagus (disorder)
805 95160001 Neoplasm of uncertain behavior of urachus (disorder)
805 95161002 Neoplasm of uncertain behavior of ureter (disorder)
805 95162009 Neoplasm of uncertain behavior of ureteric orifice of urinary bladder (disorder)
805 95163004 Neoplasm of uncertain behavior of urethra (disorder)
805 95164005 Neoplasm of uncertain behavior of urinary bladder neck (disorder)
805 95169000 Neoplasm of uncertain behavior of uvula palatina (disorder)
805 95171000 Neoplasm of uncertain behavior of vagus nerve (disorder)
805 95172007 neoplasm of uncertain behavior of vallecula of epiglottis (disorder)
805 95173002 Neoplasm of uncertain behavior of vas deferens (disorder)
805 95174008 Neoplasm of uncertain behavior of ventral surface of tongue (disorder)
805 95175009 Neoplasm of uncertain behavior of vermilion border of lip (disorder)
805 95176005 Neoplasm of uncertain behavior of vermilion border of lower lip (disorder)
805 95177001 Neoplasm of uncertain behavior of vermilion border of upper lip (disorder)
805 95178006 Neoplasm of uncertain behavior of vestibule of mouth (disorder)
805 95179003 Neoplasm of uncertain behavior of vestibule of nose (disorder)
805 95180000 Neoplasm of uncertain behavior of visceral pleura (disorder)
805 95182008 Neoplasm of uncertain behavior of vomer (disorder)
805 95185005 Neoplasm of uncertain behavior of zygomatic bone (disorder)
805 95186006 Nodular lymphoma of intra-abdominal lymph nodes (disorder)
805 109979007 B-cell lymphoma (disorder)
805 269476000 Nodular lymphoma (disorder)
805 95187002 Nodular lymphoma of intrapelvic lymph nodes (disorder)
805 95188007 Nodular lymphoma of intrathoracic lymph nodes (disorder)
805 95192000 Nodular lymphoma of lymph nodes of multiple sites (disorder)
805 188612002 Nodular lymphoma of lymph nodes of axilla and upper limb (disorder)
805 188609000 Nodular lymphoma of lymph nodes of head, face and neck (disorder)
805 188613007 Nodular lymphoma of lymph nodes of inguinal region and lower limb (disorder)
805 95193005 Nodular lymphoma of spleen (disorder)
805 95194004 Nodular lymphoma of extranodal AND/OR solid organ site (disorder)
805 95209008 Plasma cell leukemia in remission (disorder)
805 95210003 Plasma cell leukemia, disease (disorder)
805 415110002 Plasma cell myeloma/plasmacytoma (disorder)
805 109980005 Malignant immunoproliferative disease (disorder)
805 95211004 Polyp of external auditory meatus (disorder)
805 95224004 Reticulosarcoma of intra-abdominal lymph nodes (disorder)
805 373168002 Reticulosarcoma (disorder)
805 95225003 Reticulosarcoma of intrapelvic lymph nodes (disorder)
805 95226002 Reticulosarcoma of intrathoracic lymph nodes (disorder)
805 188492005 Reticulosarcoma of lymph nodes of axilla and upper limb (disorder)
805 188489006 Reticulosarcoma of lymph nodes of head, face and neck (disorder)
805 188493000 Reticulosarcoma of lymph nodes of inguinal region and lower limb (disorder)
805 95230004 Reticulosarcoma of lymph nodes of multiple sites (disorder)
805 95231000 Reticulosarcoma of spleen (disorder)
805 188632001 Sézary's disease of intra-abdominal lymph nodes (disorder)
805 188635004 Sézary's disease of intrapelvic lymph nodes (disorder)
805 188631008 Sézary's disease of intrathoracic lymph nodes (disorder)
805 95260009 Sézary's disease of lymph nodes of head, face AND/OR neck (disorder)
805 118611004 Sézary's disease (disorder)
805 95261008 Sézary's disease of lymph nodes of inguinal region AND/OR lower limb (disorder)
805 188637007 Sézary's disease of lymph nodes of multiple sites (disorder)
805 95263006 Sézary's disease of spleen (disorder)
805 95264000 Sézary's disease of extranodal AND/OR solid organ site (disorder)
805 188726003 Subacute lymphoid leukemia (disorder)
805 188746008 Subacute monocytic leukemia (disorder)
805 188736006 Subacute myeloid leukemia (disorder)
805 95279007 Submucous leiomyoma of uterus (disorder)
805 95280005 Subserous leiomyoma of uterus (disorder)
805 95411002 Villonodular synovitis (disorder)
805 95412009 Pigmented villonodular synovitis (disorder)
805 363229000 Neoplasm of musculoskeletal system (disorder)
805 443790001 Giant cell tumor (disorder)
805 95546008 Perianal skin tags (disorder)
805 95711003 Nevus of iris (disorder)
805 399899001 Acquired melanocytic nevus (disorder)
805 189151003 Benign tumor of iris (disorder)
805 102606000 Leser-Trélat sign (disorder)
805 403868009 Eruptive basal cell papillomata (disorder)
805 109253006 Proliferating trichilemmal cyst of scalp (disorder)
805 254678009 Proliferating pilar cyst (disorder)
805 254691005 Benign tumor of skin with pilar differentiation (disorder)
805 109264009 Overlapping malignant neoplasm of skin (disorder)
805 109266006 Melanoma in situ of skin (disorder)
805 127330008 Melanoma in situ by body site (disorder)
805 109267002 Overlapping malignant melanoma of skin (disorder)
805 109268007 Melanoma in situ of non-skin site (disorder)
805 399956005 Melanocytic neoplasm (disorder)
805 109270003 Melanoma in situ of face (disorder)
805 109272006 Melanoma in situ of lip (disorder)
805 109274007 Melanoma in situ of eyelid, including canthus (disorder)
805 109276009 Melanoma in situ of scalp (disorder)
805 189324006 Melanoma in situ of scalp and neck (disorder)
805 109278005 Melanoma in situ of ear (disorder)
805 109280004 Melanoma in situ of external auditory canal (disorder)
805 109282007 Melanoma in situ of neck (disorder)
805 109284008 Melanoma in situ of trunk (disorder)
805 109286005 Melanoma in situ of skin of breast (disorder)
805 109288006 Melanoma in situ of perianal skin (disorder)
805 109290007 Melanoma in situ of upper limb (disorder)
805 109292004 Melanoma in situ of shoulder (disorder)
805 109294003 Melanoma in situ of lower limb (disorder)
805 109296001 Melanoma in situ of hip (disorder)
805 109347009 Overlapping malignant neoplasm of bone and articular cartilage (disorder)
805 443679004 Malignant neoplasm of skeletal system (disorder)
805 109348004 Overlapping malignant neoplasm of bone and articular cartilage of limbs (disorder)
805 109349007 Overlapping malignant neoplasm of soft tissues (disorder)
805 109350007 Lipoma of skin and subcutaneous tissue of trunk (disorder)
805 109351006 Lipoma of skin and subcutaneous tissue of limbs (disorder)
805 109356001 Primary malignant neoplasm of unspecified site (disorder)
805 363357005 Malignant tumor of ill-defined site (disorder)
805 109358000 Overlapping malignant neoplasm of ill-defined site (disorder)
805 109359008 Primary malignant neoplasm of independent multiple sites (disorder)
805 363500001 Multiple malignancy (disorder)
805 109365008 Overlapping malignant neoplasm of respiratory and intrathoracic organs (disorder)
805 269462001 Malignant tumor of respiratory and intrathoracic organ (disorder)
805 109366009 Overlapping malignant neoplasm of accessory sinuses (disorder)
805 109367000 Overlapping malignant neoplasm of nasopharynx (disorder)
805 109368005 Overlapping malignant neoplasm of hypopharynx (disorder)
805 109369002 Overlapping malignant neoplasm of larynx (disorder)
805 109370001 Primary malignant neoplasm of laryngeal cartilage (disorder)
805 363431006 Malignant tumor of laryngeal cartilage (disorder)
805 109371002 Overlapping malignant neoplasm of bronchus and lung (disorder)
805 109372009 Benign neoplasm of mesothelial tissue of pleura (disorder)
805 126722002 Neoplasm of mesothelial tissue of pleura (disorder)
805 254825007 Benign tumor of mesothelial tissue (disorder)
805 254645002 Malignant mesothelioma of pleura (disorder)
805 109374005 Overlapping malignant neoplasm of mediastinum and pleura (disorder)
805 109375006 Benign neoplasm of mesothelial tissue of site other than pleura AND pericardium (disorder)
805 109378008 Mesothelioma (malignant, clinical disorder) (disorder)
805 109377003 Benign neoplasm of mesothelial tissue of unspecified site (disorder)
805 126724001 Neoplasm of mesothelial tissue (disorder)
805 254824006 Malignant tumor of mesothelial tissue (disorder)
805 109382005 Benign neoplasm of mesothelial tissue of pericardium (disorder)
805 126735006 Neoplasm of mesothelial tissue of pericardium (disorder)
805 109383000 Malignant mesothelioma of pericardium (disorder)
805 109384006 Overlapping malignant neoplasm of heart, mediastinum and pleura (disorder)
805 109385007 Kaposi's sarcoma (disorder)
805 109386008 Kaposi's sarcoma of skin (disorder)
805 276797002 Malignant tumor of fibrous tissue (disorder)
805 255096006 Malignant tumor of dermis (disorder)
805 188029000 Kaposi's sarcoma of soft tissue (disorder)
805 109388009 Kaposi's sarcoma of palate (disorder)
805 109389001 Kaposi's sarcoma of gastrointestinal tract (disorder)
805 109390005 Kaposi's sarcoma of lung (disorder)
805 109391009 Kaposi's sarcoma of lymph nodes (disorder)
805 109392002 Kaposi's sarcoma of multiple organs (disorder)
805 109555003 Neonatal alveolar lymphangioma (disorder)
805 235002009 Gingival pyogenic granuloma (disorder)
805 109788007 Peripheral ossifying fibroma of gingivae (disorder)
805 109821008 Overlapping malignant neoplasm of gastrointestinal tract (disorder)
805 109822001 Overlapping malignant neoplasm of lip (disorder)
805 109823006 Overlapping malignant neoplasm of tongue (disorder)
805 109824000 Overlapping malignant neoplasm of major salivary gland (disorder)
805 109825004 Benign neoplasm of salivary gland duct (disorder)
805 126791000 Neoplasm of salivary gland duct (disorder)
805 109826003 Neoplasm of uncertain behavior of salivary gland duct (disorder)
805 109827007 Carcinoma in situ of salivary gland duct (disorder)
805 109828002 Primary malignant neoplasm of salivary gland duct (disorder)
805 109830000 Overlapping malignant neoplasm of floor of mouth (disorder)
805 109833003 Overlapping malignant neoplasm of lip, oral cavity and/or pharynx (disorder)
805 109831001 Overlapping malignant neoplasm of palate (disorder)
805 109832008 Overlapping malignant neoplasm of oropharynx (disorder)
805 109834009 Primary malignant neoplasm of branchial cleft (disorder)
805 363396004 Malignant tumor of branchial cleft (disorder)
805 109835005 Overlapping malignant neoplasm of esophagus (disorder)
805 109836006 Overlapping malignant neoplasm of stomach (disorder)
805 109837002 Overlapping malignant neoplasm of small intestine (disorder)
805 109838007 Overlapping malignant neoplasm of colon (disorder)
805 109839004 Overlapping malignant neoplasm of rectum, anus and anal canal (disorder)
805 109840002 Primary malignant neoplasm of cloacogenic zone (disorder)
805 363491008 Malignant tumor of cloacogenic zone (disorder)
805 109841003 Liver cell carcinoma (disorder)
805 408646000 Adenocarcinoma of liver (disorder)
805 109842005 Intrahepatic bile duct carcinoma (disorder)
805 109843000 Hepatoblastoma (disorder)
805 109844006 Angiosarcoma of liver (disorder)
805 254601002 Sarcoma of liver (disorder)
805 403977003 Angiosarcoma (disorder)
805 109847004 Overlapping malignant neoplasm of biliary tract (disorder)
805 109848009 Overlapping malignant neoplasm of pancreas (disorder)
805 254532005 Neoplasm of digestive organ (disorder)
805 109851002 Overlapping malignant neoplasm of retroperitoneum and peritoneum (disorder)
805 187801002 Malignant tumor of peritoneum and retroperitoneum (disorder)
805 109852009 Benign neoplasm of mesothelial tissue of peritoneum (disorder)
805 126876006 Neoplasm of mesothelial tissue of peritoneum (disorder)
805 109853004 Malignant mesothelioma of peritoneum (disorder)
805 109854005 Malignant mesothelioma of parietal peritoneum (disorder)
805 109855006 Malignant mesothelioma of pelvic peritoneum (disorder)
805 109856007 Malignant mesothelioma of mesentery (disorder)
805 109857003 Mesothelioma of mesocolon (disorder)
805 109858008 Malignant mesothelioma of omentum (disorder)
805 109870007 Overlapping malignant neoplasm of urinary system (disorder)
805 188247000 Malignant neoplasm, overlapping lesion of bladder (disorder)
805 109874003 Overlapping malignant neoplasm of male genital organs (disorder)
805 109875002 Overlapping malignant neoplasm of penis (disorder)
805 109876001 Primary malignant neoplasm of descended testis (disorder)
805 109878000 Overlapping malignant neoplasm of female genital organs (disorder)
805 109879008 Overlapping malignant neoplasm of body of uterus (disorder)
805 109880006 Overlapping malignant neoplasm of uterine cervix (disorder)
805 109881005 Benign neoplasm of fundus uteri (disorder)
805 126914000 Neoplasm of fundus uteri (disorder)
805 109882003 Primary malignant neoplasm of fundus uteri (disorder)
805 109885001 Overlapping malignant neoplasm of vulva (disorder)
805 109886000 Overlapping malignant neoplasm of female breast (disorder)
805 109887009 Overlapping malignant neoplasm of male breast (disorder)
805 109888004 Lobular carcinoma in situ of breast (disorder)
805 109889007 Intraductal carcinoma in situ of breast (disorder)
805 109890003 Carcinoma in situ of other site of breast (disorder)
805 109911004 Overlapping malignant neoplasm of brain and other parts of the central nervous system (disorder)
805 109912006 Overlapping malignant neoplasm of brain (disorder)
805 126965008 Neoplasm of meninges (disorder)
805 363497007 Malignant tumor of meninges (disorder)
805 409661008 Benign neoplasm of autonomic nerve (disorder)
805 409660009 Benign neoplasm of peripheral nerve (disorder)
805 109917000 Neoplasm of uncertain behavior of peripheral nerves and peripheral autonomic nervous system (disorder)
805 126980002 Neoplasm of peripheral nerve (disorder)
805 109918005 Primary malignant neoplasm of peripheral nerves and peripheral autonomic nervous system (disorder)
805 254986007 Malignant tumor of peripheral nerve (disorder)
805 109919002 Overlapping malignant neoplasm of peripheral nerves and autonomic nervous system (disorder)
805 422736007 Primary malignant neoplasm of peripheral nerve (disorder)
805 109920008 Benign neoplasm of peripheral nerve of head, face AND/OR neck (disorder)
805 126981003 Neoplasm of peripheral nerve of head AND/OR neck (disorder)
805 109921007 Primary malignant neoplasm of peripheral nerve of head, face and/or neck (disorder)
805 109922000 Benign neoplasm of peripheral nerves of head (disorder)
805 109923005 Primary malignant neoplasm of peripheral nerves of head (disorder)
805 109924004 Benign neoplasm of peripheral nerves of face (disorder)
805 126983000 Neoplasm of peripheral nerves of face (disorder)
805 109925003 Primary malignant neoplasm of peripheral nerves of face (disorder)
805 109926002 Benign neoplasm of peripheral nerves of neck (disorder)
805 126984006 Neoplasm of peripheral nerves of neck (disorder)
805 109927006 Primary malignant neoplasm of peripheral nerves of neck (disorder)
805 109930004 Benign neoplasm of peripheral nerves of upper limb (disorder)
805 126986008 Neoplasm of peripheral nerves of upper limb (disorder)
805 109931000 Primary malignant neoplasm of peripheral nerves of upper limb (disorder)
805 188323009 Malignant neoplasm of peripheral nerves of upper limb, including shoulder (disorder)
805 109932007 Benign neoplasm of peripheral nerves of shoulder (disorder)
805 126987004 Neoplasm of peripheral nerves of shoulder (disorder)
805 109933002 Primary malignant neoplasm of peripheral nerves of shoulder (disorder)
805 109936005 Benign neoplasm of peripheral nerves of lower limb (disorder)
805 126989001 Neoplasm of peripheral nerves of lower limb (disorder)
805 109937001 Primary malignant neoplasm of peripheral nerves of lower limb (disorder)
805 109938006 Benign neoplasm of peripheral nerves of hip (disorder)
805 126990005 Neoplasm of peripheral nerves of hip (disorder)
805 109939003 Primary malignant neoplasm of peripheral nerves of hip (disorder)
805 109940001 Benign neoplasm of peripheral nerves of thorax (disorder)
805 109941002 Primary malignant neoplasm of peripheral nerves of thorax (disorder)
805 109942009 Benign neoplasm of peripheral nerves of abdomen (disorder)
805 126992002 Neoplasm of peripheral nerves of abdomen (disorder)
805 109943004 Primary malignant neoplasm of peripheral nerves of abdomen (disorder)
805 109944005 Benign neoplasm of peripheral nerves of pelvis region (disorder)
805 109945006 Primary malignant neoplasm of peripheral nerves of pelvis region (disorder)
805 126994001 Neoplasm of peripheral nerves of trunk (disorder)
805 109948008 Overlapping malignant neoplasm of eye and adnexa, primary (disorder)
805 109951001 Overlapping malignant neoplasm of multiple endocrine glands (disorder)
805 109962001 Diffuse non-Hodgkin's lymphoma (disorder)
805 109964000 Diffuse non-Hodgkin's lymphoma, undifferentiated (disorder)
805 109965004 Diffuse non-Hodgkin's lymphoma, lymphoblastic (disorder)
805 109966003 Diffuse non-Hodgkin's lymphoma, immunoblastic (disorder)
805 277626001 Diffuse high grade B-cell lymphoma (disorder)
805 109967007 Diffuse non-Hodgkin's lymphoma, small cleaved cell (disorder)
805 109968002 Diffuse non-Hodgkin's lymphoma, small cell (disorder)
805 109969005 Diffuse non-Hodgkin's lymphoma, large cell (disorder)
805 109970006 Follicular non-Hodgkin's lymphoma, small cleaved cell (disorder)
805 308121000 Follicular non-Hodgkin's lymphoma (disorder)
805 109971005 Follicular non-Hodgkin's lymphoma, mixed small cleaved cell and large cell (disorder)
805 109972003 Follicular non-Hodgkin's lymphoma, large cell (disorder)
805 109975001 T-zone lymphoma (disorder)
805 109977009 Peripheral T-cell lymphoma (disorder)
805 109976000 Lymphoepithelioid lymphoma (disorder)
805 277613000 Cutaneous/peripheral T-cell lymphoma (disorder)
805 109978004 T-cell lymphoma (disorder)
805 422172005 T-cell AND/OR NK-cell neoplasm (disorder)
805 109984001 Gamma heavy chain disease (disorder)
805 307623001 Malignant lymphoma - lymphoplasmacytic (disorder)
805 188718006 Malignant plasma cell neoplasm, extramedullary plasmacytoma (disorder)
805 415112005 Plasmacytoma (disorder)
805 109988003 Histiocytic sarcoma (disorder)
805 127070008 Malignant histiocytic disorder (disorder)
805 109991003 Acute myelofibrosis (disorder)
805 109993000 Chronic myeloproliferative disorder (clinical) (disorder)
805 109994006 Essential thrombocythemia (disorder)
805 109995007 Myelodysplastic syndrome (disorder)
805 109996008 Myelodysplastic syndrome: Refractory anemia, without ringed sideroblasts, without excess blasts (disorder)
805 109998009 Refractory anemia with ringed sideroblasts (disorder)
805 398623004 Refractory anemia with excess blasts (disorder)
805 110000005 Refractory anemia with excess blasts in transformation (disorder)
805 110002002 Mast cell leukemia (disorder)
805 397009000 Mast cell malignancy (disorder)
805 110004001 Acute promyelocytic leukemia, FAB M3 (disorder)
805 110005000 Acute myelomonocytic leukemia, FAB M4 (disorder)
805 110006004 Prolymphocytic leukemia (disorder)
805 110007008 Adult T-cell leukemia/lymphoma (disorder)
805 110013004 Overlapping malignant neoplasm of tonsil (disorder)
805 110980006 Generalized eruptive histiocytoma (disorder)
805 254698004 Perifollicular fibroma (disorder)
805 254699007 Fibrofolliculoma (disorder)
805 110985001 Multiple fibrofolliculomas (disorder)
805 110986000 Acquired digital fibrokeratoma (disorder)
805 276798007 Benign neoplasm of fibrous tissue of skin (disorder)
805 111031005 Porokeratosis of Mantoux (disorder)
805 116342008 Endometrial cyst of ovary (disorder)
805 277642008 Low grade T-cell lymphoma (disorder)
805 400122007 Primary cutaneous T-cell lymphoma (disorder)
805 119421006 Serous cystadenoma of ovary (disorder)
805 119422004 Mucinous cystadenoma of ovary (disorder)
805 119423009 Benign teratoma of ovary (disorder)
805 254873002 Benign germ cell tumor of ovary (disorder)
805 119424003 Mature cystic teratoma of ovary (disorder)
805 439575008 Mature cystic teratoma (disorder)
805 123313007 Alpha heavy chain disease, enteric form (disorder)
805 123842006 Endocervical adenocarcinoma (disorder)
805 254887002 Adenocarcinoma of cervix (disorder)
805 128050000 Neoplasm of abdomen (disorder)
805 123845008 Adenocarcinoma of endometrium (disorder)
805 309245001 Adenocarcinoma of uterus (disorder)
805 400063003 Neoplasm of skin region (disorder)
805 254833008 Tumor of soft tissue of head, face and neck (disorder)
805 278697001 Tumor of eyelid (disorder)
805 277155005 Tumor of external ear (disorder)
805 363228008 Neoplasm of ear (disorder)
805 126517004 Neoplasm of skin of shoulder (disorder)
805 126519001 Neoplasm of skin of elbow (disorder)
805 442868003 Neoplasm of skeletal system (disorder)
805 126549004 Neoplasm of vomer (disorder)
805 126554008 Neoplasm of thoracic vertebral column (disorder)
805 255058005 Neoplasm of thorax (disorder)
805 126555009 Neoplasm of lumbar vertebral column (disorder)
805 126572002 Neoplasm of carpal bone (disorder)
805 126573007 Neoplasm of scaphoid bone (disorder)
805 126574001 Neoplasm of pisiform bone of hand (disorder)
805 126575000 Neoplasm of lunate bone (disorder)
805 126576004 Neoplasm of trapezium (disorder)
805 126577008 Neoplasm of trapezoid bone (disorder)
805 126578003 Neoplasm of hamate bone (disorder)
805 126598008 Neoplasm of connective tissues (disorder)
805 126604006 Neoplasm of soft tissues of shoulder (disorder)
805 255055008 Neoplasm of head AND/OR neck (disorder)
805 254467007 Tumor of ear, nose and throat (disorder)
805 128415001 Neoplasm of digestive tract (disorder)
805 254618003 Neoplasm of lower respiratory tract (disorder)
805 233814000 Tumor of lower respiratory tract and mediastinum (disorder)
805 387840005 Neoplasm of heart AND/OR pericardium (disorder)
805 126739000 Neoplasm of blood vessel of face (disorder)
805 399932006 Neoplasm of blood vessel of upper arm (disorder)
805 400084008 Neoplasm of blood vessel of lower leg (disorder)
805 126752005 Neoplasm of blood vessel of foot (disorder)
805 126760006 Neoplasm of blood vessel of inguinal region (disorder)
805 126781006 Neoplasm of tip of tongue (disorder)
805 126782004 Neoplasm of lateral border of tongue (disorder)
805 235132004 Tumor of salivary gland (disorder)
805 254533000 Tumor of esophagus, stomach and/or duodenum (disorder)
805 126843007 Neoplasm of splenic flexure of colon (disorder)
805 128348002 Neoplasm of digestive system (disorder)
805 254604005 Tumor of exocrine pancreas (disorder)
805 254913005 Neoplasm of urinary tract proper (disorder)
805 254906005 Tumor of skin of penis (disorder)
805 126947009 Cerebellopontine angle tumor (disorder)
805 126948004 Cerebellopontine angle meningioma (disorder)
805 135884009 Benign neoplasm of pons (disorder)
805 254981002 Benign tumor of acoustic vestibular nerve (disorder)
805 404022001 Neurilemmoma (disorder)
805 310524008 Tumor of soft tissue of back (disorder)
805 395502002 Neoplasm of optic nerve and sheath (disorder)
805 387893006 Neoplasm of acoustic vestibular nerve (disorder)
805 126979000 Neoplasm of autonomic nerve (disorder)
805 126982005 Neoplasm of peripheral nerves of head (disorder)
805 126991009 Neoplasm of peripheral nerves of thorax (disorder)
805 126993007 Neoplasm of peripheral nerves of pelvis (disorder)
805 314420008 Chorioretinal tumor (disorder)
805 416510003 Neoplasm of lacrimal system (disorder)
805 419889000 Neoplasm of lacrimal drainage system (disorder)
805 254968009 Tumor of hypothalamus (disorder)
805 127066000 Familial polycythemia vera (disorder)
805 127213008 Angiofollicular lymph node hyperplasia, hyaline-vascular type (disorder)
805 127214002 Angiofollicular lymph node hyperplasia, plasma cell type (disorder)
805 413537009 Angioimmunoblastic T-cell lymphoma (disorder)
805 254290004 Post-transplant lymphoproliferative disorder (disorder)
805 359631009 Acute myeloid leukemia, minimal differentiation, FAB M0 (disorder)
805 359640008 Acute myeloid leukemia without maturation, FAB M1 (disorder)
805 359648001 Acute myeloid leukemia with maturation, FAB M2 (disorder)
805 127225006 Chronic myelomonocytic leukemia (disorder)
805 188768003 Myelomonocytic leukemia (disorder)
805 443495005 Neoplasm of lymphoid system structure (disorder)
805 127240008 Neoplasm of submental lymph nodes (disorder)
805 127247006 Neoplasm of tracheobronchial lymph nodes (disorder)
805 277577000 Monoclonal gammopathy of uncertain significance (disorder)
805 128463003 Benign neoplasm of articular cartilage (disorder)
805 128464009 Neoplasm of articular cartilage (disorder)
805 128466006 Primary malignant neoplasm of articular cartilage (disorder)
805 128467002 Neoplasm of uncertain behavior of articular cartilage (disorder)
805 128474007 Parathyroid adenoma (disorder)
805 128475008 Ectopic parathyroid adenoma (disorder)
805 128875000 Primary cutaneous CD30 antigen positive large T-cell lymphoma (disorder)
805 402880009 Primary cutaneous large T-cell lymphoma (disorder)
805 370967009 Retinoblastoma (disorder)
805 254956000 Pituitary adenoma (disorder)
805 302834008 Extra-adrenal paraganglioma (disorder)
805 134312002 Odontogenic ghost cell carcinoma (disorder)
805 276968006 Odontogenic tumor of jaw (disorder)
805 254844000 Malignant phyllodes tumor of breast (disorder)
805 134335004 Hemangiopericytoma (disorder)
805 164420007 On examination - skin tags (disorder)
805 285836003 Cervical intraepithelial neoplasia grade 1 (disorder)
805 285838002 Cervical intraepithelial neoplasia grade 2 (disorder)
805 269515006 Carcinoma of lip (disorder)
805 269516007 Tongue carcinoma (disorder)
805 254462001 Carcinoma of parotid gland (disorder)
805 254466003 Carcinoma of sublingual gland (disorder)
805 254465004 Carcinoma of submandibular gland (disorder)
805 254437001 Squamous cell carcinoma of buccal mucosa (disorder)
805 307502000 Squamous cell carcinoma of mouth (disorder)
805 274084007 Palate carcinoma (disorder)
805 274085008 Tonsil carcinoma (disorder)
805 372138000 Carcinoma of esophagus (disorder)
805 254547001 Carcinoma of upper third of esophagus (disorder)
805 254549003 Carcinoma of middle third of esophagus (disorder)
805 254551004 Carcinoma of lower third of esophagus (disorder)
805 372143007 Carcinoma of stomach (disorder)
805 254561006 Carcinoma of pylorus (disorder)
805 254555008 Carcinoma of fundus of stomach (disorder)
805 254557000 Carcinoma of body of stomach (disorder)
805 254563009 Carcinoma of lesser curve of stomach (disorder)
805 269533000 Carcinoma of colon (disorder)
805 312114001 Carcinoma of hepatic flexure (disorder)
805 312112002 Carcinoma of transverse colon (disorder)
805 312113007 Carcinoma of descending colon (disorder)
805 285312008 Carcinoma of sigmoid colon (disorder)
805 255081007 Carcinoma of cecum (disorder)
805 312111009 Carcinoma of ascending colon (disorder)
805 312115000 Carcinoma of splenic flexure (disorder)
805 269543002 Ca rectum with Ca anus (disorder)
805 269544008 Carcinoma of the rectosigmoid junction (disorder)
805 254582000 Adenocarcinoma of rectum (disorder)
805 286887005 Carcinoma liver and/or biliary system (disorder)
805 187769009 Primary carcinoma of liver (disorder)
805 363368005 Carcinoma of body of pancreas (disorder)
805 363369002 Carcinoma of tail of pancreas (disorder)
805 276975007 Carcinoma of larynx (disorder)
805 372103002 Carcinoma of glottis (disorder)
805 372105009 Carcinoma of supraglottis (disorder)
805 372104008 Carcinoma of subglottis (disorder)
805 430621000 Malignant neoplasm of lower respiratory tract (disorder)
805 254622008 Squamous cell carcinoma of bronchus (disorder)
805 372120003 Carcinoma of main bronchus (disorder)
805 372136001 Carcinoma of upper lobe, bronchus or lung (disorder)
805 372135002 Primary malignant neoplasm of upper lobe, bronchus or lung (disorder)
805 187868006 Malignant neoplasm of lower lobe, bronchus or lung (disorder)
805 372112000 Primary malignant neoplasm of middle lobe, bronchus or lung (disorder)
805 372113005 Carcinoma of middle lobe, bronchus or lung (disorder)
805 187864008 Malignant neoplasm of middle lobe, bronchus or lung (disorder)
805 372111007 Carcinoma of lower lobe, bronchus or lung (disorder)
805 372110008 Primary malignant neoplasm of lower lobe, bronchus or lung (disorder)
805 372121004 Carcinoma of ribs and/or sternum and/or clavicle (disorder)
805 372131006 Malignant neoplasm of upper limb bones and scapula (disorder)
805 372133009 Primary malignant neoplasm of upper limb bones and scapula (disorder)
805 286889008 Carcinoma of upper limb bones/scapula (disorder)
805 372116002 Carcinoma of pelvic bones, sacrum and coccyx (disorder)
805 372115003 Primary malignant neoplasm of pelvic bones, sacrum and coccyx (disorder)
805 286890004 Carcinoma of lower limb bones (disorder)
805 254656002 Squamous cell carcinoma in situ of skin (disorder)
805 372122006 Malignant neoplasm of skin head and neck (disorder)
805 286891000 Carcinoma of skin of head/neck (disorder)
805 372127000 Carcinoma of skin of trunk (disorder)
805 372129002 Carcinoma of skin of upper limb (disorder)
805 372125008 Carcinoma of skin of lower limb (disorder)
805 254838004 Carcinoma of breast (disorder)
805 286892007 Ca breast - nipple/central (disorder)
805 286893002 Carcinoma of breast - upper, inner quadrant (disorder)
805 286894008 Carcinoma of breast - lower, inner quadrant (disorder)
805 286895009 Carcinoma of breast - upper, outer quadrant (disorder)
805 286897001 Carcinoma of breast - axillary tail (disorder)
805 372096000 Carcinoma of male breast (disorder)
805 372098004 Carcinoma of endocervix (disorder)
805 372100004 Carcinoma of exocervix (disorder)
805 254878006 Endometrial carcinoma (disorder)
805 276870001 Carcinoma of fallopian tube (disorder)
805 254900004 Carcinoma of prostate (disorder)
805 416769008 Malignant teratoma of testis (disorder)
805 255107005 Seminoma of testis (disorder)
805 286899003 Carcinoma of genital organ (disorder)
805 372106005 Carcinoma of penis (disorder)
805 286900008 Carcinoma of epididymis/spermatic cord (disorder)
805 271468000 Malignant neoplasm of genitourinary organ (disorder)
805 255108000 Carcinoma of bladder (disorder)
805 188280007 Malignant neoplasm of cerebrum (excluding lobes and ventricles) (disorder)
805 274087000 Malignant melanoma of eye (disorder)
805 269616004 Secondary nodes - axilla/arm (disorder)
805 269617008 Secondary nodes - inguinal/leg (disorder)
805 303201005 Metastasis to multiple lymph nodes (disorder)
805 188462001 Secondary malignant neoplasm of brain and spinal cord (disorder)
805 405843009 Widespread metastatic malignant neoplastic disease (disorder)
805 307593001 Carcinomatosis (disorder)
805 302855005 Subacute leukemia (disorder)
805 302856006 Aleukemic leukemia (disorder)
805 255173008 Benign papilloma rectum (disorder)
805 302858007 Osteoma (disorder)
805 286903005 Skin - benign mole and nevus (disorder)
805 254845004 Fibroadenoma of breast (disorder)
805 255033000 Thyroid adenoma (disorder)
805 254889004 Carcinoma of cervix stage 0 (disorder)
805 254662007 Keratoacanthoma (disorder)
805 398838000 Senile hyperkeratosis (disorder)
805 394728005 Inverted follicular keratosis (disorder)
805 394727000 Melanoacanthoma (disorder)
805 93471006 Hemangioma of skin (disorder)
805 403963001 Hemangioma of oral cavity (disorder)
805 304990002 Hemangioma of gingiva (disorder)
805 312935003 Capillary hemangioma of retina (disorder)
805 59078009 Klippel-Trenaunay-Weber syndrome (disorder)
805 400210000 Hemangioma (disorder)
805 397614000 Suspected central nervous system cancer (situation)
805 397682005 Suspected gynecological cancer (situation)
805 397657005 Suspected urological cancer (situation)
805 395100000 No evidence of cancer found (situation)
805 395099008 Cancer confirmed (situation)
805 397715008 Suspected children's cancer (situation)
805 314512009 Hemangioma of eyelid (disorder)
805 233949008 Pulmonary capillary hemangiomatosis (disorder)
805 234161007 Familial pulmonary capillary hemangiomatosis (disorder)
805 403964007 Microvenular hemangioma (disorder)
805 403965008 Sinusoidal hemangioma (disorder)
805 403966009 Arteriovenous hemangioma (disorder)
805 403967000 Spindle cell hemangioma (disorder)
805 403968005 Venous hemangioma (disorder)
805 189197001 Hemangioma of intra-abdominal structure (disorder)
805 93468003 Hemangioma of intracranial structure (disorder)
805 93469006 Hemangioma of liver (disorder)
805 93470007 Hemangioma of retina (disorder)
805 271481007 Hemangioma of skin and subcutaneous tissue (disorder)
805 93473009 Hemangioma of subcutaneous tissue (disorder)
805 254209005 Mixed hemangioma (disorder)
805 414861001 No evidence of recurrence of cancer (situation)
805 254785001 Acquired multiple hemangiomatosis (disorder)
805 254787009 Verrucous hemangioma of skin (disorder)
805 255022003 Hemangioma of choroid (disorder)
805 134405005 Suspected breast cancer (situation)
805 162572001 Suspected malignancy (situation)
805 162573006 Suspected lung cancer (situation)
805 315261002 Suspected sarcoma (situation)
805 315262009 Suspected leukemia (situation)
805 315264005 Suspected lymphoma (situation)
805 315265006 Suspected neuroblastoma (situation)
805 315266007 Suspected cervical cancer (situation)
805 315267003 Suspected endometrial cancer (situation)
805 315268008 Suspected prostate cancer (situation)
805 315269000 Suspected bladder cancer (situation)
805 315270004 Suspected kidney cancer (situation)
805 315271000 Suspected urothelial cancer (situation)
805 315272007 Suspected testicular cancer (situation)
805 315273002 Suspected upper gastrointestinal cancer (situation)
805 315274008 Suspected lower gastrointestinal cancer (situation)
805 315275009 Suspected hematological malignancy (situation)
805 315276005 Suspected skin cancer (situation)
805 315277001 Suspected head and neck cancer (situation)
Cataracts, Glaucoma, or Macular Degeneration

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Cataracts.xls)

Refset Name: Cataracts refset
  refset_ID   SCTID FSN
860 264008 Blind hypertensive eye (disorder)
860 3712000 Degenerated eye (disorder)
860 539009 Conjunctival argyrosis (disorder)
860   66081003 Conjunctival pigmentation (disorder)
860 849000 Mature cataract (disorder)
860 1.94E+08 Cataract (disorder)
860 1207009 Glaucomatous atrophy of optic disc (disorder)
860 95774001 Atrophy of optic disc (disorder)
860 1412008 Anterior subcapsular polar cataract (disorder)
860 3.15E+08 Anterior subcapsular cataract (disorder)
860 1674008 Juvenile epithelial corneal dystrophy (disorder)
860 3.73E+08 Corneal epithelial and basement membrane dystrophy (disorder)
860 4.31E+08 Dystrophy of anterior cornea (disorder)
860 1.93E+08 Diffuse secondary choroid atrophy (disorder)
860 2463005 Acquired heterochromia of iris (disorder)
860 70397008 Pigmentary iris degeneration (disorder)
860 1.94E+08 Cataract secondary to ocular disease (disorder)
860 2951009 Atopic cataract (disorder)
860 3577000 Retinal lattice degeneration (disorder)
860 2.47E+08 Vitreoretinal degeneration (disorder)
860 61536007 Peripheral retinal degeneration (disorder)
860 62585004 Degenerative disorder of eye (disorder)
860 4040006 Hassall-Henle bodies (disorder)
860 1.12E+08 Corneal degeneration (disorder)
860 4229009 Globe of eye shrunken (disorder)
860 4855003 Diabetic retinopathy (disorder)
860 5318001 Posterior subcapsular polar senile cataract (disorder)
860 39450006 Senile cataract (disorder)
860 34533008 Posterior subcapsular polar cataract (disorder)
860 5361003 Embryonal nuclear cataract (disorder)
860 79410001 Congenital cataract (disorder)
860 53889007 Nuclear cataract (disorder)
860 5425007 Degenerative changes of anterior chamber angle (disorder)
860 5587004 Corneal dystrophy (disorder)
860 5743005 Iridoschisis (disorder)
860 1.94E+08 Iris and ciliary body degeneration (disorder)
860 4.15E+08 Primary congenital glaucoma (disorder)
860 1.94E+08 After-cataract with vision obscured (disorder)
860 8231007 Ocular amyloid deposit (disorder)
860 8656007 Total traumatic cataract (disorder)
860 34361001 Traumatic cataract (disorder)
860 9633006 Discrete colliquative keratopathy (disorder)
860 10970008 Calcified cataract (disorder)
860 11226001 Fuchs' heterochromic cyclitis (disorder)
860 4.14E+08 Exudative age-related macular degeneration (disorder)
860 2.68E+08 Posterior corneal pigmentation (disorder)
860 11422002 Combined form of senile cataract (disorder)
860 12195004 Coronary cataract (disorder)
860 3.92E+08 Total central choroidal atrophy (disorder)
860 13282008 Congenital corneal opacity interfering with vision (disorder)
860 64634000 Corneal opacity (disorder)
860 13706005 Conjunctival concretion (disorder)
860 62660000 Conjunctival deposit (disorder)
860 14046000 Cystoid macular retinal degeneration (disorder)
860 4.22E+08 Degenerative disorder of macula (disorder)
860 15228007 Atrophia bulborum hereditaria (disorder)
860 4.06E+08 Atrophic retina (disorder)
860 15552004 Osteogenesis imperfecta, recessive perinatal lethal, with microcephaly AND cataracts (disorder)
860 16350000 Corneal macula interfering with central vision (disorder)
860 3.92E+08 Chandler syndrome (disorder)
860 1.94E+08 Combined corneal dystrophy (disorder)
860 1.94E+08 Fuchs' corneal dystrophy (disorder)
860 2.68E+08 Age-related macular degeneration (disorder)
860 18377001 Anterior corneal pigmentation (disorder)
860 74460005 Corneal deposit (disorder)
860 19871000 Total generalized choroidal dystrophy (disorder)
860 74469006 Hereditary choroidal dystrophy (disorder)
860 21328003 Argentous corneal deposit (disorder)
860 2.32E+08 Metallic pigmentation of cornea (disorder)
860 21590003 Congenital zonular cataract (disorder)
860 1.94E+08 Cortical cataract (disorder)
860 66499004 Congenital cortical cataract (disorder)
860 21818003 Cataract in degenerative disorder (disorder)
860 22135003 Corneal leukoma interfering with central vision (disorder)
860 2.68E+08 Hypermature cataract (disorder)
860 2.64E+08 Morgagnian cataract (disorder)
860 23273003 Cataract in inflammatory disorder (disorder)
860 23360000 Blind hypotensive eye (disorder)
860 23798003 Translucency of iris (disorder)
860 77489003 Pterygium (disorder)
860 24950005 Partial generalized choroidal dystrophy (disorder)
860 25277000 Siderosis of eye (disorder)
860 25412000 Diabetic retinal microaneurysm (disorder)
860 25859000 Degeneration of pupillary margin (disorder)
860 25913001 Essential iris atrophy (disorder)
860 95709007 Atrophic iris (disorder)
860 27796003 Vitamin A deficiency with conjunctival xerosis (disorder)
860 64718006 Conjunctival xerosis (disorder)
860 27971006 Terrien's marginal degeneration of cornea (disorder)
860 28143002 Phthisical cornea (disorder)
860 28157000 Primary retinal cyst (disorder)
860 44268007 Retinoschisis (disorder)
860 28550007 Congenital capsular cataract (disorder)
860 29297002 Crystalline deposits in vitreous (disorder)
860 29504002 Posterior polymorphous corneal dystrophy (disorder)
860 77797009 Hereditary corneal dystrophy (disorder)
860 4.17E+08 Corneal endothelial dystrophy (disorder)
860 29590001 Congenital total cataract (disorder)
860 30337003 Adherent leukoma (disorder)
860 30523006 Degenerative drusen (disorder)
860 95695004 Degeneration of retina (disorder)
860 3.91E+08 Nonproliferative diabetic retinopathy (disorder)
860 32022003 Degenerative progressive high myopia (disorder)
860 32935005 Microscopic cystic corneal dystrophy (disorder)
860 33629003 Drusen of optic disc (disorder)
860 3.15E+08 Posterior subcapsular cataract (disorder)
860 35055000 Band-shaped keratopathy (disorder)
860 2.32E+08 Corneal epithelial degeneration (disorder)
860 35323005 Sector shaped iris atrophy (disorder)
860 35545005 Secondary pigmentary retinal degeneration (disorder)
860 37075008 Microcystoid retinal degeneration (disorder)
860 2.47E+08 Intraretinal degeneration (disorder)
860 2.04E+08 Congenital lamellar cataract (disorder)
860 38513001 Senile atrophy of choroid (disorder)
860 4.06E+08 Choroidal degeneration (disorder)
860 38583007 Toxic cataract (disorder)
860 39662004 Crystalline corneal dystrophy (disorder)
860 2.32E+08 Stromal corneal dystrophy (disorder)
860 50801008 Vitreous liquifaction (disorder)
860 39944005 Combined form of nonsenile cataract (disorder)
860 3.99E+08 Nonsenile cataract (disorder)
860 1.94E+08 Ciliary body degenerative changes (disorder)
860 40714009 Punctate cataract (disorder)
860 40787005 Conjunctival degeneration (disorder)
860 40933005 Isolated corneal amyloidosis (disorder)
860 2.32E+08 Amyloid of cornea (disorder)
860 41250005 Diffuse choroidal sclerosis (disorder)
860 41564009 Double pterygium (disorder)
860 1.93E+08 Partial circumpapillary choroid dystrophy (disorder)
860 4.15E+08 Nonexudative age-related macular degeneration (disorder)
860 43300008 Central pterygium (disorder)
860 43521007 Corneal deposit associated with metabolic disorder (disorder)
860 43645004 Degenerative disorder of sclera (disorder)
860 43959009 Diabetic cataract (disorder)
860 2.32E+08 Cataract in systemic disorders (disorder)
860 43972005 Localized traumatic opacity (disorder)
860 45283008 Granular corneal dystrophy (disorder)
860 45795007 Melanosis oculi (disorder)
860 1.94E+08 Nuclear senile cataract (disorder)
860 47337003 After-cataract (disorder)
860 47673003 Fundus flavimaculatus (disorder)
860 1.94E+08 Peripheral pterygium, progressive (disorder)
860 49001006 Synchysis scintillans (disorder)
860 95800001 Asteroid hyalosis (disorder)
860 49340009 Vitamin A deficiency with Bitot's spot AND conjunctival xerosis (disorder)
860 1.94E+08 Peripheral pterygium, stationary (disorder)
860 60189009 Vitreous degeneration (disorder)
860 51044000 After-cataract not obscuring vision (disorder)
860 51174006 Congenital melanosis of sclera (disorder)
860 1.94E+08 Partial resolved traumatic cataract (disorder)
860 52421005 Incipient cataract (disorder)
860 54184008 Senile reticular retinal degeneration (disorder)
860 3.72E+08 Generalized iris atrophy (disorder)
860 54359000 Congenital corneal opacity not interfering with vision (disorder)
860 55031000 Stromal corneal pigmentation (disorder)
860 55713007 Peripheral opacity of cornea (disorder)
860 56530002 Central opacity of cornea (disorder)
860 3.99E+08 Infantile cataract (disorder)
860 3.99E+08 Juvenile cataract (disorder)
860 58749007 Senile corneal changes (disorder)
860 59017008 Conjunctival amyloidosis (disorder)
860 59276001 Proliferative diabetic retinopathy (disorder)
860 59753003 Total circumpapillary dystrophy of choroid (disorder)
860 92820007 Circumpapillary dystrophy of choroid (disorder)
860 60258001 Macular corneal dystrophy (disorder)
860 60676002 Secondary vitreoretinal degeneration (disorder)
860 63600008 Mercurialentis (disorder)
860 63702009 Alstrom syndrome (disorder)
860 63912009 Congenital subtotal cataract (disorder)
860 64741003 Myotonic cataract (disorder)
860 65545003 Bullous retinoschisis (disorder)
860 3.61E+08 Peripheral retinoschisis (disorder)
860 65720003 Soemmerring's ring (disorder)
860 66104007 Minor opacity of cornea (disorder)
860 67733005 Subcapsular glaucomatous flecks (disorder)
860 67841000 Vitiligo iridis (disorder)
860 68216000 Tetanic cataract (disorder)
860 69134001 Paving stone retinal degeneration (disorder)
860 2.47E+08 Chorioretinal degeneration (disorder)
860 69316005 Vitamin A deficiency with xerophthalmia (disorder)
860 3.64E+08 Xerophthalmia (disorder)
860 70099003 Stargardt's disease (disorder)
860 70388009 Postoperative cataract syndrome (disorder)
860 3.61E+08 Lattice corneal dystrophy (disorder)
860 71044004 Cataract associated with radiation (disorder)
860 71047006 Familial pseudoinflammatory macular degeneration (disorder)
860 72180004 Vossius' ring (disorder)
860 72494008 Corneal nebula (disorder)
860 72620002 Nodular degeneration of cornea (disorder)
860 73181007 Recurrent pterygium (disorder)
860 75241009 Choroideremia (disorder)
860 75663006 Ring-like corneal dystrophy (disorder)
860 75739009 Salzmann's nodular dystrophy (disorder)
860 76309006 Cataract with neovascularization (disorder)
860 76562003 Congenital subcapsular cataract (disorder)
860 77103006 Kayser-Fleischer ring (disorder)
860 2.32E+08 Chalcosis of cornea (disorder)
860 77873007 Cataracta brunescens (disorder)
860 78875003 Cortical senile cataract (disorder)
860 2.47E+08 Retinal lipid deposits (disorder)
860 83405000 Flat retinoschisis (disorder)
860 86103006 Angioid streaks of choroid (disorder)
860 86923008 Juvenile retinoschisis (disorder)
860 3.14E+08 Gyrate atrophy (disorder)
860 87614000 Pinguecula (disorder)
860 88538005 Calcareous degeneration of cornea (disorder)
860 89182000 Peripheral degeneration of cornea (disorder)
860 91268007 Conjunctival melanosis (disorder)
860 91570002 Physiologic corneal iron line between upper two-thirds and lower third of cornea (disorder)
860 4.18E+08 Corneal iron deposits (disorder)
860 2.32E+08 Peripapillary choroidal sclerosis (disorder)
860 95207005 Peripheral pterygium (disorder)
860 95479005 Congenital sclerocornea (disorder)
860 95488001 Congenital macular corneal dystrophy (disorder)
860 95493003 Congenital retinoschisis (disorder)
860 95686007 Chorioretinal atrophy (disorder)
860 95689000 Retinal deposits (disorder)
860 95691008 Arteriosclerotic retinopathy (disorder)
860 95696003 Glaucomatous retinal degeneration (disorder)
860 95697007 Generalized retinal degeneration (disorder)
860 95698002 Feline central retinal degeneration (disorder)
860 95699005 Multifocal retinal degeneration (disorder)
860 95700006 Sudden acquired retinal degeneration (disorder)
860 95701005 Generalized progressive retinal atrophy (disorder)
860 95702003 Central progressive retinal atrophy (disorder)
860 95703008 Multifocal progressive retinal atrophy (disorder)
860 4.06E+08 Peripheral degeneration of retina (disorder)
860 95710002 Freckle of iris (disorder)
860 95720007 Acquired anterior capsular pigmentation (disorder)
860 95722004 Bilateral cataracts (disorder)
860 95723009 Subcapsular cataract (disorder)
860 95724003 Intumescent cataract (disorder)
860 4.22E+08 Vitreous opacities (disorder)
860 1.11E+08 Axial cataract (disorder)
860 1.11E+08 Stationary cataract (disorder)
860 1.11E+08 Adherent cataract (disorder)
860 1.12E+08 Anterior subcapsular polar senile cataract (disorder)
860 1.12E+08 Arcus senilis (disorder)
860 2.32E+08 Arcus of cornea (disorder)
860 1.24E+08 Partial cataract (disorder)
860 1.24E+08 Adiposa cornea dystrophy (disorder)
860 1.28E+08 Neurotrophic keratitis (disorder)
860 1.63E+08 On examination - eyes - arcus senilis (disorder)
860 1.63E+08 On examination - lens - early opacity (disorder)
860 2.47E+08 Cataract finding (finding)
860 1.93E+08 Preproliferative diabetic retinopathy (disorder)
860 2.32E+08 Diabetic maculopathy (disorder)
860 3.12E+08 Advanced diabetic retinal disease (disorder)
860 2.32E+08 Arcus juvenilis (disorder)
860 4.2E+08 On examination - cataract (finding)
860 1.64E+08 On examination - retinal pigmentation (disorder)
860 2.47E+08 Retinal pigment deposits (disorder)
860 4.21E+08 Diabetic retinopathy associated with type I diabetes mellitus (disorder)
860 4.22E+08 Diabetic cataract associated with type I diabetes mellitus (disorder)
860 4.22E+08 Diabetic retinopathy associated with type II diabetes mellitus (disorder)
860 4.21E+08 Diabetic cataract associated with type II diabetes mellitus (disorder)
860 1.91E+08 Vitamin A deficiency with xerophthalmic corneal scars (disorder)
860 1.93E+08 Retinoschisis and retinal cysts (disorder)
860 1.93E+08 Bullous retinischisis (disorder)
860 1.93E+08 Advanced diabetic maculopathy (disorder)
860 2.68E+08 Degeneration of macula and posterior pole (disorder)
860 2.68E+08 Degeneration of macula due to cyst, hole or pseudohole (disorder)
860 2.65E+08 Drusen stage macular degeneration (disorder)
860 1.93E+08 Pseudoretinitis pigmentosa (disorder)
860 1.94E+08 Infantile, juvenile and presenile cataracts (disorder)
860 1.94E+08 Lamellar zonular cataract (disorder)
860 3.6E+08 Nuclear sclerotic cataract (disorder)
860 1.94E+08 Combined nonsenile cataract (disorder)
860 1.94E+08 Total, mature senile cataract (disorder)
860 1.94E+08 Cataract in eye inflammatory disorder (disorder)
860 1.94E+08 Drug-induced cataract (disorder)
860 1.94E+08 Toxic cataract not due to drugs (disorder)
860 4.11E+08 Anterior capsule opacification (disorder)
860 4.11E+08 Posterior capsule opacification (disorder)
860 3.12E+08 Immature cortical cataract (disorder)
860 2.68E+08 Corneal pigmentations and deposits (disorder)
860 2.68E+08 Stromal pigmentation (disorder)
860 2.68E+08 Congenital cataract and lens anomalies (disorder)
860 2.04E+08 Capsular and subcapsular cataract (disorder)
860 2.04E+08 Capsular cataract (disorder)
860 2.04E+08 Cortical and zonular cataract (disorder)
860 2.04E+08 Total and subtotal congenital cataract (disorder)
860 2.04E+08 Congenital blue dot cataract (disorder)
860 2.04E+08 Congenital membranous cataract (disorder)
860 2.68E+08 Congenital corneal opacity (disorder)
860 2.04E+08 Congenital corneal opacity with visual deficit (disorder)
860 2.04E+08 Congenital corneal opacity without visual deficit (disorder)
860 2.32E+08 Marginal corneal gutter (disorder)
860 2.32E+08 Lipid keratopathy (disorder)
860 2.32E+08 Infectious crystalline keratopathy (disorder)
860 2.32E+08 Melanin pigmentation of cornea (disorder)
860 4.22E+08 Melanin pigmentation of eye (disorder)
860 2.32E+08 Blood pigmentation of cornea (disorder)
860 2.32E+08 Bloodstaining of cornea (disorder)
860 2.32E+08 Siderosis of cornea (disorder)
860 2.32E+08 Drug-induced pigmentation of cornea (disorder)
860 2.32E+08 Crocodile shagreen of cornea (disorder)
860 2.32E+08 Fatty degeneration of cornea (disorder)
860 2.32E+08 Reis-Bucklers' corneal dystrophy (disorder)
860 2.32E+08 Lattice corneal dystrophy, isolated form (disorder)
860 2.32E+08 Pre-descemet's corneal dystrophy (disorder)
860 2.32E+08 Irido-corneo-endothelial syndrome (disorder)
860 2.32E+08 Corneal rust ring (disorder)
860 2.32E+08 Labrador keratopathy (disorder)
860 2.32E+08 Age-related changes in iris (disorder)
860 2.32E+08 Secondary iris atrophy (disorder)
860 2.32E+08 Concussion cataract (disorder)
860 2.32E+08 Cataract following rupture of capsule (disorder)
860 2.32E+08 Cataract in hypoparathyroidism (disorder)
860 2.32E+08 Malnutrition-dehydration cataract (disorder)
860 2.32E+08 Elschnig's pearls (disorder)
860 2.32E+08 Myopic chorioretinal atrophy (disorder)
860 2.32E+08 Central areolar choroidal sclerosis (disorder)
860 2.32E+08 Snail-track retinal degeneration (disorder)
860 2.32E+08 Snowflake retinal degeneration (disorder)
860 2.32E+08 Macular retinoschisis (disorder)
860 2.32E+08 Macular and peripheral retinoschisis (disorder)
860 4E+08 Visually threatening diabetic retinopathy (disorder)
860 2.32E+08 Proliferative diabetic retinopathy with new vessels on disc (disorder)
860 2.32E+08 Proliferative diabetic retinopathy with new vessels elsewhere than on disc (disorder)
860 2.32E+08 Diabetic traction retinal detachment (disorder)
860 2.32E+08 Occult neovascularization of macula (disorder)
860 2.32E+08 Forster-Fuchs' spot (disorder)
860 2.32E+08 Amyloid of vitreous (disorder)
860 4.05E+08 Cogan-Reese syndrome (disorder)
860 2.47E+08 Bulbar conjunctival degeneration (disorder)
860 2.47E+08 Corneal melanosis (disorder)
860 2.47E+08 Microcystoid epithelial degeneration of cornea (disorder)
860 2.47E+08 Corneal dellen (disorder)
860 4.21E+08 Cornea verticillata (disorder)
860 2.47E+08 Anterior lens opacities (finding)
860 3.66E+08 Finding of cataract form (finding)
860 2.47E+08 Anterior capsular lens opacities (finding)
860 2.47E+08 Anterior subcapsular lens opacities (finding)
860 2.47E+08 Cortical lens opacities (finding)
860 2.47E+08 Nuclear lens opacities (finding)
860 2.47E+08 Lens nuclear hyper-refringence (finding)
860 2.47E+08 Posterior subcapsular lens opacities (finding)
860 2.47E+08 Polychromatic posterior subcapsular lens opacities (finding)
860 2.47E+08 Cupuliform cataract (finding)
860 2.47E+08 Shrunken cataract (finding)
860 3.66E+08 Finding of cataract maturity (finding)
860 2.47E+08 Spontaneous reabsorption of cataract (finding)
860 2.47E+08 Retinal flecking (disorder)
860 2.47E+08 Punctate retinal deposits (disorder)
860 2.47E+08 Retinal pigmentation grouped (disorder)
860 2.47E+08 Atrophic macular change (disorder)
860 2.47E+08 Macular pigment deposit (disorder)
860 2.47E+08 Macular diffuse atrophy (disorder)
860 2.47E+08 Macular areolar choroidal atrophy (disorder)
860 2.47E+08 Macular choroidal sclerosis (disorder)
860 2.47E+08 Peripheral drusen (disorder)
860 2.47E+08 Peripheral retinoschisis, diffuse (disorder)
860 2.47E+08 Peripheral snowflake retinal degeneration (disorder)
860 2.47E+08 Retina - peripheral cystic tufts (disorder)
860 4.24E+08 Vitreoretinal tuft (disorder)
860 2.47E+08 Retina - peripheral paravascular adhesions (disorder)
860 2.47E+08 Peripheral retina - white without pressure (disorder)
860 2.47E+08 Peripheral retina - white with pressure (disorder)
860 2.47E+08 Atrophy of sector of optic disc (disorder)
860 2.47E+08 Optic disc drusen - elevated (disorder)
860 2.47E+08 Optic disc drusen - buried (disorder)
860 2.53E+08 Congenital polar cataract (disorder)
860 2.53E+08 Congenital anterior polar cataract (disorder)
860 2.53E+08 Congenital posterior polar cataract (disorder)
860 2.53E+08 Congenital sutural cataract (disorder)
860 2.53E+08 Rubella cataract (disorder)
860 2.55E+08 Osteoma of choroid (disorder)
860 3.03E+08 Age-related changes in ciliary body (disorder)
860 3.03E+08 Conjunctival deposits due to drugs (disorder)
860 4.19E+08 On examination - cataract of right eye (finding)
860 4.18E+08 On examination - cataract of left eye (finding)
860 3.13E+08 Myopic macular degeneration (disorder)
860 3.13E+08 Fibrovascular macular scar (disorder)
860 3.13E+08 Mild non-proliferative diabetic retinopathy (disorder)
860 3.13E+08 Moderate nonproliferative diabetic retinopathy (disorder)
860 3.13E+08 Severe nonproliferative diabetic retinopathy (disorder)
860 3.13E+08 Proliferative diabetic retinopathy - non high risk (disorder)
860 3.13E+08 Proliferative diabetic retinopathy - high risk (disorder)
860 3.13E+08 Proliferative diabetic retinopathy - quiescent (disorder)
860 3.13E+08 Proliferative diabetic retinopathy - iris neovascularization (disorder)
860 3.13E+08 Diabetic macular edema (disorder)
860 3.13E+08 Bietti's crystalline retinopathy (disorder)
860 3.14E+08 Diffuse diabetic maculopathy (disorder)
860 3.14E+08 Focal diabetic maculopathy (disorder)
860 3.14E+08 Ischemic diabetic maculopathy (disorder)
860 3.14E+08 Mixed diabetic maculopathy (disorder)
860 3.14E+08 Drusen plus pigment change stage macular degeneration (disorder)
860 3.15E+08 Mixed type cataract (disorder)
860 3.15E+08 Racial melanosis of conjunctiva (disorder)
860 3.71E+08 Suture tip cataract (disorder)
860 3.89E+08 Chrysiasis of cornea (disorder)
860 4.08E+08 On examination - right eye background diabetic retinopathy (disorder)
860 4.08E+08 On examination - left eye background diabetic retinopathy (disorder)
860 4.08E+08 On examination - right eye diabetic maculopathy (disorder)
860 4.08E+08 On examination - left eye diabetic maculopathy (disorder)
860 3.98E+08 Avellino corneal dystrophy (disorder)
860 4E+08 Proliferative diabetic retinopathy - high risk with no macular edema (disorder)
860 4E+08 Very severe nonproliferative diabetic retinopathy with no macular edema (disorder)
860 4E+08 Very severe nonproliferative diabetic retinopathy (disorder)
860 4E+08 Diabetic macular edema not clinically significant (disorder)
860 4E+08 Very severe proliferative diabetic retinopathy (disorder)
860 4E+08 Diabetic retinal venous beading (disorder)
860 4E+08 Diabetic intraretinal microvascular anomaly (disorder)
860 4E+08 High risk proliferative diabetic retinopathy not amenable to photocoagulation (disorder)
860 4E+08 Non-high-risk proliferative diabetic retinopathy with no macular edema (disorder)
860 4E+08 Severe nonproliferative diabetic retinopathy with clinically significant macular edema (disorder)
860 4E+08 Severe nonproliferative diabetic retinopathy with no macular edema (disorder)
860 4E+08 Proliferative diabetic retinopathy - high risk with clinically significant macular edema (disorder)
860 4E+08 Non-high-risk proliferative diabetic retinopathy with clinically significant macular edema (disorder)
860 4E+08 Very severe nonproliferative diabetic retinopathy with clinically significant macular edema (disorder)
860 4.03E+08 Ligneous conjunctivitis (disorder)
860 4.05E+08 Corticosteroid induced cataract (disorder)
860 4.05E+08 Calcified optic disc drusen (disorder)
860 4.2E+08 Exudative maculopathy associated with type I diabetes mellitus (disorder)
860 4.08E+08 On examination - right eye preproliferative diabetic retinopathy (disorder)
860 4.08E+08 On examination - left eye preproliferative diabetic retinopathy (disorder)
860 4.08E+08 On examination - right eye proliferative diabetic retinopathy (disorder)
860 4.08E+08 On examination - left eye proliferative diabetic retinopathy (disorder)
860 4.22E+08 Exudative maculopathy associated with type II diabetes mellitus (disorder)
860 4.14E+08 Corneal subepithelial haze (disorder)
860 4.15E+08 On examination - clinically significant macular edema of left eye (disorder)
860 4.15E+08 On examination - left eye stable treated proliferative diabetic retinopathy (disorder)
860 4.15E+08 On examination - clinically significant macular edema of right eye (disorder)
860 4.15E+08 On examination - right eye stable treated proliferative diabetic retinopathy (disorder)
860 4.16E+08 Cataract associated with infrared radiation (disorder)
860 4.17E+08 Congenital hereditary endothelial dystrophy,CHED 1 (disorder)
860 4.18E+08 Congenital hereditary endothelial dystrophy (disorder)
860 4.17E+08 Thiel-Behnke corneal dystrophy (disorder)
860 4.17E+08 Fleck corneal dystrophy (disorder)
860 4.17E+08 Congenital hereditary endothelial dystrophy,CHED 2 (disorder)
860 4.18E+08 On examination - sight threatening diabetic retinopathy (disorder)
860 4.18E+08 Amyloid corneal degeneration (disorder)
860 4.2E+08 Corneal stromal degeneration (disorder)
860 4.18E+08 Macular corneal dystrophy Type I (disorder)
860 4.18E+08 Corneal keloid (disorder)
860 4.18E+08 Macular corneal dystrophy Type II (disorder)
860 4.19E+08 Drug-induced corneal epithlelial deposit (disorder)
860 4.19E+08 Ciprofloxacin corneal deposits (disorder)
860 4.19E+08 Corneal argyriasis (disorder)
860 4.19E+08 Spheroidal degeneration of conjunctiva (disorder)
860 4.19E+08 Lattice corneal dystrophy Type III (disorder)
860 4.19E+08 Anterior crocodile shagreen of cornea (disorder)
860 4.19E+08 Groenouw corneal dystrophy type I (disorder)
860 4.19E+08 Polymorphic amyloid degeneration of cornea (disorder)
860 4.19E+08 Central cloudy dystrophy of Francois (disorder)
860 4.19E+08 Lattice corneal dystrophy Type II (disorder)
860 4.19E+08 Meretoja syndrome (disorder)
860 4.19E+08 Corneal iron line at base of keratoconus (disorder)
860 4.19E+08 Lattice corneal dystrophy Type I (disorder)
860 4.19E+08 Senile scleral plaque (disorder)
860 4.19E+08 Cornea farinata (disorder)
860 4.19E+08 Schnyder crystalline cornea dystrophy (disorder)
860 4.19E+08 Amiodarone-induced corneal epithelial deposit (disorder)
860 4.19E+08 Congenital corneal keloid (disorder)
860 4.2E+08 Senile furrow degeneration of cornea (disorder)
860 4.2E+08 Conjunctival adrenochrome deposits (disorder)
860 4.2E+08 Gelatinous droplike corneal dystrophy (disorder)
860 4.2E+08 Corneal iron line anterior to pterygium (disorder)
860 4.2E+08 Calcific band keratopathy (disorder)
860 4.22E+08 Retinal pigment epithelium atrophy (disorder)
860 4.22E+08 Corneal iron line anterior to filtering bleb (disorder)
860 4.22E+08 Posterior crocodile shagreen of cornea (disorder)
860 4.23E+08 Macular exudate (disorder)
860 4.23E+08 Zonular traction peripheral retinal tuft (disorder)
860 4.24E+08 Corneal haze due to herpes zoster (disorder)
860 4.25E+08 Noncystic peripheral retinal tuft (disorder)
860 4.26E+08 Corneal haze due to herpes simplex (disorder)
860 4.27E+08 Nonferrous ocular metallosis (disorder)
860 4.28E+08 Photoreceptor degeneration (disorder)
860 4.42E+08 Presenile cataract (disorder)
860 4.43E+08 Degeneration of posterior vitreous body (disorder)
860 4.43E+08 Concretion in conjunctiva of eyelid (disorder)
860 4.45E+08 Incipient senile cataract (disorder)
860 4.45E+08 Nance-Horan syndrome (disorder)
Cerebral Palsy

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/CerebralPalsy.xls)

Refset Name: Cerebral palsy refset
  refset_ID   SCTID FSN
839 1178005 Infantile spastic cerebral palsy (disorder)
839   2.31E+08 Spastic cerebral palsy (disorder)
839 16171003 Double athetosis (disorder)
839 1.28E+08 Cerebral palsy (disorder)
839 28534004 Spastic paralysis due to intracranial birth injury (disorder)
839 40980002 Spastic paralysis due to birth injury (disorder)
839 43486001 Hemiplegic cerebral palsy (disorder)
839 44395000 Spastic tetraplegia with rigidity syndrome (disorder)
839 48721008 Quadriplegic cerebral palsy (disorder)
839 3.71E+08 Quadriplegic spastic cerebral palsy (disorder)
839 56409008 Monoplegic cerebral palsy (disorder)
839 58193001 Diplegic cerebral palsy (disorder)
839 75019001 Athetoid cerebral palsy (disorder)
839 2.31E+08 Dyskinetic cerebral palsy (disorder)
839 79591004 Spastic paralysis due to spinal birth injury (disorder)
839 2.31E+08 Infantile cerebral palsy (disorder)
839 2.75E+08 Congenital cerebral palsy (disorder)
839 2.75E+08 Congenital spastic cerebral palsy (disorder)
839 2.75E+08 Congenital diplegia (disorder)
839 2.75E+08 Congenital quadriplegia (disorder)
839 1.93E+08 Ataxic infantile cerebral palsy (disorder)
839 2.79E+08 Ataxic cerebral palsy (disorder)
839 1.93E+08 Hypotonic cerebral palsy (disorder)
839 3.08E+08 Cerebral palsy, not congenital or infantile, acute (disorder)
839 2.31E+08 Cerebral palsy with spastic tetraparesis (disorder)
839 2.31E+08 Cerebral palsy with spastic/ataxic diplegia (disorder)
839 2.31E+08 Monoplegic cerebral palsy affecting upper limb (disorder)
839 2.31E+08 Monoplegic cerebral palsy affecting lower limb (disorder)
839 2.31E+08 Dystonic/rigid cerebral palsy (disorder)
839 3.71E+08 Paraplegic cerebral palsy (disorder)
Cerebrovascular Accident, TIA, or Stroke

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/CVA.xls)

Refset Name: CVA refset
  refset_ID   SCTID FSN
840 590005 Congenital aneurysm of anterior communicating artery (disorder)
840   1.29E+08 Cerebral arterial aneurysm (disorder)
840 54265003 Congenital anomaly of cerebral artery (disorder)
840 3.71E+08 Disorder of basilar artery (disorder)
840 65587001 Congenital anomaly of cerebrovascular system (disorder)
840 1055001 Stenosis of precerebral artery (disorder)
840 62914000 Cerebrovascular disease (disorder)
840 1430001 Intracranial hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing level (disorder)
840 18485009 Intracranial hemorrhage following injury without open intracranial wound AND with loss of consciousness (disorder)
840 2.31E+08 Cerebrovascular accident (disorder)
840 2495006 Congenital cerebral arteriovenous aneurysm (disorder)
840 2972007 Anterior spinal artery occlusion syndrome (disorder)
840 3681008 Thrombophlebitis of torcular Herophili (disorder)
840 18322005 Thrombosis of torcular Herophili (disorder)
840 3.13E+08 Intracranial thrombophlebitis (disorder)
840 4262001 Phlebitis of superior sagittal sinus (disorder)
840 4.27E+08 Cerebral vasculitis (disorder)
840 18058007 Phlebitis of intracranial venous sinus (disorder)
840 4332009 Subarachnoid hemorrhage following injury without open intracranial wound AND with concussion (disorder)
840 28048009 Subarachnoid hemorrhage following injury without open intracranial wound (disorder)
840 6594005 Cerebrovascular disorder in the puerperium (disorder)
840 6666006 Subdural hemorrhage following injury without open intracranial wound AND with concussion (disorder)
840 6729006 Cerebral-retinal arteriovenous aneurysm (disorder)
840 2.34E+08 Cerebral arteriovenous malformation (disorder)
840 8166000 Thrombophlebitis of basilar sinus (disorder)
840 88922007 Thrombosis of basilar sinus (disorder)
840 8269002 Cerebrospinal angiopathy (disorder)
840 10349009 Multi-infarct dementia with delirium (disorder)
840 56267009 Multi-infarct dementia (disorder)
840 12853006 Embolism of torcular Herophili (disorder)
840 14246007 Embolism of intracranial venous sinus (disorder)
840 1.06E+08 Intracranial sinus thrombosis, embolism AND/OR inflammation (disorder)
840 14070001 Multi-infarct dementia with depression (disorder)
840 1.28E+08 Disorder of intracranial venous sinus (disorder)
840 14309005 Anterior choroidal artery syndrome (disorder)
840 14363008 Anterior spinal artery compression syndrome (disorder)
840 14977000 Multiple AND bilateral precerebral artery thrombosis (disorder)
840 48601002 Thrombosis of precerebral artery (disorder)
840 15705007 Phlebitis of basilar sinus (disorder)
840 15742000 Thrombosis of inferior sagittal sinus (disorder)
840 1.93E+08 Cerebral venous sinus thrombosis (disorder)
840 2.31E+08 Cerebral venous thrombosis of sigmoid sinus (disorder)
840 16061002 Endophlebitis of lateral venous sinus (disorder)
840 87937009 Endophlebitis of intracranial venous sinus (disorder)
840 88755007 Phlebitis of lateral venous sinus (disorder)
840 16418006 Embolism of basilar sinus (disorder)
840 17667005 Intracranial hemorrhage following injury without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
840 20059004 Cerebral artery occlusion (disorder)
840 20276007 Subarachnoid hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND without return to pre-existing conscious level (disorder)
840 69458009 Subarachnoid hemorrhage following injury without open intracranial wound AND with loss of consciousness (disorder)
840 21258007 Thrombosis of lateral venous sinus (disorder)
840 23808003 Rolandic vein occlusion syndrome (disorder)
840 62702001 Cerebral vein occlusion (disorder)
840 23819000 Embolism of cavernous venous sinus (disorder)
840 1.93E+08 Phlebitis cavernous sinus (disorder)
840 1.87E+08 Rupture of syphilitic cerebral aneurysm (disorder)
840 25133001 Completed stroke (disorder)
840 25772007 Multi-infarct dementia with delusions (disorder)
840 26205001 Subdural hemorrhage following injury without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
840 34135005 Subdural hemorrhage following injury without open intracranial wound AND with loss of consciousness (disorder)
840 26954004 Thrombophlebitis of superior sagittal sinus (disorder)
840 70607008 Thrombosis of superior sagittal sinus (disorder)
840 28366008 Cerebral arteritis (disorder)
840 28790007 Obstruction of precerebral artery (disorder)
840 29322000 Acute cerebrovascular insufficiency (disorder)
840 30400005 Middle meningeal hemorrhage following injury (disorder)
840 1.93E+08 Thrombophlebitis of cavernous sinus (disorder)
840 32112006 Phlebitis of inferior sagittal sinus (disorder)
840 2.34E+08 Ruptured cerebral aneurysm (disorder)
840 34781003 Vertebral artery syndrome (disorder)
840 35386004 Cavernous sinus syndrome (disorder)
840 89980009 Thrombosis of cavernous venous sinus (disorder)
840 35672006 Subarachnoid hemorrhage following injury without open intracranial wound AND with no loss of consciousness (disorder)
840 36179005 Reversible ischemic neurologic deficit (R.I.N.D.) syndrome (disorder)
840 37134004 Intracranial hemorrhage following injury without open intracranial wound AND with no loss of consciousness (disorder)
840 37943007 Multiple AND bilateral precerebral artery embolism (disorder)
840 40276003 Embolism of precerebral artery (disorder)
840 2.87E+08 Impending cerebrovascular accident (disorder)
840 2.88E+08 Cerebral ischemia (disorder)
840 2.66E+08 Transient ischemic attack (disorder)
840 38742007 Central retinal artery occlusion (disorder)
840 39925003 Juvenile myopathy, encephalopathy, lactic acidosis AND stroke (disorder)
840 40135004 Subdural hemorrhage following injury without open intracranial wound AND with no loss of consciousness (disorder)
840 40450001 Embolism of superior sagittal sinus (disorder)
840 41713005 Benedikt's syndrome (disorder)
840 42970005 Nonpyogenic thrombosis of intracranial venous sinus (disorder)
840 42994005 Nonruptured cerebral aneurysm (disorder)
840 1.29E+08 Intracranial aneurysm (disorder)
840 43658003 Vertebral artery obstruction (disorder)
840 45502001 Cerebrovascular amyloidosis (disorder)
840 45639009 Hereditary cerebral amyloid angiopathy, Icelandic type (disorder)
840 2.31E+08 Cerebral amyloid angiopathy (disorder)
840 48248005 Thrombophlebitis of inferior sagittal sinus (disorder)
840 48518008 Subarachnoid hemorrhage following injury with open intracranial wound AND concussion (disorder)
840 50490005 Hypertensive encephalopathy (disorder)
840 50751005 Sinus pericranii (disorder)
840 50821009 Arterial retinal branch occlusion (disorder)
840 52902005 Subdural hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
840 91216000 Intracranial hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
840 54519002 Basilar artery stenosis (disorder)
840 90520006 Vertebral artery stenosis (disorder)
840 1.95E+08 Basilar artery occlusion (disorder)
840 55382008 Cerebral atherosclerosis (disorder)
840 65312002 Cerebral arteriosclerosis (disorder)
840 55734000 Endophlebitis of basilar sinus (disorder)
840 2.31E+08 Multi-infarct state (disorder)
840 56384000 Embolism of inferior sagittal sinus (disorder)
840 56453003 Hereditary cerebral amyloid angiopathy, Dutch type (disorder)
840 57981008 Progressing stroke (disorder)
840 60706008 Phlebitis of torcular Herophili (disorder)
840 61687004 Endophlebitis of inferior sagittal sinus (disorder)
840 62973004 Extradural hemorrhage following injury without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
840 90178008 Extradural hemorrhage following injury without open intracranial wound AND with loss of consciousness (disorder)
840 63323000 Subdural hemorrhage following injury without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
840 63795001 Thrombosis of intracranial venous sinus of pregnancy AND/OR puerperium (disorder)
840 64009001 Basilar artery syndrome (disorder)
840 2.31E+08 Vertebrobasilar territory transient ischemic attack (disorder)
840 64775002 Vertebral artery thrombosis (disorder)
840 65084004 Vertebral artery embolism (disorder)
840 75543006 Cerebral embolism (disorder)
840 2.04E+08 Cerebrovascular system anomalies (disorder)
840 66976009 Intracranial hemorrhage following injury without intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
840 67992007 Multiple AND bilateral precerebral artery obstruction (disorder)
840 68267002 Benign intracranial hypertension (disorder)
840 68478007 Central retinal vein occlusion (disorder)
840 69116000 Moyamoya disease (disorder)
840 69178005 Subarachnoid hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
840 69533002 Foville's syndrome II (disorder)
840 70861009 Subdural hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
840 70936005 Multi-infarct dementia, uncomplicated (disorder)
840 71444005 Cerebral arterial thrombosis (disorder)
840 73173006 Spasm of cerebral arteries (disorder)
840 73192008 Multiple AND bilateral precerebral artery stenosis (disorder)
840 73390009 Endophlebitis of cavernous venous sinus (disorder)
840 73439007 Subarachnoid hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
840 75138007 Endophlebitis of superior sagittal sinus (disorder)
840 78477003 Intracranial hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
840 1.27E+08 Intracranial hemorrhage following injury with prolonged loss of consciousness AND return to pre-existing conscious level (disorder)
840 78569004 Posterior inferior cerebellar artery syndrome (disorder)
840 1.93E+08 Thrombophlebitis lateral venous sinus (disorder)
840 80758005 Embolism of lateral venous sinus (disorder)
840 80901002 Endophlebitis of torcular Herophili (disorder)
840 81520002 Extradural hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
840 2.89E+08 Acute ill-defined cerebrovascular disease (disorder)
840 84216001 Cerebral venous thrombosis of pregnancy AND/OR puerperium (disorder)
840 95455008 Thrombosis of cerebral veins (disorder)
840 87020000 Subarachnoid hemorrhage following injury without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
840 87253004 Subarachnoid hemorrhage following injury with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
840 87345009 Subdural hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
840 88032003 Amaurosis fugax (disorder)
840 2.31E+08 Carotid territory transient ischemic attack (disorder)
840 88174006 Basilar artery thrombosis (disorder)
840 88747000 Subarachnoid hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
840 89142007 Progressive intracranial arterial occlusion (disorder)
840 90099008 Subcortical leukoencephalopathy (disorder)
840 90165008 Subdural hemorrhage following injury with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
840 93468003 Hemangioma of intracranial structure (disorder)
840 2.97E+08 Intracranial venous thrombosis (disorder)
840 95456009 Brain stem ischemia (disorder)
840 95458005 Cerebellar artery occlusion (disorder)
840 95459002 Cerebellar artery thrombosis (disorder)
840 95461006 Thrombophlebitis of cerebral vein (disorder)
840 95644001 Systemic lupus erythematosus encephalitis (disorder)
840 2.31E+08 Cerebral arteritis in systemic vasculitis (disorder)
840 95794005 Tolosa-Hunt syndrome (disorder)
840 1.11E+08 Fahr's syndrome (disorder)
840 1.11E+08 Arteriopathic granular atrophy of cerebral cortex (disorder)
840 1.11E+08 Basilar artery embolism (disorder)
840 1.11E+08 Nonparalytic stroke (disorder)
840 1.11E+08 Chronic cerebral ischemia (disorder)
840 1.11E+08 Atheroma of cerebral arteries (disorder)
840 1.12E+08 Subarachnoid hemorrhage following injury without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
840 1.16E+08 Paralytic stroke (disorder)
840 1.95E+08 Vertebral artery occlusion (disorder)
840 1.86E+08 Listerial cerebral arteritis (disorder)
840 1.93E+08 Phlebitis and thrombophlebitis of intracranial sinuses (disorder)
840 1.93E+08 Embolism cavernous sinus (disorder)
840 1.93E+08 Embolism superior longitudinal sinus (disorder)
840 1.93E+08 Embolism lateral sinus (disorder)
840 1.93E+08 Embolism transverse sinus (disorder)
840 1.93E+08 Thrombosis of superior longitudinal sinus (disorder)
840 1.93E+08 Thrombosis transverse sinus (disorder)
840 1.93E+08 Phlebitis of central nervous system venous sinuses (disorder)
840 1.93E+08 Phlebitis of superior longitudinal sinus (disorder)
840 1.93E+08 Phlebitis transverse sinus (disorder)
840 1.93E+08 Thrombophlebitis of central nervous system venous sinuses (disorder)
840 1.93E+08 Thrombophlebitis of superior longitudinal venous sinus (disorder)
840 2.31E+08 Anterior spinal artery thrombosis (disorder)
840 1.95E+08 Ruptured berry aneurysm (disorder)
840 1.95E+08 Subarachnoid hemorrhage from vertebral artery (disorder)
840 2.63E+08 Injury of vertebral artery (disorder)
840 2.31E+08 CVA - cerebrovascular accident due to cerebral artery occlusion (disorder)
840 1.95E+08 Vertebrobasilar artery syndrome (disorder)
840 1.95E+08 Carotid artery syndrome hemispheric (disorder)
840 1.95E+08 Multiple and bilateral precerebral artery syndromes (disorder)
840 1.95E+08 Impending cerebral ischemia (disorder)
840 1.95E+08 Intermittent cerebral ischemia (disorder)
840 1.95E+08 Middle cerebral artery syndrome (disorder)
840 1.95E+08 Anterior cerebral artery syndrome (disorder)
840 1.95E+08 Posterior cerebral artery syndrome (disorder)
840 1.95E+08 Brainstem stroke syndrome (disorder)
840 1.95E+08 Cerebellar stroke syndrome (disorder)
840 3.71E+08 Thrombotic stroke (disorder)
840 1.95E+08 Left sided cerebral hemisphere cerebrovascular accident (disorder)
840 1.95E+08 Right sided cerebral hemisphere cerebrovascular accident (disorder)
840 3.03E+08 Diffuse cerebrovascular disease (disorder)
840 1.95E+08 Dissection of cerebral arteries, nonruptured (disorder)
840 3.02E+08 Caroticocavernous sinus fistula (disorder)
840 1.95E+08 Non-pyogenic venous sinus thrombosis (disorder)
840 1.95E+08 Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction (disorder)
840 1.95E+08 Occlusion and stenosis of middle cerebral artery (disorder)
840 1.95E+08 Occlusion and stenosis of anterior cerebral artery (disorder)
840 1.95E+08 Occlusion and stenosis of posterior cerebral artery (disorder)
840 1.95E+08 Occlusion and stenosis of cerebellar arteries (disorder)
840 1.95E+08 Occlusion and stenosis of multiple and bilateral cerebral arteries (disorder)
840 2E+08 Obstetric cerebral venous thrombosis (disorder)
840 2E+08 Cerebral venous thrombosis in pregnancy (disorder)
840 2E+08 Cerebral venous thrombosis in the puerperium (disorder)
840 2.75E+08 Stroke in the puerperium (disorder)
840 2E+08 Puerperal cerebrovascular disorder - delivered (disorder)
840 2E+08 Puerperal cerebrovascular disorder - delivered with postnatal complication (disorder)
840 2E+08 Puerperal cerebrovascular disorder with antenatal complication (disorder)
840 2E+08 Puerperal cerebrovascular disorder with postnatal complication (disorder)
840 2.04E+08 Arteriovenous malformation of precerebral vessels (disorder)
840 2.34E+08 Congenital arteriovenous fistula of brain (disorder)
840 2.05E+08 Congenital stricture of cerebral artery (disorder)
840 2.06E+08 Subarachnoid hemorrhage due to birth injury (disorder)
840 2.07E+08 Neonatal cerebral ischemia (disorder)
840 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
840 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
840 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
840 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
840 2.3E+08 Intracranial septic embolism (disorder)
840 2.3E+08 Intracranial arterial septic embolism (disorder)
840 2.3E+08 Septic thrombophlebitis of straight sinus (disorder)
840 3.03E+08 Septic thrombophlebitis of lateral sinus (disorder)
840 3.03E+08 Intracranial septic thrombophlebitis (disorder)
840 2.3E+08 Septic thrombophlebitis of sigmoid sinus (disorder)
840 2.3E+08 Septic thrombophlebitis of cortical vein (disorder)
840 2.3E+08 Septic thrombophlebitis of great cerebral vein (disorder)
840 2.31E+08 Lacunar ataxic hemiparesis (disorder)
840 2.31E+08 Stroke of uncertain pathology (disorder)
840 2.31E+08 Anterior circulation stroke of uncertain pathology (disorder)
840 2.31E+08 Posterior circulation stroke of uncertain pathology (disorder)
840 2.31E+08 Cerebral venous thrombosis of straight sinus (disorder)
840 2.31E+08 Cerebral venous thrombosis of cortical vein (disorder)
840 2.31E+08 Cerebral venous thrombosis of great cerebral vein (disorder)
840 2.31E+08 Sporadic cerebral amyloid angiopathy (disorder)
840 2.31E+08 Vertebral artery dissection (disorder)
840 2.31E+08 Cerebral arteritis in giant cell arteritis (disorder)
840 2.31E+08 Syphilitic cerebral arteritis (disorder)
840 2.31E+08 Asymptomatic cerebrovascular disease (disorder)
840 2.32E+08 Cilioretinal artery occlusion (disorder)
840 2.32E+08 Branch macular artery occlusion (disorder)
840 2.32E+08 Central retinal vein occlusion with neovascularization (disorder)
840 2.32E+08 Central retinal vein occlusion with macular edema (disorder)
840 2.32E+08 Central retinal vein occlusion - juvenile (disorder)
840 2.32E+08 Central retinal vein occlusion - juvenile with neovascularization (disorder)
840 2.32E+08 Central retinal vein occlusion - juvenile with macular edema (disorder)
840 2.32E+08 Hemispheric retinal vein occlusion (disorder)
840 2.32E+08 Hemispheric retinal vein occlusion with neovascularization (disorder)
840 2.32E+08 Hemispheric retinal vein occlusion with macular edema (disorder)
840 2.34E+08 Anterior spinal artery dissection (disorder)
840 2.34E+08 Vertebral artery rupture (disorder)
840 2.34E+08 Anterior spinal artery rupture (disorder)
840 2.63E+08 Injury of anterior spinal artery (disorder)
840 2.38E+08 Hereditary cerebrovascular amyloidosis (disorder)
840 2.53E+08 Aneurysm of the vein of Galen (disorder)
840 2.53E+08 Persistent embryonic trigeminal artery (disorder)
840 2.53E+08 Persistent embryonic otic artery (disorder)
840 2.55E+08 Bregeat's syndrome (disorder)
840 2.63E+08 Transection of vertebral artery (disorder)
840 2.63E+08 Transection of anterior spinal artery (disorder)
840 2.75E+08 Rupture of superficial cerebral vein (disorder)
840 2.76E+08 Top of basilar syndrome (disorder)
840 2.76E+08 Multiple unruptured cerebral aneurysms (disorder)
840 2.76E+08 Unruptured aneurysm of anterior cerebral artery (disorder)
840 2.76E+08 Unruptured aneurysm of middle cerebral artery (disorder)
840 2.76E+08 Unruptured aneurysm of posterior cerebral artery (disorder)
840 2.76E+08 Unruptured aneurysm of anterior communicating artery (disorder)
840 2.76E+08 Unruptured aneurysm of posterior communicating artery (disorder)
840 2.76E+08 Unruptured aneurysm of basilar artery (disorder)
840 2.76E+08 Unruptured aneurysm of posterior inferior cerebellar artery (disorder)
840 2.77E+08 Ruptured aneurysm of anterior cerebral artery (disorder)
840 2.77E+08 Ruptured aneurysm of middle cerebral artery (disorder)
840 2.77E+08 Ruptured aneurysm of posterior cerebral artery (disorder)
840 2.77E+08 Ruptured aneurysm of anterior communicating artery (disorder)
840 2.77E+08 Ruptured aneurysm of posterior communicating artery (disorder)
840 2.77E+08 Ruptured aneurysm of basilar artery (disorder)
840 2.77E+08 Ruptured aneurysm of posterior inferior cerebellar artery (disorder)
840 2.77E+08 Perinatal rupture of superficial cerebral vein (disorder)
840 2.77E+08 Perinatal cerebral ischemia (disorder)
840 2.77E+08 Berry aneurysm (disorder)
840 2.77E+08 Ruptured cerebral arteriovenous malformation (disorder)
840 2.77E+08 Unruptured internal carotid-posterior communicating artery zone aneurysm (disorder)
840 2.77E+08 Unruptured internal carotid-anterior communicating artery zone aneurysm (disorder)
840 2.77E+08 Unruptured internal carotid bifurcation aneurysm (disorder)
840 2.77E+08 Ruptured internal carotid-anterior communicating artery zone aneurysm (disorder)
840 2.77E+08 Ruptured internal carotid-posterior communicating artery zone aneurysm (disorder)
840 2.77E+08 Ruptured internal carotid bifurcation aneurysm (disorder)
840 2.81E+08 Extension of cerebrovascular accident (disorder)
840 2.97E+08 Embolus of circle of Willis (disorder)
840 2.97E+08 Vertebral artery aneurysm (disorder)
840 3.03E+08 Septic thrombophlebitis of cavernous sinus (disorder)
840 3.03E+08 Septic thrombophlebitis of sagittal sinus (disorder)
840 3.07E+08 Intracranial venous septic embolism (disorder)
840 3.07E+08 Multiple lacunar infarcts (disorder)
840 3.13E+08 Central retinal vein occlusion - ischemic (disorder)
840 3.13E+08 Central retinal vein occlusion - non-ischemic (disorder)
840 3.71E+08 Embolic stroke (disorder)
840 3.71E+08 Neonatal stroke (disorder)
840 3.74E+08 Occlusive stroke (disorder)
840 3.91E+08 Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (disorder)
840 4.09E+08 Pontine artery occlusion (disorder)
840 4.09E+08 Pontine artery thrombosis (disorder)
840 4.13E+08 Infarction of basal ganglia (disorder)
840 4.14E+08 Cardioembolic stroke (disorder)
840 4.17E+08 Vein of Galen malformation (disorder)
840 4.23E+08 Ischemic stroke (disorder)
840 4.23E+08 Dural carotid cavernous fistula (disorder)
840 4.26E+08 Thrombosis of posterior communicating artery (disorder)
840 4.27E+08 Transient cerebral ischemia due to atrial fibrillation (disorder)
840 4.28E+08 Venous hemangioma of brain (disorder)
840 4.44E+08 Small vessel cerebrovascular disease (disorder)
840 4.44E+08 Recurrent transient cerebral ischemic attack (disorder)
840 4.45E+08 Superior cerebellar artery syndrome (disorder)
Cirrhosis

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Cirrhosis.xls)

Refset Name: Cirrhosis refset
  refset_ID   SCTID FSN
814 536002 Glissonian cirrhosis (disorder)
814   19943007 Cirrhosis of liver (disorder)
814 1761006 Biliary cirrhosis (disorder)
814 6183001 Indian childhood cirrhosis (disorder)
814 12368000 Secondary biliary cirrhosis (disorder)
814 1.1E+08 Obstructive biliary cirrhosis (disorder)
814 15999000 Mixed micro AND macronodular cirrhosis (disorder)
814 43904005 Macronodular cirrhosis (disorder)
814 21861000 Micronodular cirrhosis (disorder)
814 16070004 Syphilitic cirrhosis (disorder)
814 2.36E+08 Infectious cirrhosis (disorder)
814 27156006 Posthepatitic cirrhosis (disorder)
814 31712002 Primary biliary cirrhosis (disorder)
814 33144001 Parasitic cirrhosis (disorder)
814 37688005 Clonorchiasis with biliary cirrhosis (disorder)
814 45256007 Cruveilhier-Baumgarten syndrome (disorder)
814 74669004 Cardiac cirrhosis (disorder)
814 2.36E+08 Hypoxia-associated cirrhosis (disorder)
814 4.2E+08 Portal cirrhosis (disorder)
814 4.2E+08 Alcoholic cirrhosis (disorder)
814 76301009 Florid cirrhosis (disorder)
814 78208005 Pigment cirrhosis (disorder)
814 86454000 Postnecrotic cirrhosis (disorder)
814 89580002 Cryptogenic cirrhosis (disorder)
814 1.11E+08 Cirrhosis of liver not due to alcohol (disorder)
814 1.24E+08 Toxic cirrhosis (disorder)
814 1.24E+08 Nutritional cirrhosis (disorder)
814 1.24E+08 Cholangiolitic cirrhosis (disorder)
814 1.24E+08 Latent cirrhosis (disorder)
814 1.24E+08 Advanced cirrhosis (disorder)
814 1.97E+08 Cirrhosis and chronic liver disease (disorder)
814 2.66E+08 Cirrhosis - non-alcoholic (disorder)
814 1.97E+08 Unilobular portal cirrhosis (disorder)
814 2.66E+08 Multilobular portal cirrhosis (disorder)
814 1.97E+08 Diffuse nodular cirrhosis (disorder)
814 1.97E+08 Fatty portal cirrhosis (disorder)
814 1.97E+08 Capsular portal cirrhosis (disorder)
814 2.66E+08 Cardiac portal cirrhosis (disorder)
814 2.66E+08 Juvenile portal cirrhosis (disorder)
814 1.97E+08 Pigmentary portal cirrhosis (disorder)
814 1.97E+08 Toxic portal cirrhosis (disorder)
814 2.71E+08 Cirrhosis secondary to cholestasis (disorder)
814 1.97E+08 Bacterial portal cirrhosis (disorder)
814 1.97E+08 Cardituberculous cirrhosis (disorder)
814 1.97E+08 Syphilitic portal cirrhosis (disorder)
814 2.36E+08 Laennec's cirrhosis, non-alcoholic (disorder)
814 1.97E+08 Biliary cirrhosis of children (disorder)
814 2.36E+08 Hepatic sclerosis (disorder)
814 2.36E+08 Hepatic fibrosis with hepatic sclerosis (disorder)
814 2.36E+08 Portal and splenic vein sclerosis (disorder)
814 2.36E+08 Intrahepatic phlebosclerosis and fibrosis (disorder)
814 3.71E+08 Early cirrhosis (disorder)
814 4.25E+08 Drug-induced cirrhosis of liver (disorder)
Coronary Artery Disease

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/CADFindings.xls)

Refset Name: CAD findings refset
  refset_ID   SCTID FSN
808   53741008 Coronary arteriosclerosis (disorder)
808 42866003 Congenital coronary artery sclerosis (disorder)
808 92517006 Calcific coronary arteriosclerosis (disorder)
808 2.34E+08 Triple vessel disease of the heart (disorder)
808 1.95E+08 Single coronary vessel disease (disorder)
808 1.95E+08 Double coronary vessel disease (disorder)
808 3.15E+08 Asymptomatic coronary heart disease (disorder)
808 2.34E+08 Accelerated coronary artery disease in transplanted heart (disorder)
808 3.72E+08 Multi vessel coronary artery disease (disorder)
808 3.72E+08 Left main coronary artery disease (disorder)
808 3.72E+08 Significant coronary bypass graft disease (disorder)
808 4.2E+08 Obliterative coronary artery disease (disorder)
808 4.28E+08 Coronary arteriosclerosis due to radiation (disorder)
808 4.29E+08 Recurrent coronary arteriosclerosis after percutaneous transluminal coronary angioplasty (disorder)
Deep Venous Thrombosis, PE, or PTE

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/DVTFindings.xls)

Refset Name: DVT findings refset
  refset_ID   SCTID FSN
809 682004 Thrombosis complicating pregnancy AND/OR puerperium (disorder)
809 1.11E+08 Venous thrombosis (disorder)
809 776009 Partial arterial retinal occlusion (disorder)
809   73757007 Retinal vascular occlusion (disorder)
809 1748006 Thrombophlebitis of deep femoral vein (disorder)
809 64156001 Thrombophlebitis (disorder)
809 4.28E+08 Deep venous thrombosis of profunda femoris vein (disorder)
809 1.95E+08 Thrombophlebitis of the femoral vein (disorder)
809 2477008 Superficial thrombophlebitis (disorder)
809 2.76E+08 Superficial vein thrombosis (disorder)
809 3168002 Thrombophlebitis of intracranial venous sinus (disorder)
809 3681008 Thrombophlebitis of torcular Herophili (disorder)
809 95445009 Thrombophlebitis of vena cava (disorder)
809 18322005 Thrombosis of torcular Herophili (disorder)
809 3.13E+08 Intracranial thrombophlebitis (disorder)
809 7387004 Thrombophlebitis of tibial vein (disorder)
809 4.39E+08 Deep venous thrombosis of tibial vein (disorder)
809 40198004 Thrombophlebitis of deep veins of lower extremity (disorder)
809 8166000 Thrombophlebitis of basilar sinus (disorder)
809 88922007 Thrombosis of basilar sinus (disorder)
809 8435000 Thromboangiitis (disorder)
809 4.39E+08 Thrombosis of blood vessel (disorder)
809 10365005 Right main coronary artery thrombosis (disorder)
809 3.98E+08 Coronary artery thrombosis (disorder)
809 13507004 Purpura fulminans (disorder)
809 17810004 Capillary thrombosis (disorder)
809 14534009 Splenic vein thrombosis (disorder)
809 14977000 Multiple AND bilateral precerebral artery thrombosis (disorder)
809 48601002 Thrombosis of precerebral artery (disorder)
809 15742000 Thrombosis of inferior sagittal sinus (disorder)
809 1.93E+08 Cerebral venous sinus thrombosis (disorder)
809 2.31E+08 Cerebral venous thrombosis of sigmoid sinus (disorder)
809 15842009 Thrombosis of renal vein (disorder)
809 3.13E+08 Thrombosis of vein of trunk (disorder)
809 16750002 Deep thrombophlebitis (disorder)
809 1.28E+08 Deep venous thrombosis (disorder)
809 1.95E+08 Thrombophlebitis of the popliteal vein (disorder)
809 17920008 Portal vein thrombosis (disorder)
809 19363005 Failed attempted abortion with blood-clot embolism (disorder)
809 3.71E+08 Thromboembolic disorder (disorder)
809 21258007 Thrombosis of lateral venous sinus (disorder)
809 21604008 Illegal abortion with blood-clot embolism (disorder)
809 29430000 Abortion with blood-clot embolism (disorder)
809 2.43E+08 Thrombosis of mesenteric artery (disorder)
809 24596005 Venous retinal branch occlusion (disorder)
809 46085004 Thrombosis of retinal vein (disorder)
809 24805007 Portal thrombophlebitis (disorder)
809 26214006 Thrombosis of retinal artery (disorder)
809 65198009 Arterial thrombosis (disorder)
809 26373009 Thrombosed external hemorrhoids (disorder)
809 75955007 Thrombosed hemorrhoids (disorder)
809 26954004 Thrombophlebitis of superior sagittal sinus (disorder)
809 70607008 Thrombosis of superior sagittal sinus (disorder)
809 28248000 Left anterior descending coronary artery thrombosis (disorder)
809 28578008 Incipient occlusion of retinal vein (disorder)
809 28773001 Thrombosis of vessels of cord (disorder)
809 31268005 Thrombophlebitis migrans (disorder)
809 1.93E+08 Thrombophlebitis of cavernous sinus (disorder)
809 31529002 Thrombosis of arteries of upper extremity (disorder)
809 33591000 Thrombosis of arteries of the extremities (disorder)
809 31902002 Fetus OR newborn affected by thrombosis of umbilical cord (disorder)
809 35386004 Cavernous sinus syndrome (disorder)
809 89980009 Thrombosis of cavernous venous sinus (disorder)
809 37787009 Legal abortion with blood-clot embolism (disorder)
809 38739001 Hepatic vein thrombosis (disorder)
809 2.82E+08 Thrombosis of inferior vena cava (disorder)
809 38742007 Central retinal artery occlusion (disorder)
809 2.32E+08 Retinal artery occlusion (disorder)
809 46253008 Thrombophlebitis of lower extremities (disorder)
809 40283005 Thrombophlebitis of superficial veins of lower extremity (disorder)
809 42861008 Thrombophlebitis of iliac vein (disorder)
809 4.04E+08 Deep venous thrombosis of lower extremity (disorder)
809 1.28E+08 Deep venous thrombosis of pelvic vein (disorder)
809 95449003 Thrombophlebitis of pelvic vein (disorder)
809 42878004 Thrombosis of thoracic aorta (disorder)
809 42970005 Nonpyogenic thrombosis of intracranial venous sinus (disorder)
809 44902004 Thrombosis of penis (disorder)
809 47780009 Superficial thrombophlebitis complicating pregnancy AND/OR puerperium (disorder)
809 48248005 Thrombophlebitis of inferior sagittal sinus (disorder)
809 3.13E+08 Head and neck arterial thrombosis (disorder)
809 49956009 Antepartum deep phlebothrombosis (disorder)
809 50821009 Arterial retinal branch occlusion (disorder)
809 52156004 Femoral artery thrombosis (disorder)
809 90958004 Thrombosis of arteries of lower extremity (disorder)
809 2.97E+08 External iliac artery thrombosis (disorder)
809 52403007 Thromboangiitis obliterans (disorder)
809 52496006 Thrombophlebitis of femoropopliteal vein (disorder)
809 4.29E+08 Thrombosis of superficial vein of lower limb (disorder)
809 52931009 Thrombosed internal hemorrhoids (disorder)
809 55976003 Spontaneous abortion with blood-clot embolism (disorder)
809 56238008 Thromboembolism following infusion, perfusion AND/OR transfusion (disorder)
809 56272000 Postpartum deep phlebothrombosis (disorder)
809 56276002 Left main coronary artery thrombosis (disorder)
809 57834008 Pulmonary artery thrombosis (disorder)
809 69357003 Pulmonary thrombosis (disorder)
809 60989005 Thromboembolism of renal arteries (disorder)
809 95579008 Thrombosis of renal artery (disorder)
809 2.66E+08 Arterial embolus and thrombosis (disorder)
809 62583006 Puerperal phlegmasia alba dolens (disorder)
809 2.81E+08 Phlegmasia alba dolens - obstetric (disorder)
809 63795001 Thrombosis of intracranial venous sinus of pregnancy AND/OR puerperium (disorder)
809 64775002 Vertebral artery thrombosis (disorder)
809 65366005 Small vessel thrombosis of skin (disorder)
809 65593009 Partial occlusion of retinal vein (disorder)
809 66877004 Phlegmasia cerulea dolens (disorder)
809 66923004 Phlegmasia alba dolens (disorder)
809 67486009 Postpartum pelvic thrombophlebitis (disorder)
809 68478007 Central retinal vein occlusion (disorder)
809 69954004 Thrombophlebitis of breast (disorder)
809 4.39E+08 Thrombophlebitis of axillary vein (disorder)
809 71444005 Cerebral arterial thrombosis (disorder)
809 71719003 Thrombophlebitis of retinal vein (disorder)
809 72930009 Superficial migratory thrombophlebitis (disorder)
809 95448006 Thrombosis of pelvic vein (disorder)
809 76482001 Thromboembolic meningoencephalitis (disorder)
809 76598006 Thrombosis of penile vein (disorder)
809 95446005 Thrombosis of mesenteric vein (disorder)
809 77255002 Thrombotic infarction (disorder)
809 2.34E+08 Saphenous vein thrombophlebitis (disorder)
809 77892009 Pulmonary venous thrombosis (disorder)
809 78129009 Thrombotic thrombocytopenic purpura (disorder)
809 1.27E+08 Thrombotic microangiopathy (disorder)
809 1.93E+08 Thrombophlebitis lateral venous sinus (disorder)
809 80475003 Thrombotic mesenteric infarction (disorder)
809 82385007 Budd-Chiari syndrome (disorder)
809 82388009 Thrombophlebitis following infusion, perfusion AND/OR transfusion (disorder)
809 82453008 Thrombosis of iliac artery (disorder)
809 1.93E+08 Retinal venous engorgement (disorder)
809 83916000 Postpartum thrombophlebitis (disorder)
809 83938003 Thrombosis of vena cava (disorder)
809 83940008 Hepatic artery thrombosis (disorder)
809 84216001 Cerebral venous thrombosis of pregnancy AND/OR puerperium (disorder)
809 95455008 Thrombosis of cerebral veins (disorder)
809 84272007 Thrombosis of abdominal aorta (disorder)
809 86003009 Carotid artery thrombosis (disorder)
809 87224000 Transient arterial retinal occlusion (disorder)
809 87239004 Popliteal artery thrombosis (disorder)
809 88174006 Basilar artery thrombosis (disorder)
809 2.82E+08 Brachiocephalic vein thrombosis (disorder)
809 89135007 Thromboarteritis (disorder)
809 95447001 Thrombophlebitis of mesenteric vein (disorder)
809 95450003 Thrombophlebitis of upper extremities (disorder)
809 95451004 Thrombophlebitis of superficial veins of upper extremities (disorder)
809 95452006 Thrombophlebitis of deep veins of upper extremities (disorder)
809 1.28E+08 Deep venous thrombosis of upper extremity (disorder)
809 2.97E+08 Intracranial venous thrombosis (disorder)
809 95459002 Cerebellar artery thrombosis (disorder)
809 95461006 Thrombophlebitis of cerebral vein (disorder)
809 95620003 Thrombophlebitis of the newborn (disorder)
809 95794005 Tolosa-Hunt syndrome (disorder)
809 1.11E+08 Postpartum venous thrombosis (disorder)
809 1.11E+08 Arterial thrombosis of spinal cord (disorder)
809 1.34E+08 Deep vein thrombosis of leg related to air travel (disorder)
809 2.74E+08 Aortic thromboembolism (disorder)
809 2.66E+08 Embolism and thrombosis of the abdominal aorta (disorder)
809 2.66E+08 Superficial thrombophlebitis of leg (disorder)
809 2.97E+08 Axillary vein thrombosis (disorder)
809 1.93E+08 Phlebitis and thrombophlebitis of intracranial sinuses (disorder)
809 1.95E+08 Phlebitis and thrombophlebitis (disorder)
809 1.93E+08 Thrombosis of superior longitudinal sinus (disorder)
809 1.93E+08 Thrombosis transverse sinus (disorder)
809 1.93E+08 Thrombophlebitis of superior longitudinal venous sinus (disorder)
809 2.31E+08 Anterior spinal artery thrombosis (disorder)
809 1.95E+08 Coronary thrombosis not resulting in myocardial infarction (disorder)
809 1.95E+08 Brainstem stroke syndrome (disorder)
809 1.95E+08 Non-pyogenic venous sinus thrombosis (disorder)
809 1.95E+08 Embolism and thrombosis of the thoracic aorta (disorder)
809 1.95E+08 Embolism and thrombosis of an arm or leg artery (disorder)
809 1.95E+08 Embolism and thrombosis of the brachial artery (disorder)
809 2.97E+08 Brachial artery thrombosis (disorder)
809 1.95E+08 Embolism and thrombosis of the radial artery (disorder)
809 1.95E+08 Embolism and thrombosis of the ulnar artery (disorder)
809 4.27E+08 Thrombosis of ulnar artery (disorder)
809 1.95E+08 Embolism and thrombosis of the femoral artery (disorder)
809 1.95E+08 Embolism and thrombosis of the popliteal artery (disorder)
809 1.95E+08 Embolism and thrombosis of the anterior tibial artery (disorder)
809 2.97E+08 Crural artery thrombosis (disorder)
809 1.95E+08 Embolism and thrombosis of the dorsalis pedis artery (disorder)
809 1.95E+08 Embolism and thrombosis of the posterior tibial artery (disorder)
809 1.95E+08 Embolism and/or thrombosis of the common iliac artery (disorder)
809 1.95E+08 Embolism and/or thrombosis of the internal iliac artery (disorder)
809 2.97E+08 Internal iliac artery thrombosis (disorder)
809 1.95E+08 Embolism and/or thrombosis of the external iliac artery (disorder)
809 1.95E+08 Embolism and thrombosis of the subclavian artery (disorder)
809 1.95E+08 Embolism and thrombosis of the splenic artery (disorder)
809 2.97E+08 Celiac artery thrombosis (disorder)
809 1.95E+08 Embolism and thrombosis of the axillary artery (disorder)
809 2.97E+08 Subclavian artery thrombosis (disorder)
809 1.95E+08 Embolism and thrombosis of the celiac artery (disorder)
809 1.95E+08 Embolism and thrombosis of the hepatic artery (disorder)
809 2.13E+08 Thrombophlebitis after infusion (disorder)
809 1.95E+08 Superficial thrombophlebitis of long saphenous vein (disorder)
809 1.95E+08 Superficial thrombophlebitis of short saphenous vein (disorder)
809 2.66E+08 Deep vein phlebitis and thrombophlebitis of the leg (disorder)
809 1.95E+08 Thrombophlebitis of the external iliac vein (disorder)
809 4.28E+08 Thrombosis of the popliteal vein (disorder)
809 1.95E+08 Thrombophlebitis of the anterior tibial vein (disorder)
809 1.95E+08 Thrombophlebitis of the dorsalis pedis vein (disorder)
809 1.95E+08 Thrombophlebitis of the posterior tibial vein (disorder)
809 3.1E+08 Thrombosis of vein of lower limb (disorder)
809 2.76E+08 Phlebitis and/or thrombophlebitis of iliac vein (disorder)
809 1.95E+08 Thrombophlebitis of the common iliac vein (disorder)
809 1.95E+08 Thrombophlebitis of the internal iliac vein (disorder)
809 1.95E+08 Embolism and thrombosis of the vena cava (disorder)
809 1.95E+08 Embolism and thrombosis of the renal vein (disorder)
809 1.97E+08 Superior mesenteric artery thrombosis (disorder)
809 1.97E+08 Superior mesenteric vein thrombosis (disorder)
809 2E+08 Antenatal deep vein thrombosis - delivered (disorder)
809 2E+08 Antenatal deep vein thrombosis with antenatal complication (disorder)
809 2E+08 Postnatal deep vein thrombosis - delivered with postnatal complication (disorder)
809 2E+08 Postnatal deep vein thrombosis with postnatal complication (disorder)
809 2E+08 Obstetric cerebral venous thrombosis (disorder)
809 2E+08 Cerebral venous thrombosis in pregnancy (disorder)
809 2E+08 Cerebral venous thrombosis in the puerperium (disorder)
809 2.13E+08 Thrombophlebitis as a complication of care (disorder)
809 2.13E+08 Postoperative deep vein thrombosis (disorder)
809 2.13E+08 Thromboembolism after infusion (disorder)
809 4.29E+08 Thromboembolism of vein (disorder)
809 2.3E+08 Septic thrombophlebitis of straight sinus (disorder)
809 3.03E+08 Septic thrombophlebitis of lateral sinus (disorder)
809 3.03E+08 Intracranial septic thrombophlebitis (disorder)
809 2.3E+08 Septic thrombophlebitis of sigmoid sinus (disorder)
809 2.3E+08 Septic thrombophlebitis of cortical vein (disorder)
809 2.3E+08 Septic thrombophlebitis of great cerebral vein (disorder)
809 2.31E+08 Cerebral venous thrombosis of straight sinus (disorder)
809 2.31E+08 Cerebral venous thrombosis of cortical vein (disorder)
809 2.31E+08 Cerebral venous thrombosis of great cerebral vein (disorder)
809 2.32E+08 Orbital thrombophlebitis (disorder)
809 2.32E+08 Cilioretinal artery occlusion (disorder)
809 2.32E+08 Branch macular artery occlusion (disorder)
809 2.32E+08 Central retinal vein occlusion with neovascularization (disorder)
809 2.32E+08 Central retinal vein occlusion with macular edema (disorder)
809 2.32E+08 Central retinal vein occlusion - juvenile (disorder)
809 2.32E+08 Central retinal vein occlusion - juvenile with neovascularization (disorder)
809 2.32E+08 Central retinal vein occlusion - juvenile with macular edema (disorder)
809 2.32E+08 Hemispheric retinal vein occlusion (disorder)
809 2.32E+08 Hemispheric retinal vein occlusion with neovascularization (disorder)
809 2.32E+08 Hemispheric retinal vein occlusion with macular edema (disorder)
809 2.32E+08 Branch retinal vein occlusion with neovascularization (disorder)
809 2.32E+08 Branch retinal vein occlusion with macular edema (disorder)
809 2.34E+08 Pulmonary thromboembolism (disorder)
809 2.34E+08 Thromboembolic pulmonary hypertension (disorder)
809 2.34E+08 Aortic bifurcation thrombosis (disorder)
809 2.34E+08 Superficial thrombophlebitis of cephalic vein (disorder)
809 2.34E+08 Superficial thrombophlebitis of basilic vein (disorder)
809 2.34E+08 Inferior mesenteric vein thrombosis (disorder)
809 2.34E+08 Thrombosis of vein of lower leg (disorder)
809 2.34E+08 Ileofemoral deep vein thrombosis (disorder)
809 2.34E+08 Thrombosis of transplanted vein (disorder)
809 2.34E+08 Transplant renal vein thrombosis (disorder)
809 2.34E+08 Radiation thrombophlebitis (disorder)
809 2.34E+08 Recurrent idiopathic thrombophlebitis (disorder)
809 2.34E+08 Congenital arteriovenous fistula thrombosis (disorder)
809 2.34E+08 Vascular graft thrombosis (disorder)
809 2.34E+08 Arteriovenous fistula thrombosis (disorder)
809 2.47E+08 Macular branch retinal vein occlusion (disorder)
809 2.81E+08 Arterial graft thrombosis (disorder)
809 2.81E+08 Arteriovenous graft thrombosis (disorder)
809 2.82E+08 Thrombosis of superior vena cava (disorder)
809 2.97E+08 Common femoral artery thrombosis (disorder)
809 2.97E+08 Common iliac artery thrombosis (disorder)
809 2.97E+08 Profunda femoris artery thrombosis (disorder)
809 2.97E+08 Superficial femoral artery thrombosis (disorder)
809 4.39E+08 Thrombosis of subclavian vein (disorder)
809 3.01E+08 Digital arterial thrombosis (disorder)
809 4.4E+08 Septic thrombophlebitis (disorder)
809 3.03E+08 Septic thrombophlebitis of cavernous sinus (disorder)
809 3.03E+08 Septic thrombophlebitis of sagittal sinus (disorder)
809 3.07E+08 Thrombosis of femoropopliteal bypass graft (disorder)
809 3.07E+08 Thrombosis of femorofemoral crossover bypass graft (disorder)
809 3.07E+08 Thrombosis of axillofemoral bypass graft (disorder)
809 3.07E+08 Thrombosis of aortic bifurcation bypass graft (disorder)
809 3.07E+08 Thrombosis of renal artery bypass graft (disorder)
809 3.13E+08 Central retinal vein occlusion - ischemic (disorder)
809 3.13E+08 Central retinal vein occlusion - non-ischemic (disorder)
809 3.14E+08 Branch retinal vein occlusion with no neovascularization (disorder)
809 3.71E+08 Traumatic thrombosis of axillary vein (disorder)
809 3.73E+08 No thrombus (situation)
809 3.73E+08 Possible thrombus (situation)
809 3.73E+08 Upshaw-Schulman syndrome (disorder)
809 4.03E+08 Neonatal purpura fulminans (homozygous protein C deficiency) (disorder)
809 4.05E+08 Spontaneous arteriovenous fistula thrombosis (disorder)
809 4.09E+08 Pontine artery thrombosis (disorder)
809 4.14E+08 Deep vein thrombosis of leg related to intravenous drug use (disorder)
809 4.21E+08 Coronary artery stent thrombosis (disorder)
809 4.25E+08 Thrombosis of internal carotid artery (disorder)
809 4.26E+08 Thrombosis of posterior communicating artery (disorder)
809 4.33E+08 Suspected deep vein thrombosis (situation)
809 4.38E+08 Autoimmune thrombotic thrombocytopenic purpura (disorder)
809 4.38E+08 Thrombophlebitis of subclavian vein (disorder)
809 4.39E+08 Acquired thrombotic thrombocytopenic purpura (disorder)
809 4.41E+08 Drug induced thrombotic thrombocytopenic purpura (disorder)
809 4.43E+08 Deep venous thrombosis of peroneal vein (disorder)
809 4.44E+08 Deep vein thrombosis of bilateral lower extremities (disorder)
Dementia

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Dementia.xls)

Refset Name: Dementia
  refset_ID   SCTID FSN
841 281004 Dementia associated with alcoholism (disorder)
841 52448006 Dementia (disorder)
841 1.91E+08 Drug-induced dementia (disorder)
841 1.92E+08 Dementia associated with another disease (disorder)
841 4817008 Primary degenerative dementia of the Alzheimer type, senile onset, with delirium (disorder)
841 1.91E+08 Senile dementia with delirium (disorder)
841 4.17E+08 Primary degenerative dementia of the Alzheimer type, senile onset (disorder)
841 6475002 Primary degenerative dementia of the Alzheimer type, presenile onset, uncomplicated (disorder)
841 4.17E+08 Primary degenerative dementia of the Alzheimer type, presenile onset (disorder)
841 9345005 Dialysis dementia (disorder)
841   10349009 Multi-infarct dementia with delirium (disorder)
841 56267009 Multi-infarct dementia (disorder)
841 10532003 Primary degenerative dementia of the Alzheimer type, presenile onset, with depression (disorder)
841 1.91E+08 Presenile dementia with depression (disorder)
841 12348006 Presenile dementia (disorder)
841 88339003 Dementia arising in the senium AND/OR presenium (disorder)
841 4.22E+08 Dementia associated with AIDS (disorder)
841 14070001 Multi-infarct dementia with depression (disorder)
841 15662003 Senile dementia (disorder)
841 25772007 Multi-infarct dementia with delusions (disorder)
841 26852004 Primary degenerative dementia of the Alzheimer type, senile onset, with depression (disorder)
841 1.91E+08 Senile dementia with depression (disorder)
841 26929004 Alzheimer's disease (disorder)
841 32875003 Inhalant-induced persisting dementia (disorder)
841 40425004 Postconcussion syndrome (disorder)
841 2.3E+08 Post-traumatic dementia (disorder)
841 51928006 General paresis - neurosyphilis (disorder)
841 2.3E+08 Punch drunk syndrome (disorder)
841 54502004 Primary degenerative dementia of the Alzheimer type, presenile onset, with delusions (disorder)
841 55009008 Primary degenerative dementia of the Alzheimer type, senile onset, with delusions (disorder)
841 3.71E+08 Senile dementia with delusion (disorder)
841 4.3E+08 Vascular dementia (disorder)
841 59651006 Sedative, hypnotic AND/OR anxiolytic-induced persisting dementia (disorder)
841 1.11E+08 Psychoactive substance-induced organic dementia (disorder)
841 4.21E+08 Presenile dementia associated with AIDS (disorder)
841 62239001 Parkinson-dementia complex of Guam (disorder)
841 65096006 Primary degenerative dementia of the Alzheimer type, presenile onset, with delirium (disorder)
841 1.91E+08 Presenile dementia with delirium (disorder)
841 66108005 Primary degenerative dementia of the Alzheimer type, senile onset, uncomplicated (disorder)
841 70936005 Multi-infarct dementia, uncomplicated (disorder)
841 82959004 Dementia paralytica juvenilis (disorder)
841 90099008 Subcortical leukoencephalopathy (disorder)
841 4.21E+08 Organic dementia associated with AIDS (disorder)
841 1.91E+08 Uncomplicated senile dementia (disorder)
841 1.91E+08 Senile dementia with depressive or paranoid features (disorder)
841 2.69E+08 Senile and presenile organic psychotic conditions (disorder)
841 1.91E+08 Uncomplicated presenile dementia (disorder)
841 1.91E+08 Presenile dementia with paranoia (disorder)
841 1.91E+08 Senile dementia with paranoia (disorder)
841 1.91E+08 Uncomplicated arteriosclerotic dementia (disorder)
841 1.91E+08 Arteriosclerotic dementia with delirium (disorder)
841 1.91E+08 Arteriosclerotic dementia with paranoia (disorder)
841 1.91E+08 Arteriosclerotic dementia with depression (disorder)
841 2.3E+08 Vascular dementia of acute onset (disorder)
841 2.3E+08 Subcortical vascular dementia (disorder)
841 2.3E+08 Mixed cortical and subcortical vascular dementia (disorder)
841 2.3E+08 Familial Alzheimer's disease of early onset (disorder)
841 2.3E+08 Non-familial Alzheimer's disease of early onset (disorder)
841 2.3E+08 Familial Alzheimer's disease of late onset (disorder)
841 2.3E+08 Non-familial Alzheimer's disease of late onset (disorder)
841 2.3E+08 Focal Alzheimer's disease (disorder)
841 2.3E+08 Progressive aphasia in Alzheimer's disease (disorder)
841 2.3E+08 Semantic dementia (disorder)
841 2.3E+08 Patchy dementia (disorder)
841 2.3E+08 Epileptic dementia (disorder)
841 2.79E+08 Dementia of frontal lobe type (disorder)
841 3.13E+08 Senile dementia of the Lewy body type (disorder)
841 3.71E+08 Senile dementia with psychosis (disorder)
841 4.25E+08 Dementia associated with Parkinson's Disease (disorder)
841 4.29E+08 Dementia due to Creutzfeldt Jakob disease (disorder)
841 4.42E+08 Dementia due to Huntington chorea (disorder)
Depression

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Depression.xls)

Refset Name: Depression refset
  refset_ID   SCTID FSN
853 596004 Premenstrual dysphoric disorder (disorder)
853   48589009 Minor depressive disorder (disorder)
853 832007 Moderate major depression (disorder)
853 3.7E+08 Major depressive disorder (disorder)
853 1196001 Chronic bipolar II disorder, most recent episode major depressive (disorder)
853 1.92E+08 Bipolar affective disorder, current episode depression (disorder)
853 2506003 Early onset dysthymia (disorder)
853 78667006 Dysthymia (disorder)
853 2618002 Chronic recurrent major depressive disorder (disorder)
853 1.92E+08 Chronic depression (disorder)
853 66344007 Recurrent major depression (disorder)
853 3109008 Secondary dysthymia early onset (disorder)
853 85080004 Secondary dysthymia (disorder)
853 14183003 Chronic major depressive disorder, single episode (disorder)
853 36923009 Major depression, single episode (disorder)
853 15193003 Severe recurrent major depression with psychotic features, mood-incongruent (disorder)
853 60099002 Severe major depression with psychotic features, mood-incongruent (disorder)
853 28475009 Severe recurrent major depression with psychotic features (disorder)
853 4.31E+08 Severe major depression, single episode, with psychotic features (disorder)
853 15639000 Moderate major depression, single episode (disorder)
853 16295005 Bipolar II disorder, most recent episode major depressive (disorder)
853 18818009 Moderate recurrent major depression (disorder)
853 19527009 Major depression, single episode, in complete remission (disorder)
853 63412003 Major depression in complete remission (disorder)
853 19694002 Late onset dysthymia (disorder)
853 20250007 Severe major depression, single episode, with psychotic features, mood-incongruent (disorder)
853 22121000 Depressed bipolar I disorder in full remission (disorder)
853 53607008 Depressed bipolar I disorder in remission (disorder)
853 22407005 Bipolar II disorder, most recent episode major depressive with catatonic features (disorder)
853 25922000 Major depressive disorder, single episode with postpartum onset (disorder)
853 58703003 Postpartum depression (disorder)
853 26203008 Severe depressed bipolar I disorder with psychotic features, mood-incongruent (disorder)
853 59617007 Severe depressed bipolar I disorder with psychotic features (disorder)
853 3.58E+08 Cotard's syndrome (disorder)
853 73867007 Severe major depression with psychotic features (disorder)
853 29929003 Bipolar I disorder, most recent episode depressed with atypical features (disorder)
853 1.92E+08 Atypical depressive disorder (disorder)
853 30605009 Major depression in partial remission (disorder)
853 42810003 Major depression in remission (disorder)
853 30687003 Bipolar II disorder, most recent episode major depressive with postpartum onset (disorder)
853 33078009 Severe recurrent major depression with psychotic features, mood-congruent (disorder)
853 33736005 Severe major depression with psychotic features, mood-congruent (disorder)
853 33135002 Recurrent major depression in partial remission (disorder)
853 68019004 Recurrent major depression in remission (disorder)
853 34315001 Bipolar II disorder, most recent episode major depressive with melancholic features (disorder)
853 35489007 Depressive disorder (disorder)
853 36170009 Secondary dysthymia late onset (disorder)
853 36474008 Severe recurrent major depression without psychotic features (disorder)
853 75084000 Severe major depression without psychotic features (disorder)
853 38451003 Primary dysthymia early onset (disorder)
853 83176005 Primary dysthymia (disorder)
853 38694004 Recurrent major depressive disorder with atypical features (disorder)
853 39809009 Recurrent major depressive disorder with catatonic features (disorder)
853 40379007 Mild recurrent major depression (disorder)
853 87512008 Mild major depression (disorder)
853 40568001 Recurrent brief depressive disorder (disorder)
853 1.92E+08 Recurrent depression (disorder)
853 3.67E+08 Depressed mood (finding)
853 42925002 Major depressive disorder, single episode with atypical features (disorder)
853 43568002 Bipolar II disorder, most recent episode major depressive with atypical features (disorder)
853 46244001 Recurrent major depression in complete remission (disorder)
853 49468007 Depressed bipolar I disorder (disorder)
853 49512000 Depressed bipolar I disorder in partial remission (disorder)
853 51637008 Chronic bipolar I disorder, most recent episode depressed (disorder)
853 54761006 Severe depressed bipolar I disorder with psychotic features, mood-congruent (disorder)
853 61403008 Severe depressed bipolar I disorder without psychotic features (disorder)
853 3.22E+08 Involutional depression (disorder)
853 3.2E+08 Recurrent major depressive disorder with melancholic features (disorder)
853 3.21E+08 Major depression, melancholic type (disorder)
853 63778009 Major depressive disorder, single episode with melancholic features (disorder)
853 66631006 Moderate depressed bipolar I disorder (disorder)
853 67711008 Primary dysthymia late onset (disorder)
853 69392006 Major depressive disorder, single episode with catatonic features (disorder)
853 70747007 Major depression single episode, in partial remission (disorder)
853 71336009 Recurrent major depressive disorder with postpartum onset (disorder)
853 74686005 Mild depressed bipolar I disorder (disorder)
853 75752004 Bipolar I disorder, most recent episode depressed with melancholic features (disorder)
853 76441001 Severe major depression, single episode, without psychotic features (disorder)
853 77911002 Severe major depression, single episode, with psychotic features, mood-congruent (disorder)
853 79298009 Mild major depression, single episode (disorder)
853 79842004 Stuporous depression (disorder)
853 82218004 Postoperative depression (disorder)
853 83458005 Agitated depression (disorder)
853 84760002 Schizoaffective disorder, depressive type (disorder)
853 84788008 Menopausal depression (disorder)
853 87414006 Reactive depression (situational) (disorder)
853 87842000 Generalized neuromuscular exhaustion syndrome (disorder)
853 2.72E+08 Complaining of feeling depressed (finding)
853 1.63E+08 On examination - depressed (disorder)
853 3.01E+08 Endogenous depression (disorder)
853 2.48E+08 Seasonal affective disorder (disorder)
853 3.1E+08 Moderate depression (disorder)
853 3.1E+08 Mild depression (disorder)
853 3.1E+08 Severe depression (disorder)
853 1.91E+08 Drug-induced depressive state (disorder)
853 2.69E+08 Single major depressive episode (disorder)
853 2.31E+08 Endogenous depression first episode (disorder)
853 1.92E+08 Single major depressive episode, mild (disorder)
853 1.92E+08 Single major depressive episode, moderate (disorder)
853 1.92E+08 Single major depressive episode, severe, with psychosis (disorder)
853 1.92E+08 Single major depressive episode, in full remission (disorder)
853 2.69E+08 Recurrent major depressive episodes (disorder)
853 2.75E+08 Endogenous depression - recurrent (disorder)
853 1.92E+08 Recurrent major depressive episodes, mild (disorder)
853 1.92E+08 Recurrent major depressive episodes, moderate (disorder)
853 1.92E+08 Recurrent major depressive episodes, severe, with psychosis (disorder)
853 1.92E+08 Recurrent major depressive episodes, in full remission (disorder)
853 1.92E+08 Bipolar affective disorder, currently depressed, mild (disorder)
853 1.92E+08 Bipolar affective disorder, currently depressed, moderate (disorder)
853 1.92E+08 Bipolar affective disorder, currently depressed, severe, with psychosis (disorder)
853 1.92E+08 Bipolar affective disorder, currently depressed, in full remission (disorder)
853 2.32E+08 Masked depression (disorder)
853 1.92E+08 Reactive depressive psychosis (disorder)
853 1.92E+08 Postviral depression (disorder)
853 2.31E+08 Post-schizophrenic depression (disorder)
853 2.32E+08 Depressive conduct disorder (disorder)
853 2.37E+08 Mild postnatal depression (disorder)
853 2.37E+08 Severe postnatal depression (disorder)
853 2.79E+08 Maternity blues (disorder)
853 4.27E+08 Premenstrual dysphoric disorder in remission (disorder)
853 4.42E+08 Chronic depressive personality disorder (disorder)
Diabetes Mellitus

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/DM.xls)

Refset Name: DM refset
  refset_ID   SCTID FSN
828 2751001 Fibrocalculous pancreatic diabetes (disorder)
828   51002006 Diabetes mellitus associated with pancreatic disease (disorder)
828 4783006 Maternal diabetes mellitus with hypoglycemia affecting fetus OR newborn (disorder)
828 3.6E+08 Maternal diabetes mellitus (disorder)
828 73211009 Diabetes mellitus (disorder)
828 5368009 Drug-induced diabetes mellitus (disorder)
828 8801005 Secondary diabetes mellitus (disorder)
828 5969009 Diabetes mellitus associated with genetic syndrome (disorder)
828 9859006 Insulin-resistant diabetes mellitus AND acanthosis nigricans (disorder)
828 44054006 Diabetes mellitus type 2 (disorder)
828 11687002 Gestational diabetes mellitus (disorder)
828 1.99E+08 Diabetes mellitus during pregnancy, childbirth and the puerperium (disorder)
828 23045005 Insulin dependent diabetes mellitus type IA (disorder)
828 46635009 Diabetes mellitus type 1 (disorder)
828 28032008 Insulin dependent diabetes mellitus type IB (disorder)
828 28453007 Maturity onset diabetes mellitus in young (disorder)
828 33559001 Pineal hyperplasia AND diabetes mellitus syndrome (disorder)
828 42954008 Diabetes mellitus associated with receptor abnormality (disorder)
828 46894009 Gestational diabetes mellitus, class A>2< (disorder)
828 49817004 Neonatal diabetes mellitus (disorder)
828 3.6E+08 Non-insulin dependent diabetes mellitus (NIDDM) in nonobese (disorder)
828 3.6E+08 Diabetes mellitus type 2 in nonobese (disorder)
828 57886004 Protein-deficient diabetes mellitus (disorder)
828 75524006 Malnutrition related diabetes mellitus (disorder)
828 59079001 Diabetes mellitus associated with hormonal etiology (disorder)
828 70694009 Diabetes mellitus AND insipidus with optic atrophy AND deafness (disorder)
828 71546005 Gestational diabetes mellitus, class B>1< (disorder)
828 75022004 Gestational diabetes mellitus, class A>1< (disorder)
828 75682002 Diabetes mellitus due to insulin receptor antibodies (disorder)
828 76751001 Diabetes mellitus in mother complicating pregnancy, childbirth AND/OR puerperium (disorder)
828 81531005 Diabetes mellitus type 2 in obese (disorder)
828 82260000 Pregestational diabetes mellitus AND/OR impaired glucose tolerance, modified White class R (disorder)
828 91352004 Diabetes mellitus due to structurally abnormal insulin (disorder)
828 1.12E+08 Diabetes mellitus without complication (disorder)
828 1.12E+08 Rare form of secondary diabetes mellitus, due to disorder other than malnutrition, protein deficiency, pancreatic disease, hormonal disease, drugs, receptor abnormality, OR genetic syndrome (disorder)
828 1.24E+08 Houssay's syndrome (disorder)
828 3.15E+08 Diabetes mellitus excluded (situation)
828 2.38E+08 Insulin-treated non-insulin-dependent diabetes mellitus (disorder)
828 1.9E+08 Diabetes mellitus, juvenile type, with hyperosmolar coma (disorder)
828 1.9E+08 Diabetes mellitus, adult onset, with hyperosmolar coma (disorder)
828 4.22E+08 Multiple complications of type I diabetes mellitus (disorder)
828 1.9E+08 Type I diabetes mellitus with ulcer (disorder)
828 1.9E+08 Type I diabetes mellitus with gangrene (disorder)
828 1.9E+08 Type I diabetes mellitus maturity onset (disorder)
828 3.13E+08 Type I diabetes mellitus without complication (disorder)
828 3.15E+08 Type I diabetes mellitus with hypoglycemic coma (disorder)
828 3.15E+08 Type I diabetes mellitus with arthropathy (disorder)
828 3.15E+08 Type I diabetes mellitus with neuropathic arthropathy (disorder)
828 1.9E+08 Type II diabetes mellitus with ulcer (disorder)
828 1.9E+08 Type II diabetes mellitus with gangrene (disorder)
828 3.13E+08 Type II diabetes mellitus without complication (disorder)
828 3.15E+08 Type II diabetes mellitus with hypoglycemic coma (disorder)
828 3.15E+08 Type II diabetes mellitus with peripheral angiopathy (disorder)
828 3.15E+08 Type II diabetes mellitus with arthropathy (disorder)
828 3.15E+08 Type II diabetes mellitus with neuropathic arthropathy (disorder)
828 1.9E+08 Malnutrition-related diabetes mellitus with ketoacidosis (disorder)
828 1.9E+08 Malnutrition-related diabetes mellitus with renal complications (disorder)
828 1.9E+08 Malnutrition-related diabetes mellitus with peripheral circulatory complications (disorder)
828 1.9E+08 Malnutrition-related diabetes mellitus with multiple complications (disorder)
828 1.9E+08 Malnutrition-related diabetes mellitus without complications (disorder)
828 1.9E+08 Steroid-induced diabetes (disorder)
828 1.9E+08 Steroid-induced diabetes mellitus without complication (disorder)
828 1.99E+08 Diabetes mellitus during pregnancy - baby delivered (disorder)
828 1.99E+08 Diabetes mellitus in the puerperium - baby delivered during current episode of care (disorder)
828 1.99E+08 Diabetes mellitus during pregnancy - baby not yet delivered (disorder)
828 1.99E+08 Diabetes mellitus in the pueperium - baby delivered during previous episode of care (disorder)
828 1.99E+08 Pre-existing diabetes mellitus, insulin-dependent (disorder)
828 1.99E+08 Pre-existing diabetes mellitus, non-insulin-dependent (disorder)
828 1.99E+08 Pre-existing malnutrition-related diabetes mellitus (disorder)
828 2.38E+08 Malnutrition-related diabetes mellitus - fibrocalculous (disorder)
828 2.38E+08 Secondary endocrine diabetes mellitus (disorder)
828 2.38E+08 Transitory neonatal diabetes mellitus (disorder)
828 2.38E+08 Diabetes mellitus autosomal dominant type II (disorder)
828 2.38E+08 Hyperproinsulinemia (disorder)
828 2.38E+08 Insulin-dependent diabetes mellitus secretory diarrhea syndrome (disorder)
828 2.38E+08 Diabetes-deafness syndrome maternally transmitted (disorder)
828 2.38E+08 Pregnancy and non-insulin-dependent diabetes mellitus (disorder)
828 2.77E+08 Small for gestation neonatal diabetes mellitus (disorder)
828 4.09E+08 Insulin autoimmune syndrome (disorder)
828 4.09E+08 Diabetes mellitus induced by non-steroid drugs (disorder)
828 4.13E+08 Diabetes mellitus induced by non-steroid drugs without complication (disorder)
828 4.2E+08 Multiple complications of type II diabetes mellitus (disorder)
828 4.42E+08 Multiple complications due to diabetes mellitus (disorder)
828 4.2E+08 Gestational diabetes mellitus, class H (disorder)
828 4.21E+08 Gestational diabetes mellitus, class T (disorder)
828 4.21E+08 Gestational diabetes mellitus, class R (disorder)
828 4.21E+08 Gestational diabetes mellitus, class F (disorder)
828 4.21E+08 Gestational diabetes mellitus, class C (disorder)
828 4.21E+08 Gestational diabetes mellitus, class D (disorder)
828 4.22E+08 Gestational diabetes mellitus, class B (disorder)
828 4.27E+08 Diabetes mellitus associated with cystic fibrosis (disorder)
828 4.27E+08 Diabetes mellitus due to cystic fibrosis (disorder)
828 4.27E+08 Latent autoimmune diabetes mellitus in adult (disorder)
828 4.45E+08 Posttransplant diabetes mellitus (disorder)
Gastroesophageal Reflux Disease or Ulcer

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/GERD.xls)

Refset Name: GERD refset
  refset_ID   SCTID FSN
815 324007 Plaster ulcer (disorder)
815   19429009 Chronic ulcer of skin (disorder)
815 69352009 Varicose veins of lower extremity with ulcer AND inflammation (disorder)
815 3.05E+08 Varicose veins of lower extremity with ulcer (disorder)
815 450005 Ulcerative stomatitis (disorder)
815 95356008 Mucosal ulcer (disorder)
815 26284000 Ulcer of mouth (disorder)
815 1.73E+08 Acute ulcerative gingivitis (disorder)
815 2.75E+08 Fungating tumor of lymph node (disorder)
815 3.67E+08 Common duodenal ulcer (disorder)
815 2.77E+08 Peptic ulcer of newborn (disorder)
815 799008 Sigmoid colon ulcer (disorder)
815 46040000 Ulceration of colon (disorder)
815 1567007 Chronic gastric ulcer without hemorrhage, without perforation AND without obstruction (disorder)
815 95530000 Chronic gastric ulcer (disorder)
815 1698001 Ulcer of bile duct (disorder)
815 2.32E+08 Vincent's tonsillitis (disorder)
815 2.36E+08 Ulceration of biliary tree (disorder)
815 70718000 Ulcus vulvae acutum (disorder)
815 2055003 Recurrent erosion of cornea (disorder)
815 71450000 Contact ulcer of vocal folds (disorder)
815 4.29E+08 Ulcer (disorder)
815 2.32E+08 Viral corneal ulcer (disorder)
815 2066005 Gastric ulcer with hemorrhage AND perforation but without obstruction (disorder)
815 3.13E+08 Ulcer of eyelid (disorder)
815 16694003 Gastric ulcer with hemorrhage but without obstruction (disorder)
815 1.95E+08 Varicose veins of the leg with ulcer (disorder)
815 84038009 Gastric ulcer with perforation but without obstruction (disorder)
815 62366003 Gastric ulcer with hemorrhage AND perforation (disorder)
815 2.77E+08 Complicated donovanosis (disorder)
815 2396006 Malignant pyoderma (disorder)
815 2622007 Infected ulcer of skin (disorder)
815 46742003 Skin ulcer (disorder)
815 1.95E+08 Varicose veins of the leg with ulcer and eczema (disorder)
815 1.95E+08 Infected varicose ulcer (disorder)
815 2.55E+08 Erosive balanitis (disorder)
815 1.96E+08 Acute ulcerative pharyngitis (disorder)
815 2.78E+08 Meleney's gangrene (disorder)
815 1.96E+08 Acute ulcerative tonsillitis (disorder)
815 1.96E+08 Acute ulcerative laryngitis (disorder)
815 1.96E+08 Chronic ulcerative rhinitis (disorder)
815 1.97E+08 Major aphthous ulceration (disorder)
815 2783007 Gastrojejunal ulcer without hemorrhage AND without perforation (disorder)
815 2.82E+08 Recurrent mouth ulcers (disorder)
815 1.97E+08 Periadenitis mucosa necrotica recurrens (disorder)
815 2.46E+08 Gastroesophageal reflux disease with ulceration (disorder)
815 72643006 Tuberculous chancriform pyoderma (disorder)
815 3.01E+08 Ulcer of palate (disorder)
815 3.01E+08 Skin ulcer of dorsum of foot (disorder)
815 2.66E+08 Gastroesophageal reflux disease without esophagitis (disorder)
815 3.01E+08 Skin ulcer of nose (disorder)
815 3.13E+08 Multiple gastric ulcers (disorder)
815 3.01E+08 Skin ulcer of calf (disorder)
815 2.36E+08 Multiple gastric erosions (disorder)
815 3.01E+08 Gastroesophageal erosion (disorder)
815 1.97E+08 Recurrent duodenal ulcer (disorder)
815 76046001 Ulcer of penis (disorder)
815 1.97E+08 Acute peptic ulcer with obstruction (disorder)
815 1.97E+08 Healed gastric ulcer leaving a scar (disorder)
815 2.36E+08 Healed gastric ulcer (disorder)
815 1.97E+08 Solitary anal ulcer (disorder)
815 3.01E+08 Decubitus ulcer of hip (disorder)
815 1.97E+08 Primary ulcer of intestine (disorder)
815 16121001 Gastrojejunal ulcer (disorder)
815 1.98E+08 Ulcer of urethral meatus (disorder)
815 74341002 Chronic gastric ulcer with hemorrhage AND with perforation but without obstruction (disorder)
815 2807004 Chronic gastrojejunal ulcer with perforation (disorder)
815 3.01E+08 Decubitus ulcer of ankle (disorder)
815 74578003 Pyoderma gangrenosum (disorder)
815 93448009 Superficial ulcer of skin (disorder)
815 1.28E+08 Chronic gastrojejunal ulcer (disorder)
815 3.01E+08 Decubitus ulcer of breast (disorder)
815 3.01E+08 Decubitus ulcer of natal cleft (disorder)
815 30183003 Gastrojejunal ulcer with perforation (disorder)
815 3.01E+08 Decubitus ulcer of dorsum of foot (disorder)
815 75342000 Acute duodenal ulcer without hemorrhage AND without perforation but with obstruction (disorder)
815 76078009 Chronic gastric ulcer with hemorrhage but without obstruction (disorder)
815 31301004 Chronic gastric ulcer with perforation (disorder)
815 1.98E+08 Ulceration of vulva in Behcet's disease (disorder)
815 76338009 Normopepsinogenemic familial duodenal ulcer (disorder)
815 1.97E+08 Barrett's ulcer of esophagus (disorder)
815 76393003 Serpiginous ulcer (disorder)
815 4.16E+08 Stress ulcer (disorder)
815 4.16E+08 Stress ulcer of stomach (disorder)
815 3.01E+08 Ulcer of toe (disorder)
815 2955000 Chronic ulcerative pulpitis (disorder)
815 3.01E+08 Ulcer of heel (disorder)
815 3.01E+08 Ulcer of calf (disorder)
815 3.01E+08 Ulcer of knee (disorder)
815 4.19E+08 Ankle ulcer (disorder)
815 1.98E+08 Ulcer of uterus (disorder)
815 3.02E+08 Ulceration of cervical lymph node (disorder)
815 3023008 Acute peptic ulcer without hemorrhage, without perforation AND without obstruction (disorder)
815 2.39E+08 Ischemic leg ulcer (disorder)
815 3.02E+08 Ulceration of axillary lymph node (disorder)
815 2.01E+08 Ischemic ulcer diabetic foot (disorder)
815 3.02E+08 Ulceration of inguinal lymph node (disorder)
815 3.71E+08 Diabetic foot ulcer (disorder)
815 3.02E+08 Ulceration of epitrochlear lymph node (disorder)
815 2.39E+08 Ischemic foot ulcer (disorder)
815 3.02E+08 Ulceration of popliteal lymph node (disorder)
815 2.01E+08 Neuropathic diabetic ulcer - foot (disorder)
815 3.07E+08 Bleeding gastric erosion (disorder)
815 2.01E+08 Mixed diabetic ulcer - foot (disorder)
815 2.39E+08 Neuroischemic foot ulcer (disorder)
815 95529005 Acute gastric ulcer (disorder)
815 4.29E+08 Chronic ulcer of foot (disorder)
815 45485004 Acute peptic ulcer without hemorrhage AND without perforation (disorder)
815 2.39E+08 Mixed arteriovenous leg ulcer (disorder)
815 38365000 Peptic ulcer without hemorrhage, without perforation AND without obstruction (disorder)
815 77661009 Chronic peptic ulcer with hemorrhage, with perforation AND with obstruction (disorder)
815 2.01E+08 Traumatic leg ulcer (disorder)
815 77987006 Acute gastrojejunal ulcer without hemorrhage, without perforation AND without obstruction (disorder)
815 3.71E+08 Traumatic skin ulcer (disorder)
815 3.09E+08 Ulcer of big toe (disorder)
815 3.09E+08 Bleeding stress ulcer of stomach (disorder)
815 3229001 Ulcer of trachea (disorder)
815 3483000 Chronic peptic ulcer with perforation (disorder)
815 1.28E+08 Chronic peptic ulcer (disorder)
815 88169003 Peptic ulcer with perforation (disorder)
815 3.09E+08 Finger ulcer (disorder)
815 3.09E+08 Ulcer of lateral malleolus (disorder)
815 1.3E+08 Ulcer due to Treponema vincentii (disorder)
815 3.09E+08 Ulcer of medial malleolus (disorder)
815 2.26E+08 Pressure sore on shoulder (disorder)
815 78054007 Postpyloric ulcer (disorder)
815 4269005 Chronic gastrojejunal ulcer without hemorrhage AND without perforation (disorder)
815 3.09E+08 Ulcer of shin (disorder)
815 4483005 Syphilitic punched out ulcer (disorder)
815 78324009 Mild chronic ulcerative colitis (disorder)
815 2.26E+08 Pressure sore on ear (disorder)
815 2.26E+08 Pressure sore on head (disorder)
815 78712000 Moderate chronic ulcerative colitis (disorder)
815 2.26E+08 Pressure sore on back (disorder)
815 2.26E+08 Pressure sore on elbow (disorder)
815 79160001 Hunner's ulcer (disorder)
815 2.26E+08 Pressure sore on malleolus (disorder)
815 4.28E+08 Chronic ulcer of ankle (disorder)
815 79806007 Combined gastric AND duodenal ulcer (disorder)
815 3.01E+08 Ulcer of malleolus (disorder)
815 3.99E+08 Recurrent aphthous ulcer (disorder)
815 2.26E+08 Pressure sore on heel (disorder)
815 2.26E+08 Pressure sore on sacrum (disorder)
815 3.99E+08 Aphthae major (disorder)
815 5201002 Ulcerated hemorrhoids (disorder)
815 4.45E+08 Chronic ulcer of sacral region (disorder)
815 2.26E+08 Pressure sore on buttocks (disorder)
815 4.42E+08 Ulcer of anorectal structure (disorder)
815 2.32E+08 Infective corneal ulcer (disorder)
815 5492000 Chronic peptic ulcer without hemorrhage AND without perforation (disorder)
815 2.32E+08 Bacterial corneal ulcer (disorder)
815 3.98E+08 Gastric ulcer (disorder)
815 3.98E+08 Peptic ulcer of stomach (disorder)
815 3.13E+08 Varicose veins of leg in long saphenous vein distribution with ulcer (disorder)
815 6129004 Peptic ulcer of esophagus (disorder)
815 2.32E+08 Protozoal corneal ulcer (disorder)
815 13200003 Peptic ulcer (disorder)
815 30811009 Ulcer of esophagus (disorder)
815 2.32E+08 Marginal corneal gutter (disorder)
815 2.32E+08 Dystrophic corneal ulcer (disorder)
815 3.13E+08 Varicose veins of leg in short saphenous vein distribution with ulcer (disorder)
815 2.32E+08 Neuropathic corneal ulcer (disorder)
815 81142005 Chronic duodenal ulcer with hemorrhage AND with perforation but without obstruction (disorder)
815 2.32E+08 Chronic ulcerative pharyngitis (disorder)
815 6395007 Hypopyon ulcer (disorder)
815 91514001 Corneal ulcer (disorder)
815 2.35E+08 Erosion of oral mucosa (disorder)
815 6761005 Familial hypergastrinemic duodenal ulcer (disorder)
815 51868009 Duodenal ulcer disease (disorder)
815 2.35E+08 Syphilitic oral snail track ulcer (disorder)
815 2.41E+08 Syphilitic mucosal ulceration (disorder)
815 2.36E+08 Eosinophilic ulcer of esophagus (disorder)
815 3.03E+08 Non-reflux ulcer of esophagus (disorder)
815 81225008 Acute gastric ulcer without hemorrhage AND without perforation but with obstruction (disorder)
815 7129008 Ulcer of testis (disorder)
815 2.36E+08 Bacterial ulcer of esophagus (disorder)
815 95589007 Ulcers of male genital organs (disorder)
815 7426009 Central corneal ulcer (disorder)
815 3.71E+08 Cutaneous pythiosis (disorder)
815 8041002 Urethral ulcer (disorder)
815 2.36E+08 Viral ulcer of esophagus (disorder)
815 3.71E+08 Stasis ulcer (disorder)
815 4.22E+08 Skin ulcer associated with diabetes mellitus (disorder)
815 3.71E+08 Gastroesophageal reflux disease with apnea (disorder)
815 81566007 Ulcer of bronchus (disorder)
815 3.71E+08 Hiatal hernia with gastroesophageal reflux disease (disorder)
815 4.28E+08 Aphthous ulceration of skin and/or mucous membrane (disorder)
815 2.36E+08 Protozoal ulcer of esophagus (disorder)
815 4.27E+08 Aphthous ulcer of mouth (disorder)
815 2.36E+08 Radiation ulcer of esophagus (disorder)
815 2.36E+08 Stress ulceration of esophagus (disorder)
815 2.36E+08 Acute peptic ulcer of stomach (disorder)
815 2.36E+08 Acute drug-induced ulcer of stomach (disorder)
815 3.95E+08 On examination - ankle ulcer (disorder)
815 2.36E+08 Chronic peptic ulcer of stomach (disorder)
815 2.36E+08 Chronic drug-induced ulcer of stomach (disorder)
815 3.19E+08 Herpetiform aphthous stomatitis (disorder)
815 2.36E+08 Acute peptic ulcer of duodenum (disorder)
815 3.08E+08 Minor oral aphthous ulceration (disorder)
815 2.36E+08 Cushing's ulcer of duodenum (disorder)
815 84352000 Ulcer of seminal vesicle (disorder)
815 2.36E+08 Curling's ulcer of duodenum (disorder)
815 85787009 Chronic gastric ulcer with hemorrhage, with perforation AND with obstruction (disorder)
815 2.36E+08 Chronic peptic ulcer of duodenum (disorder)
815 3.99E+08 Eosinophilic ulcer of lip (disorder)
815 8832006 Tuberculosis orificialis of anus (disorder)
815 85859006 Chronic gastric ulcer with hemorrhage AND with obstruction (disorder)
815 4.03E+08 Venous ulcer of leg (disorder)
815 2.36E+08 Ulcerative jejunitis (disorder)
815 2.36E+08 Primary nonspecific ulceration of small intestine (disorder)
815 85791004 Ecthyma (disorder)
815 4.03E+08 Arteritic leg ulcer (disorder)
815 20928004 Ulcer of anus (disorder)
815 2.36E+08 Traumatic ulcer of large intestine (disorder)
815 9750001 Ulcer of scrotum (disorder)
815 2.37E+08 Post-irradiation vaginal ulcer (disorder)
815 9829001 Gastric ulcer with perforation (disorder)
815 2.38E+08 Sepsis-related gastrointestinal ulceration (disorder)
815 86258000 Chronic duodenal ulcer with hemorrhage, with perforation AND with obstruction (disorder)
815 10389003 Acute gastrojejunal ulcer without hemorrhage AND without perforation but with obstruction (disorder)
815 4.03E+08 Primary herpes simplex infection of penis (disorder)
815 2.38E+08 Bacillus Calmette-Guerin (BCG) ulcer (disorder)
815 2.39E+08 Hypertensive leg ulcer (disorder)
815 4.03E+08 Syphilitic chancre of penis (disorder)
815 86282005 Ulcerative dermatosis of sheep (disorder)
815 47152002 Gastrojejunal ulcer without hemorrhage AND without perforation but with obstruction (disorder)
815 1.98E+08 Ulceration of vulva associated with another disorder (disorder)
815 30514008 Acute gastrojejunal ulcer without hemorrhage AND without perforation (disorder)
815 1.97E+08 Acute gastrojejunal ulcer with obstruction (disorder)
815 2.39E+08 Mouth and genital ulcers with inflamed cartilage syndrome (disorder)
815 10699001 Esophagogastric ulcer (disorder)
815 87094002 Ulcer due to Bacteroides (disorder)
815 2.39E+08 Bullous pyoderma (disorder)
815 2.4E+08 Amebic perianal ulceration (disorder)
815 88700009 Fungal ulcer of esophagus (disorder)
815 2.36E+08 Infective ulcer of esophagus (disorder)
815 2.4E+08 Acute tuberculous ulcer (disorder)
815 3.04E+08 Varicose ulcer of lower extremity (disorder)
815 2.4E+08 Cutaneous streptococcal ulcer (disorder)
815 89662003 Helicobacter-associated pyloric ulcer (disorder)
815 4.03E+08 Penile chancroid (disorder)
815 2.41E+08 Chancroid - anogenital ulcer (disorder)
815 2.41E+08 Chancroid - extragenital ulcer (disorder)
815 4.28E+08 Tropical phagedenic ulcer of leg (disorder)
815 2.41E+08 Donovanosis - anogenital ulcer (disorder)
815 10897002 Chronic gastrojejunal ulcer with perforation AND with obstruction (disorder)
815 4.29E+08 Ulcer of leg due to cutaneous leishmaniasis (disorder)
815 4.03E+08 Lip ulcer due to caliber persistent artery (disorder)
815 21759003 Gastrojejunal ulcer with perforation AND obstruction (disorder)
815 4.03E+08 Erythema multiforme-induced ulceration of lips (disorder)
815 4.03E+08 Traumatic oral ulceration (disorder)
815 1.97E+08 Chronic gastrojejunal ulcer with obstruction (disorder)
815 4.03E+08 Oral ulceration due to thermal burn (disorder)
815 4.03E+08 Oral ulceration due to cold burn (disorder)
815 4.03E+08 Oral ulceration due to chemical burn (disorder)
815 10980007 Pododermatitis circumscripta (disorder)
815 4.03E+08 Oral ulceration due to radiation burn (disorder)
815 11818002 Gastrojejunal ulcer with perforation but without obstruction (disorder)
815 4.03E+08 Traumatic ulcerative granuloma of tongue with stromal eosinophilia (disorder)
815 90653005 Vitamin A deficiency with corneal ulceration AND xerosis (disorder)
815 2.41E+08 Donovanosis - inguinal lesion (disorder)
815 91105001 Stercoral ulcer of anus (disorder)
815 2.41E+08 Donovanosis - non-genital lesion (disorder)
815 4.03E+08 Aphthosis of glans penis (disorder)
815 95336007 Localized lipodermatosclerosis (disorder)
815 4.27E+08 Aphthous ulcer of male genital organ (disorder)
815 2.41E+08 Ulcerated cutaneous rhinosporidiosis (disorder)
815 4.03E+08 Penile ulceration due to Behçet's disease (disorder)
815 95337003 Extensive lipodermatosclerosis (disorder)
815 4.03E+08 Sutton's ulcer (vulval aphthosis) (disorder)
815 2.47E+08 Focal marginal corneal ulcer (disorder)
815 4.03E+08 Vulval aphthosis (disorder)
815 2.48E+08 Ulceration of lymph node (disorder)
815 4.03E+08 Vulval ulceration due to Behçet's disease (disorder)
815 64766004 Ulcerative colitis (disorder)
815 2.49E+08 Supraglottic ulcer (disorder)
815 4.03E+08 Vulval ulceration due to non-infective dermatosis classified elsewhere (disorder)
815 2.49E+08 Subglottic ulcer (disorder)
815 2.5E+08 Ulcer of rectal mucosa (disorder)
815 95346009 Mucocutaneous ulcer (disorder)
815 12274003 Acute peptic ulcer with hemorrhage (disorder)
815 1.97E+08 Acute peptic ulcer (disorder)
815 64121000 Peptic ulcer with hemorrhage (disorder)
815 4.04E+08 Cutaneous ulceration due to cytotoxic therapy (disorder)
815 4.04E+08 Methotrexate skin ulceration (disorder)
815 95368004 Application site ulcer (disorder)
815 12355008 Duodenal ulcer with hemorrhage, with perforation AND with obstruction (disorder)
815 4.04E+08 Drug-induced oral ulceration (disorder)
815 95400005 Injection site ulcer (disorder)
815 95727005 Corneal non-healing epithelial ulcer (disorder)
815 23812009 Duodenal ulcer with hemorrhage AND perforation (disorder)
815 4.04E+08 Parastomal ulceration (disorder)
815 4.04E+08 Parastomal pyoderma gangrenosum (disorder)
815 18367003 Duodenal ulcer with hemorrhage AND obstruction (disorder)
815 95744009 Conjunctival ulcer (disorder)
815 77410006 Duodenal ulcer with perforation AND obstruction (disorder)
815 55617001 Peptic ulcer with hemorrhage AND perforation (disorder)
815 12384004 Chronic peptic ulcer without hemorrhage AND without perforation but with obstruction (disorder)
815 1.97E+08 Chronic peptic ulcer with obstruction (disorder)
815 1.09E+08 Mucositis following radiation therapy (disorder)
815 12625009 Peptic ulcer with perforation but without obstruction (disorder)
815 1.1E+08 Gingival papillary cratering (disorder)
815 4.1E+08 Tache noire (disorder)
815 12779007 Traumatic ulceration of tongue (disorder)
815 4.1E+08 Iritis with ulcerative colitis (disorder)
815 66123000 Ulcer on tongue (disorder)
815 2.39E+08 Traumatic ulcer (disorder)
815 12847006 Acute duodenal ulcer with hemorrhage (disorder)
815 4.14E+08 Exacerbation of ulcerative colitis (disorder)
815 27281001 Duodenal ulcer with hemorrhage (disorder)
815 4.16E+08 Ulcerated mucosa of colon (disorder)
815 1.97E+08 Acute duodenal ulcer (disorder)
815 40845000 Gastrointestinal ulcer (disorder)
815 4.19E+08 von Hippel internal corneal ulcer (disorder)
815 13470001 Chronic ulcerative ileocolitis (disorder)
815 4.2E+08 Pressure ulcer stage 2 (disorder)
815 4.2E+08 Cratered ulcer (disorder)
815 2.36E+08 Ulcerative enterocolitis (disorder)
815 4.21E+08 Pressure ulcer stage 4 (disorder)
815 4.21E+08 Pressure ulcer stage 1 (disorder)
815 50565005 Ileal ulcer (disorder)
815 4.45E+08 Chronic ulcerative colitis (disorder)
815 1.1E+08 Bednar's aphthae (disorder)
815 4.21E+08 Pressure ulcer not visible (disorder)
815 4.22E+08 Nonstageable pressure ulcer (disorder)
815 13954005 Ischemic ulcer (disorder)
815 13959000 Ulcerative gingivitis (disorder)
815 4.22E+08 Pressure ulcer stage 3 (disorder)
815 4.22E+08 Culture negative peripheral corneal ulcer (disorder)
815 4.24E+08 Duodenal ulcer induced by anti-platelet agent (disorder)
815 71262003 Ulceration of gingivae (disorder)
815 1.1E+08 Drug-induced peptic ulcer (disorder)
815 14311001 Severe chronic ulcerative colitis (disorder)
815 4.24E+08 Gastric ulcer induced by anti-platelet agent (disorder)
815 1.1E+08 Acute ulcerative gastroenteritis complicating pneumonia (disorder)
815 14465002 Ulcerative tonsillitis (disorder)
815 1.1E+08 Drug-induced ulceration (disorder)
815 1.11E+08 Chronic trophic ulcer of skin (disorder)
815 4.28E+08 Erosion of vulvar labia (disorder)
815 1.11E+08 Acute gastric erosion associated with drug ingestion (disorder)
815 4.28E+08 Ulcer of genital labium (disorder)
815 39271004 Ulcerative pharyngitis (disorder)
815 1.11E+08 Chronic endocervicitis with erosion (disorder)
815 16485001 Ulcer of tonsil (disorder)
815 4.28E+08 Ulcerative mucositis of vagina (disorder)
815 3.88E+08 Erosive vulvitis (disorder)
815 15115006 Duodenal ulcer with hemorrhage AND with perforation but without obstruction (disorder)
815 1.12E+08 Ring corneal ulcer (disorder)
815 86983005 Duodenal ulcer with perforation but without obstruction (disorder)
815 4.28E+08 Ulcerative mucositis of cervix (disorder)
815 35560008 Duodenal ulcer with hemorrhage but without obstruction (disorder)
815 4.28E+08 Ulcer of thigh (disorder)
815 4.29E+08 Decubital ulcer of coccygeal region (disorder)
815 15342002 Chronic ulcerative enterocolitis (disorder)
815 1.29E+08 Acute ulcerative colitis (disorder)
815 4.31E+08 Decubitus ulcer of lower back (disorder)
815 4.29E+08 Chronic ulcer of thigh (disorder)
815 4.3E+08 Ischemic ulcer of toe (disorder)
815 95343001 Ulcer of skin caused by ischemia due to hypertensive disease (disorder)
815 15845006 Buruli ulcer (disorder)
815 15902003 Gastric ulcer with hemorrhage (disorder)
815 16101002 Ulcer of cecum (disorder)
815 54822007 Jejunal ulcer (disorder)
815 4.31E+08 Chronic ulcer of toe (disorder)
815 57962000 Anastomotic ulcer (disorder)
815 4.31E+08 Decubitus ulcer of upper back (disorder)
815 1.27E+08 Ulcer of pharynx (disorder)
815 16516008 Familial duodenal ulcer associated with rapid gastric emptying (disorder)
815 4.4E+08 Ulcer of limb due to chronic venous insufficiency (disorder)
815 1.63E+08 On examination - mouth ulcer present (disorder)
815 1.63E+08 On examination - ulcer on tongue (disorder)
815 4.42E+08 Chronic left-sided ulcerative colitis (disorder)
815 3.08E+08 On examination - Right foot ulcer (disorder)
815 4.45E+08 Left sided ulcerative colitis (disorder)
815 3.08E+08 On examination - Left foot ulcer (disorder)
815 4.42E+08 Chronic ulcerative pancolitis (disorder)
815 1.65E+08 Superficial pressure sore (disorder)
815 1.65E+08 Deep pressure sore (disorder)
815 1.65E+08 Deep and superficial pressure sore (disorder)
815 17067009 Acute gastric ulcer with hemorrhage AND with perforation but without obstruction (disorder)
815 70418001 Acute gastric ulcer with hemorrhage but without obstruction (disorder)
815 48974009 Acute gastric ulcer with hemorrhage AND perforation (disorder)
815 1.94E+08 Dendritic ulcer (disorder)
815 4.45E+08 Ulcerative pancolitis (disorder)
815 2.68E+08 Non-pressure ulcer lower limb (disorder)
815 90628007 Acute gastric ulcer with perforation but without obstruction (disorder)
815 4.45E+08 Skin ulcer with punched out edge (disorder)
815 17593008 Gastric ulcer with hemorrhage, with perforation AND with obstruction (disorder)
815 53877005 Gastric ulcer with hemorrhage AND obstruction (disorder)
815 72486001 Gastric ulcer with perforation AND obstruction (disorder)
815 18169007 Duodenal ulcer without hemorrhage AND without perforation but with obstruction (disorder)
815 56776001 Duodenal ulcer without hemorrhage AND without perforation (disorder)
815 18665000 Acute gastric mucosal erosion (disorder)
815 2.36E+08 Gastric erosion (disorder)
815 18682003 Ulcer of tunica vaginalis (disorder)
815 19850005 Acute gastric ulcer with perforation (disorder)
815 2.36E+08 Ulceration of large intestine (disorder)
815 21612000 Avian ulcerative enteritis (disorder)
815 2.36E+08 Ulceration of small intestine (disorder)
815 22157005 Acute peptic ulcer with hemorrhage but without obstruction (disorder)
815 48658001 Peptic ulcer with hemorrhage but without obstruction (disorder)
815 22440001 Mooren's ulcer (disorder)
815 4.16E+08 Peripheral ulcerative keratitis (disorder)
815 22511002 Acute duodenal ulcer with perforation but without obstruction (disorder)
815 61347001 Acute duodenal ulcer with perforation (disorder)
815 22620000 Prepyloric ulcer (disorder)
815 22918001 Abomasal ulcer, type IV (disorder)
815 69326003 Abomasal ulcer (disorder)
815 23649000 Cushing's ulcers (disorder)
815 23691003 Bovine ulcerative mammillitis (disorder)
815 95604008 Ulcer of nipple (disorder)
815 23693000 Acute duodenal ulcer without hemorrhage, without perforation AND without obstruction (disorder)
815 34580000 Duodenal ulcer without hemorrhage, without perforation AND without obstruction (disorder)
815 32490005 Acute duodenal ulcer without hemorrhage AND without perforation (disorder)
815 88968005 Duodenal ulcer with perforation (disorder)
815 24001002 Chronic gastrojejunal ulcer with hemorrhage, with perforation AND with obstruction (disorder)
815 54798007 Gastrojejunal ulcer with hemorrhage, with perforation AND with obstruction (disorder)
815 45640006 Chronic gastrojejunal ulcer with hemorrhage AND perforation (disorder)
815 90257004 Chronic gastrojejunal ulcer with hemorrhage AND obstruction (disorder)
815 24060004 Gastrocolic ulcer (disorder)
815 24078009 Gangosa of yaws (disorder)
815 24829000 Eosinophilic ulcerative colitis (disorder)
815 25507003 Idiopathic erosion of teeth (disorder)
815 26221006 Peptic ulcer with hemorrhage, with perforation AND with obstruction (disorder)
815 48336009 Peptic ulcer with perforation AND obstruction (disorder)
815 64398008 Peptic ulcer with hemorrhage AND obstruction (disorder)
815 26649005 Chronic ulcer of lower extremity (disorder)
815 95344007 Ulcer of lower extremity (disorder)
815 28082003 Chronic duodenal ulcer without hemorrhage AND without perforation but with obstruction (disorder)
815 1.97E+08 Chronic duodenal ulcer with obstruction (disorder)
815 40214005 Chronic duodenal ulcer without hemorrhage AND without perforation (disorder)
815 4E+08 Decubitus ulcer (disorder)
815 4E+08 Pressure sore (disorder)
815 28867007 Granuloma inguinale (disorder)
815 28945005 Acute peptic ulcer with hemorrhage, with perforation AND with obstruction (disorder)
815 1.11E+08 Acute peptic ulcer with hemorrhage and perforation (disorder)
815 35681000 Acute peptic ulcer with perforation AND obstruction (disorder)
815 43406003 Acute peptic ulcer with hemorrhage AND obstruction (disorder)
815 29755007 Duodenal ulcer with increased serum pepsinogen I (disorder)
815 29793002 Abomasal ulcer, type I (disorder)
815 29814004 Ruminal ulcer (disorder)
815 29943008 Herpes simplex dendritic keratitis (disorder)
815 30283007 Initial frambesial ulcer (disorder)
815 1.97E+08 Acute gastrojejunal ulcer (disorder)
815 31066003 Vaginal ulcer (disorder)
815 95595008 Ulcers of female genital organs (disorder)
815 31452001 Gastric ulcer without hemorrhage AND without perforation but with obstruction (disorder)
815 73481001 Gastric ulcer without hemorrhage AND without perforation (disorder)
815 31786009 Ulceration of bronchioles (disorder)
815 32940002 Tropical phagedenic ulcer (disorder)
815 33953007 Ulcer of esophagus due to ingestion of aspirin (disorder)
815 1.97E+08 Esophageal ulcer due to aspirin (disorder)
815 64595005 Ulcer of esophagus due to ingestion of medicines (disorder)
815 34021006 Chronic duodenal ulcer with hemorrhage AND obstruction (disorder)
815 89469000 Chronic duodenal ulcer with hemorrhage (disorder)
815 34255001 Superficial gingival ulcer (disorder)
815 34543006 Chronic cervicitis with erosion (disorder)
815 83774001 Cervicitis with erosion (disorder)
815 34602004 Chronic duodenal ulcer with perforation but without obstruction (disorder)
815 49916007 Chronic duodenal ulcer with perforation (disorder)
815 34921009 Acute peptic ulcer with perforation but without obstruction (disorder)
815 79118000 Acute peptic ulcer with perforation (disorder)
815 35222003 Chronic neurogenic ulcer of lower limb (disorder)
815 36347008 Chronic trophic ulcer of lower limb (disorder)
815 35517004 Gastrojejunal ulcer without hemorrhage, without perforation AND without obstruction (disorder)
815 35542008 Chancriform pyoderma (disorder)
815 36139001 Chronic ulcerating interstitial cystitis (disorder)
815 1.11E+08 Ulcerative cystitis (disorder)
815 36246001 Chronic gastric ulcer with perforation but without obstruction (disorder)
815 36669007 Ulcerative rhinitis (disorder)
815 80497001 Ulcer of nose (disorder)
815 36975000 Chronic duodenal ulcer with hemorrhage AND perforation (disorder)
815 37426002 Ulcerative laryngitis (disorder)
815 73375005 Ulcer of larynx (disorder)
815 37442009 Peptic ulcer without hemorrhage AND without perforation (disorder)
815 37722001 Ulceroglandular tularemia (disorder)
815 38438008 Pyostomatitis vegetans (disorder)
815 38673002 Ulcer of spermatic cord (disorder)
815 39023007 Chronic ulcer of corpus cavernosum (disorder)
815 74046003 Chronic ulcer of penis (disorder)
815 39204006 Pyloric ulcer (disorder)
815 39344002 Acute erosion of duodenum (disorder)
815 2.36E+08 Duodenal erosion (disorder)
815 39755000 Curling's ulcers (disorder)
815 2.36E+08 Stress ulcer of duodenum (disorder)
815 1.28E+08 Chronic duodenal ulcer (disorder)
815 40524003 Abomasal ulcer, type II (disorder)
815 40719004 Erosive esophagitis (disorder)
815 4.4E+08 Ulcerative esophagitis (disorder)
815 40752005 Ulcer of nasal septum (disorder)
815 3.1E+08 Generalized aphthosis (disorder)
815 41626001 Chronic gastrojejunal ulcer without hemorrhage, without perforation AND without obstruction (disorder)
815 41986000 Acute duodenal ulcer with hemorrhage, with perforation AND with obstruction (disorder)
815 86895006 Acute duodenal ulcer with hemorrhage AND perforation (disorder)
815 87756006 Acute duodenal ulcer with hemorrhage AND obstruction (disorder)
815 62936002 Acute duodenal ulcer with perforation AND obstruction (disorder)
815 42330007 Ulcer of prostate (disorder)
815 42698006 Gastrojejunal ulcer with hemorrhage AND obstruction (disorder)
815 84124004 Gastrojejunal ulcer with hemorrhage (disorder)
815 75656006 Ulcerating cutaneous leishmaniasis (disorder)
815 43035002 Childhood duodenal ulcer (disorder)
815 43694004 Acute gastric ulcer with perforation AND obstruction (disorder)
815 1.97E+08 Acute gastric ulcer with obstruction (disorder)
815 44204006 Erosion of gizzard (disorder)
815 62838000 Chronic gastrojejunal ulcer with hemorrhage (disorder)
815 76181002 Chronic gastric ulcer with hemorrhage AND with perforation (disorder)
815 64094003 Gastrojejunal ulcer with hemorrhage AND perforation (disorder)
815 46495001 Stercoral ulcer of rectum (disorder)
815 54609002 Ulcer of rectum (disorder)
815 2.36E+08 Stercoral ulcer of large intestine (disorder)
815 46516001 Ulcerated internal hemorrhoids (disorder)
815 46523000 Chronic gastrojejunal ulcer with hemorrhage AND with perforation but without obstruction (disorder)
815 46606001 Perforated corneal ulcer (disorder)
815 46708007 Acute gastric ulcer with hemorrhage AND obstruction (disorder)
815 89748001 Acute gastric ulcer with hemorrhage (disorder)
815 46799006 Dysenteric diarrhea (disorder)
815 85942002 Ulceration of intestine (disorder)
815 47064007 Acute peptic ulcer with hemorrhage AND with perforation but without obstruction (disorder)
815 47398006 Marginal corneal ulcer (disorder)
815 2.32E+08 Inflammatory corneal ulcer (disorder)
815 47548009 Necrotizing ulcerative gingivoperiodontitis (disorder)
815 2.41E+08 Guinea-worm ulcer (disorder)
815 49232000 Chronic peptic ulcer with hemorrhage (disorder)
815 50663005 Gastrojejunal ulcer with hemorrhage but without obstruction (disorder)
815 50792001 Corneal erosion (disorder)
815 50882004 Traumatic ulcer of oral mucosa (disorder)
815 51847008 Acute duodenal ulcer with hemorrhage AND with perforation but without obstruction (disorder)
815 66767006 Acute duodenal ulcer with hemorrhage but without obstruction (disorder)
815 52231000 Chronic ulcerative proctitis (disorder)
815 52506002 Chronic ulcerative rectosigmoiditis (disorder)
815 53132006 Zollinger-Ellison syndrome (disorder)
815 53337006 Acute gastric ulcer with hemorrhage, with perforation AND with obstruction (disorder)
815 54053008 Acute gastric ulcer without hemorrhage, without perforation AND without obstruction (disorder)
815 59913009 Gastric ulcer without hemorrhage, without perforation AND without obstruction (disorder)
815 67964002 Acute gastric ulcer without hemorrhage AND without perforation (disorder)
815 4E+08 Amebic ulcer of skin (disorder)
815 54157007 Peptic ulcer without hemorrhage AND without perforation but with obstruction (disorder)
815 2.36E+08 Gastroesophageal reflux disease (disorder)
815 55168004 Ulcerated external hemorrhoids (disorder)
815 55483002 Chronic gastric ulcer with perforation AND with obstruction (disorder)
815 1.97E+08 Chronic gastric ulcer with obstruction (disorder)
815 55746001 Chronic peptic ulcer with hemorrhage AND with perforation but without obstruction (disorder)
815 81518000 Chronic peptic ulcer with hemorrhage but without obstruction (disorder)
815 61300005 Chronic peptic ulcer with hemorrhage AND perforation (disorder)
815 90489006 Peptic ulcer with hemorrhage AND with perforation but without obstruction (disorder)
815 80953005 Chronic peptic ulcer with perforation but without obstruction (disorder)
815 55957000 Proximal colon ulcer (disorder)
815 56461008 Chronic peptic ulcer with hemorrhage AND obstruction (disorder)
815 56579005 Chronic gastrojejunal ulcer without hemorrhage AND without perforation but with obstruction (disorder)
815 56927000 Abomasal ulcer, type III (disorder)
815 57246001 Chronic gastric ulcer with hemorrhage (disorder)
815 57748001 Bleeding ulcer of esophagus (disorder)
815 57871005 Chronic peptic ulcer with perforation AND obstruction (disorder)
815 57940000 Chronic duodenal ulcer without hemorrhage, without perforation AND without obstruction (disorder)
815 57963005 Ulcer of vas deferens (disorder)
815 58085004 Acute peptic ulcer without hemorrhage AND without perforation but with obstruction (disorder)
815 58711008 Acute gastrojejunal ulcer with hemorrhage, with perforation AND with obstruction (disorder)
815 72219001 Acute gastrojejunal ulcer with perforation AND obstruction (disorder)
815 81387001 Acute gastrojejunal ulcer with hemorrhage AND perforation (disorder)
815 72408002 Acute gastrojejunal ulcer with hemorrhage AND obstruction (disorder)
815 59356009 Chronic gastrojejunal ulcer with hemorrhage but without perforation (disorder)
815 59483006 Perforating ulcer of the foot (disorder)
815 95345008 Ulcer of foot (disorder)
815 59515005 Acute gastrojejunal ulcer with hemorrhage but without obstruction (disorder)
815 63954007 Acute gastrojejunal ulcer with hemorrhage (disorder)
815 59612001 Ulcer of gallbladder (disorder)
815 59819007 Herpetic ulceration of vulva (disorder)
815 68640004 Ulceration of vulva (disorder)
815 3.98E+08 Mycotic corneal ulcer (disorder)
815 60400003 Chronic peptic ulcer without hemorrhage, without perforation AND without obstruction (disorder)
815 60531007 Chronic gastric ulcer without hemorrhage AND without perforation but with obstruction (disorder)
815 76796008 Chronic gastric ulcer without hemorrhage AND without perforation (disorder)
815 60551006 Chronic duodenal ulcer with perforation AND obstruction (disorder)
815 61253004 Erosion of cervix (disorder)
815 1.98E+08 Ulcer of cervix (disorder)
815 61715008 Celiac disease with diffuse intestinal ulceration (disorder)
815 62341002 Chronic duodenal ulcer with hemorrhage but without obstruction (disorder)
815 62465000 Ulcer of esophagus due to ingestion of chemicals (disorder)
815 62469006 Ulcer of artery (disorder)
815 62477005 Chronic gastrojejunal ulcer with perforation but without obstruction (disorder)
815 1.97E+08 Acute duodenal ulcer with obstruction (disorder)
815 63041002 Acladiosis (disorder)
815 63137003 Chronic erosive gastritis (disorder)
815 63961006 Lamb dysentery (disorder)
815 64143008 Lip ulcer (disorder)
815 64150007 Endocervicitis with erosion (disorder)
815 3.6E+08 Idiopathic diffuse ulcerative nongranulomatous enteritis (disorder)
815 65018008 Ulcer of cystic duct (disorder)
815 65983008 Histiocytic ulcerative colitis of Boxer dogs (disorder)
815 66636001 Acute gastrojejunal ulcer with perforation (disorder)
815 66673003 Acute gastrojejunal ulcer with hemorrhage AND with perforation but without obstruction (disorder)
815 72395008 Acute gastrojejunal ulcer with perforation but without obstruction (disorder)
815 87796008 Gastrojejunal ulcer with hemorrhage AND with perforation but without obstruction (disorder)
815 67038005 Nonspecific ulcerative proctitis (disorder)
815 3.61E+08 Diffuse ulcerations of jejunum AND/OR ileum (disorder)
815 3.61E+08 Idiopathic small intestinal ulcers (disorder)
815 68834009 Giant duodenal ulcer (disorder)
Heart Failure

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/HeartFailure.xls)

Refset Name: HeartFailure refset
  refset_ID   SCTID FSN
810 364006 Acute left-sided heart failure (disorder)
810   85232009 Left heart failure (disorder)
810 56675007 Acute heart failure (disorder)
810 5053004 Cardiac insufficiency due to prosthesis (disorder)
810 89819002 Cardiac insufficiency during AND/OR resulting from a procedure (disorder)
810 5148006 Hypertensive heart disease with congestive heart failure (disorder)
810 42343007 Congestive heart failure (disorder)
810 46113002 Hypertensive heart failure (disorder)
810 5375005 Chronic left-sided congestive heart failure (disorder)
810 88805009 Chronic congestive heart failure (disorder)
810 1.11E+08 Chronic left-sided heart failure (disorder)
810 10091002 High output heart failure (disorder)
810 84114007 Heart failure (disorder)
810 10335000 Chronic right-sided heart failure (disorder)
810 1.28E+08 Right heart failure (disorder)
810 48447003 Chronic heart failure (disorder)
810 10633002 Acute congestive heart failure (disorder)
810 13839000 Bernheim's syndrome (disorder)
810 3.67E+08 Right ventricular failure (disorder)
810 25544003 Low output heart failure (disorder)
810 4.1E+08 Cardiorespiratory failure (disorder)
810 33622007 Round heart disease (disorder)
810 33644002 Postvalvulotomy syndrome (disorder)
810 60856006 Cardiac insufficiency following cardiac surgery (disorder)
810 43736008 Rheumatic left ventricular failure (disorder)
810 82523003 Congestive rheumatic heart failure (disorder)
810 44088000 Low cardiac output syndrome (disorder)
810 44313006 Right heart failure secondary to left heart failure (disorder)
810 55565007 Cardiac failure after obstetrical surgery AND/OR other procedure including delivery (disorder)
810 3.6E+08 Acute right heart failure (disorder)
810 3.6E+08 Acute right-sided heart failure (disorder)
810 66989003 Chronic right-sided congestive heart failure (disorder)
810 71892000 Cardiac asthma (disorder)
810 74960003 Acute left-sided congestive heart failure (disorder)
810 77737007 Benign hypertensive heart disease with congestive heart failure (disorder)
810 1.95E+08 Benign hypertensive heart disease with congestive cardiac failure (disorder)
810 80479009 Acute right-sided congestive heart failure (disorder)
810 83105008 Malignant hypertensive heart disease with congestive heart failure (disorder)
810 90727007 Pleural effusion due to congestive heart failure (disorder)
810 92506005 Biventricular congestive heart failure (disorder)
810 1.95E+08 Hypertensive heart and renal disease with (congestive) heart failure (disorder)
810 1.95E+08 Hypertensive heart and renal disease with both (congestive) heart failure and renal failure (disorder)
810 1.95E+08 Decompensated cardiac failure (disorder)
810 1.95E+08 Compensated cardiac failure (disorder)
810 1.95E+08 Acute left ventricular failure (disorder)
810 2.07E+08 Congenital cardiac failure (disorder)
810 2.77E+08 Neonatal cardiac failure (disorder)
810 2.34E+08 Heart failure as a complication of care (disorder)
810 2.78E+08 Sepsis-associated left ventricular failure (disorder)
810 2.78E+08 Sepsis-associated right ventricular failure (disorder)
810 3.14E+08 Refractory heart failure (disorder)
810 3.95E+08 Suspected heart disease (situation)
810 3.95E+08 Suspected heart failure (situation)
810 4.18E+08 Systolic heart failure (disorder)
810 4.18E+08 Diastolic heart failure (disorder)
810 4.24E+08 Decompensated chronic heart failure (disorder)
810 4.26E+08 Right heart failure due to pulmonary hypertension (disorder)
810 4.26E+08 Congestive heart failure due to left ventricular systolic dysfunction (disorder)
810 4.27E+08 Congestive heart failure due to valvular disease (disorder)
810 4.41E+08 Chronic systolic heart failure (disorder)
810 4.42E+08 Chronic diastolic heart failure (disorder)
810 4.43E+08 Acute on chronic systolic heart failure (disorder)
810 4.43E+08 Acute systolic heart failure (disorder)
810 4.43E+08 Acute diastolic heart failure (disorder)
810 4.43E+08 Acute on chronic diastolic heart failure (disorder)
810 4.45E+08 Cardiorenal syndrome (disorder)
Hemiplegia or Hemiparesis

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/CNSdisorder.xls)

Refset Name: CNS disorder refset
  refset_ID   SCTID FSN
842   68982002 Disorder of olfactory nerve (disorder)
842 2.75E+08 Tentorial laceration (disorder)
842 151004 Gonococcal meningitis (disorder)
842 1.93E+08 Tuberculous intracranial abscess (disorder)
842 69017006 Cortical vertigo (disorder)
842 1.86E+08 Tuberculous encephalitis or myelitis (disorder)
842 69062005 Closed fracture of T1-T6 level with complete lesion of cord (disorder)
842 1.86E+08 Plague meningitis (disorder)
842 95883001 Bacterial meningitis (disorder)
842 2.75E+08 Falx laceration (disorder)
842 4.07E+08 Gonococcal infection of the central nervous system (disorder)
842 4.26E+08 Bacterial meningitis due to Gram-negative bacteria (disorder)
842 1.86E+08 Listerial cerebral arteritis (disorder)
842 241006 Epilepsia partialis continua (disorder)
842 29753000 Partial seizure (disorder)
842 2.3E+08 Status epilepticus (disorder)
842 281004 Dementia associated with alcoholism (disorder)
842 52448006 Dementia (disorder)
842 1.91E+08 Drug-induced dementia (disorder)
842 29212009 Alcohol-induced organic mental disorder (disorder)
842 1.92E+08 Dementia associated with another disease (disorder)
842 69116000 Moyamoya disease (disorder)
842 442001 Secondary hypopituitarism (disorder)
842 51742006 Disorder of anterior pituitary (disorder)
842 74728003 Hypopituitarism (disorder)
842 69131009 Spinal ataxia (disorder)
842 72442006 Disorder of posterior pituitary (disorder)
842 2.75E+08 Rupture of superficial cerebral vein (disorder)
842 3.13E+08 Meningococcal meningitis with acute meningococcal septicemia (disorder)
842 2.75E+08 Post-cardiorespiratory arrest coma (disorder)
842 3.14E+08 Meningococcal meningitis with meningococcal septicemia (disorder)
842 69178005 Subarachnoid hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 2.82E+08 Hypoxic-ischemic coma (disorder)
842 2.76E+08 Occipital cerebral infarction (disorder)
842 2.76E+08 Millard-Gubler syndrome (disorder)
842 2.76E+08 Top of basilar syndrome (disorder)
842 590005 Congenital aneurysm of anterior communicating artery (disorder)
842 1.86E+08 Acute paralytic non-bulbar poliomyelitis (disorder)
842 1.12E+08 Intracranial hemorrhage following injury with open intracranial wound and prolonged loss of consciousness (more than 24 hours) without return to pre-existing level (disorder)
842 1.86E+08 Acute paralytic poliomyelitis, vaccine-associated (disorder)
842 1.86E+08 Acute paralytic poliomyelitis, wild virus, imported (disorder)
842 69190007 Concussion with prolonged loss of consciousness AND return to pre-existing conscious level (disorder)
842 1.86E+08 Acute paralytic poliomyelitis, wild virus, indigenous (disorder)
842 2.3E+08 Enteroviral encephalitis (disorder)
842 69482004 Korsakoff's psychosis (disorder)
842 2.76E+08 Multiple unruptured cerebral aneurysms (disorder)
842 2.76E+08 Unruptured aneurysm of anterior cerebral artery (disorder)
842 1.86E+08 Epidemic encephalitis (disorder)
842 2.76E+08 Unruptured aneurysm of middle cerebral artery (disorder)
842 2.76E+08 Unruptured aneurysm of posterior cerebral artery (disorder)
842 2.3E+08 Herpes zoster encephalitis (disorder)
842 2.76E+08 Unruptured aneurysm of anterior communicating artery (disorder)
842 1.87E+08 Measles complicated by meningitis (disorder)
842 2.76E+08 Unruptured aneurysm of posterior communicating artery (disorder)
842 1.93E+08 Alcoholic encephalopathy (disorder)
842 4.07E+08 Measles of the central nervous system (disorder)
842 2.76E+08 Unruptured aneurysm of basilar artery (disorder)
842 2.76E+08 Unruptured aneurysm of posterior inferior cerebellar artery (disorder)
842 1.29E+08 Cerebral arterial aneurysm (disorder)
842 2.76E+08 Subarachnoid hemorrhage from multiple aneurysms (disorder)
842 54265003 Congenital anomaly of cerebral artery (disorder)
842 2.76E+08 Subarachnoid hemorrhage from anterior cerebral artery aneurysm (disorder)
842 3.71E+08 Disorder of basilar artery (disorder)
842 2.77E+08 Ruptured aneurysm of anterior cerebral artery (disorder)
842 2.76E+08 Subarachnoid hemorrhage from posterior cerebral artery aneurysm (disorder)
842 792004 Jakob-Creutzfeldt disease (disorder)
842 2.77E+08 Ruptured aneurysm of middle cerebral artery (disorder)
842 20484008 Prion disease (disorder)
842 2.76E+08 Subarachnoid hemorrhage from carotid artery aneurysm (disorder)
842 2.77E+08 Ruptured aneurysm of posterior cerebral artery (disorder)
842 843004 Poliomyelomalacia (disorder)
842 48522003 Spinal cord disorder (disorder)
842 2.77E+08 Ruptured aneurysm of anterior communicating artery (disorder)
842 954008 Renon-Delille syndrome (disorder)
842 1.87E+08 Rubella with neurological complication (disorder)
842 2.77E+08 Ruptured aneurysm of posterior communicating artery (disorder)
842 2.77E+08 Ruptured aneurysm of basilar artery (disorder)
842 2.76E+08 Subarachnoid hemorrhage from posterior inferior cerebellar artery aneurysm (disorder)
842 2.77E+08 Ruptured aneurysm of posterior inferior cerebellar artery (disorder)
842 1.87E+08 Plasmodium falciparum malaria with cerebral complications (disorder)
842 69533002 Foville's syndrome II (disorder)
842 2.77E+08 Perinatal intracranial laceration (disorder)
842 1.87E+08 Acute secondary syphilitic meningitis (disorder)
842 2.77E+08 Perinatal tentorial laceration (disorder)
842 2.77E+08 Tentorial laceration - acute syndrome (disorder)
842 2.77E+08 Tentorial laceration - subacute syndrome (disorder)
842 1.93E+08 Secondary syphilitic meningitis (disorder)
842 2.77E+08 Perinatal occipital diastasis (disorder)
842 2.77E+08 Perinatal falx laceration (disorder)
842 1.87E+08 Histoplasmosis with meningitis (disorder)
842 2.77E+08 Perinatal rupture of superficial cerebral vein (disorder)
842 1.87E+08 Histoplasma duboisii with meningitis (disorder)
842 2.77E+08 Perinatal nonspecific brain dysfunction (disorder)
842 4.07E+08 Histoplasma infection of central nervous system (disorder)
842 2.77E+08 Fifth day fits (disorder)
842 1.87E+08 Pheohyphomycotic brain abscess (disorder)
842 2.76E+08 Foville syndrome (disorder)
842 2.3E+08 Intracranial non-pyogenic abscess (disorder)
842 4.17E+08 Neuroinvasive California encephalitis virus infection (disorder)
842 1.87E+08 Cerebral cryptococcosis (disorder)
842 2.77E+08 Transient hypothyrotropinemia (disorder)
842 74107003 Acromegaly (disorder)
842 965003 Toxic amblyopia (disorder)
842 2.77E+08 Intraventricular hemorrhage of prematurity (disorder)
842 26125006 Toxic optic neuropathy (disorder)
842 2.77E+08 Perinatal periventricular hemorrhage (disorder)
842 1178005 Infantile spastic cerebral palsy (disorder)
842 2.77E+08 Perinatal subependymal hemorrhage with intraventricular extension (disorder)
842 3.87E+08 Spastic syndrome (disorder)
842 2.77E+08 Perinatal subependymal hemorrhage with intraventricular and intracerebral extension (disorder)
842 2.31E+08 Spastic cerebral palsy (disorder)
842 1.87E+08 Rhinocerebral mucormycosis (disorder)
842 2.77E+08 Neonatal meningitis (disorder)
842 2.77E+08 Perinatal cerebral ischemia (disorder)
842 1207009 Glaucomatous atrophy of optic disc (disorder)
842 2.77E+08 Intracerebellar and posterior fossa hemorrhage (disorder)
842 69664005 Ecchordosis physaliphora (disorder)
842 2.8E+08 Familial neonatal seizures (disorder)
842 69820004 Injury of optic chiasm (disorder)
842 95774001 Atrophy of optic disc (disorder)
842 76976005 Optic atrophy (disorder)
842 2.77E+08 Cystic dermoid choristoma of brain (disorder)
842 1383008 Hallucinogen mood disorder (disorder)
842 69875006 Cortex laceration with open intracranial wound AND concussion (disorder)
842 4.43E+08 Fungal infection of cerebrum (disorder)
842 53050002 Hallucinogen-induced organic mental disorder (disorder)
842 37331004 Psychoactive substance-induced organic mood disorder (disorder)
842 1386000 Intracranial hemorrhage (disorder)
842 23853001 Disorder of the central nervous system (disorder)
842 1.87E+08 Cysticercosis of central nervous system (disorder)
842 1427008 Intraspinal abscess (disorder)
842 39367000 Inflammatory disease of the central nervous system (disorder)
842 1.93E+08 Toxoplasma encephalitis (disorder)
842 1430001 Intracranial hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing level (disorder)
842 70307002 Injury at C5-C7 level with anterior cord syndrome AND without bone injury (disorder)
842 2.3E+08 Primary amebic encephalitis (disorder)
842 9015001 Brain injury without open intracranial wound (disorder)
842 1.27E+08 Intracranial injury with loss of consciousness (disorder)
842 1.87E+08 Late effects of central nervous system tuberculosis (disorder)
842 18485009 Intracranial hemorrhage following injury without open intracranial wound AND with loss of consciousness (disorder)
842 1.27E+08 Intracranial hemorrhage following injury with prolonged loss of consciousness without return to pre-existing conscious level (disorder)
842 2.74E+08 Cerebral hemorrhage (disorder)
842 70328006 Cocaine delirium (disorder)
842 1.88E+08 Malignant neoplasm of basal ganglia (disorder)
842 70350007 Degenerative myelopathy (disorder)
842 2.77E+08 Malignant glioma of spinal cord (disorder)
842 70534000 Occult spinal dysraphism sequence (disorder)
842 70611002 Perinatal intraventricular hemorrhage (disorder)
842 70655008 Caffeine-induced anxiety disorder (disorder)
842 1538006 Central nervous system malformation in fetus affecting obstetrical care (disorder)
842 1.28E+08 Congenital anomaly of central nervous system (disorder)
842 1593000 Infantile hemiplegia (disorder)
842 50582007 Hemiplegia (disorder)
842 70686002 Brain stem laceration without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 1686006 Sedative, hypnotic AND/OR anxiolytic-induced anxiety disorder (disorder)
842 50026000 Psychoactive substance-induced organic anxiety disorder (disorder)
842 1734006 Fracture of vertebral column with spinal cord injury (disorder)
842 70694009 Diabetes mellitus AND insipidus with optic atrophy AND deafness (disorder)
842 1.88E+08 Malignant neoplasm of cerebral cortex (disorder)
842 1.88E+08 Malignant neoplasm of corpus striatum (disorder)
842 90584004 Spinal cord injury (disorder)
842 1.88E+08 Malignant neoplasm of globus pallidus (disorder)
842 2.69E+08 Fracture of spine with spinal cord lesion (disorder)
842 2.77E+08 Glioblastoma multiforme of brain (disorder)
842 1.88E+08 Malignant tumor of hypothalamus (disorder)
842 2.77E+08 Glioblastoma multiforme of spinal cord (disorder)
842 70784009 Meningeal irritation (disorder)
842 1.88E+08 Malignant neoplasm of thalamus (disorder)
842 1.88E+08 Malignant neoplasm of hippocampus (disorder)
842 1767005 Fisher's syndrome (disorder)
842 70861009 Subdural hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 1.88E+08 Malignant neoplasm of uncus (disorder)
842 2.77E+08 Primary cerebral lymphoma (disorder)
842 1.88E+08 Malignant tumor of choroid plexus (disorder)
842 95640005 Disorder of brain stem (disorder)
842 1829003 Microcephalus (disorder)
842 2.55E+08 Tumor of choroid plexus (disorder)
842 81308009 Disorder of brain (disorder)
842 1.88E+08 Malignant neoplasm of floor of cerebral ventricle (disorder)
842 1973000 Sedative, hypnotic AND/OR anxiolytic-induced psychotic disorder with delusions (disorder)
842 32552001 Psychoactive substance-induced organic delusional disorder (disorder)
842 2.77E+08 Epidermoid cyst of brain (disorder)
842 2032001 Cerebral edema (disorder)
842 2.77E+08 Berry aneurysm (disorder)
842 1.88E+08 Malignant neoplasm of cerebral peduncle (disorder)
842 1.88E+08 Malignant neoplasm of midbrain (disorder)
842 2.77E+08 Ruptured cerebral arteriovenous malformation (disorder)
842 1.88E+08 Malignant neoplasm of medulla oblongata (disorder)
842 2.77E+08 Angiogram-negative subarachnoid hemorrhage (disorder)
842 1.88E+08 Malignant neoplasm of pons (disorder)
842 2.77E+08 Unruptured internal carotid-posterior communicating artery zone aneurysm (disorder)
842 70932007 Amphetamine-induced sexual dysfunction (disorder)
842 1.88E+08 Malignant neoplasm of corpus callosum (disorder)
842 70936005 Multi-infarct dementia, uncomplicated (disorder)
842 2.77E+08 Unruptured internal carotid-anterior communicating artery zone aneurysm (disorder)
842 1.88E+08 Malignant neoplasm of tapetum (disorder)
842 1.88E+08 Malignant neoplasm of olfactory bulb (disorder)
842 71003000 Ateleiotic dwarfism (disorder)
842 2.77E+08 Unruptured internal carotid bifurcation aneurysm (disorder)
842 2.77E+08 Spinal cord rupture (disorder)
842 2041006 Eunuchoid gigantism (disorder)
842 2.77E+08 Ruptured internal carotid-anterior communicating artery zone aneurysm (disorder)
842 2.77E+08 Ruptured internal carotid-posterior communicating artery zone aneurysm (disorder)
842 1.88E+08 Malignant neoplasm of cerebral dura mater (disorder)
842 2.77E+08 Ruptured internal carotid bifurcation aneurysm (disorder)
842 1.88E+08 Malignant neoplasm of cerebral arachnoid mater (disorder)
842 1.88E+08 Malignant neoplasm of cerebral pia mater (disorder)
842 2.77E+08 Cystic dermoid choristoma of spinal cord (disorder)
842 1.88E+08 Malignant neoplasm of spinal dura mater (disorder)
842 1.88E+08 Malignant neoplasm of spinal arachnoid mater (disorder)
842 80849007 Gigantism (disorder)
842 1.88E+08 Malignant neoplasm of spinal pia mater (disorder)
842 2065009 Dominant hereditary optic atrophy (disorder)
842 2.77E+08 Tension pneumocephalus (disorder)
842 1.88E+08 Malignant neoplasm of pituitary gland and craniopharyngeal duct (disorder)
842 2.77E+08 Suprasellar germ cell tumor (disorder)
842 2.77E+08 Anaplastic astrocytoma of brain (disorder)
842 26360005 Hereditary optic atrophy (disorder)
842 2.77E+08 Cerebral ventricular distension (disorder)
842 3.13E+08 Inherited optic neuropathy (disorder)
842 2.77E+08 Post-asphyxial encephalopathy (disorder)
842 2109003 Isolated somatotropin deficiency (disorder)
842 2.77E+08 Postnatal hypoxic encephalopathy (disorder)
842 44008002 Somatotropin deficiency (disorder)
842 2.77E+08 Neonatal asphyxial encephalopathy (disorder)
842 3.98E+08 Growth hormone deficiency (disorder)
842 2.78E+08 Medulloblastoma of cerebellum (disorder)
842 2169001 Thoracic radiculitis (disorder)
842 41370002 Myelitis (disorder)
842 2.78E+08 Pilocytic astrocytoma of cerebellum (disorder)
842 2198002 Visceral epilepsy (disorder)
842 84757009 Epilepsy (disorder)
842 1.12E+08 Open skull fracture with intracranial hemorrhage (disorder)
842 1.89E+08 Lipoma of spinal cord (disorder)
842 71105005 Ilheus virus encephalitis (disorder)
842 4.29E+08 Low grade glioma of cerebellum (disorder)
842 1.89E+08 Lipoma of spinal canal - extradural (disorder)
842 2.78E+08 Pineal germ cell tumor (disorder)
842 4.28E+08 Benign neoplasm of spinal extradural space (disorder)
842 2.78E+08 Hemangiopericytoma of meninges (disorder)
842 1.89E+08 Lipoma of spinal canal - intradural (disorder)
842 2.78E+08 Primary melanocytic lesion of meninges (disorder)
842 2.78E+08 Diffuse melanosis of meninges (disorder)
842 2.78E+08 Melanocytoma of meninges (disorder)
842 1.89E+08 Cerebral meningioma (disorder)
842 2.78E+08 Malignant melanoma of meninges (disorder)
842 3.03E+08 Intracranial meningioma (disorder)
842 2.78E+08 Meningeal melanosis (disorder)
842 1.89E+08 Spinal meningioma (disorder)
842 2.78E+08 Atelencephaly (disorder)
842 2.78E+08 Aprosencephaly (disorder)
842 2.71E+08 Benign neoplasm of pituitary gland and craniopharyngeal duct (disorder)
842 3.72E+08 Injury of thoracic nerve root (disorder)
842 2.78E+08 Muscle eye brain disease (disorder)
842 2355008 Rud's syndrome (disorder)
842 2.79E+08 Paranoid-hallucinatory epileptic psychosis (disorder)
842 2.79E+08 Frontal lobe degeneration (disorder)
842 2.79E+08 Dementia of frontal lobe type (disorder)
842 1.89E+08 Craniopharyngioma (disorder)
842 2.81E+08 Postoperative meningocele (disorder)
842 2.38E+08 Tumor of pituitary and suprasellar region (disorder)
842 71178008 Congenital spinal hydromeningocele (disorder)
842 1.89E+08 Epileptic drop attack (disorder)
842 71266000 Open fracture of vault of skull with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
842 1.9E+08 Idiopathic panhypopituitarism (disorder)
842 1.12E+08 Open fracture of vault of skull with intracranial hemorrhage (disorder)
842 1.9E+08 Post-birth injury panhypopituitarism (disorder)
842 1.9E+08 Post-infarction panhypopituitarism (disorder)
842 71286001 Spinal cord compression (disorder)
842 2.67E+08 Post-infarction hypopituitarism (disorder)
842 71328000 Opioid-induced sexual dysfunction (disorder)
842 71427006 Cursive seizure (disorder)
842 71444005 Cerebral arterial thrombosis (disorder)
842 2.81E+08 Traumatic meningocele (disorder)
842 2.81E+08 Extension of cerebrovascular accident (disorder)
842 2.82E+08 Neuroblastoma of brain (disorder)
842 76011009 Non-specific brain syndrome (disorder)
842 2470005 Brain damage (disorder)
842 1.27E+08 Traumatic AND/OR non-traumatic brain injury (disorder)
842 71460009 Trypanosomiasis with encephalitis (disorder)
842 2.71E+08 Post-infective hypopituitarism (disorder)
842 2.38E+08 Ateliotic dwarf (disorder)
842 1.9E+08 LH - luteinizing hormone deficiency (disorder)
842 2.38E+08 Empty sella syndrome (disorder)
842 71831005 Symptomatic generalized epilepsy (disorder)
842 2.82E+08 Sacrococcygeal teratoma (disorder)
842 1.9E+08 Diencephalic syndrome secondary to tumor (disorder)
842 2.69E+08 Senile and presenile organic psychotic conditions (disorder)
842 2.82E+08 Non-traumatic intracranial subdural hematoma (disorder)
842 1.91E+08 Uncomplicated presenile dementia (disorder)
842 2495006 Congenital cerebral arteriovenous aneurysm (disorder)
842 1.91E+08 Presenile dementia with paranoia (disorder)
842 2584003 Cerebral degeneration in childhood (disorder)
842 1.91E+08 Senile dementia with paranoia (disorder)
842 4.18E+08 Cerebral degeneration (disorder)
842 1.91E+08 Uncomplicated arteriosclerotic dementia (disorder)
842 2593002 Dubowitz's syndrome (disorder)
842 72103000 Simple partial seizure with special sensory symptoms (disorder)
842 1.91E+08 Arteriosclerotic dementia with delirium (disorder)
842 2.13E+08 Mechanical complication of dorsal column stimulator (disorder)
842 1.91E+08 Arteriosclerotic dementia with paranoia (disorder)
842 2.82E+08 Non-traumatic extradural intracranial hematoma (disorder)
842 1.91E+08 Arteriosclerotic dementia with depression (disorder)
842 2.83E+08 Anterior cord syndrome (disorder)
842 1.91E+08 Korsakov's alcoholic psychosis with peripheral neuritis (disorder)
842 2.83E+08 Posterior cord syndrome (disorder)
842 2.83E+08 Central cord syndrome (disorder)
842 1.91E+08 Chronic alcoholic brain syndrome (disorder)
842 4.26E+08 Chronic organic mental disorder (disorder)
842 1.91E+08 Alcohol withdrawal hallucinosis (disorder)
842 57148006 Congenital anomaly of brain (disorder)
842 1.91E+08 Pathological alcohol intoxication (disorder)
842 1.91E+08 Alcoholic paranoia (disorder)
842 2776000 Delirium (disorder)
842 1.91E+08 Drug-induced amnestic syndrome (disorder)
842 1.06E+08 Organic mental disorder of unknown etiology (disorder)
842 2.87E+08 Confusional state (disorder)
842 2840008 Open fracture of vault of skull with cerebral laceration AND/OR contusion (disorder)
842 2.86E+08 Metastasis to brain of unknown primary (disorder)
842 4.29E+08 Transient organic mental disorder (disorder)
842 2.31E+08 Toxic confusional state (disorder)
842 1.92E+08 Acute confusional state, post-traumatic (disorder)
842 1.92E+08 Acute confusional state, of infective origin (disorder)
842 90898001 Open skull fracture with cerebral laceration AND/OR contusion (disorder)
842 1.92E+08 Acute confusional state, of endocrine origin (disorder)
842 1.92E+08 Acute confusional state, of metabolic origin (disorder)
842 1.92E+08 Acute confusional state, of cerebrovascular origin (disorder)
842 1.92E+08 Subacute delirium (disorder)
842 1.92E+08 Subacute confusional state, post-traumatic (disorder)
842 1.92E+08 Subacute confusional state, of infective origin (disorder)
842 2.08E+08 Open fracture vault of skull with intracranial injury (disorder)
842 3.15E+08 Progressive locomotor ataxia (disorder)
842 1.92E+08 Subacute confusional state, of endocrine origin (disorder)
842 72452005 Cerebral hypernatremia (disorder)
842 75853001 Central nervous system disorder of water regulation (disorder)
842 1.92E+08 Subacute confusional state, of metabolic origin (disorder)
842 1.92E+08 Subacute confusional state, of cerebrovascular origin (disorder)
842 2.81E+08 Chronic confusional state (disorder)
842 3.16E+08 Tabetic neurosyphilis (disorder)
842 3.17E+08 Tabes dorsalis (disorder)
842 72585000 Parkinsonian syndrome associated with idiopathic orthostatic hypotension (disorder)
842 2.3E+08 Multiple system atrophy (disorder)
842 72655000 Alternating hypoglossal hemiplegia (disorder)
842 2972007 Anterior spinal artery occlusion syndrome (disorder)
842 1.92E+08 Nonorganic insomnia (disorder)
842 2.3E+08 Hypersomnia of non-organic origin (disorder)
842 2.97E+08 Embolus of circle of Willis (disorder)
842 1.92E+08 Short-sleeper (disorder)
842 2.31E+08 Postleucotomy syndrome (disorder)
842 2.31E+08 Lobotomy syndrome (disorder)
842 1.92E+08 Organic memory impairment (disorder)
842 2.3E+08 Vascular dementia of acute onset (disorder)
842 2.3E+08 Subcortical vascular dementia (disorder)
842 2.3E+08 Mixed cortical and subcortical vascular dementia (disorder)
842 2992000 Pigmentary pallidal degeneration (disorder)
842 2.31E+08 Organic catatonic disorder (disorder)
842 76349003 Extrapyramidal disease (disorder)
842 72797002 Cerebellar contusion with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
842 70835005 Disorder of basal ganglia (disorder)
842 2.31E+08 Organic dissociative disorder (disorder)
842 2.31E+08 Organic emotionally labile disorder (disorder)
842 3072001 Hormone-induced hypopituitarism (disorder)
842 2.97E+08 Vertebral artery aneurysm (disorder)
842 2.38E+08 Iatrogenic hypopituitarism (disorder)
842 86842008 Iatrogenic pituitary disorder (disorder)
842 3E+08 Compression of thoracic nerve root (disorder)
842 3119002 Brain stem laceration with open intracranial wound AND loss of consciousness (disorder)
842 2.69E+08 Non-organic disorder of the sleep-wake schedule (disorder)
842 72820004 Neuroleptic-induced Parkinsonism (disorder)
842 12589008 Brain stem laceration with open intracranial wound (disorder)
842 13752003 Brain injury with open intracranial wound AND loss of consciousness (disorder)
842 72880002 Oropouche virus disease (disorder)
842 4.07E+08 Haemophilus infection of the central nervous system (disorder)
842 72986009 Acute hemorrhagic leukoencephalitis (disorder)
842 1.93E+08 Meningitis due to typhoid fever (disorder)
842 1.93E+08 Post-infectious encephalitis (disorder)
842 83942000 Acute disseminated encephalomyelitis (disorder)
842 1.93E+08 Actinomycotic meningitis (disorder)
842 95643007 Autoimmune encephalitis (disorder)
842 4.45E+08 Meningitis due to anaerobic bacteria (disorder)
842 2.3E+08 Post-infectious encephalomyelitis (disorder)
842 1.93E+08 Meningitis due to pertussis (disorder)
842 73064001 Thyrotropin overproduction (disorder)
842 4.21E+08 Meningitis due to Klebsiella mobilis (disorder)
842 73097000 Alcohol amnestic disorder (disorder)
842 1.93E+08 Meningitis due to bacillus pyocyaneus (disorder)
842 1.93E+08 Pseudomonas meningitis (disorder)
842 73143002 Multiple closed fractures of skull AND/OR face with cerebral laceration AND/OR contusion (disorder)
842 1.93E+08 Escherichia coli meningitis (disorder)
842 4.07E+08 Escherichia coli infection of the central nervous system (disorder)
842 1.93E+08 Meningitis due to Friedlander bacillus (disorder)
842 1.93E+08 Morganella morganii meningitis (disorder)
842 4.23E+08 Papilledema - optic disc edema due to raised intracranial pressure (disorder)
842 1.93E+08 Sarcoid meningitis (disorder)
842 3E+08 Compression of lumbar nerve root (disorder)
842 73173006 Spasm of cerebral arteries (disorder)
842 73221001 Optic papillitis (disorder)
842 3298001 Amnestic disorder (disorder)
842 3E+08 Compression of sacral nerve root (disorder)
842 1.11E+08 Organic mental disorder (disorder)
842 2.68E+08 Encephalitis, myelitis and encephalomyelitis (disorder)
842 1.93E+08 Rubella encephalitis (disorder)
842 3.01E+08 Alcohol-induced cerebellar ataxia (disorder)
842 73308006 Extradural hemorrhage following injury with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
842 73331006 Hemimyelia (disorder)
842 3.1E+08 Encephalitis due to influenza-virus identified (disorder)
842 3.01E+08 Drug-induced orofacial dyskinesia (disorder)
842 3.02E+08 Cerebellar hematoma (disorder)
842 4.2E+08 Encephalitis due to rickettsia (disorder)
842 3.03E+08 Syphilitic acoustic neuritis - quaternary stage (disorder)
842 1.73E+08 Acute poliomyelitis with paralysis except bulbar (disorder)
842 1.93E+08 Post BCG vaccination encephalitis (disorder)
842 3.98E+08 Infantile paralysis (disorder)
842 1.93E+08 Post typhoid vaccination encephalitis (disorder)
842 1.93E+08 Post paratyphoid vaccination encephalitis (disorder)
842 1.93E+08 Post cholera vaccination encephalitis (disorder)
842 3.03E+08 Proteus meningitis (disorder)
842 1.93E+08 Post plague vaccination encephalitis (disorder)
842 3.03E+08 Septic thrombophlebitis of cavernous sinus (disorder)
842 1.93E+08 Post tetanus vaccination encephalitis (disorder)
842 73390009 Endophlebitis of cavernous venous sinus (disorder)
842 1.93E+08 Post diphtheria vaccination encephalitis (disorder)
842 3446000 Open fracture of T7-T12 level with spinal cord injury (disorder)
842 1.93E+08 Post pertussis vaccination encephalitis (disorder)
842 1.93E+08 Post smallpox vaccination encephalitis (disorder)
842 73413009 Cortex contusion with open intracranial wound AND concussion (disorder)
842 1.93E+08 Post rabies vaccination encephalitis (disorder)
842 1.93E+08 Post typhus vaccination encephalitis (disorder)
842 3.03E+08 Septic thrombophlebitis of sagittal sinus (disorder)
842 1.93E+08 Post yellow fever vaccination encephalitis (disorder)
842 1.93E+08 Post measles vaccination encephalitis (disorder)
842 3.03E+08 Hydrocephalus associated with congenital aqueduct stenosis (disorder)
842 3.03E+08 Infarction of optic chiasm (disorder)
842 1.93E+08 Post polio vaccination encephalitis (disorder)
842 1.93E+08 Post mumps vaccination encephalitis (disorder)
842 78211006 Open fracture of thoracic spine with spinal cord injury (disorder)
842 1.93E+08 Post rubella vaccination encephalitis (disorder)
842 87888006 Cortex contusion with open intracranial wound (disorder)
842 1.93E+08 Post influenza vaccination encephalitis (disorder)
842 1.93E+08 Post hepatitis A vaccination encephalitis (disorder)
842 3.03E+08 Infarction of visual cortex (disorder)
842 3.03E+08 Cerebellar pyogenic abscess (disorder)
842 73431005 Meningococcal optic neuritis (disorder)
842 1.93E+08 Post hepatitis B vaccination encephalitis (disorder)
842 1.93E+08 Post mixed vaccination encephalitis (disorder)
842 3456001 Chronic progressive non-hereditary chorea (disorder)
842 3.05E+08 Variant Creutzfeldt-Jakob disease (disorder)
842 3652007 Overproduction of growth hormone (disorder)
842 73439007 Subarachnoid hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 10649000 Hyperpituitarism (disorder)
842 3.05E+08 Chronic intracranial subdural hematoma (disorder)
842 3681008 Thrombophlebitis of torcular Herophili (disorder)
842 18322005 Thrombosis of torcular Herophili (disorder)
842 73495003 Dyssynergia cerebellaris myoclonica (disorder)
842 3.13E+08 Intracranial thrombophlebitis (disorder)
842 3.07E+08 Brain ventricular shunt malfunction (disorder)
842 2.3E+08 Rasmussen syndrome (disorder)
842 2.3E+08 Varicella transverse myelitis (disorder)
842 4069002 Anoxic brain damage during AND/OR resulting from a procedure (disorder)
842 1.93E+08 Epileptic automatism (disorder)
842 3.89E+08 Anoxia of brain (disorder)
842 73935008 Toxic encephalopathy due to hydroxyquinoline (disorder)
842 3.89E+08 Anoxic encephalopathy (disorder)
842 74073002 Cerebellar hemangioblastomatosis (disorder)
842 87536007 Central nervous system complication (disorder)
842 4088009 Acquired hydrocephalus (disorder)
842 2.67E+08 Gigantism and acromegaly (disorder)
842 2.31E+08 Hydrocephalus (disorder)
842 74267005 Toxic encephalopathy due to carbon tetrachloride (disorder)
842 4103001 Complex partial seizure with impairment of consciousness (disorder)
842 74286002 Transmissible mink encephalopathy (disorder)
842 4113009 Arrested hydrocephalus (disorder)
842 74297002 Injury of cervical nerve roots (disorder)
842 1.06E+08 Hereditary degenerative disease of central nervous system (disorder)
842 4223005 Parkinsonism due to drug (disorder)
842 2.3E+08 Secondary parkinsonism (disorder)
842 74333002 Spasmodic torticollis (disorder)
842 4.3E+08 Occipital extradural hematoma (disorder)
842 4.29E+08 Occipital subdural hematoma (disorder)
842 2.3E+08 Isolated cervical dystonia (disorder)
842 2.66E+08 Late congenital neurosyphilis (disorder)
842 1.93E+08 Epidural intracranial abscess (disorder)
842 74351001 Reye's syndrome (disorder)
842 1.93E+08 Subdural intracranial abscess (disorder)
842 3.07E+08 Congenital agenesis of brainstem nuclei (disorder)
842 74360009 Open fracture of C5-C7 level with central cord syndrome (disorder)
842 4260009 Sacral spinal cord injury without bone injury (disorder)
842 1.93E+08 Phlebitis and thrombophlebitis of intracranial sinuses (disorder)
842 26738009 Spinal cord injury without spinal bone injury (disorder)
842 4262001 Phlebitis of superior sagittal sinus (disorder)
842 3.07E+08 Intracranial venous septic embolism (disorder)
842 1.93E+08 Embolism cavernous sinus (disorder)
842 18058007 Phlebitis of intracranial venous sinus (disorder)
842 1.93E+08 Embolism superior longitudinal sinus (disorder)
842 1.93E+08 Embolism lateral sinus (disorder)
842 3.07E+08 Multiple lacunar infarcts (disorder)
842 1.93E+08 Embolism transverse sinus (disorder)
842 1.93E+08 Thrombosis of superior longitudinal sinus (disorder)
842 3.61E+08 Female hypogonadotropic hypogonadism (disorder)
842 4332009 Subarachnoid hemorrhage following injury without open intracranial wound AND with concussion (disorder)
842 1.93E+08 Thrombosis transverse sinus (disorder)
842 3.08E+08 Microglioma (disorder)
842 3.08E+08 Oculopalatal myoclonus (disorder)
842 28048009 Subarachnoid hemorrhage following injury without open intracranial wound (disorder)
842 3.08E+08 Hemi-seesaw nystagmus (disorder)
842 78757009 Intracranial hemorrhage following injury without open intracranial wound AND with concussion (disorder)
842 3.08E+08 Abducting nystagmus (disorder)
842 4473006 Migraine with aura (disorder)
842 3.09E+08 Hypoglycemia-induced convulsion (disorder)
842 3.09E+08 Alcohol withdrawal-induced convulsion (disorder)
842 4510004 Streptococcal meningitis (disorder)
842 4.07E+08 Streptococcus infection of the central nervous system (disorder)
842 3.13E+08 Nerve fiber layer infarct (disorder)
842 4523006 Babinski-Nageotte syndrome (disorder)
842 4.21E+08 Intraocular non-Hodgkin malignant lymphoma (disorder)
842 2.1E+08 Extradural hemorrhage following injury with open intracranial wound, with no loss of consciousness (disorder)
842 1.93E+08 Phlebitis of central nervous system venous sinuses (disorder)
842 4604008 Open fracture of T7-T12 level with complete lesion of cord (disorder)
842 1.93E+08 Phlebitis of superior longitudinal sinus (disorder)
842 3.13E+08 Idiopathic optic disc swelling (disorder)
842 1.93E+08 Phlebitis transverse sinus (disorder)
842 1.93E+08 Thrombophlebitis of central nervous system venous sinuses (disorder)
842 1.93E+08 Thrombophlebitis of superior longitudinal venous sinus (disorder)
842 1.93E+08 Late effects of intracranial abscess or pyogenic infection (disorder)
842 4.23E+08 Optic disc edema (disorder)
842 3.13E+08 Infiltrative optic neuropathy (disorder)
842 4619009 Generalized-onset seizures (disorder)
842 3.13E+08 Senile dementia of the Lewy body type (disorder)
842 1.29E+08 Seizure disorder (disorder)
842 1.93E+08 Cerebral degeneration associated with another disorder (disorder)
842 3.13E+08 Central retinal vein occlusion - ischemic (disorder)
842 4.2E+08 Cerebral degeneration associated with generalized lipidosis (disorder)
842 1.93E+08 Cerebral degeneration in Gaucher's disease (disorder)
842 1.93E+08 Cerebral degeneration in Niemann-Pick disease (disorder)
842 3.13E+08 Central retinal vein occlusion - non-ischemic (disorder)
842 1.93E+08 Cerebral degeneration in Hunter's disease (disorder)
842 1.93E+08 Cerebral degeneration in mucopolysaccharidosis (disorder)
842 1.93E+08 Cerebral degeneration due to beriberi (disorder)
842 2.3E+08 Encephalopathy due to vitamin deficiency (disorder)
842 1.93E+08 Cerebral degeneration due to cerebrovascular disease (disorder)
842 1.93E+08 Cerebral degeneration due to congenital hydrocephalus (disorder)
842 3.61E+08 Female Kallman's syndrome (disorder)
842 1.93E+08 Cerebral degeneration due to neoplastic disease (disorder)
842 1.93E+08 Myxedema encephalopathy (disorder)
842 1.93E+08 Cerebral degeneration due to vitamin B12 deficiency (disorder)
842 74644004 Influenza with encephalopathy (disorder)
842 1.93E+08 Cerebral degeneration due to Creutzfeldt-Jakob disease (disorder)
842 1.93E+08 Cerebral degeneration due to progressive multifocal leukoencephalopathy (disorder)
842 4.07E+08 Influenza of the central nervous system (disorder)
842 3.1E+08 Encephalitis due to influenza (disorder)
842 2.3E+08 Chronic viral encephalitis (disorder)
842 74737003 Complex partial seizure + impairment consciousness at onset (disorder)
842 1.93E+08 Parkinsonism with orthostatic hypotension (disorder)
842 74740003 Hydrorhachis (disorder)
842 2.3E+08 Aicardi Goutieres syndrome (disorder)
842 74810008 Premotor cortex syndrome (disorder)
842 1.93E+08 Myoclonic encephalopathy (disorder)
842 74934004 Psychoactive substance-induced organic withdrawal (disorder)
842 3.13E+08 Encephalitis due to influenza-specific virus not identified (disorder)
842 75019001 Athetoid cerebral palsy (disorder)
842 4645000 Senile brain amyloidosis (disorder)
842 52522001 Degenerative brain disorder (disorder)
842 2.31E+08 Dyskinetic cerebral palsy (disorder)
842 4817008 Primary degenerative dementia of the Alzheimer type, senile onset, with delirium (disorder)
842 75023009 Post-traumatic epilepsy (disorder)
842 2.3E+08 Idiopathic familial dystonia (disorder)
842 3.13E+08 Non-traumatic spinal subdural hematoma (disorder)
842 1.91E+08 Senile dementia with delirium (disorder)
842 2.3E+08 Lennox-Gastaut syndrome (disorder)
842 2.3E+08 Hemiplegia-hemiconvulsion-epilepsy syndrome (disorder)
842 4.17E+08 Primary degenerative dementia of the Alzheimer type, senile onset (disorder)
842 75038005 Cerebellar hemorrhage (disorder)
842 4863002 Phencyclidine (PCP) mood disorder (disorder)
842 75046006 Combined pyramidal-extrapyramidal syndrome (disorder)
842 2.3E+08 Drug-induced dystonia (disorder)
842 4898004 Grahmann's syndrome (disorder)
842 1.93E+08 Early onset cerebellar ataxia with myoclonus (disorder)
842 1.12E+08 Hypothalamic syndrome (disorder)
842 3.99E+08 Disorder of pituitary gland (disorder)
842 1.93E+08 Cerebellar ataxia associated with another disorder (disorder)
842 4945003 Microgyria (disorder)
842 3.61E+08 Cerebellar ataxia due to alcoholism (disorder)
842 1.93E+08 Myxedema cerebellar degeneration (disorder)
842 2.53E+08 Disorder of neuronal migration and differentiation (disorder)
842 1.93E+08 Paraneoplastic cerebellar degeneration (disorder)
842 4952001 Cerebral irritability in newborn (disorder)
842 1.93E+08 Myelopathy due to acute infarction of spinal cord (disorder)
842 1.93E+08 Myelopathy due to arterial thrombosis of spinal cord (disorder)
842 1.93E+08 Myelopathy due to edema of spinal cord (disorder)
842 3.13E+08 Residual hemiplegia (disorder)
842 1.93E+08 Myelopathy due to hematomyelia (disorder)
842 3.15E+08 Diabetic optic papillopathy (disorder)
842 75122001 Inhalant-induced psychotic disorder with delusions (disorder)
842 75138007 Endophlebitis of superior sagittal sinus (disorder)
842 2.77E+08 Cerebral irritation (disorder)
842 37145001 Central nervous system dysfunction in newborn (disorder)
842 2.61E+08 Abnormal involuntary movement (disorder)
842 75143000 Toxic encephalitis due to thallium (disorder)
842 5073009 Brain stem laceration with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 2.31E+08 Anterior spinal artery thrombosis (disorder)
842 1.93E+08 Myelopathy due to intervertebral disc disease (disorder)
842 3.15E+08 Tobacco related optic neuropathy (disorder)
842 1.93E+08 Myelopathy due to neoplastic disease (disorder)
842 3.15E+08 Alcohol related optic neuropathy (disorder)
842 1.93E+08 Myelopathy due to spondylosis (disorder)
842 3.15E+08 Drug induced optic neuropathy (disorder)
842 1.93E+08 Generalized multiple sclerosis (disorder)
842 3.15E+08 Pontine one and a half syndrome (disorder)
842 1.93E+08 Exacerbation of multiple sclerosis (disorder)
842 1.93E+08 Acute and subacute hemorrhagic leukoencephalitis [Hurst] (disorder)
842 3.15E+08 Optic neuroretinitis (disorder)
842 2.3E+08 Subacute necrotizing myelitis (disorder)
842 2.78E+08 Left hemiparesis (disorder)
842 3.15E+08 Migration of spinal cord stimulator (disorder)
842 2.78E+08 Left hemiplegia (disorder)
842 2.78E+08 Right hemiparesis (disorder)
842 2.78E+08 Right hemiplegia (disorder)
842 2.75E+08 Congenital cerebral palsy (disorder)
842 2.75E+08 Congenital spastic cerebral palsy (disorder)
842 27923006 Brain injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 5102002 Agenesis of corpus callosum (disorder)
842 75299005 Spastic spinal syphilitic paralysis (disorder)
842 75076004 Amyelencephalus (disorder)
842 2.04E+08 Aplasia of corpus callosum (disorder)
842 2.04E+08 Congenital malformation of corpus callosum (disorder)
842 2.75E+08 Congenital diplegia (disorder)
842 3.6E+08 Pinealoma (disorder)
842 2.75E+08 Congenital quadriplegia (disorder)
842 2.31E+08 Congenital spastic foot (disorder)
842 1.93E+08 Ataxic infantile cerebral palsy (disorder)
842 2.79E+08 Ataxic cerebral palsy (disorder)
842 3.71E+08 Posthemorrhagic hydrocephalus (disorder)
842 1.93E+08 Hypotonic cerebral palsy (disorder)
842 2.3E+08 Juvenile absence epilepsy (disorder)
842 75467001 Intervertebral disc disorder of cervical region with myelopathy (disorder)
842 1.93E+08 Benign myoclonic epilepsy in infancy (disorder)
842 5120006 Cortex laceration without open intracranial wound AND with concussion (disorder)
842 33332005 Brain injury without open intracranial wound AND with concussion (disorder)
842 44341005 Cortex laceration without open intracranial wound (disorder)
842 1.93E+08 Epileptic seizures - myoclonic (disorder)
842 2.3E+08 Myoclonic epilepsy - ragged red fibers (disorder)
842 1.93E+08 Partial epilepsy with impairment of consciousness (disorder)
842 1.93E+08 Psychosensory epilepsy (disorder)
842 1.93E+08 Mesiobasal limbic epilepsy (disorder)
842 1.93E+08 Somatosensory epilepsy (disorder)
842 1.93E+08 Partial epilepsy with autonomic symptoms (disorder)
842 1.93E+08 Visual reflex epilepsy (disorder)
842 1.93E+08 Kojevnikov's epilepsy (disorder)
842 1.93E+08 Cursive (running) epilepsy (disorder)
842 3.71E+08 Equine degenerative myeloencephalopathy (disorder)
842 75834006 Strachan's syndrome (disorder)
842 5158005 Gilles de la Tourette's syndrome (disorder)
842 5202009 Brain injury with open intracranial wound AND concussion (disorder)
842 1.93E+08 Localization-related(focal)(partial)idiopathic epilepsy and epileptic syndromes with seizures of localized onset (disorder)
842 3.71E+08 Anaplastic astrocytoma of spinal cord (disorder)
842 2.3E+08 Complex partial status epilepticus (disorder)
842 1.93E+08 Sick headache (disorder)
842 3.71E+08 Seizures due to metabolic disorder (disorder)
842 1.93E+08 Migraine variants (disorder)
842 3.71E+08 Senile dementia with psychosis (disorder)
842 3.71E+08 Ischemic disorder of spinal cord (disorder)
842 1.1E+08 Concussion injury of brain (disorder)
842 28188001 Brain injury with open intracranial wound (disorder)
842 3.71E+08 Staphylococcus epidermidis ventriculitis (disorder)
842 5217008 Stiff-man syndrome (disorder)
842 3.71E+08 Traumatic intracranial subdural hematoma with brief loss of consciousness (disorder)
842 2.31E+08 Disorders of spinal neurones manifest by hyperactivity (disorder)
842 5251007 Subarachnoid hemorrhage following injury with open intracranial wound (disorder)
842 3.71E+08 Congenital syringomyelia (disorder)
842 75837004 Mood disorder with depressive features due to general medical condition (disorder)
842 1.27E+08 Intracranial injury (disorder)
842 21454007 Subarachnoid hemorrhage (disorder)
842 3.71E+08 Ventriculoperitoneal shunt malfunction (disorder)
842 2.3E+08 Status migrainosus (disorder)
842 5444000 Sedative, hypnotic AND/OR anxiolytic intoxication delirium (disorder)
842 1.93E+08 Complicated migraine (disorder)
842 3.71E+08 Paraplegic cerebral palsy (disorder)
842 1.93E+08 Cerebrospinal fluid leak from spinal puncture (disorder)
842 1.93E+08 Intracranial hypotension following ventricular shunting (disorder)
842 39003006 Psychoactive substance-induced organic delirium (disorder)
842 3.71E+08 Seizures complicating intracranial hemorrhage in the newborn (disorder)
842 5470004 Cerebellar contusion with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 3.71E+08 Seizures complicating intracranial hemorrhage (disorder)
842 3.71E+08 Seizures complicating infection (disorder)
842 19233004 Cerebellar contusion with open intracranial wound AND loss of consciousness (disorder)
842 5510009 Organic delusional disorder (disorder)
842 2.31E+08 Organic psychosyndrome (disorder)
842 5566009 Trypanosomiasis with meningitis (disorder)
842 75968004 Sotos' syndrome (disorder)
842 1.93E+08 Chemical meningitis (disorder)
842 76043009 Hereditary sensory-motor neuropathy, type V (disorder)
842 3.12E+08 Cerebral akinetopsia (disorder)
842 76156000 Juvenile cerebellar degeneration AND myoclonus (disorder)
842 3.72E+08 Seizures complicating infection in the newborn (disorder)
842 76179004 Injury at C5-C7 level with posterior cord syndrome AND without bone injury (disorder)
842 3.72E+08 Post-traumatic syrinx (disorder)
842 1.94E+08 Charles Bonnet syndrome (disorder)
842 1.94E+08 Optic atrophy secondary to retinal disease (disorder)
842 1.94E+08 Disorder of optic chiasm due to pituitary disorder (disorder)
842 1.94E+08 Disorder of optic chiasm due to non-pituitary neoplasm (disorder)
842 3.74E+08 Convergence retraction nystagmus (disorder)
842 1.94E+08 Disorder of optic chiasm due to vascular disorder (disorder)
842 1.94E+08 Inflammatory disorder of optic chiasm (disorder)
842 3.74E+08 Hypoplasia of optic disc (disorder)
842 1.94E+08 Visual pathway disorder due to neoplasm (disorder)
842 1.94E+08 Visual pathway disorder due to vascular disorder (disorder)
842 1.94E+08 Inflammatory disorder of optic tract (disorder)
842 3.74E+08 Optic disc structural anomaly (disorder)
842 2.3E+08 Parasitic meningitis (disorder)
842 5582005 Posterior fossa compression syndrome (disorder)
842 46963008 Compression of brain (disorder)
842 1.94E+08 Visual cortex disorder due to neoplasm (disorder)
842 5601008 Klippel-Feil sequence (disorder)
842 2.53E+08 Abnormality of canalization and retrogressive differentiation (disorder)
842 1.94E+08 Visual cortex disorder due to vascular disorder (disorder)
842 3.74E+08 Pontoneocerebellar hypoplasia (disorder)
842 1.94E+08 Inflammatory disorder of visual cortex (disorder)
842 1.95E+08 Ruptured berry aneurysm (disorder)
842 76418009 Concussion with mental confusion AND/OR disorientation without loss of consciousness (disorder)
842 3.85E+08 Periventricular hemorrhagic venous infarct (disorder)
842 1.26E+08 Open fracture of cervical region with spinal cord injury (disorder)
842 5645008 Nasal glial heterotopia (disorder)
842 1.95E+08 Subarachnoid hemorrhage from carotid siphon and bifurcation (disorder)
842 2.71E+08 Spontaneous subarachnoid hemorrhage (disorder)
842 3.89E+08 Primary optic nerve sheath meningioma (disorder)
842 2.76E+08 Subarachnoid hemorrhage from middle cerebral artery aneurysm (disorder)
842 2.76E+08 Subarachnoid hemorrhage from anterior communicating artery aneurysm (disorder)
842 3.89E+08 Secondary optic nerve sheath meningioma (disorder)
842 43427008 Ectopic glial tissue (disorder)
842 5822000 Athetosis with spastic paraplegia (disorder)
842 3.89E+08 Microcephalic osteodysplastic dysplasia (disorder)
842 44913001 Athetosis (disorder)
842 91502009 Spinocerebellar disease (disorder)
842 3.89E+08 Spondyloenchondromatosis with basal ganglia calcification (disorder)
842 5842009 Spinal cord dysplasia (disorder)
842 81042008 Congenital anomaly of spinal cord (disorder)
842 2.76E+08 Subarachnoid hemorrhage from posterior communicating artery aneurysm (disorder)
842 2.76E+08 Subarachnoid hemorrhage from basilar artery aneurysm (disorder)
842 1.95E+08 Subarachnoid hemorrhage from vertebral artery (disorder)
842 76474001 Herpetic acute necrotizing encephalitis (disorder)
842 4.18E+08 Neuroinvasive Cache Valley encephalitis virus infection (disorder)
842 5886004 Cortex contusion without open intracranial wound AND with no loss of consciousness (disorder)
842 32106001 Cortex contusion without open intracranial wound (disorder)
842 3.98E+08 Bulbar weakness (disorder)
842 3.98E+08 Human rabies (disorder)
842 5900006 Haemophilus influenzae meningitis (disorder)
842 4.01E+08 Dysplasia of cerebral cortex (disorder)
842 1.93E+08 Haemophilus meningitis (disorder)
842 6118003 Demyelinating disease of central nervous system (disorder)
842 6147005 Brain stem laceration with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
842 76482001 Thromboembolic meningoencephalitis (disorder)
842 28156009 Brain injury with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
842 6204001 Juvenile myoclonic epilepsy (disorder)
842 37356005 Myoclonic seizure (disorder)
842 76523007 Intermittent cauda equina claudication (disorder)
842 36803009 Idiopathic generalized epilepsy (disorder)
842 6267005 Congenital syphilitic meningitis (disorder)
842 4.04E+08 Pinocchio syndrome (disorder)
842 2.63E+08 Injury of vertebral artery (disorder)
842 4.04E+08 West Nile meningitis (disorder)
842 4.04E+08 St. Louis meningitis (disorder)
842 4.04E+08 Jamestown Canyon virus meningitis (disorder)
842 1.95E+08 Basal ganglia hemorrhage (disorder)
842 4.04E+08 California serogroup viral meningitis (disorder)
842 1.95E+08 External capsule hemorrhage (disorder)
842 1.95E+08 Intracerebral hemorrhage, intraventricular (disorder)
842 4.04E+08 La Crosse meningitis (disorder)
842 1.95E+08 Intracerebral hemorrhage, multiple localized (disorder)
842 4.04E+08 Snowshoe hare meningitis (disorder)
842 2.31E+08 Infarction - precerebral (disorder)
842 4.04E+08 Keystone virus meningitis (disorder)
842 1.95E+08 Cerebral infarct due to thrombosis of precerebral arteries (disorder)
842 76675006 Cerebellar laceration without open intracranial wound AND with concussion (disorder)
842 1.95E+08 Cerebral infarction due to embolism of precerebral arteries (disorder)
842 1.95E+08 Cerebral infarction due to thrombosis of cerebral arteries (disorder)
842 1.95E+08 Cerebral infarction due to embolism of cerebral arteries (disorder)
842 76889003 Failed attempted abortion with cerebral anoxia (disorder)
842 76896001 Subpial siderosis (disorder)
842 3.08E+08 Left sided cerebral infarction (disorder)
842 76938004 Infantile encephalopathy AND lactic acidosis (disorder)
842 3.08E+08 Right sided cerebral infarction (disorder)
842 77015008 Crossed hemiplegia (disorder)
842 1.95E+08 Vertebrobasilar artery syndrome (disorder)
842 3.01E+08 Syphilitic meningitis (disorder)
842 6342009 Injury at C1-C4 level with central cord syndrome AND without bone injury (disorder)
842 4.05E+08 Chiasmal glioma (disorder)
842 2.1E+08 Cortex contusion with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
842 57360002 Spinal cord injury to cervical region without bone injury (disorder)
842 6348008 Cocaine-induced psychotic disorder with hallucinations (disorder)
842 1.95E+08 Carotid artery syndrome hemispheric (disorder)
842 77274005 Idiopathic diabetes insipidus (disorder)
842 46975003 Cocaine-induced organic mental disorder (disorder)
842 4.21E+08 Primary lymphoma of brain associated with AIDS (disorder)
842 1.95E+08 Multiple and bilateral precerebral artery syndromes (disorder)
842 1.95E+08 Impending cerebral ischemia (disorder)
842 6475002 Primary degenerative dementia of the Alzheimer type, presenile onset, uncomplicated (disorder)
842 1.95E+08 Intermittent cerebral ischemia (disorder)
842 4.17E+08 Primary degenerative dementia of the Alzheimer type, presenile onset (disorder)
842 1.95E+08 Middle cerebral artery syndrome (disorder)
842 3.09E+08 Caffeine-induced organic mental disorder (disorder)
842 1.95E+08 Anterior cerebral artery syndrome (disorder)
842 6537000 Ectopic pituitary tissue (disorder)
842 77375009 Adductor spastic dysphonia of conversion reaction (disorder)
842 1.95E+08 Posterior cerebral artery syndrome (disorder)
842 4.05E+08 Riddoch phenomenon (disorder)
842 1.95E+08 Brainstem stroke syndrome (disorder)
842 74012004 Congenital anomaly of pituitary gland (disorder)
842 1.95E+08 Cerebellar stroke syndrome (disorder)
842 2.31E+08 Pure motor lacunar infarction (disorder)
842 4.15E+08 Primary congenital glaucoma (disorder)
842 4.05E+08 Calcified optic disc drusen (disorder)
842 2.31E+08 Pure sensory lacunar infarction (disorder)
842 4.05E+08 Papillophlebitis (disorder)
842 1.95E+08 Left sided cerebral hemisphere cerebrovascular accident (disorder)
842 4.05E+08 Anterior ischemic optic neuropathy (disorder)
842 1.95E+08 Right sided cerebral hemisphere cerebrovascular accident (disorder)
842 6607004 Syringoencephalomyelia (disorder)
842 67930001 Syringoencephalia (disorder)
842 4.05E+08 Acute compressive optic neuropathy (disorder)
842 6666006 Subdural hemorrhage following injury without open intracranial wound AND with concussion (disorder)
842 3.08E+08 Cerebral palsy, not congenital or infantile, acute (disorder)
842 3.03E+08 Diffuse cerebrovascular disease (disorder)
842 1.95E+08 Dissection of cerebral arteries, nonruptured (disorder)
842 77450009 Unclassified epileptic seizures (disorder)
842 77486005 Mood disorder with major depressive-like episode due to general medical condition (disorder)
842 3.02E+08 Caroticocavernous sinus fistula (disorder)
842 4.05E+08 Malignant optic glioma (disorder)
842 4.05E+08 Bruns nystagmus (disorder)
842 1.95E+08 Non-pyogenic venous sinus thrombosis (disorder)
842 1.95E+08 Cerebral infarction due to cerebral venous thrombosis, non-pyogenic (disorder)
842 7602002 Subdural hemorrhage following injury without open intracranial wound (disorder)
842 1.95E+08 Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction (disorder)
842 77498000 Extradural hemorrhage following injury without open intracranial wound AND with concussion (disorder)
842 6729006 Cerebral-retinal arteriovenous aneurysm (disorder)
842 1.95E+08 Occlusion and stenosis of middle cerebral artery (disorder)
842 77553008 Opticocochleodentate degeneration (disorder)
842 1.95E+08 Occlusion and stenosis of anterior cerebral artery (disorder)
842 77575005 Secondary hyperprolactinemia due to prolactin-secreting tumor (disorder)
842 2.34E+08 Cerebral arteriovenous malformation (disorder)
842 6807001 Central pontine myelinolysis (disorder)
842 1.34E+08 Prolactinoma (disorder)
842 6955002 Negishi encephalitis (disorder)
842 4.05E+08 Postoperative confusion (disorder)
842 4.06E+08 Incomplete cervical spinal cord injury, unspecified, without spinal bone injury, C1-4 (disorder)
842 1.95E+08 Occlusion and stenosis of posterior cerebral artery (disorder)
842 4.06E+08 Incomplete cervical spinal cord injury, unspecified, without spinal bone injury, C5-7 (disorder)
842 1.95E+08 Occlusion and stenosis of cerebellar arteries (disorder)
842 4.06E+08 Unspecified cervical spinal cord injury, without spinal bone injury, C1-4 (disorder)
842 1.95E+08 Occlusion and stenosis of multiple and bilateral cerebral arteries (disorder)
842 4.07E+08 Blastomyces infection of central nervous system (disorder)
842 4.07E+08 Brucella infection of the central nervous system (disorder)
842 4.07E+08 Chlamydial infection of the central nervous system (disorder)
842 1.98E+08 Menopausal headache (disorder)
842 4.07E+08 Echovirus infection of the central nervous system (disorder)
842 34476008 Viral encephalitis (disorder)
842 4.07E+08 Ehrlichia infection of the central nervous system (disorder)
842 77600008 Bing-Neel syndrome (disorder)
842 7025000 Subchronic undifferentiated schizophrenia with acute exacerbations (disorder)
842 77645007 Salmonella meningitis (disorder)
842 85861002 Subchronic undifferentiated schizophrenia (disorder)
842 7033004 Petit mal status (disorder)
842 4.07E+08 Epstein Barr virus infection of the central nervous system (disorder)
842 4.07E+08 Leptospira infection of the central nervous system (disorder)
842 79631006 Absence seizure (disorder)
842 4.43E+08 Nonconvulsive status epilepticus (disorder)
842 4.07E+08 Parvovirus infection of the central nervous system (disorder)
842 7052005 Alcohol hallucinosis (disorder)
842 77719006 Closed fracture of C1-C4 level with complete lesion of cord (disorder)
842 45912004 Organic hallucinosis (disorder)
842 42344001 Alcohol-induced psychosis (disorder)
842 4.15E+08 Meningomyelocele (disorder)
842 77817004 Neu-Laxova syndrome (disorder)
842 1.99E+08 Cerebral anoxia following abortive pregnancy (disorder)
842 4.07E+08 Toxicariasis of the central nervous system (disorder)
842 4.08E+08 Complex partial epileptic seizure (disorder)
842 4.09E+08 Pontine artery occlusion (disorder)
842 2E+08 Obstetric anesthesia with central nervous system complications (disorder)
842 4.09E+08 Pontine artery thrombosis (disorder)
842 2E+08 Obstetric anesthesia with central nervous system complications - delivered (disorder)
842 2E+08 Obstetric anesthesia with central nervous system complication - delivered with postnatal problem (disorder)
842 4.1E+08 Hemorrhagic meningitis (disorder)
842 2E+08 Obstetric anesthesia with central nervous system complication with antenatal problem (disorder)
842 4.1E+08 Q fever aseptic meningitis (disorder)
842 2E+08 Obstetric anesthesia with central nervous system complication with postnatal problem (disorder)
842 4.1E+08 Q fever encephalitis (disorder)
842 2E+08 Obstetric spinal and epidural anesthesia-induced headache (disorder)
842 2E+08 Spinal and epidural anesthesia-induced headache during pregnancy (disorder)
842 2E+08 Spinal and epidural anesthesia-induced headache during the puerperium (disorder)
842 4.1E+08 Post-traumatic communicating hydrocephalus (disorder)
842 2E+08 Spinal and epidural anesthesia-induced headache during labor and delivery (disorder)
842 4.1E+08 Post-traumatic non-communicating hydrocephalus (disorder)
842 2E+08 Central nervous system complications of anesthesia during labor and delivery (disorder)
842 2E+08 Obstetric cerebral venous thrombosis (disorder)
842 78028004 Brain stem contusion with open intracranial wound AND concussion (disorder)
842 2E+08 Cerebral venous thrombosis in pregnancy (disorder)
842 2E+08 Cerebral venous thrombosis in the puerperium (disorder)
842 78071008 Hydromicrocephaly (disorder)
842 78085003 Open fracture of T7-T12 level with incomplete spinal cord lesion (disorder)
842 4.1E+08 Bartonella henselae neuroretinitis (disorder)
842 4.16E+08 Thoracic hydromeningocele (disorder)
842 7125002 Meningoencephalitis (disorder)
842 45170000 Encephalitis (disorder)
842 7180009 Meningitis (disorder)
842 4.13E+08 Cyst of pineal gland (disorder)
842 15758002 Disorder of meninges (disorder)
842 2.03E+08 Single-level cervical spondylosis with myelopathy (disorder)
842 4.13E+08 Akinetic rigid syndrome (disorder)
842 2.03E+08 Two-level cervical spondylosis with myelopathy (disorder)
842 4.13E+08 Stress-induced epilepsy (disorder)
842 4.13E+08 Infarction of basal ganglia (disorder)
842 2.03E+08 Multiple-level cervical spondylosis with myelopathy (disorder)
842 4.14E+08 Cerebral ventriculomegaly (disorder)
842 2.03E+08 Cervical myelopathy (disorder)
842 4.14E+08 Cortical visual impairment (disorder)
842 2.03E+08 Single-level thoracic spondylosis with myelopathy (disorder)
842 4.15E+08 Meningioma of orbit (disorder)
842 2.03E+08 Two-level thoracic spondylosis with myelopathy (disorder)
842 4.15E+08 Optic nerve glioma of orbit (disorder)
842 2.03E+08 Multiple-level thoracic spondylosis with myelopathy (disorder)
842 4.15E+08 Posterior ischemic optic neuropathy (disorder)
842 4.15E+08 Rio Bravo viral encephalitis (disorder)
842 7379000 Pseudobulbar palsy (disorder)
842 95647008 Upper motor neuron disease (disorder)
842 4.16E+08 Encephalitis due to Siberian tick-borne encephalitis virus (disorder)
842 7454002 Simple partial seizure with autonomic dysfunction (disorder)
842 79348005 Simple partial seizure, consciousness not impaired (disorder)
842 4.17E+08 Compressive optic neuropathy due to thyroid eye disease (disorder)
842 2.03E+08 Cervical spondylosis with radiculopathy (disorder)
842 4.16E+08 Long duration flashbacks (disorder)
842 4.16E+08 Measles inclusion body encephalitis (disorder)
842 2.03E+08 Single-level cervical spondylosis with radiculopathy (disorder)
842 4.16E+08 Intraocular optic nerve glioma (disorder)
842 2.03E+08 Two-level cervical spondylosis with radiculopathy (disorder)
842 4.17E+08 Episodic flashbacks (disorder)
842 4.17E+08 Vein of Galen malformation (disorder)
842 2.03E+08 Multiple-level cervical spondylosis with radiculopathy (disorder)
842 2.03E+08 Thoracic spondylosis with radiculopathy (disorder)
842 7555003 Hagner's disease (disorder)
842 4.17E+08 Toxoplasma neuroretinitis (disorder)
842 78141002 Erb-Duchenne paralysis (disorder)
842 78157002 Closed fracture of C5-C7 level with central cord syndrome (disorder)
842 2.03E+08 Single-level thoracic spondylosis with radiculopathy (disorder)
842 2.03E+08 Two-level thoracic spondylosis with radiculopathy (disorder)
842 78358001 Amphetamine withdrawal (disorder)
842 2.03E+08 Multiple-level thoracic spondylosis with radiculopathy (disorder)
842 78477003 Intracranial hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 35486000 Subdural hemorrhage (disorder)
842 2.03E+08 Lumbosacral spondylosis with radiculopathy (disorder)
842 1.12E+08 Intracranial hemorrhage following injury without open intracranial wound (disorder)
842 2.03E+08 Single-level lumbosacral spondylosis with radiculopathy (disorder)
842 2.03E+08 Two-level lumbosacral spondylosis with radiculopathy (disorder)
842 1.27E+08 Intracranial hemorrhage following injury with prolonged loss of consciousness AND return to pre-existing conscious level (disorder)
842 2.03E+08 Multiple-level lumbosacral spondylosis with radiculopathy (disorder)
842 2.03E+08 Cervical disc prolapse with myelopathy (disorder)
842 7604001 Cortex laceration with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 78525006 Brain stem laceration without open intracranial wound AND with no loss of consciousness (disorder)
842 78569004 Posterior inferior cerebellar artery syndrome (disorder)
842 2.03E+08 Thoracic disc prolapse with myelopathy (disorder)
842 1.93E+08 Thrombophlebitis lateral venous sinus (disorder)
842 3.6E+08 Incomplete anencephaly (disorder)
842 86488006 Brain injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 41870008 Cortex laceration with open intracranial wound AND loss of consciousness (disorder)
842 7611002 Septo-optic dysplasia sequence (disorder)
842 84170006 Contusion of brain with open intracranial wound (disorder)
842 95499004 Hypoplasia of the optic nerve (disorder)
842 4.24E+08 Optic disc edema due to hypotony (disorder)
842 60505005 Congenital anomaly of optic disc (disorder)
842 2.53E+08 Absence of septum pellucidum (disorder)
842 79220008 Brain stem contusion without open intracranial wound AND with concussion (disorder)
842 3.61E+08 Myeloschisis (disorder)
842 79267007 Retinal migraine (disorder)
842 3.61E+08 Diplomyelia (disorder)
842 4.29E+08 Encephalitis due to Herpesvirus (disorder)
842 7711006 Cortex laceration without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 79578000 Alcohol paranoia (disorder)
842 9978007 Cortex laceration without open intracranial wound AND with loss of consciousness (disorder)
842 47462004 Brain injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 79591004 Spastic paralysis due to spinal birth injury (disorder)
842 4.17E+08 Acute cerebellar syndrome (disorder)
842 2.04E+08 Cervical spina bifida with hydrocephalus (disorder)
842 7713009 Intrapontine hemorrhage (disorder)
842 4.17E+08 Short duration flashbacks (disorder)
842 95454007 Brain stem hemorrhage (disorder)
842 4.17E+08 Duplicative flashbacks (disorder)
842 7819003 Intracranial hemorrhage following injury with open intracranial wound AND no loss of consciousness (disorder)
842 4.18E+08 Intracranial optic nerve glioma (disorder)
842 12912004 Brain injury with open intracranial wound AND no loss of consciousness (disorder)
842 2.04E+08 Thoracic spina bifida with hydrocephalus (disorder)
842 77768006 Intracranial hemorrhage following injury with open intracranial wound (disorder)
842 79633009 Spastic hemiplegia (disorder)
842 7869006 Disorder of optic chiasm associated with pituitary neoplasms AND/OR disorders (disorder)
842 79745005 Reflex epilepsy (disorder)
842 70476006 Optic chiasm disorder (disorder)
842 7990002 Immunoglobulinemia with isolated somatotropin deficiency (disorder)
842 79801002 Congenital leptomeningeal angiomatosis (disorder)
842 4.45E+08 Angiomatosis of meninges (disorder)
842 79897009 Cerebellar abscess (disorder)
842 2.04E+08 Lumbar spina bifida with hydrocephalus (disorder)
842 4.18E+08 Holoanencephaly (disorder)
842 8166000 Thrombophlebitis of basilar sinus (disorder)
842 88922007 Thrombosis of basilar sinus (disorder)
842 2.53E+08 Hydromyelocele with hydrocephalus (disorder)
842 2.1E+08 Cortex laceration with open intracranial wound, with no loss of consciousness (disorder)
842 2.68E+08 Spina bifida with hydrocephalus - open (disorder)
842 8183009 Closed fracture of T7-T12 level with central cord syndrome (disorder)
842 4.2E+08 Neuroinvasive Cache Valley virus disease (disorder)
842 2.53E+08 Rachischisis with hydrocephalus (disorder)
842 72513001 Closed fracture of T7-T12 level with spinal cord injury (disorder)
842 2.53E+08 Fissured spine with hydrocephalus (disorder)
842 8217007 Arachnoiditis (disorder)
842 66074005 Leptomeningitis (disorder)
842 2.53E+08 Myelocele with hydrocephalus (disorder)
842 8301004 Caudal dysplasia sequence (disorder)
842 2.04E+08 Cervical spina bifida with hydrocephalus - open (disorder)
842 8459005 Closed fracture of C1-C4 level with incomplete cord lesion (disorder)
842 8840000 Closed fracture of C1-C4 level with spinal cord injury (disorder)
842 2.04E+08 Thoracic spina bifida with hydrocephalus - open (disorder)
842 8528005 Acute ascending myelitis (disorder)
842 2.04E+08 Lumbar spina bifida with hydrocephalus - open (disorder)
842 8533009 Intracranial space-occupying lesion (disorder)
842 4.18E+08 Central nervous system depression (disorder)
842 80180004 Pallidonigral degeneration (disorder)
842 80190007 Known OR suspected fetal hydrocephalus affecting obstetrical care (disorder)
842 8632008 Schwartz syndrome (disorder)
842 3.87E+08 Mild cognitive disorder (disorder)
842 80381005 Adductor spastic dysphonia of dystonia (disorder)
842 2.04E+08 Sacral spina bifida with hydrocephalus - open (disorder)
842 4.18E+08 Eosinophilic meningoencephalitis due to Angiostrongylus cantonensis (disorder)
842 55004003 Syndrome of inappropriate vasopressin secretion (disorder)
842 2.04E+08 Spina bifida with hydrocephalus - closed (disorder)
842 8633003 Sylvatic rabies (disorder)
842 3.98E+08 Non-human rabies (disorder)
842 2.04E+08 Cervical spina bifida with hydrocephalus - closed (disorder)
842 8635005 Alcohol withdrawal delirium (disorder)
842 1.91E+08 Drug-induced delirium (disorder)
842 2.04E+08 Thoracic spina bifida with hydrocephalus - closed (disorder)
842 1.91E+08 Alcohol withdrawal syndrome (disorder)
842 8829008 Isolated lutropin deficiency (disorder)
842 10340008 Isolated gonadotropin deficiency (disorder)
842 2.04E+08 Lumbar spina bifida with hydrocephalus - closed (disorder)
842 8837000 Amphetamine delirium (disorder)
842 83367009 Amphetamine-induced organic mental disorder (disorder)
842 81442004 Closed fracture of cervical region with spinal cord injury (disorder)
842 2.04E+08 Sacral spina bifida with hydrocephalus - closed (disorder)
842 8939001 Incomplete spinal cord lesion at C1-C4 level without bone injury (disorder)
842 4.22E+08 Encephalopathy associated with AIDS (disorder)
842 2.53E+08 Thoracolumbar spina bifida with hydrocephalus - closed (disorder)
842 1.27E+08 Traumatic brain injury (disorder)
842 80495009 Sleep walking disorder (disorder)
842 2.7E+08 Non-organic sleep disorder (disorder)
842 2.04E+08 Spina bifida with hydrocephalus of late onset (disorder)
842 80499003 Traumatic injury of visual pathways (disorder)
842 80599001 Isolated corticotropin deficiency (disorder)
842 2.04E+08 Spina bifida with stenosis of aqueduct of Sylvius (disorder)
842 2.38E+08 Adrenocorticotropic hormone (ACTH) deficiency (disorder)
842 80651009 Aicardi's syndrome (disorder)
842 2.04E+08 Dandy-Walker syndrome with spina bifida (disorder)
842 2.53E+08 Atrophy of corpus callosum (disorder)
842 2.04E+08 Spinal hydromeningocele (disorder)
842 80734006 Marinesco-Sjögren syndrome (disorder)
842 2.04E+08 Cervical spinal hydromeningocele (disorder)
842 2.3E+08 Early onset cerebellar ataxia (disorder)
842 80758005 Embolism of lateral venous sinus (disorder)
842 2.04E+08 Cervical hydromyelocele (disorder)
842 80868005 Cocaine withdrawal (disorder)
842 2.04E+08 Thoracic hydromyelocele (disorder)
842 80901002 Endophlebitis of torcular Herophili (disorder)
842 2.04E+08 Lumbar hydromyelocele (disorder)
842 80935004 Flaccid hemiplegia (disorder)
842 4.19E+08 California serogroup virus neuroinvasive disease (disorder)
842 9345005 Dialysis dementia (disorder)
842 50122000 Metabolic encephalopathy (disorder)
842 4.19E+08 Paraneoplastic optic neuropathy (disorder)
842 2.3E+08 Acquired metabolic and toxic encephalopathies (disorder)
842 4.19E+08 Drug-induced central nervous system depression (disorder)
842 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with no loss of consciousness (disorder)
842 9366002 Palatal myoclonus (disorder)
842 2.04E+08 Spinal meningocele (disorder)
842 4.2E+08 Adult-onset growth hormone deficiency (disorder)
842 2.04E+08 Cervical spinal meningocele (disorder)
842 4.22E+08 Adult growth hormone deficiency (disorder)
842 2.04E+08 Thoracic spinal meningocele (disorder)
842 4.2E+08 Hypogonadotropic hypogonadism due to isolated gonadotropin deficiency (disorder)
842 81211007 Primary lateral sclerosis (disorder)
842 4.21E+08 Supranuclear gaze palsy (disorder)
842 2.04E+08 Lumbar spinal meningocele (disorder)
842 4.21E+08 Optic neuropathy due to vitamin B12 deficiency (disorder)
842 81268009 Cerebellar contusion without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
842 2.04E+08 Cervical meningomyelocele (disorder)
842 4.21E+08 Episodic ataxia type 2 (disorder)
842 9501009 Cerebellar laceration with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
842 4.21E+08 Hypogonadotropic hypogonadism due to follicle-stimulating hormone deficiency (disorder)
842 4.21E+08 Episodic ataxia type 1 (disorder)
842 84900008 Cerebellar laceration with open intracranial wound AND loss of consciousness (disorder)
842 4.22E+08 Hypertensive optic neuropathy (disorder)
842 4.22E+08 Hypogonadotropic hypogonadism due to luteinizing hormone deficiency (disorder)
842 9520006 Dissociated nystagmus (disorder)
842 4.22E+08 Adult growth hormone deficiency with onset in childhood (disorder)
842 4.22E+08 Gonadotropin releasing factor deficiency (disorder)
842 4.22E+08 Partial absence of septum pellucidum (disorder)
842 95641009 Disorder of midbrain (disorder)
842 2.08E+08 Closed fracture of cervical spine with cord lesion (disorder)
842 9526000 Pineal gland dysfunction (disorder)
842 2.04E+08 Thoracic meningomyelocele (disorder)
842 1.28E+08 Pineal gland disorder (disorder)
842 4.23E+08 Epilepsy, not refractory (disorder)
842 4.23E+08 Refractory infantile spasms (disorder)
842 1.91E+08 Pituitary-dependent Cushing's disease (disorder)
842 2.04E+08 Lumbar meningomyelocele (disorder)
842 4.23E+08 Refractory localization-related epilepsy (disorder)
842 4.45E+08 Refractory epilepsy (disorder)
842 2.04E+08 Cervical myelocele (disorder)
842 81475007 Acquired nephrogenic diabetes insipidus (disorder)
842 2.04E+08 Thoracic myelocele (disorder)
842 81520002 Extradural hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 4.23E+08 Refractory epilepsia partialis continua (disorder)
842 2.04E+08 Lumbar myelocele (disorder)
842 4.23E+08 Simple partial status epilepticus (disorder)
842 4.23E+08 Multifactorial encephalopathy (disorder)
842 4.26E+08 Lipoma of terminal spinal cord (disorder)
842 2.53E+08 Congenital cerebral hernia (disorder)
842 2.38E+08 Adrenocorticotropic hormone (ACTH) hypersecretion (disorder)
842 4.23E+08 Lipoma of dorsal spinal cord (disorder)
842 9678009 Herpetic meningoencephalitis (disorder)
842 2.53E+08 Hydroencephalocele (disorder)
842 2.53E+08 Congenital endaural hernia (disorder)
842 2.68E+08 Meningocele - cerebral (disorder)
842 81526008 Hydromeningomyelocele (disorder)
842 2.53E+08 Meningocele - cranial (disorder)
842 2.53E+08 Frontal encephalocele (disorder)
842 81780002 Beckwith-Wiedemann syndrome (disorder)
842 4.23E+08 Refractory migraine without aura (disorder)
842 4.23E+08 Dural carotid cavernous fistula (disorder)
842 2.53E+08 Nasofrontal encephalocele (disorder)
842 2.04E+08 Reduction deformities of brain (disorder)
842 2.53E+08 Hypoplasia of brain gyri (disorder)
842 81854007 Alexander's disease (disorder)
842 2.04E+08 Anomalies of cerebrum (disorder)
842 2.04E+08 Agenesis of cerebrum (disorder)
842 81981006 Benign multirecurrent endothelioleukocytal meningitis (disorder)
842 2.3E+08 Non-infective meningitis (disorder)
842 2.04E+08 Hypoplasia of corpus callosum (disorder)
842 82108004 Nutritional optic neuropathy (disorder)
842 82339009 Amphetamine-induced anxiety disorder (disorder)
842 23291008 Herpes simplex meningitis (disorder)
842 4.28E+08 Encephalitis due to human herpes simplex virus (disorder)
842 9740002 Macroencephaly (disorder)
842 4.24E+08 Traumatic arachnoid cyst (disorder)
842 9934003 Feline ischemic encephalopathy (disorder)
842 4.24E+08 Refractory migraine with aura (disorder)
842 53267002 Brain injury without open intracranial wound AND with loss of consciousness (disorder)
842 2.53E+08 Partial agenesis of corpus callosum (disorder)
842 10007009 Coffin-Siris syndrome (disorder)
842 2.04E+08 Anomalies of hypothalamus (disorder)
842 2.04E+08 Anomalies of cerebellum (disorder)
842 82346000 Acquired obstructive hydrocephalus (disorder)
842 2.04E+08 Aplasia of cerebellum (disorder)
842 4.24E+08 Reflex blepharospasm (disorder)
842 2.53E+08 Hydrocephalus with anomaly of aqueduct of Sylvius (disorder)
842 10061007 Brain stem contusion without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 2.31E+08 Obstructive hydrocephalus (disorder)
842 82401000 Simple partial seizure with motor dysfunction (disorder)
842 1.29E+08 Focal motor seizure (disorder)
842 2.04E+08 Single congenital cerebral cyst (disorder)
842 29807001 Brain stem contusion without open intracranial wound AND with loss of consciousness (disorder)
842 55885004 Brain injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) with return to pre-existing conscious level (disorder)
842 10082001 Progressive rubella panencephalitis (disorder)
842 82547005 Acute adenoviral meningoencephalitis (disorder)
842 1.12E+08 Rubella infection of central nervous system (disorder)
842 4.24E+08 Acute hepatitis B with hepatic coma (disorder)
842 10256000 Brain stem laceration without open intracranial wound AND with loss of consciousness (disorder)
842 20899000 Brain stem laceration without open intracranial wound (disorder)
842 1.12E+08 Adenoviral meningitis (disorder)
842 10277002 Cerebellopontine angle syndrome (disorder)
842 82637004 Cerebellar contusion without open intracranial wound AND with no loss of consciousness (disorder)
842 2.23E+08 Cerebellar disorder (disorder)
842 10310006 Open fracture of C1-C4 level with incomplete spinal cord lesion (disorder)
842 2.38E+08 Hypothalamic disorder of appetite (disorder)
842 82800008 Dipsogenic diabetes insipidus (disorder)
842 4.24E+08 Anaplastic glioma of brain (disorder)
842 2.04E+08 Multiple congenital cerebral cysts (disorder)
842 2.04E+08 Congenital adhesions of cerebral meninges (disorder)
842 82959004 Dementia paralytica juvenilis (disorder)
842 76435008 Open fracture of C1-C4 level with spinal cord injury (disorder)
842 2.53E+08 Neuroenteric cyst (disorder)
842 2.04E+08 Spinal cord hypoplasia (disorder)
842 10327003 Cocaine-induced mood disorder (disorder)
842 10349009 Multi-infarct dementia with delirium (disorder)
842 2.68E+08 Specified optic disc anomalies (disorder)
842 83157008 Fatal familial insomnia (disorder)
842 4.24E+08 Hysterical cataplexy (disorder)
842 4.24E+08 Malignant glioma of brainstem (disorder)
842 56267009 Multi-infarct dementia (disorder)
842 4.45E+08 Glioma of brainstem (disorder)
842 10394003 Friedreich's ataxia (disorder)
842 4.24E+08 Malignant tumor of spinal cord, intramedullary (disorder)
842 2.04E+08 Encephalomyelocele (disorder)
842 4.18E+08 Neuroinvasive Saint Louis encephalitis virus infection (disorder)
842 83159006 Cytomegalovirus encephalitis (disorder)
842 10437007 Hypothalamic pseudopuberty (disorder)
842 4.24E+08 Chronic hepatitis B with hepatic coma (disorder)
842 4.07E+08 Cytomegalovirus infection of the central nervous system (disorder)
842 83168008 Psychoactive substance-induced organic amnestic disorder (disorder)
842 4.25E+08 Malignant tumor of spinal cord, extramedullary (disorder)
842 83351003 Basilar migraine (disorder)
842 2.04E+08 Arteriovenous malformation of precerebral vessels (disorder)
842 83465002 Neuroleptic-induced acute dystonia (disorder)
842 81682002 Functional disease of the CNS with neuroendocrine disturbance (disorder)
842 10491005 Herpes zoster with meningitis (disorder)
842 2.3E+08 Drug-induced acute dystonia (disorder)
842 4.25E+08 Migraine variants, not intractable (disorder)
842 2.34E+08 Congenital arteriovenous fistula of brain (disorder)
842 4.07E+08 Herpes virus infection of the central nervous system (disorder)
842 83493003 Closed fracture of C5-C7 level with complete lesion of cord (disorder)
842 58170007 Viral meningitis (disorder)
842 3.61E+08 Alcoholic cerebellar degeneration (disorder)
842 2.05E+08 Congenital stricture of cerebral artery (disorder)
842 83501007 Organic mood disorder of mixed type (disorder)
842 3.87E+08 Marchiafava-Bignami disease (disorder)
842 83605009 Anismus (disorder)
842 10532003 Primary degenerative dementia of the Alzheimer type, presenile onset, with depression (disorder)
842 4.25E+08 Prepapillary vascular loop (disorder)
842 1.91E+08 Presenile dementia with depression (disorder)
842 10575009 Open fracture of vertebral column with spinal cord injury (disorder)
842 10651001 Temporal lobectomy behavior syndrome (disorder)
842 2.06E+08 Congenital absence of pituitary gland (disorder)
842 10706006 Tuberculosis of central nervous system (disorder)
842 4.25E+08 Paraneoplastic encephalomyelitis (disorder)
842 2.06E+08 Accessory pituitary gland (disorder)
842 2.53E+08 Mermaid sirenomelia (disorder)
842 4.25E+08 Paraneoplastic encephalitis (disorder)
842 1.28E+08 Bacterial infection of central nervous system (disorder)
842 4.07E+08 Mycobacterial infection of the central nervous system (disorder)
842 4.25E+08 Migraine without aura, not refractory (disorder)
842 83716008 Traumatic spinal cord compression (disorder)
842 10736002 Isolated thyroliberin deficiency (disorder)
842 83759003 Adductor spastic dysphonia of musculoskeletal tension reaction (disorder)
842 10786008 Spinobulbar atrophy (disorder)
842 4.25E+08 Refractory occipital lobe epilepsy (disorder)
842 4.25E+08 Progressive spinal ataxia (disorder)
842 4.25E+08 Refractory frontal lobe epilepsy (disorder)
842 68761002 Epileptic vertigo (disorder)
842 4.25E+08 Refractory parietal lobe epilepsy (disorder)
842 10948005 Thoracic spondylosis with myelopathy (disorder)
842 83810005 Avian encephalomalacia (disorder)
842 4.25E+08 Refractory migraine variants (disorder)
842 2.06E+08 Subdural and cerebral hemorrhage due to birth trauma (disorder)
842 4.25E+08 Dementia associated with Parkinson's Disease (disorder)
842 2.4E+08 Cerebral injury due to birth trauma (disorder)
842 4.25E+08 Non-organic parasomnia (disorder)
842 2.4E+08 Intracerebral hemorrhage in fetus or newborn (disorder)
842 83982007 Subacute necrotic myelopathy (disorder)
842 83991006 Incomplete spinal cord lesion at C5-C7 level without bone injury (disorder)
842 79232007 Spondylosis with myelopathy (disorder)
842 11045000 Supranuclear facial nerve paralysis (disorder)
842 4.25E+08 Generalized dystonia (disorder)
842 66010009 Supranuclear paralysis (disorder)
842 4.26E+08 Secondary progressive multiple sclerosis (disorder)
842 11049006 Cervical radiculitis (disorder)
842 4.26E+08 Hyperammonemic encephalopathy (disorder)
842 2.06E+08 Tentorial tear due to birth trauma (disorder)
842 4.26E+08 Neurogenic bladder as late effect of poliomyelitis (disorder)
842 2.06E+08 Cerebral hematoma in fetus or newborn (disorder)
842 84160009 Laryngeal hemiplegia (disorder)
842 3.02E+08 Hematoma of brain (disorder)
842 2.06E+08 Extradural hemorrhage in fetus or newborn (disorder)
842 2.06E+08 Cerebral hemorrhage due to birth injury (disorder)
842 54404000 Cervical radiculopathy (disorder)
842 2.63E+08 Laceration of spinal cord (disorder)
842 11084005 Isolated follitropin deficiency (disorder)
842 2.06E+08 Spinal cord rupture due to birth trauma (disorder)
842 1.9E+08 FSH - follicle stimulating hormone deficiency (disorder)
842 11197005 Hydromyelia (disorder)
842 2.06E+08 Cerebral edema due to birth injury (disorder)
842 2.06E+08 Spinal cord laceration due to birth trauma (disorder)
842 2.31E+08 Traumatic cerebral edema (disorder)
842 3.6E+08 Van Bogaert's sclerosing leukoencephalitis (disorder)
842 11265003 Hemichorea (disorder)
842 4.21E+08 Organic brain syndrome associated with AIDS (disorder)
842 1.93E+08 Subacute sclerosing panencephalitis (disorder)
842 11387009 Psychoactive substance-induced organic mental disorder (disorder)
842 11413003 Incomplete spinal cord lesion at T1-T6 level without bone injury (disorder)
842 84216001 Cerebral venous thrombosis of pregnancy AND/OR puerperium (disorder)
842 36838006 Spinal cord injury of thoracic region without bone injury (disorder)
842 4.26E+08 Traumatic cyst of leptomeninges (disorder)
842 4.26E+08 Spina bifida aperta of cervical spine (disorder)
842 2.82E+08 Congenital hydrocephalus due to toxoplasmosis (disorder)
842 95455008 Thrombosis of cerebral veins (disorder)
842 4.26E+08 Idiopathic transverse myelitis (disorder)
842 2.12E+08 Lumbar cord injury without spinal bone injury (disorder)
842 2.06E+08 Intraventricular (nontraumatic) hemorrhage, grade 1, of fetus and newborn (disorder)
842 84306007 Chronic adhesive pachymeningitis (disorder)
842 2.06E+08 Intraventricular (nontraumatic) hemorrhage, grade 2, of fetus and newborn (disorder)
842 3.61E+08 Psychomotor epilepsy (disorder)
842 2.06E+08 Intraventricular (nontraumatic) hemorrhage, grade 3, of fetus and newborn (disorder)
842 1.93E+08 Temporal lobe epilepsy (disorder)
842 2.06E+08 Intraventricular hemorrhage due to birth injury (disorder)
842 84461004 Exencephaly (disorder)
842 11676005 Tuberculous leptomeningitis (disorder)
842 2.06E+08 Subarachnoid hemorrhage due to birth injury (disorder)
842 58437007 Tuberculosis of meninges (disorder)
842 11701009 Hemicephaly (disorder)
842 26595007 Congenital absence of part of brain (disorder)
842 2.06E+08 Intracranial nontraumatic hemorrhage of fetus and newborn (disorder)
842 11807002 Injury at C5-C7 level with spinal cord injury AND without bone injury (disorder)
842 4.26E+08 Cognitive developmental delay (disorder)
842 4.26E+08 Benign papilloma of choroid plexus (disorder)
842 2.06E+08 Cerebellar (nontraumatic) and posterior fossa hemorrhage of fetus and newborn (disorder)
842 1.87E+08 Postvaricella encephalitis (disorder)
842 4.21E+08 Subacute adenoviral encephalitis associated with AIDS (disorder)
842 84721004 Concussion with prolonged loss of consciousness without return to pre-existing conscious level (disorder)
842 2.06E+08 Kernicterus not due to isoimmunization (disorder)
842 3.6E+08 Acquired periventricular cysts of newborn (disorder)
842 3.6E+08 Acquired periventricular cyst (disorder)
842 84792001 Extradural hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 84803006 Cerebellar laceration with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
842 2.07E+08 Neonatal cerebral leukomalacia (disorder)
842 2.77E+08 Cerebral leukomalacia (disorder)
842 84873005 Dural arteriovenous malformation (disorder)
842 84937002 Cerebral hyponatremia (disorder)
842 4.21E+08 Prion disease associated with AIDS (disorder)
842 85039006 Pregnancy-related A-G syndrome (disorder)
842 85262003 Open fracture of T1-T6 level with posterior cord syndrome (disorder)
842 11862006 Drug-induced myelopathy (disorder)
842 2.08E+08 Closed fracture of vault of skull with intracranial injury, with no loss of consciousness (disorder)
842 2.08E+08 Closed fracture of vault of skull with intracranial injury, with less than 1 hour loss of consciousness (disorder)
842 85314006 Cerebellar laceration without open intracranial wound AND with no loss of consciousness (disorder)
842 2.08E+08 Closed fracture of vault of skull with intracranial injury, with 1-24 hours loss of consciousness (disorder)
842 4.29E+08 Low grade glioma of brain (disorder)
842 2.08E+08 Closed fracture of vault of skull with intracranial injury, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
842 4.26E+08 Thrombosis of posterior communicating artery (disorder)
842 2.08E+08 Closed fracture of vault of skull with intracranial injury, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
842 3.89E+08 Anoxic-ischemic encephalopathy (disorder)
842 4.26E+08 Intractable ophthalmic migraine (disorder)
842 4.26E+08 Non-traumatic intracerebral ventricular hemorrhage (disorder)
842 2.08E+08 Open fracture of vault of skull with intracranial injury, with no loss of consciousness (disorder)
842 3.89E+08 Ischemic encephalopathy (disorder)
842 1.27E+08 Brain disorder resulting from a period of impaired oxygen delivery to the brain (disorder)
842 2.08E+08 Open fracture of vault of skull with intracranial injury, with less than 1 hour loss of consciousness (disorder)
842 12057006 Hereditary ataxia in Terriers (disorder)
842 2.08E+08 Open fracture of vault of skull with intracranial injury, with 1-24 hours loss of consciousness (disorder)
842 12166008 Staphylococcal meningitis (disorder)
842 2.08E+08 Open fracture of vault of skull with intracranial injury, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
842 12331003 Gigantism due to somatostatin deficiency (disorder)
842 2.08E+08 Open fracture of vault of skull with intracranial injury, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
842 2.38E+08 Abnormality of somatostatin secretion (disorder)
842 12348006 Presenile dementia (disorder)
842 88339003 Dementia arising in the senium AND/OR presenium (disorder)
842 2.08E+08 Closed fracture of base of skull with intracranial injury, with no loss of consciousness (disorder)
842 3.93E+08 West Nile encephalitis (disorder)
842 85402004 Meningoeruptive syndrome (disorder)
842 4.26E+08 Spinal arachnoiditis (disorder)
842 4.26E+08 Acute lacunar infarction (disorder)
842 2.08E+08 Closed fracture of base of skull with intracranial injury, with less than 1 hour loss of consciousness (disorder)
842 4.26E+08 Lymphomatous meningitis (disorder)
842 4.26E+08 Relapsing remitting multiple sclerosis (disorder)
842 2.08E+08 Closed fracture of base of skull with intracranial injury, with 1-24 hours loss of consciousness (disorder)
842 1.93E+08 Echovirus meningitis (disorder)
842 2.08E+08 Closed fracture of base of skull with intracranial injury, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
842 2.08E+08 Closed fracture of base of skull with intracranial injury, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
842 2.08E+08 Open fracture of base of skull with intracranial injury, with no loss of consciousness (disorder)
842 12394009 Spontaneous abortion with cerebral anoxia (disorder)
842 27603008 Abortion with cerebral anoxia (disorder)
842 2.08E+08 Open fracture of base of skull with intracranial injury, with less than 1 hour loss of consciousness (disorder)
842 22819008 Laceration of brain with open intracranial wound (disorder)
842 2.08E+08 Open fracture of base of skull with intracranial injury, with 1-24 hours loss of consciousness (disorder)
842 1.27E+08 Brain stem laceration (disorder)
842 2.08E+08 Open fracture of base of skull with intracranial injury, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
842 12677003 Tuberculosis of brain (disorder)
842 1.29E+08 Bacterial infectious disease of brain (disorder)
842 2.08E+08 Open fracture of base of skull with intracranial injury, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
842 4.26E+08 Epidural lipomatosis (disorder)
842 85561006 Uncomplicated alcohol withdrawal (disorder)
842 4.22E+08 Dementia associated with AIDS (disorder)
842 4.27E+08 Schwannoma of spinal cord (disorder)
842 12853006 Embolism of torcular Herophili (disorder)
842 85592008 Primary progressive cerebellar degeneration (disorder)
842 85638002 Cerebrospinal fluid rhinorrhea (disorder)
842 85641006 Hemianencephaly (disorder)
842 3.99E+08 Disorder of hypothalamus (disorder)
842 85821003 Acute non-psychotic brain syndrome (disorder)
842 4.27E+08 Central pain syndrome (disorder)
842 14246007 Embolism of intracranial venous sinus (disorder)
842 4.27E+08 Myelitis due to herpes simplex (disorder)
842 1.06E+08 Intracranial sinus thrombosis, embolism AND/OR inflammation (disorder)
842 86010003 Brain injury with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
842 1.27E+08 Traumatic brain injury with no loss of consciousness (disorder)
842 4.27E+08 Infarction of medulla oblongata (disorder)
842 13092008 Pick's disease (disorder)
842 4.27E+08 Bickerstaff's brainstem encephalitis (disorder)
842 2.3E+08 Frontotemporal dementia (disorder)
842 13194006 Closed fracture of T7-T12 level with anterior cord syndrome (disorder)
842 4.27E+08 Spina bifida aperta of thoracic spine (disorder)
842 86073008 Hypersomatotropic gigantism (disorder)
842 2.63E+08 Fracture of transverse process of spine with spinal cord lesion (disorder)
842 3.13E+08 Spinal fracture with cervical cord lesion (disorder)
842 4.27E+08 Hemidystonia (disorder)
842 2.08E+08 Closed spinal fracture with complete cervical cord lesion, C1-4 (disorder)
842 13196008 Secondary diabetes insipidus (disorder)
842 2.08E+08 Closed spinal fracture with anterior cervical cord lesion, C1-4 (disorder)
842 86125000 Cerebellar contusion with open intracranial wound AND concussion (disorder)
842 2.08E+08 Closed spinal fracture with central cervical cord lesion, C1-4 (disorder)
842 86182004 Extradural hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 2.08E+08 Closed spinal fracture with posterior cervical cord lesion, C1-4 (disorder)
842 86188000 Kuru (disorder)
842 2.08E+08 Closed spinal fracture with complete cervical cord lesion, C5-7 (disorder)
842 86267000 Concussion with brief loss of consciousness (disorder)
842 2.08E+08 Closed spinal fracture with anterior cervical cord lesion, C5-7 (disorder)
842 86558004 Cerebellar pressure cone (disorder)
842 4.14E+08 Cerebellar hernia (disorder)
842 2.08E+08 Closed spinal fracture with central cervical cord lesion, C5-7 (disorder)
842 86866002 Idiopathic feline polioencephalomyelitis (disorder)
842 2.08E+08 Closed spinal fracture with posterior cervical cord lesion, C5-7 (disorder)
842 4.27E+08 Thalamic infarction (disorder)
842 45369008 Neurohypophyseal diabetes insipidus (disorder)
842 4.27E+08 Acquired pseudomeningocele (disorder)
842 87020000 Subarachnoid hemorrhage following injury without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
842 13225007 Rubella meningoencephalitis (disorder)
842 13289004 Intracranial hemorrhage following injury with open intracranial wound AND loss of consciousness (disorder)
842 87043009 Cerebral anoxia after obstetrical surgery AND/OR other procedure including delivery (disorder)
842 1.27E+08 Intracranial hemorrhage following injury with loss of consciousness (disorder)
842 13310005 Taboparesis (disorder)
842 2.66E+08 Late quaternary neurosyphilis (disorder)
842 87095001 Olfactory seizure (disorder)
842 13386009 Intraspinal embolic abscess (disorder)
842 4.21E+08 Central nervous system demyelinating disease associated with AIDS (disorder)
842 16300007 Spinal cord abscess (disorder)
842 87132004 Opioid withdrawal (disorder)
842 13410009 Foville's syndrome I (disorder)
842 87194000 Nerve fiber bundle defect (disorder)
842 4.27E+08 On - off phenomenon (disorder)
842 2.08E+08 Open spinal fracture with complete cervical cord lesion, C1-4 (disorder)
842 4.28E+08 Cerebrospinal fluid leak from mouth (disorder)
842 2.08E+08 Open spinal fracture with anterior cervical cord lesion, C1-4 (disorder)
842 4.28E+08 Abscess in epidural space of cervical spine (disorder)
842 4.28E+08 Abscess in epidural space of thoracic spine (disorder)
842 2.08E+08 Open spinal fracture with central cervical cord lesion, C1-4 (disorder)
842 4.28E+08 Segmental dystonia (disorder)
842 2.08E+08 Open spinal fracture with posterior cervical cord lesion, C1-4 (disorder)
842 4.28E+08 Venous hemangioma of brain (disorder)
842 2.08E+08 Open spinal fracture with complete cervical cord lesion, C5-7 (disorder)
842 2.08E+08 Open spinal fracture with anterior cervical cord lesion, C5-7 (disorder)
842 4.28E+08 Primary amebic encephalitis due to Naegleria fowleri (disorder)
842 2.08E+08 Open spinal fracture with central cervical cord lesion, C5-7 (disorder)
842 4.28E+08 Ventricular hemorrhage of fetus (disorder)
842 2.08E+08 Open spinal fracture with posterior cervical cord lesion, C5-7 (disorder)
842 4.28E+08 Acquired tethered cord syndrome (disorder)
842 4.29E+08 Primary viral encephalitis (disorder)
842 3.13E+08 Spinal fracture with thoracic cord lesion (disorder)
842 4.29E+08 Nightmares associated with chronic post-traumatic stress disorder (disorder)
842 2.08E+08 Closed spinal fracture with complete thoracic cord lesion, T1-6 (disorder)
842 4.29E+08 Primary progressive multiple sclerosis (disorder)
842 4.29E+08 Low grade glioma of brainstem (disorder)
842 2.08E+08 Closed spinal fracture with anterior thoracic cord lesion, T1-6 (disorder)
842 4.29E+08 Low grade glioma of cerebrum (disorder)
842 2.08E+08 Closed spinal fracture with central thoracic cord lesion, T1-6 (disorder)
842 4.29E+08 Low grade glioma of thalamus (disorder)
842 2.08E+08 Closed spinal fracture with posterior thoracic cord lesion, T1-6 (disorder)
842 4.29E+08 Acute nonparalytic poliomyelitis due to human poliovirus 1 (disorder)
842 2.08E+08 Closed spinal fracture with complete thoracic cord lesion,T7-12 (disorder)
842 2.08E+08 Closed spinal fracture with anterior thoracic cord lesion,T7-12 (disorder)
842 4.29E+08 Benign neoplasm of spinal intradural intramedullary space (disorder)
842 2.08E+08 Closed spinal fracture with central thoracic cord lesion, T7-12 (disorder)
842 4.3E+08 Benign neoplasm of spinal intradural space (disorder)
842 2.08E+08 Closed spinal fracture with posterior thoracic cord lesion, T7-12 (disorder)
842 4.29E+08 Abscess in epidural space of lumbar spine (disorder)
842 4.29E+08 Dementia due to Creutzfeldt Jakob disease (disorder)
842 13456001 Closed fracture of T1-T6 level with incomplete spinal cord lesion (disorder)
842 4.29E+08 Spina bifida aperta of lumbar spine (disorder)
842 31882001 Closed fracture of T1-T6 level with spinal cord injury (disorder)
842 1.27E+08 Traumatic brain injury with loss of consciousness (disorder)
842 4.3E+08 Growth hormone deficiency after bone marrow transplant (disorder)
842 13847000 Partial seizure with impaired consciousness (disorder)
842 4.3E+08 Cerebrospinal fluid leak from nose and mouth (disorder)
842 13920009 Hepatic encephalopathy (disorder)
842 13950001 Bergeron's chorea (disorder)
842 4.3E+08 Benign neoplasm of medulla oblongata (disorder)
842 87203005 Bipolar I disorder, most recent episode depressed with postpartum onset (disorder)
842 2.08E+08 Open spinal fracture with complete thoracic cord lesion, T1-6 (disorder)
842 4.3E+08 Infection of spinal cord due to Histoplasma (disorder)
842 87227007 Cerebral depression in newborn (disorder)
842 87235005 Dialysis disequilibrium syndrome (disorder)
842 4.3E+08 Abscess of medulla of spinal cord due to Histoplasma (disorder)
842 2.08E+08 Open spinal fracture with anterior thoracic cord lesion, T1-6 (disorder)
842 13973009 Grand mal status (disorder)
842 2.08E+08 Open spinal fracture with central thoracic cord lesion, T1-6 (disorder)
842 65120008 Generalized convulsive epilepsy (disorder)
842 13980006 Adhesive arachnoiditis (disorder)
842 2.08E+08 Open spinal fracture with posterior thoracic cord lesion, T1-6 (disorder)
842 87253004 Subarachnoid hemorrhage following injury with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
842 2.08E+08 Open spinal fracture with complete thoracic cord lesion, T7-12 (disorder)
842 87345009 Subdural hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 2.08E+08 Open spinal fracture with anterior thoracic cord lesion, T7-12 (disorder)
842 4.31E+08 Paralytic syndrome of nondominant side as late effect of stroke (disorder)
842 4.43E+08 Hemiplegia as late effect of cerebrovascular accident (disorder)
842 2.08E+08 Open spinal fracture with central thoracic cord lesion, T7-12 (disorder)
842 4.31E+08 Paralytic syndrome of dominant side as late effect of stroke (disorder)
842 4.31E+08 Torsion dystonia (disorder)
842 4.31E+08 Fetal microcephaly (disorder)
842 4.31E+08 Intraparenchymal hematoma of brain (disorder)
842 2.08E+08 Open spinal fracture with posterior thoracic cord lesion, T7-12 (disorder)
842 4.31E+08 Slit ventricle syndrome (disorder)
842 4.32E+08 Inflammation of spinal cord due to toxin (disorder)
842 3.13E+08 Spinal fracture with lumbar cord lesion (disorder)
842 4.32E+08 Infarction of spinal cord (disorder)
842 14055002 Hydrocephalus ex vacuo (disorder)
842 2.08E+08 Closed spinal fracture with complete lumbar cord lesion (disorder)
842 1.93E+08 Acquired communicating hydrocephalus (disorder)
842 87492009 Cortex contusion with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
842 14070001 Multi-infarct dementia with depression (disorder)
842 4.33E+08 Infection of ventriculoperitoneal shunt (disorder)
842 4.33E+08 Acquired torsion dystonia (disorder)
842 87555007 Claude's syndrome (disorder)
842 4.38E+08 Postoperative tethered cord syndrome (disorder)
842 2.08E+08 Closed spinal fracture with anterior lumbar cord lesion (disorder)
842 95460007 Cerebellar infarction (disorder)
842 87764000 Foster-Kennedy syndrome (disorder)
842 2.08E+08 Closed spinal fracture with central lumbar cord lesion (disorder)
842 4.39E+08 Benign multiple sclerosis (disorder)
842 4.39E+08 Cerebral degeneration due to Parkinson's disease (disorder)
842 2.08E+08 Closed spinal fracture with posterior lumbar cord lesion (disorder)
842 4.39E+08 Congenital bilateral perisylvian syndrome (disorder)
842 2.08E+08 Closed spinal fracture with cauda equina lesion (disorder)
842 4.39E+08 Simpson-Golabi-Behmel syndrome (disorder)
842 14168008 Rabies (disorder)
842 3.03E+08 Viral infections of the central nervous system (disorder)
842 4.4E+08 Malignant multiple sclerosis (disorder)
842 14232007 Cryptococcal meningitis (disorder)
842 4.4E+08 Myoclonic dystonia (disorder)
842 4.07E+08 Cryptococcus infection of the central nervous system (disorder)
842 4.42E+08 Encephalitis due to human herpesvirus 6 infection (disorder)
842 24321005 Fungal meningitis (disorder)
842 1.28E+08 Disorder of intracranial venous sinus (disorder)
842 87900003 Injury of sacral nerve roots (disorder)
842 2.08E+08 Open spinal fracture with complete lumbar cord lesion (disorder)
842 14289006 Myopathy in hypopituitarism (disorder)
842 2.08E+08 Open spinal fracture with anterior lumbar cord lesion (disorder)
842 4.42E+08 Infarct of cerebrum due to iatrogenic cerebrovascular accident (disorder)
842 2.08E+08 Open spinal fracture with central lumbar cord lesion (disorder)
842 14309005 Anterior choroidal artery syndrome (disorder)
842 4.42E+08 Refractory generalized nonconvulsive epilepsy (disorder)
842 88008005 Multiple open fractures of skull AND/OR face with cerebral laceration AND/OR contusion (disorder)
842 2.08E+08 Open spinal fracture with posterior lumbar cord lesion (disorder)
842 4.42E+08 Hemiplegia of nondominant side (disorder)
842 4.42E+08 Spastic hemiplegia of nondominant side (disorder)
842 2.08E+08 Open spinal fracture with cauda equina lesion (disorder)
842 4.42E+08 Spastic hemiplegia of dominant side (disorder)
842 88032003 Amaurosis fugax (disorder)
842 4.42E+08 Hemiplegia of dominant side (disorder)
842 4.42E+08 Hemiparesis as late effect of cerebrovascular accident (disorder)
842 4.42E+08 Flaccid hemiplegia of dominant side (disorder)
842 2.08E+08 Closed fracture of sacrum with spinal cord lesion (disorder)
842 4.42E+08 Hemiplegia as late effect of cerebrovascular disease (disorder)
842 4.42E+08 Flaccid hemiplegia of nondominant side (disorder)
842 4.42E+08 Residual cognitive deficit as late effect of cerebrovascular accident (disorder)
842 2.31E+08 Anterior cerebral circulation infarction (disorder)
842 4.42E+08 Rhombencephalosynapsis (disorder)
842 14357004 Ischemic optic neuropathy (disorder)
842 4.42E+08 Dementia due to Huntington chorea (disorder)
842 77157004 Disorder of optic nerve (disorder)
842 14363008 Anterior spinal artery compression syndrome (disorder)
842 2.31E+08 Carotid territory transient ischemic attack (disorder)
842 88125005 Henoch's chorea (disorder)
842 2.08E+08 Closed fracture of sacrum with complete cauda equina lesion (disorder)
842 88174006 Basilar artery thrombosis (disorder)
842 4.42E+08 Epilepsy characterized by intractable complex partial seizures (disorder)
842 4.43E+08 Progressive encephalopathy with edema, hypsarrhythmia and optic atrophy syndrome (disorder)
842 4.43E+08 Hemiplegia of nondominant side as late effect of cerebrovascular disease (disorder)
842 4.43E+08 Hemiplegia of dominant side as late effect of cerebrovascular disease (disorder)
842 88269008 Thalamic syndrome (disorder)
842 4.43E+08 Conus medullaris syndrome (disorder)
842 88405003 Open fracture of T7-T12 level with central cord syndrome (disorder)
842 4.43E+08 Inflammation of brain and spinal cord due to toxic substance (disorder)
842 14405000 Spinal subdural abscess (disorder)
842 37660004 Subdural abscess (disorder)
842 2.08E+08 Open fracture of sacrum with spinal cord lesion (disorder)
842 14415006 Pneumocephalus (disorder)
842 14434006 Cerebellar laceration with open intracranial wound AND no loss of consciousness (disorder)
842 4.44E+08 Multiple system atrophy, cerebellar variant (disorder)
842 2.08E+08 Open fracture of sacrum with complete cauda equina lesion (disorder)
842 30858001 Cerebellar laceration with open intracranial wound (disorder)
842 14447001 Dandy-Walker syndrome (disorder)
842 88518009 Wilson's disease (disorder)
842 2.08E+08 Closed fracture of coccyx with spinal cord lesion (disorder)
842 4.44E+08 Multiple system atrophy, Parkinson variant (disorder)
842 4.45E+08 Superior cerebellar artery syndrome (disorder)
842 2.08E+08 Closed fracture of coccyx with complete cauda equina lesion (disorder)
842 88747000 Subarachnoid hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 2.08E+08 Open fracture of coccyx with spinal cord lesion (disorder)
842 1.93E+08 Pseudomeningocele (disorder)
842 88845000 Explosive type organic personality disorder (disorder)
842 2.08E+08 Open fracture of coccyx with complete cauda equina lesion (disorder)
842 47032000 Congenital hydrocephalus (disorder)
842 2.53E+08 Aplasia of the vermis (disorder)
842 14460007 Hemorrhage in optic nerve sheaths (disorder)
842 2.09E+08 Closed spinal subluxation with posterior lumbar cord lesion (disorder)
842 14493003 Closed fracture of T1-T6 level with anterior cord syndrome (disorder)
842 2.1E+08 Concussion with less than 1 hour loss of consciousness (disorder)
842 2.31E+08 Transtentorial herniation (disorder)
842 4.45E+08 Meningomyelocele of lumbosacral spine (disorder)
842 2.1E+08 Concussion with 1-24 hours loss of consciousness (disorder)
842 2.1E+08 Concussion with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
842 2.1E+08 Concussion with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
842 14521008 Visual seizure (disorder)
842 14535005 Acute nonparalytic poliomyelitis (disorder)
842 2.31E+08 Uncinate herniation (disorder)
842 89261000 Isolated thyrotropin deficiency (disorder)
842 3.98E+08 Acute poliomyelitis (disorder)
842 14584002 Closed fracture of sacrum AND/OR coccyx with spinal cord injury (disorder)
842 2.63E+08 Cortex laceration and contusion (disorder)
842 22973003 Closed fracture of vertebral column with spinal cord injury (disorder)
842 2.63E+08 Cerebellar laceration and contusion (disorder)
842 14784000 Opioid-induced organic mental disorder (disorder)
842 2.1E+08 Closed cerebral contusion (disorder)
842 89451009 Inhalant-induced mood disorder (disorder)
842 89476005 Pituitary cachexia (disorder)
842 2.1E+08 Open cerebral contusion (disorder)
842 2.68E+08 Progressive myoclonic epilepsy (disorder)
842 2.3E+08 Unverricht-Lundborg syndrome (disorder)
842 2.1E+08 Cortex contusion with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
842 89525009 Gelastic seizure (disorder)
842 2.1E+08 Cortex contusion with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
842 89576007 Pallidonigrospinal degeneration (disorder)
842 2.1E+08 Cortex laceration with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
842 14900002 Radiotherapy-induced hypopituitarism (disorder)
842 89654006 Disorder of optic chiasm associated with vascular disorder (disorder)
842 2.1E+08 Cortex laceration with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
842 3.15E+08 Human immunodeficiency virus (HIV) infection with aseptic meningitis (disorder)
842 2.1E+08 Cortex laceration with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
842 2.1E+08 Cortex laceration with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
842 14936004 Subdural hemorrhage following injury with open intracranial wound (disorder)
842 2.1E+08 Closed hindbrain contusion (disorder)
842 2.41E+08 Meningovascular syphilis - quaternary stage (disorder)
842 4.17E+08 Neuroinvasive Venezuelan equine encephalitis virus infection (disorder)
842 2.1E+08 Open hindbrain contusion (disorder)
842 90099008 Subcortical leukoencephalopathy (disorder)
842 2.1E+08 Hind brain contusion with open intracranial wound, with no loss of consciousness (disorder)
842 90162006 Syringopontia (disorder)
842 2.1E+08 Hind brain contusion with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
842 90165008 Subdural hemorrhage following injury with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
842 90182005 Hypophysectomy-induced hypopituitarism (disorder)
842 2.1E+08 Hind brain contusion with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
842 4.21E+08 Organic dementia associated with AIDS (disorder)
842 2.1E+08 Hind brain contusion with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
842 90224001 Coma in the newborn (disorder)
842 2.1E+08 Hind brain contusion with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
842 90253000 Progressive subcortical gliosis (disorder)
842 2.1E+08 Hind brain laceration with open intracranial wound, with no loss of consciousness (disorder)
842 4.45E+08 Cavernous hemangioma of brain (disorder)
842 2.1E+08 Hind brain laceration with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
842 4.46E+08 Intracranial cavernous hemangioma (disorder)
842 2.1E+08 Hind brain laceration with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
842 2.1E+08 Hind brain laceration with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
842 4.45E+08 Meningocele of vertex (disorder)
842 2.1E+08 Hind brain laceration with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
842 4.45E+08 Sporadic olivopontocerebellar atrophy (disorder)
842 90302003 Tuberculosis of cerebral meninges (disorder)
842 4.45E+08 Paraneoplastic limbic encephalitis (disorder)
842 2.1E+08 Brain contusion with open intracranial wound, with no loss of consciousness (disorder)
842 2.1E+08 Brain contusion with open intracranial wound, with more than 1 hour loss of consciousness (disorder)
842 90755006 Nicotine withdrawal (disorder)
842 4.45E+08 Subarachnoid intracranial abscess (disorder)
842 2.91E+08 Postpartum hypopituitarism (disorder)
842 2.1E+08 Brain contusion with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
842 4.45E+08 Colloid cyst of pituitary gland (disorder)
842 2.1E+08 Brain contusion with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
842 90791004 Posthemiplegic ataxia (disorder)
842 2.1E+08 Brain contusion with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
842 91012008 Repeated concussion of brain (disorder)
842 91168001 Cerebellar laceration without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 2.1E+08 Traumatic subdural hemorrhage (disorder)
842 2.69E+08 Closed traumatic subarachnoid hemorrhage (disorder)
842 91187007 Pituitary dwarfism with small sella turcica (disorder)
842 2.1E+08 Subarachnoid hemorrhage following injury without mention of open intracranial wound, with 1-24 hours loss of consciousness (disorder)
842 91377003 Transient hyperprolactinemia (disorder)
842 2.1E+08 Open traumatic subarachnoid hemorrhage (disorder)
842 3.13E+08 Anxiolytic-induced organic mental disorder (disorder)
842 2.63E+08 Traumatic intracranial subarachnoid hemorrhage (disorder)
842 91483004 Tuberculous encephalitis (disorder)
842 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
842 91589002 Closed fracture of base of skull with cerebral laceration AND/OR contusion (disorder)
842 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
842 1.12E+08 Closed fracture of base of skull with intracranial injury (disorder)
842 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
842 4.45E+08 Cystic degeneration of brain (disorder)
842 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
842 4.45E+08 Meningitis due to Haemophilus influenzae type B (disorder)
842 91641000 Injury at T7-T12 level with posterior cord syndrome AND without bone injury (disorder)
842 4.45E+08 Glucose transporter protein type 1 deficiency syndrome (disorder)
842 2.1E+08 Closed traumatic subdural hemorrhage (disorder)
842 4.45E+08 Migraine variant with headache (disorder)
842 2.1E+08 Open traumatic subdural hemorrhage (disorder)
842 2.1E+08 Subdural hemorrhage following injury with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
842 4.45E+08 Paraneoplastic subacute necrotic myelopathy (disorder)
842 2.1E+08 Subdural hemorrhage following injury with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
842 4.45E+08 Occipital meningocele (disorder)
842 2.1E+08 Subdural hemorrhage following injury with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
842 2.1E+08 Subdural hemorrhage following injury with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
842 2.92E+08 Postpartum intrapituitary hemorrhage (disorder)
842 2.38E+08 Sheehan's syndrome (disorder)
842 91952008 Azorean disease (disorder)
842 2.63E+08 Traumatic intracranial extradural hematoma (disorder)
842 91953003 Azorean disease, type I (disorder)
842 2.1E+08 Open traumatic extradural hemorrhage (disorder)
842 91954009 Azorean disease, type II (disorder)
842 2.1E+08 Extradural hemorrhage following injury with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
842 2.1E+08 Extradural hemorrhage following injury with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
842 91955005 Azorean disease, type III (disorder)
842 2.1E+08 Extradural hemorrhage following injury with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
842 91956006 Azorean disease, type IV (disorder)
842 2.1E+08 Extradural hemorrhage following injury with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
842 92029009 Benign neoplasm of brain stem (disorder)
842 3.15E+08 Traumatic subdural hematoma without open intracranial wound (disorder)
842 1.27E+08 Neoplasm of brain stem (disorder)
842 3.15E+08 Traumatic subdural hematoma with open intracranial wound (disorder)
842 3.15E+08 Traumatic extradural hematoma without open intracranial wound (disorder)
842 92030004 Benign neoplasm of brain (disorder)
842 3.15E+08 Traumatic extradural hematoma with open intracranial wound (disorder)
842 1.27E+08 Neoplasm of brain (disorder)
842 3.12E+08 Traumatic cerebral edema without open intracranial wound (disorder)
842 92048008 Benign neoplasm of central nervous system (disorder)
842 3.12E+08 Traumatic cerebral edema with open intracranial wound (disorder)
842 1.27E+08 Neoplasm of central nervous system (disorder)
842 2.63E+08 Diffuse brain injury (disorder)
842 92050000 Benign neoplasm of cerebellum (disorder)
842 2.1E+08 Focal brain injury (disorder)
842 1.27E+08 Neoplasm of cerebellum (disorder)
842 2.1E+08 Intracranial injury with prolonged coma (disorder)
842 92051001 Benign neoplasm of cerebral meninges (disorder)
842 3.12E+08 Intracranial injury with prolonged coma without open wound (disorder)
842 3.12E+08 Intracranial injury with prolonged coma with open wound (disorder)
842 1.1E+08 Benign neoplasm of meninges (disorder)
842 1.27E+08 Neoplasm of cerebral meninges (disorder)
842 2.75E+08 Brain damage - traumatic (disorder)
842 92052008 Benign neoplasm of cerebral ventricle (disorder)
842 4.06E+08 Cervical spinal cord injury without spinal bone injury (disorder)
842 1.27E+08 Neoplasm of cerebral ventricle (disorder)
842 4.06E+08 Complete cervical cord injury, without spinal bone injury, C1-4 (disorder)
842 2.75E+08 Benign cerebral tumor (disorder)
842 4.06E+08 Anterior cervical spinal cord injury, without injury to spinal bone, C1-4 (disorder)
842 92072003 Benign neoplasm of craniopharyngeal duct (disorder)
842 15139001 Chronic brain-hydrocephalus syndrome (disorder)
842 4.06E+08 Central cervical cord injury, without spinal bony injury, C1-4 (disorder)
842 78689005 Chronic brain syndrome (disorder)
842 15182000 Coffin-Lowry syndrome (disorder)
842 4.06E+08 Posterior cervical spinal cord injury, without spinal injury, C1-4 (disorder)
842 4.06E+08 Complete cervical cord injury, without spinal bone injury, C5-7 (disorder)
842 1.27E+08 Neoplasm of craniopharyngeal duct (disorder)
842 4.06E+08 Anterior cervical spinal cord injury, without spinal bone injury, C5-7 (disorder)
842 4.06E+08 Central cervical cord injury, without spinal bony injury, C5-7 (disorder)
842 92296004 Benign neoplasm of pituitary gland (disorder)
842 4.06E+08 Posterior cervical spinal cord injury without spinal bone injury, C5-7 (disorder)
842 92114009 Benign neoplasm of frontal lobe (disorder)
842 2.12E+08 Thoracic cord injury without spinal bone injury (disorder)
842 2.12E+08 Complete thoracic cord injury, without bony injury, T1-6 (disorder)
842 1.89E+08 Benign neoplasm of brain, supratentorial (disorder)
842 2.12E+08 Anterior thoracic cord injury, without bony injury, T1-6 (disorder)
842 1.27E+08 Neoplasm of frontal lobe (disorder)
842 2.12E+08 Central thoracic cord injury, without bony injury, T1-6 (disorder)
842 2.12E+08 Posterior thoracic cord injury without bony injury, T1-6 (disorder)
842 92253009 Benign neoplasm of occipital lobe (disorder)
842 2.12E+08 Complete thoracic cord injury, without bony injury, T7-12 (disorder)
842 1.27E+08 Neoplasm of occipital lobe (disorder)
842 2.12E+08 Anterior thoracic cord injury, without bony injury, T7-12 (disorder)
842 2.12E+08 Central thoracic cord injury, without bony injury, T7-12 (disorder)
842 92256001 Benign neoplasm of olfactory nerve (disorder)
842 2.12E+08 Posterior thoracic cord injury without bony injury, T7-12 (disorder)
842 1.27E+08 Neoplasm of olfactory nerve (disorder)
842 2.12E+08 Complete lumbar cord injury without bony injury (disorder)
842 2.12E+08 Anterior lumbar cord injury without bony injury (disorder)
842 92257005 Benign neoplasm of optic nerve (disorder)
842 2.12E+08 Central lumbar cord injury without bony injury (disorder)
842 3.96E+08 Neoplasm of optic nerve (disorder)
842 2.12E+08 Posterior lumbar cord injury without bony injury (disorder)
842 92276007 Benign neoplasm of parietal lobe (disorder)
842 2.12E+08 Sacral cord injury without bony injury (disorder)
842 1.27E+08 Neoplasm of parietal lobe (disorder)
842 2.12E+08 Spinal cord injury of multiple sites without spinal bone injury (disorder)
842 92294001 Benign neoplasm of pineal gland (disorder)
842 2.12E+08 Cervical nerve root injury - C1 (disorder)
842 1.27E+08 Neoplasm of pineal gland (disorder)
842 1.27E+08 Neoplasm of pituitary gland (disorder)
842 2.12E+08 Cervical nerve root injury - C2 (disorder)
842 2.55E+08 Benign tumor of hypothalamus (disorder)
842 2.12E+08 Cervical nerve root injury - C3 (disorder)
842 2.12E+08 Cervical nerve root injury - C4 (disorder)
842 92405007 Benign neoplasm of spinal cord (disorder)
842 1.27E+08 Neoplasm of spinal cord (disorder)
842 2.12E+08 Cervical nerve root injury - C5 (disorder)
842 92406008 Benign neoplasm of spinal meninges (disorder)
842 2.12E+08 Cervical nerve root injury - C6 (disorder)
842 1.27E+08 Neoplasm of spinal meninges (disorder)
842 2.12E+08 Cervical nerve root injury - C7 (disorder)
842 15244003 Neuroleptic malignant syndrome (disorder)
842 2.12E+08 Cervical nerve root injury - C8 (disorder)
842 15277004 Hallucinogen-induced anxiety disorder (disorder)
842 92427003 Benign neoplasm of temporal lobe (disorder)
842 2.12E+08 Thoracic nerve root injury - T1 (disorder)
842 1.27E+08 Neoplasm of temporal lobe (disorder)
842 2.12E+08 Thoracic nerve root injury - T2 (disorder)
842 92573003 Carcinoma in situ of craniopharyngeal duct (disorder)
842 2.12E+08 Thoracic nerve root injury - T3 (disorder)
842 2.12E+08 Thoracic nerve root injury - T4 (disorder)
842 92683008 Carcinoma in situ of pituitary gland (disorder)
842 2.12E+08 Thoracic nerve root injury - T5 (disorder)
842 92682003 Carcinoma in situ of pineal gland (disorder)
842 2.12E+08 Thoracic nerve root injury - T6 (disorder)
842 92904001 Congenital abnormal shape of cerebellum (disorder)
842 2.12E+08 Thoracic nerve root injury - T7 (disorder)
842 92905000 Congenital abnormal shape of cerebrum (disorder)
842 2.12E+08 Thoracic nerve root injury - T8 (disorder)
842 93249003 Congenital hypoplasia of cerebrum (disorder)
842 2.77E+08 Cerebral dysgenesis (disorder)
842 2.12E+08 Thoracic nerve root injury - T9 (disorder)
842 93468003 Hemangioma of intracranial structure (disorder)
842 2.12E+08 Thoracic nerve root injury - T10 (disorder)
842 15316002 Simian B encephalomyelitis (disorder)
842 93557001 Holorachischisis (disorder)
842 62950007 Encephalomyelitis (disorder)
842 2.12E+08 Thoracic nerve root injury - T11 (disorder)
842 2.3E+08 Herpes simiae encephalitis (disorder)
842 2.12E+08 Thoracic nerve root injury - T12 (disorder)
842 15523002 Benign focal epilepsy of childhood (disorder)
842 93559003 Hypogonadism with anosmia (disorder)
842 2.79E+08 Localization-related idiopathic epilepsy (disorder)
842 2.12E+08 Lumbar nerve root injury - L1 (disorder)
842 15552004 Osteogenesis imperfecta, recessive perinatal lethal, with microcephaly AND cataracts (disorder)
842 2.12E+08 Lumbar nerve root injury - L2 (disorder)
842 2.12E+08 Lumbar nerve root injury - L3 (disorder)
842 15662003 Senile dementia (disorder)
842 15705007 Phlebitis of basilar sinus (disorder)
842 2.12E+08 Lumbar nerve root injury - L4 (disorder)
842 2.12E+08 Lumbar nerve root injury - L5 (disorder)
842 2.12E+08 Sacral nerve root injury - S1 (disorder)
842 2.12E+08 Sacral nerve root injury - S2 (disorder)
842 15742000 Thrombosis of inferior sagittal sinus (disorder)
842 2.12E+08 Sacral nerve root injury - S3 (disorder)
842 1.93E+08 Cerebral venous sinus thrombosis (disorder)
842 2.12E+08 Sacral nerve root injury - S4 (disorder)
842 2.31E+08 Cerebral venous thrombosis of sigmoid sinus (disorder)
842 2.12E+08 Sacral nerve root injury - S5 (disorder)
842 15771004 Diabetes insipidus (disorder)
842 93726004 Primary malignant neoplasm of brain stem (disorder)
842 15782007 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced parkinsonism (disorder)
842 2.12E+08 Lateral cutaneous branch T12 injury (disorder)
842 15802004 Dystonia (disorder)
842 16026008 Congenital cerebellar hypoplasia (disorder)
842 2.53E+08 Dysgenesis of the cerebellum (disorder)
842 78693004 Congenital hypoplasia of part of brain (disorder)
842 93727008 Primary malignant neoplasm of brain (disorder)
842 16060001 Viral hepatitis A with hepatic coma (disorder)
842 3.63E+08 Malignant neoplasm of brainstem (disorder)
842 93744007 Primary malignant neoplasm of central nervous system (disorder)
842 40946000 Viral hepatitis with hepatic coma (disorder)
842 4.28E+08 Malignant neoplasm of brain (disorder)
842 3.72E+08 Malignant neoplasm of central nervous system (disorder)
842 16061002 Endophlebitis of lateral venous sinus (disorder)
842 2.12E+08 Concussion and edema of cervical spinal cord (disorder)
842 93746009 Primary malignant neoplasm of cerebellum (disorder)
842 87937009 Endophlebitis of intracranial venous sinus (disorder)
842 93747000 Primary malignant neoplasm of cerebral meninges (disorder)
842 88755007 Phlebitis of lateral venous sinus (disorder)
842 3.63E+08 Malignant neoplasm of cerebral meninges (disorder)
842 1.93E+08 Multiple sclerosis of the spinal cord (disorder)
842 1.1E+08 Primary malignant neoplasm of meninges (disorder)
842 2.63E+08 Edema of cervical cord (disorder)
842 93748005 Primary malignant neoplasm of cerebral ventricle (disorder)
842 2.12E+08 Concussion and edema of thoracic spinal cord (disorder)
842 3.63E+08 Malignant neoplasm of cerebral ventricles (disorder)
842 2.63E+08 Edema of thoracic cord (disorder)
842 16171003 Double athetosis (disorder)
842 93749002 Primary malignant neoplasm of cerebrum (disorder)
842 2.12E+08 Concussion and edema of lumbar spinal cord (disorder)
842 1.28E+08 Cerebral palsy (disorder)
842 30915001 Holoprosencephaly sequence (disorder)
842 2.63E+08 Edema of lumbar cord (disorder)
842 2.72E+08 Disorder of dorsal column stimulator (disorder)
842 16279005 Disorder of neurometabolic regulation (disorder)
842 2.72E+08 Disorder of electrodes implanted in brain (disorder)
842 4.29E+08 Malignant neoplasm of cerebrum (disorder)
842 16319002 Cortex contusion without open intracranial wound AND with concussion (disorder)
842 16418006 Embolism of basilar sinus (disorder)
842 93768004 Primary malignant neoplasm of craniopharyngeal duct (disorder)
842 2.04E+08 Hydromeningocele - cranial (disorder)
842 4.1E+08 Hydrencephalomeningocele (disorder)
842 1.88E+08 Malignant tumor of craniopharyngeal duct (disorder)
842 16517004 Cerebral lipidosis (disorder)
842 93964007 Primary malignant neoplasm of pituitary gland (disorder)
842 16561007 Acute anoxic encephalopathy (disorder)
842 16576004 Shy-Drager syndrome (disorder)
842 93807001 Primary malignant neoplasm of frontal lobe (disorder)
842 16631009 Transverse myelopathy syndrome (disorder)
842 16695002 Open fracture of T1-T6 level with spinal cord injury (disorder)
842 2.13E+08 Anoxic brain damage complication (disorder)
842 3.63E+08 Malignant neoplasm of frontal lobe (disorder)
842 2.13E+08 Cerebral anoxia complication (disorder)
842 2.13E+08 Postoperative cerebrospinal fluid leak (disorder)
842 93928006 Primary malignant neoplasm of occipital lobe (disorder)
842 2.31E+08 Dysequilibrium syndrome (disorder)
842 3.63E+08 Malignant neoplasm of occipital lobe (disorder)
842 93930008 Primary malignant neoplasm of olfactory nerve (disorder)
842 93931007 Primary malignant neoplasm of optic nerve (disorder)
842 3.63E+08 Malignant tumor of optic nerve (disorder)
842 93946000 Primary malignant neoplasm of parietal lobe (disorder)
842 2.3E+08 Language-related cognitive disorder (disorder)
842 4.43E+08 Cognitive disorder (disorder)
842 2.3E+08 Oral dystonia (disorder)
842 3.63E+08 Malignant neoplasm of parietal lobe (disorder)
842 4.43E+08 Dystonia of head (disorder)
842 93962006 Primary malignant neoplasm of pineal gland (disorder)
842 2.3E+08 Coxsackie A viral meningitis (disorder)
842 2.3E+08 Coxsackie B viral meningitis (disorder)
842 3.63E+08 Malignant tumor of pineal gland (disorder)
842 2.3E+08 Chronic echovirus meningoencephalitis (disorder)
842 3.63E+08 Malignant tumor of pituitary gland (disorder)
842 2.3E+08 Post measles meningitis (disorder)
842 94068003 Primary malignant neoplasm of spinal cord (disorder)
842 2.3E+08 Staphylococcus aureus meningitis (disorder)
842 2.3E+08 Staphylococcus epidermidis meningitis (disorder)
842 3.63E+08 Malignant tumor of spinal cord (disorder)
842 2.08E+08 Open fracture of thoracic spine with spinal cord lesion (disorder)
842 94069006 Primary malignant neoplasm of spinal meninges (disorder)
842 16721009 Caprine arthritis-encephalitis (disorder)
842 3.63E+08 Malignant neoplasm of spinal meninges (disorder)
842 16728003 Inherited spastic paresis (disorder)
842 94086000 Primary malignant neoplasm of temporal lobe (disorder)
842 16837005 Brain stem contusion with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 2.3E+08 Meningitis in Lyme disease (disorder)
842 4.07E+08 Borrelia infection of central nervous system (disorder)
842 66393002 Brain stem contusion with open intracranial wound AND loss of consciousness (disorder)
842 16901001 Central European encephalitis (disorder)
842 3.63E+08 Malignant neoplasm of temporal lobe (disorder)
842 16907002 Extradural hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 2.69E+08 Closed traumatic extradural hemorrhage (disorder)
842 94224009 Secondary malignant neoplasm of brain stem (disorder)
842 3.71E+08 Congenital cerebellar cortical atrophy (disorder)
842 94225005 Secondary malignant neoplasm of brain (disorder)
842 94243009 Secondary malignant neoplasm of central nervous system (disorder)
842 94242004 Secondary malignant neoplasm of cauda equina (disorder)
842 94600009 Secondary malignant neoplasm of spinal cord (disorder)
842 94245002 Secondary malignant neoplasm of cerebellum (disorder)
842 2.3E+08 Late congenital syphilitic meningitis (disorder)
842 94246001 Secondary malignant neoplasm of cerebral meninges (disorder)
842 16997008 Neonatal agitation (disorder)
842 17169009 Cerebellar contusion without open intracranial wound AND with loss of consciousness (disorder)
842 94247005 Secondary malignant neoplasm of cerebral ventricle (disorder)
842 57739006 Cerebellar contusion without open intracranial wound (disorder)
842 94248000 Secondary malignant neoplasm of cerebrum (disorder)
842 17258002 Chronic anoxic encephalopathy (disorder)
842 94267001 Secondary malignant neoplasm of craniopharyngeal duct (disorder)
842 17262008 Non-alcoholic Korsakoff's psychosis (disorder)
842 2.3E+08 Malignant meningitis (disorder)
842 94491007 Secondary malignant neoplasm of pituitary gland (disorder)
842 17409003 Facial hemiparesis (disorder)
842 20022000 Hemiparesis (disorder)
842 94309003 Secondary malignant neoplasm of frontal lobe (disorder)
842 17496003 Organic anxiety disorder (disorder)
842 17498002 Cortex contusion without open intracranial wound AND with loss of consciousness (disorder)
842 94448002 Secondary malignant neoplasm of occipital lobe (disorder)
842 17541006 Coloboma of optic disc (disorder)
842 94451009 Secondary malignant neoplasm of olfactory nerve (disorder)
842 2.3E+08 Viral ventriculitis, brain (disorder)
842 3.12E+08 Infective ventriculitis, brain (disorder)
842 94452002 Secondary malignant neoplasm of optic nerve (disorder)
842 2.3E+08 Bacterial ventriculitis, brain (disorder)
842 94471000 Secondary malignant neoplasm of parietal lobe (disorder)
842 2.3E+08 Fungal ventriculitis, brain (disorder)
842 94489004 Secondary malignant neoplasm of pineal gland (disorder)
842 2.3E+08 Malignant ventriculitis, brain (disorder)
842 94601008 Secondary malignant neoplasm of spinal meninges (disorder)
842 2.3E+08 Rocio virus encephalitis (disorder)
842 2.3E+08 Tensaw encephalitis (disorder)
842 94622002 Secondary malignant neoplasm of temporal lobe (disorder)
842 2.3E+08 Kumlinge virus encephalitis (disorder)
842 94766006 Neoplasm of uncertain behavior of brain stem (disorder)
842 4.07E+08 Nairoviral encephalitis (disorder)
842 94767002 Neoplasm of uncertain behavior of brain (disorder)
842 2.3E+08 Rhabdovirus encephalitis (disorder)
842 1.89E+08 Neoplasm of uncertain or unknown behavior of brain, infratentorial (disorder)
842 2.3E+08 Infectious mononucleosis encephalitis (disorder)
842 1.89E+08 Neoplasm of uncertain behavior of brain and/or spinal cord (disorder)
842 94784008 Neoplasm of uncertain behavior of central nervous system (disorder)
842 94786005 Neoplasm of uncertain behavior of cerebellum (disorder)
842 2.3E+08 Human immunodefiency virus leukoencephalopathy (disorder)
842 2.3E+08 Late syphilitic encephalitis (disorder)
842 1.28E+08 Optic disc disorder (disorder)
842 1.87E+08 Russian spring-summer encephalitis (disorder)
842 94787001 Neoplasm of uncertain behavior of cerebral meninges (disorder)
842 17667005 Intracranial hemorrhage following injury without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
842 1.1E+08 Neoplasm of uncertain behavior of meninges (disorder)
842 94788006 Neoplasm of uncertain behavior of cerebral ventricle (disorder)
842 94789003 Neoplasm of uncertain behavior of cerebrum (disorder)
842 1.27E+08 Intracranial hemorrhage following injury with brief loss of consciousness (disorder)
842 1.27E+08 Neoplasm of cerebrum (disorder)
842 22693008 Brain injury without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
842 17674000 Neuromyelitis (disorder)
842 94808000 Neoplasm of uncertain behavior of craniopharyngeal duct (disorder)
842 28394000 Toxic encephalopathy (disorder)
842 94847003 Neoplasm of uncertain behavior of frontal lobe (disorder)
842 17819003 Brain stem laceration without open intracranial wound AND with concussion (disorder)
842 1.89E+08 Neoplasm of uncertain or unknown behavior of brain, supratentorial (disorder)
842 17944005 Cerebral calcification (disorder)
842 94968001 Neoplasm of uncertain behavior of occipital lobe (disorder)
842 17949000 Meningoencephalitis due to acquired toxoplasmosis (disorder)
842 94970005 Neoplasm of uncertain behavior of olfactory nerve (disorder)
842 4.18E+08 Encephalitis due to protozoa (disorder)
842 4.07E+08 Coccidioides infection of the central nervous system (disorder)
842 94971009 Neoplasm of uncertain behavior of optic nerve (disorder)
842 1.28E+08 Infectious disease of central nervous system (disorder)
842 18071005 Meningococcal encephalitis (disorder)
842 94986003 Neoplasm of uncertain behavior of parietal lobe (disorder)
842 2.3E+08 Bacterial encephalitis (disorder)
842 95002008 Neoplasm of uncertain behavior of pineal gland (disorder)
842 18200000 Autosomal recessive isolated somatotropin deficiency (disorder)
842 2.3E+08 Fungal encephalitis (disorder)
842 3.67E+08 Pituitary dwarfism (disorder)
842 4.07E+08 Primary encephalitis (disorder)
842 18311006 Aseptic meningitis due to drug (disorder)
842 3.02E+08 Aseptic meningitis (disorder)
842 95108005 Neoplasm of uncertain behavior of spinal cord (disorder)
842 1.93E+08 Multiple sclerosis of the brainstem (disorder)
842 2.3E+08 Granulomatous amebic encephalitis (disorder)
842 95109002 Neoplasm of uncertain behavior of spinal meninges (disorder)
842 95126008 Neoplasm of uncertain behavior of temporal lobe (disorder)
842 18531006 Brain stem laceration without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
842 2.3E+08 Post-influenza encephalitis (disorder)
842 95208000 Photogenic epilepsy (disorder)
842 2.3E+08 Focal encephalitis (disorder)
842 95453001 Subdural hematoma (disorder)
842 2.97E+08 Intracranial venous thrombosis (disorder)
842 2.3E+08 Brainstem encephalitis (disorder)
842 2.3E+08 Limbic encephalitis (disorder)
842 2.3E+08 Neuro - Whipple's disease (disorder)
842 2.3E+08 Acute viral transverse myelitis (disorder)
842 95456009 Brain stem ischemia (disorder)
842 2.31E+08 Posterior cerebral circulation infarction (disorder)
842 4.26E+08 Post-infective myelitis (disorder)
842 95458005 Cerebellar artery occlusion (disorder)
842 2.3E+08 Spastic paraplegia associated with human T-cell lymphotropic virus - 1 infection (disorder)
842 95459002 Cerebellar artery thrombosis (disorder)
842 47450003 Brain injury without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
842 95461006 Thrombophlebitis of cerebral vein (disorder)
842 18605003 Intracranial hemorrhage following injury with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
842 95478002 Congenital sacral meningocele (disorder)
842 18653004 Alcohol intoxication delirium (disorder)
842 2.3E+08 Human immunodeficiency virus myelitis (disorder)
842 2.3E+08 Vacuolar myelopathy (disorder)
842 18689007 Inhalant intoxication delirium (disorder)
842 95498007 Congenital myelin deficiency of the optic disc (disorder)
842 61104008 Inhalant-induced organic mental disorder (disorder)
842 2.04E+08 Defective development of the cauda equina (disorder)
842 2.3E+08 Intracranial pyogenic abscess (disorder)
842 95569006 Uremic coma (disorder)
842 95610008 Congenital brain damage (disorder)
842 95628005 Neonatal encephalopathy (disorder)
842 2.3E+08 Epidural supratentorial pyogenic abscess (disorder)
842 95631006 Drowsiness of the newborn (disorder)
842 3.6E+08 Extradural infratentorial pyogenic abscess (disorder)
842 18842008 Corticobasal degeneration (disorder)
842 1.28E+08 Disorder of cerebral cortex (disorder)
842 2.3E+08 Subdural supratentorial pyogenic abscess (disorder)
842 18871009 Cerebellar vertigo (disorder)
842 2.3E+08 Subdural infratentorial pyogenic abscess (disorder)
842 2.3E+08 Cerebral pyogenic abscess (disorder)
842 2.3E+08 Actinomycotic brain abscess (disorder)
842 2.3E+08 Brainstem pyogenic abscess (disorder)
842 38403006 Vertigo of central origin (disorder)
842 2.3E+08 Multiple intracranial pyogenic abscesses (disorder)
842 18894005 Legal abortion with cerebral anoxia (disorder)
842 2.3E+08 Candidal brain abscess (disorder)
842 18960007 Closed fracture of T7-T12 level with incomplete spinal cord lesion (disorder)
842 95633009 Neonatal hypokinesia (disorder)
842 2.3E+08 Cerebral hydatid cyst (disorder)
842 95635002 Caffeine withdrawal (disorder)
842 95638000 Localized cranial lesion (disorder)
842 95642002 Granulomatous meningoencephalitis (disorder)
842 2.3E+08 Cerebral cysticercosis (disorder)
842 4.41E+08 Cysticercosis of brain (disorder)
842 2.3E+08 Intraspinal pyogenic abscess (disorder)
842 19033007 Pseudoclaudication syndrome (disorder)
842 4.3E+08 Abscess of medulla spinalis (disorder)
842 19090007 Injury at C1-C4 level with complete lesion of spinal cord AND without bone injury (disorder)
842 95644001 Systemic lupus erythematosus encephalitis (disorder)
842 4.29E+08 Abscess of medulla oblongata (disorder)
842 2.3E+08 Intracranial septic embolism (disorder)
842 19091006 Pallidoluysian degeneration (disorder)
842 2.31E+08 Cerebral arteritis in systemic vasculitis (disorder)
842 2.3E+08 Pallidal degeneration (disorder)
842 19109004 Syringomyelobulbia (disorder)
842 3.89E+08 Hypoxia of brain (disorder)
842 2.31E+08 Pit of optic disc (disorder)
842 95650006 Transient hemiplegia (disorder)
842 95655001 Ophthalmic migraine (disorder)
842 2.3E+08 Intracranial arterial septic embolism (disorder)
842 19206003 Syphilitic acoustic neuritis (disorder)
842 26039008 Neurosyphilis (disorder)
842 2.3E+08 Septic thrombophlebitis of straight sinus (disorder)
842 19210000 Brain stem laceration with open intracranial wound AND no loss of consciousness (disorder)
842 82344002 Cerebellar contusion with open intracranial wound (disorder)
842 3.03E+08 Septic thrombophlebitis of lateral sinus (disorder)
842 19276002 Congenital cerebral cyst (disorder)
842 40720005 Cerebral cyst (disorder)
842 95656000 Familial hemiplegic migraine (disorder)
842 19350004 Athetosis with rigidity (disorder)
842 3.03E+08 Intracranial septic thrombophlebitis (disorder)
842 95660002 Thunderclap headache (disorder)
842 19445006 Opioid-induced psychotic disorder with hallucinations (disorder)
842 95671001 Cervical nerve root compression (disorder)
842 19448008 Optic atrophy associated with retinal dystrophy (disorder)
842 19598007 Generalized epilepsy (disorder)
842 19735005 Incipient prechiasmal optic nerve compression syndrome (disorder)
842 72983001 Compression of optic nerve (disorder)
842 19903002 Adductor spastic dysphonia (disorder)
842 2.3E+08 Septic thrombophlebitis of sigmoid sinus (disorder)
842 2.3E+08 Septic thrombophlebitis of cortical vein (disorder)
842 29003001 Spastic dysphonia (disorder)
842 19972008 Postencephalitic parkinsonism (disorder)
842 40673001 Post-encephalitic syndrome (disorder)
842 20059004 Cerebral artery occlusion (disorder)
842 2.3E+08 Septic thrombophlebitis of great cerebral vein (disorder)
842 4.25E+08 Optic disc edema associated with retinal disorder (disorder)
842 95775000 Retrobulbar optic nerve atrophy (disorder)
842 1.28E+08 Retrobulbar neuropathy (disorder)
842 95776004 Disorder of optic tract (disorder)
842 95782001 See-saw nystagmus (disorder)
842 95794005 Tolosa-Hunt syndrome (disorder)
842 2.3E+08 Early onset cerebellar ataxia with retained tendon reflexes (disorder)
842 2.3E+08 Early onset cerebellar ataxia with hypogonadism (disorder)
842 2.3E+08 Early onset cerebellar ataxia with retinitis pigmentosa and optic atrophy (disorder)
842 2.3E+08 Early onset cerebellar ataxia with essential tremor (disorder)
842 2.3E+08 Progressive cerebellar ataxia (disorder)
842 2.3E+08 Periodic ataxia (disorder)
842 2.3E+08 Olivopontocerebellar atrophy with slow eye movement (disorder)
842 2.3E+08 Olivopontocerebellar atrophy with blindness (disorder)
842 95815000 Central positional vertigo (disorder)
842 2.3E+08 Progressive spinocerebellar ataxia with decreased tendon reflexes (disorder)
842 95830009 Pituitary infarction (disorder)
842 2.3E+08 Progressive spinocerebellar ataxia with retained tendon reflexes (disorder)
842 4.33E+08 Cerebral infarction (disorder)
842 2.3E+08 Progressive cerebellar ataxia with palatal myoclonus (disorder)
842 2.3E+08 Progressive cerebellar ataxia with hypogonadism (disorder)
842 20167009 Cortex laceration without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 20276007 Subarachnoid hemorrhage following injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND without return to pre-existing conscious level (disorder)
842 2.3E+08 Drug-induced cerebellar ataxia (disorder)
842 2.3E+08 Cerebellar ataxia due to toxin (disorder)
842 2.3E+08 Progressive bulbar palsy of childhood (disorder)
842 69458009 Subarachnoid hemorrhage following injury without open intracranial wound AND with loss of consciousness (disorder)
842 2.3E+08 Pure hereditary spastic paraplegia (disorder)
842 20377001 Open fracture of C5-C7 level with incomplete spinal cord lesion (disorder)
842 2.3E+08 Complicated hereditary spastic paraplegia (disorder)
842 2.3E+08 Familial Alzheimer's disease of early onset (disorder)
842 2.3E+08 Non-familial Alzheimer's disease of early onset (disorder)
842 2.3E+08 Familial Alzheimer's disease of late onset (disorder)
842 2.3E+08 Non-familial Alzheimer's disease of late onset (disorder)
842 2.3E+08 Focal Alzheimer's disease (disorder)
842 2.3E+08 Frontotemporal degeneration (disorder)
842 80980003 Open fracture of C5-C7 level with spinal cord injury (disorder)
842 2.3E+08 Pick's disease with Pick bodies (disorder)
842 2.3E+08 Pick's disease with Pick cells and no Pick bodies (disorder)
842 20385005 Opioid-induced psychotic disorder with delusions (disorder)
842 2.3E+08 Frontal lobe degeneration with motor neurone disease (disorder)
842 1.86E+08 Encephalitis lethargica (disorder)
842 2.3E+08 Progressive aphasia (disorder)
842 2.3E+08 Non-Alzheimer's progressive dysphasia (disorder)
842 2.3E+08 Progressive aphasia in Alzheimer's disease (disorder)
842 2.3E+08 Acute viral encephalitis (disorder)
842 2.3E+08 Argyrophilic brain disease (disorder)
842 2.3E+08 Spongiform encephalopathy (disorder)
842 1.09E+08 Kohlschutter's syndrome (disorder)
842 20415001 Progressive sclerosing poliodystrophy (disorder)
842 1.1E+08 Cerebrofacial dysplasia (disorder)
842 30057005 Polioencephalopathy (disorder)
842 80544005 Spongy degeneration of central nervous system (disorder)
842 2.8E+08 Cerebral degeneration presenting primarily with dementia (disorder)
842 2.3E+08 Semantic dementia (disorder)
842 1.29E+08 Infectious disease of brain (disorder)
842 2.3E+08 Patchy dementia (disorder)
842 20485009 Cortical paralysis of fixation syndrome (disorder)
842 2.3E+08 Epileptic dementia (disorder)
842 20540005 Closed fracture of T7-T12 level with complete lesion of cord (disorder)
842 2.3E+08 Juvenile Parkinson's disease (disorder)
842 1.1E+08 Acute purulent meningitis (disorder)
842 2.3E+08 Carbon monoxide-induced parkinsonism (disorder)
842 2.3E+08 Manganese-induced parkinsonism (disorder)
842 2.3E+08 Parkinsonism with calcification of basal ganglia (disorder)
842 20876004 Inhalant-induced anxiety disorder (disorder)
842 2.3E+08 Vascular parkinsonism (disorder)
842 55702009 Laceration of brain without open intracranial wound (disorder)
842 2.3E+08 Juvenile onset Huntington's disease (disorder)
842 20900005 Nonfamilial asexual dwarfism (disorder)
842 2.3E+08 Late onset Huntington's disease (disorder)
842 20908003 Subcortical hemorrhage (disorder)
842 2.3E+08 Akinetic-rigid form of Huntington's disease (disorder)
842 2.3E+08 Chronic hepatocerebral degeneration (disorder)
842 1.1E+08 Late effects of pyogenic intracranial abscess (disorder)
842 73020009 Cerebral hemisphere hemorrhage (disorder)
842 2.3E+08 Paroxysmal dystonia (disorder)
842 2.3E+08 Autosomal dominant late onset basal ganglia degeneration (disorder)
842 1.1E+08 Acquired meningocele (disorder)
842 2.3E+08 Drug-induced tardive dystonia (disorder)
842 2.3E+08 Autosomal dominant idiopathic familial dystonia (disorder)
842 1.1E+08 Acquired myelocele (disorder)
842 2.3E+08 Autosomal recessive idiopathic familial dystonia (disorder)
842 1.1E+08 Overlapping malignant neoplasm of brain and other parts of the central nervous system (disorder)
842 2.3E+08 Idiopathic non-familial dystonia (disorder)
842 21000000 Idiosyncratic intoxication (disorder)
842 2.3E+08 Spasmodic retrocollis (disorder)
842 2.3E+08 Isolated blepharospasm (disorder)
842 21007002 Wernicke's disease (disorder)
842 1.1E+08 Overlapping malignant neoplasm of brain (disorder)
842 2.3E+08 Meige syndrome (disorder)
842 2.3E+08 Idiopathic orofacial dystonia (disorder)
842 1.27E+08 Neoplasm of meninges (disorder)
842 2.3E+08 Edentulous orofacial dystonia (disorder)
842 3.63E+08 Malignant tumor of meninges (disorder)
842 2.3E+08 Isolated oromandibular dystonia (disorder)
842 1.1E+08 Spinal cord concussion (disorder)
842 2.3E+08 Posthemiplegic dystonia (disorder)
842 2.3E+08 Diurnal dystonia (disorder)
842 2.3E+08 Postencephalitic myoclonus (disorder)
842 2.3E+08 Segmental cord myoclonus (disorder)
842 21086008 Cockayne syndrome (disorder)
842 2.3E+08 Palatal-tympanic myoclonus (disorder)
842 2.3E+08 Hyoid myoclonus (disorder)
842 21095000 Secondary hyperprolactinemia (disorder)
842 2.3E+08 Morel laminar sclerosis (disorder)
842 2.38E+08 Hyperprolactinemia (disorder)
842 2.3E+08 Drug-induced encephalopathy (disorder)
842 21098003 Primary optic atrophy (disorder)
842 2.3E+08 Urate encephalopathy (disorder)
842 2.3E+08 Hyponatremic encephalopathy (disorder)
842 4.17E+08 Tuberculoma of spinal cord (disorder)
842 2.3E+08 Secondary amyloid encephalopathy (disorder)
842 1.1E+08 Late effects of poliomyelitis (disorder)
842 2.3E+08 Encephalopathy due to radiation damage (disorder)
842 4.17E+08 Tuberculous abscess of spinal cord (disorder)
842 2.3E+08 Sepsis-associated encephalopathy (disorder)
842 2.3E+08 Late infantile and juvenile neuroaxonal dystrophy (disorder)
842 2.38E+08 Idiopathic hyperprolactinemia (disorder)
842 21201006 Sporadic cerebellar degeneration (disorder)
842 2.3E+08 Neuraxonal leucodystrophy (disorder)
842 2.3E+08 Acute relapsing multiple sclerosis (disorder)
842 2.3E+08 Chronic progressive multiple sclerosis (disorder)
842 2.3E+08 Remittent-progressive multiple sclerosis (disorder)
842 21202004 Perinatal subarachnoid hemorrhage (disorder)
842 1.11E+08 Fahr's syndrome (disorder)
842 2.77E+08 Perinatal intracranial hemorrhage (disorder)
842 2.3E+08 Basal ganglia degeneration with calcification (disorder)
842 21233002 Meningeal hemorrhage (disorder)
842 1.11E+08 Arteriopathic granular atrophy of cerebral cortex (disorder)
842 2.31E+08 Cerebrovascular and spinal vascular disorders (disorder)
842 21244005 Borries' syndrome (disorder)
842 21258007 Thrombosis of lateral venous sinus (disorder)
842 2.3E+08 Subacute hemorrhagic leukoencephalitis (disorder)
842 21263006 Myxedema coma (disorder)
842 2.3E+08 Extrapontine myelinolysis (disorder)
842 21350002 Colloid cyst of third ventricle (disorder)
842 2.79E+08 Cerebral atrophy (disorder)
842 2.3E+08 Acute non-infective transverse myelitis (disorder)
842 1.11E+08 Circumscribed atrophy of brain (disorder)
842 1.11E+08 Basilar artery embolism (disorder)
842 2.3E+08 Benign frontal epilepsy of childhood (disorder)
842 1.93E+08 Non-pyogenic meningitis (disorder)
842 1.11E+08 Atheroma of cerebral arteries (disorder)
842 2.3E+08 Benign psychomotor epilepsy of childhood (disorder)
842 1.11E+08 Dyke-Davidoff syndrome (disorder)
842 2.3E+08 Benign atypical partial epilepsy in childhood (disorder)
842 1.11E+08 Erb-Duchenne palsy as birth trauma (disorder)
842 21523006 Syphilitic gumma of central nervous system (disorder)
842 2.3E+08 Epilepsy with recurrent unilateral seizures in children (disorder)
842 2.3E+08 Childhood epilepsy with occipital paroxysms (disorder)
842 21634003 Borjeson-Forssman-Lehmann syndrome (disorder)
842 2.3E+08 Benign occipital epilepsy of childhood - early onset variant (disorder)
842 21664006 Chronic meningitis (disorder)
842 21978005 Open fracture of C1-C4 level with anterior cord syndrome (disorder)
842 2.3E+08 Benign occipital epilepsy of childhood - late onset variant (disorder)
842 2.3E+08 Primary inherited reading epilepsy (disorder)
842 2.3E+08 Amygdalo-hippocampal epilepsy (disorder)
842 2.3E+08 Rhinencephalic epilepsy (disorder)
842 2.3E+08 Lateral temporal epilepsy (disorder)
842 2.3E+08 Frontal lobe epilepsy (disorder)
842 2.3E+08 Supplementary motor epilepsy (disorder)
842 2.3E+08 Cingulate epilepsy (disorder)
842 2.3E+08 Anterior frontopolar epilepsy (disorder)
842 2.3E+08 Orbitofrontal epilepsy (disorder)
842 2.3E+08 Dorsolateral epilepsy (disorder)
842 2.3E+08 Opercular epilepsy (disorder)
842 2.3E+08 Non-progressive Kozhevnikow syndrome (disorder)
842 2.3E+08 Parietal lobe epilepsy (disorder)
842 2.3E+08 Occipital lobe epilepsy (disorder)
842 1.11E+08 Dream anxiety disorder (disorder)
842 1.11E+08 Kleine-Levin syndrome (disorder)
842 2.3E+08 Chronic progressive epilepsia partialis continua of childhood (disorder)
842 2.3E+08 Localization-related symptomatic epilepsy with specific precipitant (disorder)
842 2.3E+08 Localization-related cryptogenic epilepsy (disorder)
842 1.11E+08 Bovine progressive degenerative myeloencephalopathy (disorder)
842 1.11E+08 Syringomyelia (disorder)
842 2.3E+08 Benign neonatal familial convulsions (disorder)
842 2.3E+08 Benign non-familial neonatal convulsions (disorder)
842 1.11E+08 Arterial thrombosis of spinal cord (disorder)
842 2.3E+08 Myoclonic epilepsy of early childhood (disorder)
842 22019007 Disorder of visual pathways associated with inflammatory disorder (disorder)
842 2.3E+08 Epilepsy with grand mal seizures on awakening (disorder)
842 54767005 Disorder of visual pathways (disorder)
842 22126005 Hereditary neuraxial edema (disorder)
842 2.3E+08 Cryptogenic West syndrome (disorder)
842 2.3E+08 Symptomatic West syndrome (disorder)
842 1.11E+08 Extratemporal epilepsy (disorder)
842 2.3E+08 Cryptogenic Lennox-Gastaut syndrome (disorder)
842 2.3E+08 Localization-related symptomatic epilepsy (disorder)
842 2.3E+08 Symptomatic Lennox-Gastaut syndrome (disorder)
842 2.3E+08 Myoclonic astatic epilepsy (disorder)
842 22255007 Progressive multifocal leukoencephalopathy (disorder)
842 2.3E+08 Myoclonic absence epilepsy (disorder)
842 1.12E+08 Walker-Warburg congenital muscular dystrophy (disorder)
842 2.3E+08 Lafora disease (disorder)
842 2.3E+08 Cryptogenic myoclonic epilepsy (disorder)
842 2.3E+08 Idiopathic myoclonic epilepsy (disorder)
842 22811006 Leukoencephalopathy (disorder)
842 2.3E+08 Early infantile epileptic encephalopathy with suppression bursts (disorder)
842 2.3E+08 Symptomatic myoclonic epilepsy (disorder)
842 2.78E+08 Combined malformation of central nervous system and skeletal muscle (disorder)
842 2.3E+08 Situation-related seizures (disorder)
842 2.3E+08 Isolated seizures (disorder)
842 2.53E+08 Type 2 lissencephaly (disorder)
842 2.3E+08 Seizures in response to acute event (disorder)
842 1.12E+08 Muscle-eye-brain disease, congenital muscular dystrophy (disorder)
842 2.3E+08 Epilepsy undetermined whether focal or generalized (disorder)
842 1.12E+08 Partial optic atrophy (disorder)
842 2.3E+08 Severe myoclonic epilepsy in infancy (disorder)
842 1.12E+08 Syndrome of diencephalo-hypophyseal origin (disorder)
842 2.3E+08 Epilepsy with continuous spike wave during slow-wave sleep (disorder)
842 1.12E+08 Hyperthermia-hyperphagia-hypothyroidism syndrome (disorder)
842 2.3E+08 Secondary reading epilepsy (disorder)
842 22306000 Transient somatotropin deficiency (disorder)
842 2.3E+08 Drug-induced epilepsy (disorder)
842 22383006 Closed fracture of vault of skull with cerebral laceration AND/OR contusion (disorder)
842 3.61E+08 Alcohol-induced epilepsy (disorder)
842 2.3E+08 Narcotic withdrawal epilepsy (disorder)
842 1.12E+08 Closed fracture of vault of skull with intracranial hemorrhage (disorder)
842 2.3E+08 Menstrual epilepsy (disorder)
842 1.12E+08 Closed skull fracture with intracranial hemorrhage (disorder)
842 2.3E+08 Eyelid myoclonus with absences (disorder)
842 1.12E+08 Closed fracture of base of skull with intracranial hemorrhage (disorder)
842 2.08E+08 Closed fracture vault of skull with intracranial injury (disorder)
842 88651008 Closed skull fracture with cerebral laceration AND/OR contusion (disorder)
842 2.3E+08 Writing epilepsy (disorder)
842 2.3E+08 Tactile epilepsy (disorder)
842 1.12E+08 Subarachnoid hemorrhage following injury without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
842 22386003 Syphilitic optic atrophy (disorder)
842 2.3E+08 Eating epilepsy (disorder)
842 2.3E+08 Tapping epilepsy (disorder)
842 2.3E+08 Toothbrushing epilepsy (disorder)
842 24003004 Postinflammatory optic atrophy (disorder)
842 2.3E+08 Decision-making epilepsy (disorder)
842 2.41E+08 Secondary neurosyphilis (disorder)
842 2.3E+08 Aquagenic epilepsy (disorder)
842 22419002 Mood disorder with mixed features due to general medical condition (disorder)
842 2.3E+08 Self-induced non-photosensitive epilepsy (disorder)
842 37739004 Mood disorder due to a general medical condition (disorder)
842 2.3E+08 Non-convulsive status epilepticus with three per second spike wave (disorder)
842 2.3E+08 Non-convulsive status epilepticus without three per second spike wave (disorder)
842 2.3E+08 Non-convulsive simple partial status epilepticus (disorder)
842 22443004 Vestibulocerebellar ataxia (disorder)
842 2.3E+08 Migraine with typical aura (disorder)
842 23732000 Primary cerebellar degeneration (disorder)
842 22451001 Idiopathic torsion dystonia (disorder)
842 1.12E+08 Subdural hemorrhage following injury with open intracranial wound and prolonged loss of consciousness (more than 24 hours) and without return to pre-existing conscious level (disorder)
842 22471005 Hemispheric cerebellar agenesis (disorder)
842 1.12E+08 Extradural hemorrhage following injury without open intracranial wound AND with no loss of consciousness (disorder)
842 1.12E+08 Subacute adenoviral encephalitis (disorder)
842 2.3E+08 Migraine with prolonged aura (disorder)
842 2.53E+08 Agenesis of cerebellum (disorder)
842 2.3E+08 Non-familial hemiplegic migraine (disorder)
842 1.27E+08 Traumatic brain injury with brief loss of consciousness (disorder)
842 2.3E+08 Migraine aura without headache (disorder)
842 78914008 Laceration of brain (disorder)
842 2.3E+08 Alternating hemiplegia of childhood (disorder)
842 4.05E+08 Alternating hemiplegia (disorder)
842 22825007 Cerebellar contusion with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 2.3E+08 Migraine with ischemic complication (disorder)
842 2.3E+08 Episodic tension-type headache (disorder)
842 1.12E+08 Post measles encephalitis (disorder)
842 2.3E+08 Chronic tension-type headache (disorder)
842 2.3E+08 Episodic cluster headache (disorder)
842 1.12E+08 Coxsackie meningitis (disorder)
842 2.3E+08 Chronic cluster headache (disorder)
842 23024003 Macrogyria (disorder)
842 2.3E+08 Chronic cluster headache unremitting from onset (disorder)
842 23026001 Brain stem contusion with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
842 2.3E+08 Chronic cluster headache evolved from episodic cluster headache (disorder)
842 2.3E+08 Atypical cluster headache (disorder)
842 2.31E+08 Sleep-related dystonia (disorder)
842 4.07E+08 Coxsackievirus infection of the central nervous system (disorder)
842 1.12E+08 Cerebral sarcoidosis (disorder)
842 3.03E+08 Sedative amnestic disorder (disorder)
842 23186000 Menstrual migraine (disorder)
842 23276006 Ventricular hemorrhage (disorder)
842 23283004 Open fracture of T1-T6 level with incomplete spinal cord lesion (disorder)
842 2.31E+08 Tilted optic disc (disorder)
842 1.19E+08 Drug-induced nephrogenic diabetes insipidus (disorder)
842 2.31E+08 Myelinated nerve fibers of optic disc (disorder)
842 23374007 Atypical absence seizure (disorder)
842 4.21E+08 Progressive multifocal leukoencephalopathy associated with AIDS (disorder)
842 23645006 Organic mood disorder (disorder)
842 23713006 Contusion of cerebral cortex (disorder)
842 1.24E+08 Complex pituitary endocrine disorder (disorder)
842 2.63E+08 Contusion of cerebrum (disorder)
842 1.24E+08 Prepuberal hyperpituitarism (disorder)
842 1.24E+08 Prepuberal panhypopituitarism (disorder)
842 95646004 Cerebellar degeneration (disorder)
842 2.31E+08 Arteritic ischemic optic neuropathy (disorder)
842 1.24E+08 Houssay's syndrome (disorder)
842 2.31E+08 Non-arteritic ischemic optic neuropathy (disorder)
842 2.31E+08 Optic atrophy secondary to papilledema (disorder)
842 23772009 Dysphonia of Gilles de la Tourette's syndrome (disorder)
842 3.13E+08 Compressive optic atrophy (disorder)
842 1.24E+08 Idiopathic hypogonadotropic hypogonadism (disorder)
842 2.31E+08 Avulsion of optic nerve (disorder)
842 23808003 Rolandic vein occlusion syndrome (disorder)
842 2.31E+08 Radiation damage to optic nerve (disorder)
842 2.08E+08 Open fracture of cervical spine with spinal cord lesion (disorder)
842 2.31E+08 Traumatic optic neuropathy (disorder)
842 2.31E+08 Compression of optic chiasm (disorder)
842 1.27E+08 Subdural hemorrhage due to birth trauma (disorder)
842 2.31E+08 Infarction of optic tract (disorder)
842 2.31E+08 Injury of optic tract (disorder)
842 62702001 Cerebral vein occlusion (disorder)
842 2.31E+08 Compression of optic tract (disorder)
842 2.31E+08 Optic radiation disorder (disorder)
842 2.31E+08 Inflammatory disorder of optic radiation (disorder)
842 1.27E+08 Cerebellopontine angle tumor (disorder)
842 2.31E+08 Infarction of optic radiation (disorder)
842 23819000 Embolism of cavernous venous sinus (disorder)
842 2.31E+08 Injury of optic radiation (disorder)
842 2.31E+08 Compression of optic radiation (disorder)
842 2.31E+08 Compression of visual cortex (disorder)
842 1.93E+08 Phlebitis cavernous sinus (disorder)
842 1.27E+08 Cerebellopontine angle meningioma (disorder)
842 2.31E+08 Congenital nuclear ophthalmoplegia (disorder)
842 1.36E+08 Benign neoplasm of pons (disorder)
842 1.24E+08 Secondary optic atrophy (disorder)
842 3.96E+08 Neoplasm of optic nerve and sheath (disorder)
842 24059009 Acute cerebellar ataxia due to varicella (disorder)
842 2.55E+08 Tumor of hypothalamus (disorder)
842 2.31E+08 Late congenital syphilitic polyneuropathy (disorder)
842 2.3E+08 Secondary cerebellar degeneration (disorder)
842 85102008 Cerebellar ataxia (disorder)
842 1.27E+08 Intracranial hemorrhage following injury with moderate loss of consciousness (disorder)
842 24300005 Injury of lumbar nerve roots (disorder)
842 1.28E+08 Rubella encephalomyelitis (disorder)
842 2.31E+08 Chronic inflammatory demyelinating polyradiculoneuropathy with central nervous system demyelination (disorder)
842 3.03E+08 Progressive congenital rubella encephalomyelitis (disorder)
842 2.31E+08 Diabetic thoracic radiculopathy (disorder)
842 1.28E+08 Sacral radiculopathy (disorder)
842 2.31E+08 Benign fasciculation-cramp syndrome (disorder)
842 3.06E+08 Neuromyotonia (disorder)
842 1.28E+08 Hereditary motor and sensory neuropathy with optic atrophy (disorder)
842 2.31E+08 Painful legs and moving toes (disorder)
842 1.28E+08 Suprasellar syndrome (disorder)
842 2.31E+08 Total anterior cerebral circulation infarction (disorder)
842 1.28E+08 Internal hydrocephalus (disorder)
842 2.31E+08 Partial anterior cerebral circulation infarction (disorder)
842 1.29E+08 Micropapilla (disorder)
842 2.31E+08 Lacunar infarction (disorder)
842 2.31E+08 Pure sensorimotor lacunar infarction (disorder)
842 1.28E+08 Lumbar radiculopathy (disorder)
842 2.31E+08 Lacunar ataxic hemiparesis (disorder)
842 1.28E+08 Fungal infection of central nervous system (disorder)
842 3.12E+08 Infective meningitis (disorder)
842 24380008 Injury at T1-T6 level with posterior cord syndrome AND without bone injury (disorder)
842 2.31E+08 Dysarthria-clumsy hand syndrome (disorder)
842 2.31E+08 Hemorrhagic cerebral infarction (disorder)
842 2.31E+08 Anterior cerebral circulation hemorrhagic infarction (disorder)
842 2.31E+08 Posterior cerebral circulation hemorrhagic infarction (disorder)
842 24392008 Injury at C1-C4 level with spinal cord injury AND without bone injury (disorder)
842 2.31E+08 Massive supratentorial cerebral hemorrhage (disorder)
842 2.31E+08 Lobar cerebral hemorrhage (disorder)
842 24473007 Persistent vegetative state (disorder)
842 2.31E+08 Thalamic hemorrhage (disorder)
842 2.31E+08 Lacunar hemorrhage (disorder)
842 24630008 Listeria meningoencephalitis (disorder)
842 1.3E+08 Frontal lobe syndrome (disorder)
842 1.3E+08 Progressive pyramidopallidal degeneration (disorder)
842 31568009 Listeria meningitis (disorder)
842 1.3E+08 Spinocerebellar ataxia (disorder)
842 2.31E+08 Stroke of uncertain pathology (disorder)
842 4.45E+08 Bacterial meningoencephalitis (disorder)
842 2.31E+08 Anterior circulation stroke of uncertain pathology (disorder)
842 2.31E+08 Posterior circulation stroke of uncertain pathology (disorder)
842 24654003 Weber-Gubler syndrome (disorder)
842 2.31E+08 Subarachnoid hemorrhage due to ruptured arteriovenous malformation (disorder)
842 1.3E+08 Nucleus ambiguus-hypoglossal nerve syndrome (disorder)
842 2.31E+08 Subarachnoid hemorrhage due to ruptured aneurysm (disorder)
842 1.87E+08 Rupture of syphilitic cerebral aneurysm (disorder)
842 2.31E+08 Cerebral venous thrombosis of straight sinus (disorder)
842 1.3E+08 Induced female hypogonadism syndrome (disorder)
842 24700007 Multiple sclerosis (disorder)
842 25004000 Subdural hemorrhage due to intrapartum anoxia AND/OR hypoxia (disorder)
842 43602006 Subdural hemorrhage in fetus OR newborn (disorder)
842 25044007 Neuromyelitis optica (disorder)
842 2.55E+08 Pituitary adenoma (disorder)
842 2.31E+08 Cerebral venous thrombosis of cortical vein (disorder)
842 2.31E+08 Cerebral venous thrombosis of great cerebral vein (disorder)
842 2.31E+08 Sporadic cerebral amyloid angiopathy (disorder)
842 66760008 Optic neuritis (disorder)
842 2.31E+08 Vertebral artery dissection (disorder)
842 2.31E+08 Cerebral arteritis in giant cell arteritis (disorder)
842 25053000 Obstetrical central nervous system complication of anesthesia AND/OR sedation (disorder)
842 25129008 Hydromeningocele (disorder)
842 2.31E+08 Syphilitic cerebral arteritis (disorder)
842 2.53E+08 Congenital malformation of the meninges (disorder)
842 1.72E+08 Congenital meningocele (disorder)
842 2.31E+08 Spinal cord stroke (disorder)
842 2.31E+08 Venous infarction of spinal cord (disorder)
842 25185004 Cerebellar contusion with open intracranial wound AND no loss of consciousness (disorder)
842 2.31E+08 Isolated fourth ventricle hydrocephalus (disorder)
842 2.31E+08 Intermittently raised pressure hydrocephalus (disorder)
842 2.31E+08 Postmeningitic hydrocephalus (disorder)
842 25257007 Cortex contusion with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
842 3.6E+08 Progressive post hemorrhagic ventricular dilatation (disorder)
842 1.63E+08 On examination - mentally confused (disorder)
842 3.6E+08 Infantile posthemorrhagic hydrocephalus (disorder)
842 2.31E+08 Post-traumatic hydrocephalus (disorder)
842 2.31E+08 Hydrocephalus due to cerebrospinal fluid absorption defect (disorder)
842 1.64E+08 On examination - petit mal fit (disorder)
842 2.31E+08 Hydrocephalus due to cerebrospinal fluid overproduction (disorder)
842 2.31E+08 Upwards herniation of cerebellum (disorder)
842 81412002 Cortex contusion with open intracranial wound AND loss of consciousness (disorder)
842 2.31E+08 Transtentorial herniation downwards (disorder)
842 25297005 Psychogenic adductor spastic dysphonia (disorder)
842 2.31E+08 Transtentorial herniation upwards (disorder)
842 2.69E+08 On examination - focal (Jacksonian) fit (disorder)
842 2.31E+08 Vasogenic cerebral edema (disorder)
842 1.64E+08 On examination - psychomotor fit (disorder)
842 2.31E+08 Cytotoxic cerebral edema (disorder)
842 2.31E+08 Periventricular cerebrospinal fluid edema (disorder)
842 25331007 Injury at T7-T12 level with spinal cord injury AND without bone injury (disorder)
842 2.31E+08 High altitude cerebral edema (disorder)
842 1.64E+08 On examination - salaam attack (disorder)
842 4.16E+08 Tuberculoma of brain (disorder)
842 2.31E+08 Multicystic encephalomalacia (disorder)
842 1.64E+08 On examination - hemiplegia (disorder)
842 1.64E+08 On examination - athetosis (disorder)
842 2.69E+08 On examination - meningism (disorder)
842 1.64E+08 On examination - meningism present (disorder)
842 2.77E+08 Perinatal subependymal hemorrhage (disorder)
842 1.64E+08 On examination - cranial 7 -paralysis-UMN (disorder)
842 1.86E+08 Tuberculous abscess of brain (disorder)
842 2.31E+08 Periventricular leukomalacia (disorder)
842 2.31E+08 Cerebral palsy with spastic tetraparesis (disorder)
842 25397008 Aqueduct of Sylvius anomaly (disorder)
842 2.31E+08 Cerebral palsy with spastic/ataxic diplegia (disorder)
842 25671008 Eosinophilic meningitis (disorder)
842 2.31E+08 Monoplegic cerebral palsy affecting upper limb (disorder)
842 2.31E+08 Monoplegic cerebral palsy affecting lower limb (disorder)
842 2.31E+08 Dystonic/rigid cerebral palsy (disorder)
842 2.31E+08 Congenital pseudobulbar palsy (disorder)
842 2.31E+08 Congenital dysphasia (disorder)
842 25689009 Cortex laceration without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
842 2.31E+08 Congenital expressive dysphasia (disorder)
842 2.31E+08 Congenital receptive dysphasia (disorder)
842 2.31E+08 Choroid plexus cyst (disorder)
842 2.3E+08 Nocturnal epilepsy (disorder)
842 2.31E+08 Hypothalamic neuronal hamartoma (disorder)
842 2.77E+08 Hamartoma of brain (disorder)
842 2.38E+08 Hamartoma of hypothalamus (disorder)
842 2.31E+08 Ependymal cyst (disorder)
842 2.31E+08 Neuroglial cyst (disorder)
842 2.31E+08 Post-ictal coma (disorder)
842 2.31E+08 Brainstem death (disorder)
842 1.93E+08 Polioencephalitis (disorder)
842 2.31E+08 Brain ventricular shunt infection (disorder)
842 1.86E+08 Slow viral central nervous system infection (disorder)
842 2.66E+08 Rabies - hydrophobia (disorder)
842 2.31E+08 Brain ventricular shunt displacement (disorder)
842 2.31E+08 Brain ventricular shunt obstruction (disorder)
842 2.53E+08 Myelodysplasia of the spinal cord (disorder)
842 2.31E+08 Delirium of mixed origin (disorder)
842 2.31E+08 Right hemispheric organic affective disorder (disorder)
842 2.31E+08 Organic bipolar disorder (disorder)
842 25772007 Multi-infarct dementia with delusions (disorder)
842 2.31E+08 Age-associated memory impairment (disorder)
842 2.31E+08 Epileptic psychosis (disorder)
842 25816005 Brain stem compression (disorder)
842 2.31E+08 Psychosis associated with intensive care (disorder)
842 25822001 Pachymeningitis (disorder)
842 1.88E+08 Malignant neoplasm of cerebrum (excluding lobes and ventricles) (disorder)
842 2.31E+08 Drug-induced intensive care psychosis (disorder)
842 25957002 Aseptic leptospiral meningitis (disorder)
842 1.88E+08 Secondary malignant neoplasm of brain and spinal cord (disorder)
842 1.87E+08 Leptospiral meningitis (disorder)
842 26016002 Cerebrospinal nematodiasis (disorder)
842 4.07E+08 Parasitic infection of the central nervous system (disorder)
842 2.31E+08 Limbic epilepsy personality syndrome (disorder)
842 2.31E+08 Organic pseudopsychopathic personality (disorder)
842 4.06E+08 Cogan's syndrome (disorder)
842 2.31E+08 Organic pseudoretarded personality (disorder)
842 26037005 Radiation-induced myelopathy (disorder)
842 4.1E+08 Neuroretinitis (disorder)
842 2.87E+08 Pituitary, parathyroid, thymus disorder (disorder)
842 26135000 Syphilitic encephalitis (disorder)
842 1.91E+08 Organic psychotic condition (disorder)
842 1.91E+08 Uncomplicated senile dementia (disorder)
842 1.91E+08 Senile dementia with depressive or paranoid features (disorder)
842 1.91E+08 Transient organic psychoses (disorder)
842 26205001 Subdural hemorrhage following injury without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
842 1.93E+08 Post-immunization encephalitis (disorder)
842 1.93E+08 Toxic encephalitis (disorder)
842 4.1E+08 Hereditary AND/OR degenerative disease of central nervous system (disorder)
842 34135005 Subdural hemorrhage following injury without open intracranial wound AND with loss of consciousness (disorder)
842 2.31E+08 Infantile cerebral palsy (disorder)
842 26206000 Viral hepatitis B with hepatic coma (disorder)
842 3.07E+08 Jacksonian, focal or motor epilepsy (disorder)
842 2.32E+08 Cilioretinal artery occlusion (disorder)
842 3.07E+08 Motor epilepsy (disorder)
842 2.3E+08 Localization-related epilepsy (disorder)
842 2.68E+08 Motor cortex epilepsy (disorder)
842 1.93E+08 Intracranial and intraspinal abscesses (disorder)
842 2.32E+08 Branch macular artery occlusion (disorder)
842 1.95E+08 Vertebral artery occlusion (disorder)
842 2.32E+08 Central retinal vein occlusion with neovascularization (disorder)
842 2.04E+08 Anencephalus and similar anomalies (disorder)
842 26425000 Agyria (disorder)
842 2.53E+08 Familial aplasia of the vermis (disorder)
842 2.88E+08 Cerebral hemorrhage - birth (disorder)
842 2.32E+08 Central retinal vein occlusion with macular edema (disorder)
842 2.88E+08 Fetal cerebral hemorrhage (disorder)
842 2.74E+08 Fracture of cervical spine with cord lesion (disorder)
842 2.32E+08 Central retinal vein occlusion - juvenile (disorder)
842 2.74E+08 Fracture of thoracic spine with cord lesion (disorder)
842 2.75E+08 Cerebral trauma (disorder)
842 2.32E+08 Central retinal vein occlusion - juvenile with neovascularization (disorder)
842 2.69E+08 Cerebral laceration and contusion (disorder)
842 26520008 Optic nerve infarction (disorder)
842 63362009 Disorder of visual pathways associated with vascular disorder (disorder)
842 2.32E+08 Central retinal vein occlusion - juvenile with macular edema (disorder)
842 26554009 Nuclear facial nerve paralysis (disorder)
842 2.32E+08 Hemispheric retinal vein occlusion (disorder)
842 2.63E+08 Traumatic subarachnoid hemorrhage (disorder)
842 26568002 Faun tail syndrome (disorder)
842 49351009 Diastematomyelia (disorder)
842 2.32E+08 Hemispheric retinal vein occlusion with neovascularization (disorder)
842 26594006 Syringobulbia (disorder)
842 26714005 Cannabis-induced psychotic disorder with hallucinations (disorder)
842 77355000 Cannabis-induced organic mental disorder (disorder)
842 2.32E+08 Hemispheric retinal vein occlusion with macular edema (disorder)
842 26852004 Primary degenerative dementia of the Alzheimer type, senile onset, with depression (disorder)
842 1.91E+08 Senile dementia with depression (disorder)
842 26929004 Alzheimer's disease (disorder)
842 2.63E+08 Traumatic subdural hematoma (disorder)
842 2.63E+08 Traumatic extradural hematoma (disorder)
842 26954004 Thrombophlebitis of superior sagittal sinus (disorder)
842 2.32E+08 Post-traumatic cerebrospinal otorrhea (disorder)
842 2.69E+08 Spinal cord lesion - no # (disorder)
842 2.42E+08 Spinal cord decompression injury (disorder)
842 2.13E+08 Central nervous system complications of care (disorder)
842 70607008 Thrombosis of superior sagittal sinus (disorder)
842 2.32E+08 Postoperative cerebrospinal otorrhea (disorder)
842 27040004 Experimental allergic encephalomyelitis (disorder)
842 50776006 Allergic encephalomyelitis (disorder)
842 2.34E+08 Anterior spinal artery dissection (disorder)
842 27195007 Chronic non-psychotic brain syndrome (disorder)
842 27270004 Pituitary dwarfism with large sella turcica (disorder)
842 2.34E+08 Vertebral artery rupture (disorder)
842 27358001 Sylvian aqueduct syndrome (disorder)
842 2.34E+08 Anterior spinal artery rupture (disorder)
842 27614006 Intracranial abscess (disorder)
842 27873005 Spinopontine degeneration (disorder)
842 3.71E+08 Encephalomyelopathy (disorder)
842 2.53E+08 Chiari malformation (disorder)
842 2.63E+08 Injury of anterior spinal artery (disorder)
842 3.74E+08 Chiari malformation type II (disorder)
842 27908001 Amebic brain abscess (disorder)
842 4.07E+08 Amebic infection of central nervous system (disorder)
842 4.42E+08 Abscess of brain (disorder)
842 1.27E+08 Traumatic brain injury with prolonged loss of consciousness (disorder)
842 27937002 Open fracture of T7-T12 level with anterior cord syndrome (disorder)
842 2.37E+08 Hypothalamic amenorrhea (disorder)
842 2.37E+08 Mild postnatal depression (disorder)
842 27956007 Cocaine intoxication (disorder)
842 2.37E+08 Mild postnatal psychosis (disorder)
842 27982003 Brown-Séquard syndrome (disorder)
842 2.83E+08 Spinal cord syndrome (disorder)
842 3.6E+08 Thyrotoxicosis due to overproduction of thyroid stimulating hormone (disorder)
842 1.28E+08 Injury of central nervous system (disorder)
842 28055006 West syndrome (disorder)
842 3.6E+08 Thyrotoxicosis due to inappropriate TSH secretion (disorder)
842 2.3E+08 Cryptogenic generalized epilepsy (disorder)
842 2.13E+08 Mechanical complication of electrodes implanted in brain (disorder)
842 2.38E+08 Thyrotoxicosis due to TSHoma (disorder)
842 28155008 Extradural hemorrhage following injury with open intracranial wound AND concussion (disorder)
842 2.55E+08 Thyrotroph adenoma (disorder)
842 65189006 Extradural hemorrhage following injury with open intracranial wound (disorder)
842 78879009 Intracranial hemorrhage following injury with open intracranial wound AND concussion (disorder)
842 28192008 Enterovirus meningitis (disorder)
842 4.07E+08 Enterovirus infection of the central nervous system (disorder)
842 28216004 Open fracture of T1-T6 level with complete lesion of cord (disorder)
842 3.6E+08 Thyrotoxicosis due to pituitary thyroid hormone resistance (disorder)
842 2.38E+08 Excessive somatostatin secretion (disorder)
842 28318001 Basilar hemorrhage (disorder)
842 2.38E+08 Abnormality of neurotensine secretion (disorder)
842 28366008 Cerebral arteritis (disorder)
842 2.38E+08 Pituitary stalk compression hyperprolactinemia (disorder)
842 28368009 Psychoactive substance-induced organic hallucinosis (disorder)
842 2.38E+08 Drug-induced hyperprolactinemia (disorder)
842 2.38E+08 Physiological hyperprolactinemia (disorder)
842 1.93E+08 Meningococcal meningitis (disorder)
842 2.38E+08 Lactation hyperprolactinemia (disorder)
842 2.03E+08 Meningococcal cerebrospinal fever (disorder)
842 2.38E+08 Pregnancy hyperprolactinemia (disorder)
842 2.38E+08 Adrenocorticotropic hormone (ACTH) hypersecretion not causing Cushing's syndrome (disorder)
842 28534004 Spastic paralysis due to intracranial birth injury (disorder)
842 2.38E+08 Gonadotrophin hypersecretion (disorder)
842 40980002 Spastic paralysis due to birth injury (disorder)
842 2.38E+08 Luteinizing hormone hypersecretion (disorder)
842 2.38E+08 Follicle-stimulating hormone hypersecretion (disorder)
842 28634005 Cerebral ataxia (disorder)
842 2.38E+08 Anterior pituitary hyperplasia (disorder)
842 80690008 Degenerative disease of the central nervous system (disorder)
842 2.38E+08 Somatotroph hyperplasia (disorder)
842 28676002 Mood disorder with manic features due to general medical condition (disorder)
842 2.38E+08 Lactotroph hyperplasia (disorder)
842 28815008 Porcine enteroviral encephalomyelitis (disorder)
842 2.38E+08 Gonadotroph hyperplasia (disorder)
842 2.38E+08 Thyrotroph hyperplasia (disorder)
842 70576008 Enteroviral encephalomyelitis (disorder)
842 2.38E+08 Corticotroph hyperplasia (disorder)
842 28837001 Bulbar hemorrhage (disorder)
842 2.38E+08 Panhypopituitarism - anterior and posterior (disorder)
842 28864000 Sedative, hypnotic AND/OR anxiolytic-induced mood disorder (disorder)
842 2.38E+08 Panhypopituitarism - X-linked (disorder)
842 2.38E+08 Partial hypopituitarism (disorder)
842 28978003 Progressive supranuclear ophthalmoplegia (disorder)
842 2.38E+08 Idiopathic growth hormone deficiency (disorder)
842 4.45E+08 Focal dystonia (disorder)
842 2.38E+08 Growth hormone neurosecretory dysfunction (disorder)
842 2.38E+08 Psychosocial growth hormone deficiency (disorder)
842 4.22E+08 Central nervous disorder associated with AIDS (disorder)
842 29197009 Meningoencephalomyelitis (disorder)
842 2.38E+08 Idiopathic ACTH deficiency (disorder)
842 2.38E+08 Steroid suppression of ACTH secretion (disorder)
842 74772000 Meningomyelitis (disorder)
842 2.38E+08 Idiopathic TSH deficiency (disorder)
842 29264003 Closed fracture of base of skull with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
842 2.38E+08 Familial central diabetes insipidus (disorder)
842 2.38E+08 Oxytocin deficiency (disorder)
842 58020007 Closed skull fracture with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
842 2.38E+08 Post-traumatic hypopituitarism (disorder)
842 2.38E+08 Hypopituitarism due to iron overload (disorder)
842 29315008 Idiopathic adductor spastic dysphonia (disorder)
842 2.38E+08 Pituitary apoplexy (disorder)
842 29570005 Leigh's disease (disorder)
842 2.38E+08 Pituitary hemorrhage (disorder)
842 2.38E+08 Pituitary fibrosis (disorder)
842 29618004 Striatonigral degeneration (disorder)
842 2.38E+08 Pituitary fibrosis with midline fibrosis (disorder)
842 32798002 Parkinsonism (disorder)
842 29635000 Subdural hemorrhage following injury with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
842 2.38E+08 Autoimmune hypophysitis (disorder)
842 2.38E+08 Lymphocytic hypophysitis of pregnancy (disorder)
842 45659008 Subdural hemorrhage following injury with open intracranial wound AND loss of consciousness (disorder)
842 2.38E+08 Granulomatous giant-cell hypophysitis (disorder)
842 29702001 Aphasia-left parietal lobe syndrome (disorder)
842 2.38E+08 Granuloma of pituitary and hypothalamus (disorder)
842 29733004 Opioid-induced mood disorder (disorder)
842 2.38E+08 Pituitary granuloma (disorder)
842 2.38E+08 Hypothalamic granuloma (disorder)
842 29774004 Vascular myelopathy (disorder)
842 2.38E+08 Arachnoid cyst of pituitary (disorder)
842 1.93E+08 Myelopathy due to another disorder (disorder)
842 52888005 Brain stem contusion without open intracranial wound (disorder)
842 2.53E+08 Cerebral arachnoid cyst (disorder)
842 29956001 Myelatelia (disorder)
842 2.38E+08 Pituitary gland enlarged (disorder)
842 2.38E+08 Pituitary adenoma with extrasellar extension (disorder)
842 29963001 Dysmnesic seizure (disorder)
842 33941008 Simple partial seizure with disturbance of higher cerebral function (disorder)
842 30023002 Hydranencephaly (disorder)
842 2.53E+08 Early secondary malformation of the central nervous system (disorder)
842 30031007 Cerebellar laceration without open intracranial wound (disorder)
842 2.38E+08 Hamartoma of pituitary and hypothalamus (disorder)
842 1.27E+08 Cerebellar laceration (disorder)
842 2.38E+08 Pituitary stalk compression (disorder)
842 2.38E+08 Defective osmoregulation (disorder)
842 30243004 Cerebral anoxia following molar AND/OR ectopic pregnancy (disorder)
842 2.38E+08 Osmoregulation defect - absent thirst (disorder)
842 2.38E+08 Osmoregulation defect - excess thirst (disorder)
842 30278004 Kundrat's syndrome (disorder)
842 2.38E+08 Absent osmoregulation (disorder)
842 2.38E+08 Reset hypothalamic osmostat (disorder)
842 2.04E+08 Foramen of Magendie atresia (disorder)
842 2.38E+08 Hypothalamic overactivity (disorder)
842 30310000 Nicotine-induced organic mental disorder (disorder)
842 2.38E+08 Loss of hypothalamic inhibition (disorder)
842 30371007 Open fracture of base of skull with cerebral laceration AND contusion (disorder)
842 2.38E+08 Alpha-N-acetylgalactosaminidase deficiency (disorder)
842 1.12E+08 Open fracture of base of skull with intracranial injury (disorder)
842 2.39E+08 de Barsy syndrome (disorder)
842 2.63E+08 Laceration of cerebrum (disorder)
842 2.39E+08 Cutaneous monosymptomatic delusional psychosis (disorder)
842 30400005 Middle meningeal hemorrhage following injury (disorder)
842 2.39E+08 Delusions of parasitosis (disorder)
842 2.39E+08 Delusions of infestation (disorder)
842 2.39E+08 Delusion of foul odor (disorder)
842 82894007 Intracranial hemorrhage following injury (disorder)
842 2.39E+08 Delusional hyperhidrosis (disorder)
842 2.39E+08 Hyperschemazia (disorder)
842 30483005 Tobacco amblyopia (disorder)
842 2.39E+08 Hyposchemazia (disorder)
842 30491001 Cocaine delusional disorder (disorder)
842 2.39E+08 Hypohidrosis-diabetes insipidus syndrome (disorder)
842 2.39E+08 Odontotrichomelic syndrome (disorder)
842 30664006 Multiple endocrine neoplasia, type 1 (disorder)
842 2.4E+08 Listeria cerebritis (disorder)
842 95004009 Neoplasm of uncertain behavior of pituitary gland (disorder)
842 2.4E+08 Legionella encephalopathy (disorder)
842 2.4E+08 Abortive poliomyelitis (disorder)
842 30736009 Dysphonia of palatopharyngolaryngeal myoclonus (disorder)
842 2.4E+08 Incubating rabies (disorder)
842 2.4E+08 Rabies prodrome (disorder)
842 30753002 Normal pressure hydrocephalus (disorder)
842 2.4E+08 Acute neurological rabies (disorder)
842 2.72E+08 Communicating hydrocephalus (disorder)
842 2.4E+08 Rabies coma (disorder)
842 4.14E+08 Hernia of cerebellar tonsil into foramen magnum (disorder)
842 2.4E+08 Rabies - recovery phase (disorder)
842 2.1E+08 Hind brain laceration with open intracranial wound (disorder)
842 2.41E+08 Juvenile tabes dorsalis (disorder)
842 30871003 Flashbacks (disorder)
842 2.41E+08 Asymptomatic secondary neurosyphilis (disorder)
842 2.41E+08 Syphilitic polyneuropathy (disorder)
842 31033002 Closed fracture of T1-T6 level with posterior cord syndrome (disorder)
842 2.41E+08 Cerebral loiasis (disorder)
842 2.41E+08 Cerebral gnathostomiasis (disorder)
842 31076000 Congenital ischemic atrophy of central nervous system structure (disorder)
842 31112008 Tuberculous meningoencephalitis (disorder)
842 2.42E+08 Cerebral decompression injury (disorder)
842 31235003 Closed fracture of C5-C7 level with anterior cord syndrome (disorder)
842 2.42E+08 Cerebellar decompression injury (disorder)
842 46995009 Closed fracture of C5-C7 level with spinal cord injury (disorder)
842 2.47E+08 Simple partial seizure with focal motor signs without march (disorder)
842 31283000 Abductor spastic dysphonia (disorder)
842 2.47E+08 Simple partial seizure with focal motor signs with march (disorder)
842 2.47E+08 Versive seizure (disorder)
842 1.93E+08 Thrombophlebitis of cavernous sinus (disorder)
842 2.47E+08 Postural seizure (disorder)
842 2.47E+08 Phonatory seizure (disorder)
842 2.47E+08 Dysphasic seizure (disorder)
842 2.47E+08 Cognitive seizure (disorder)
842 2.47E+08 Affective seizure (disorder)
842 2.47E+08 Seizure causing illusions (disorder)
842 3.98E+08 Human immunodefiency virus encephalopathy (disorder)
842 2.47E+08 Seizure with structured hallucinations (disorder)
842 3.98E+08 Human immunodefiency virus encephalitis (disorder)
842 2.47E+08 Simple partial seizure followed by impaired consciousness (disorder)
842 4.2E+08 Encephalitis associated with AIDS (disorder)
842 2.47E+08 Simple partial onset of seizure with automatisms (disorder)
842 2.47E+08 Complex part seizure with impairment of consciousness only (disorder)
842 31367003 Postvaccinal encephalomyelitis (disorder)
842 2.47E+08 Absence seizure with impairment of consciousness only (disorder)
842 4.29E+08 Post-immunization myelitis (disorder)
842 2.47E+08 Absence seizure with mild clonic components (disorder)
842 31429000 Cerebral cortical dysgenesis (disorder)
842 2.47E+08 Absence seizure with atonic components (disorder)
842 2.47E+08 Absence seizure with tonic components (disorder)
842 1.93E+08 Adhesions - spinal meninges (disorder)
842 2.47E+08 Absence seizure with automatisms (disorder)
842 4.07E+08 Listeria infection of the central nervous system (disorder)
842 2.47E+08 Absence seizure with autonomic components (disorder)
842 31646008 Mumps encephalitis (disorder)
842 2.47E+08 Optic disc neovascularization (disorder)
842 31715000 Phencyclidine (PCP) delirium (disorder)
842 44434003 Closed fracture of thoracic spine with spinal cord injury (disorder)
842 2.47E+08 Morning glory disc (disorder)
842 2.47E+08 Optic disc vascular anomaly (disorder)
842 32009006 Hallucinogen hallucinosis (disorder)
842 90768003 Contusion of brain without open intracranial wound (disorder)
842 3.6E+08 Complete optic atrophy (disorder)
842 2.47E+08 Atrophy of sector of optic disc (disorder)
842 32112006 Phlebitis of inferior sagittal sinus (disorder)
842 2.47E+08 Optic disc drusen - elevated (disorder)
842 32162001 Facial hemiplegia (disorder)
842 2.47E+08 Optic disc drusen - buried (disorder)
842 32358001 Amphetamine delusional disorder (disorder)
842 32390006 Panhypopituitarism (disorder)
842 2.47E+08 Painful arms and moving fingers (disorder)
842 32415004 Cerebellar contusion without open intracranial wound AND with concussion (disorder)
842 2.48E+08 Unrefreshed by sleep (disorder)
842 1.95E+08 Subdural hemorrhage - nontraumatic (disorder)
842 4.1E+08 Non-traumatic subdural hematoma (disorder)
842 32680009 Nothnagel's syndrome (disorder)
842 2.5E+08 Progressive pseudobulbar palsy (disorder)
842 32728005 Hemorrhage due to ruptured congenital cerebral aneurysm (disorder)
842 2.34E+08 Ruptured cerebral aneurysm (disorder)
842 2.53E+08 Microprolactinoma (disorder)
842 32735002 Congenital syphilitic encephalitis (disorder)
842 2.53E+08 Macroprolactinoma (disorder)
842 2.53E+08 Frontoethmoidal encephalocele (disorder)
842 32875003 Inhalant-induced persisting dementia (disorder)
842 2.53E+08 Nasopharyngeal encephalocele (disorder)
842 1.71E+08 Meningocele (disorder)
842 33117006 Cerebellar contusion without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 2.53E+08 Temporal encephalocele (disorder)
842 2.53E+08 Parietal encephalocele (disorder)
842 2.53E+08 Lipomeningocele (disorder)
842 33147008 Open fracture of C1-C4 level with posterior cord syndrome (disorder)
842 2.53E+08 Lateral meningocele (disorder)
842 2.53E+08 Spinal hamartoma (disorder)
842 2.53E+08 Neuroenteric cyst and associated malformation (disorder)
842 33281005 Open fracture of C1-C4 level with complete lesion of cord (disorder)
842 2.53E+08 Benign autosomal dominant microcephaly (disorder)
842 2.53E+08 Secondary microcephaly (disorder)
842 2.53E+08 Hydrocephalus associated with late onset aqueduct stenosis (disorder)
842 33346005 Granular ependymitis (disorder)
842 2.53E+08 Defect of telencephalic division (disorder)
842 71981002 Ependymitis (disorder)
842 2.53E+08 Lobar holoprosencephaly (disorder)
842 2.53E+08 Alobar holoprosencephaly (disorder)
842 33559001 Pineal hyperplasia AND diabetes mellitus syndrome (disorder)
842 2.53E+08 Semi-lobar holoprosencephaly (disorder)
842 2.53E+08 Agenesis of corpus callosum with lipoma (disorder)
842 33595009 Arachnoid cyst (disorder)
842 2.77E+08 Cyst of central nervous system (disorder)
842 2.53E+08 Dysgenesis of corpus callosum (disorder)
842 3.03E+08 Meningeal cyst (disorder)
842 33623002 Porcine coronaviral encephalomyelitis (disorder)
842 2.53E+08 Cyst of septum pellucidum (disorder)
842 2.53E+08 Reduction anomaly of hypothalamus (disorder)
842 33629003 Drusen of optic disc (disorder)
842 2.53E+08 Type 1 lissencephaly (disorder)
842 2.53E+08 Neuronal heterotopia (disorder)
842 2.53E+08 Nodular heterotopia (disorder)
842 2.53E+08 Laminar heterotopia (disorder)
842 33772003 Myelomalacia (disorder)
842 33871004 Phencyclidine-induced psychotic disorder with hallucinations (disorder)
842 2.53E+08 Cortical dysplasia (disorder)
842 33927004 Hypogonadotropic hypogonadism (disorder)
842 2.53E+08 Localized cortical dysplasia (disorder)
842 2.53E+08 Cortical dysplasia with hemimegalencephaly (disorder)
842 34139004 Intervertebral disc disorder of lumbar region with myelopathy (disorder)
842 2.53E+08 Hydranencephaly with proliferative vasculopathy (disorder)
842 2.53E+08 Schizencephaly (disorder)
842 44983007 Intervertebral disc disorder with myelopathy (disorder)
842 2.53E+08 Colpocephaly (disorder)
842 2.53E+08 Arachnoid / ependymal cyst (disorder)
842 34184002 Corpus callosum syndrome (disorder)
842 34209003 Cerebral hemiplegia (disorder)
842 2.53E+08 Spinal arachnoid cyst (disorder)
842 34320001 Tuberculous myelitis (disorder)
842 2.53E+08 Intradural spinal arachnoid cyst (disorder)
842 2.53E+08 Extradural spinal arachnoid cyst (disorder)
842 3.12E+08 Infective encephalitis (disorder)
842 2.53E+08 Microdysgenesis (disorder)
842 34501004 Intracranial hemorrhage following injury with intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
842 2.53E+08 Familial megalencephaly (disorder)
842 1.27E+08 Traumatic brain injury with moderate loss of consciousness (disorder)
842 2.53E+08 Sporadic megalencephaly (disorder)
842 34601006 Somatosensory seizure (disorder)
842 2.53E+08 Hemimegalencephaly (disorder)
842 2.47E+08 Simple partial seizure with somatosensory or special sensory dysfunction (disorder)
842 2.53E+08 Gillespie syndrome (disorder)
842 34663006 Contusion of brain (disorder)
842 2.53E+08 Absence of the vermis (disorder)
842 2.53E+08 Granular cell hypoplasia (disorder)
842 34751006 Cerebellar laceration without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
842 2.53E+08 Cerebellar cortical dysplasia (disorder)
842 90429009 Cerebellar laceration without open intracranial wound AND with loss of consciousness (disorder)
842 2.53E+08 Dysgenesis of the brainstem (disorder)
842 34781003 Vertebral artery syndrome (disorder)
842 2.53E+08 Olive dysplasia (disorder)
842 2.53E+08 Dentate dysplasia (disorder)
842 34933004 Hereditary amblyopia with quadriplegia in the Irish Setter (disorder)
842 2.53E+08 Olivary heterotopia (disorder)
842 34938008 Alcohol-induced anxiety disorder (disorder)
842 2.53E+08 Chiari malformation type I (disorder)
842 2.53E+08 Chiari malformation type III (disorder)
842 35103004 Scrapie (disorder)
842 2.53E+08 Chiari malformation type IV (disorder)
842 39488008 Chronic wasting disease of captive mule deer AND/OR elk (disorder)
842 2.53E+08 Sacral dysgenesis (disorder)
842 35145002 Uremic encephalopathy (disorder)
842 2.53E+08 Lumbosacral agenesis (disorder)
842 35374002 Nutritional myelopathy of pigs (disorder)
842 2.53E+08 Fibrolipoma of filum terminale (disorder)
842 35386004 Cavernous sinus syndrome (disorder)
842 2.53E+08 Aneurysm of the vein of Galen (disorder)
842 2.53E+08 Persistent embryonic trigeminal artery (disorder)
842 89980009 Thrombosis of cavernous venous sinus (disorder)
842 2.53E+08 Persistent embryonic otic artery (disorder)
842 2.53E+08 Partial hypoplasia of optic disc (disorder)
842 35403005 Closed fracture of C5-C7 level with posterior cord syndrome (disorder)
842 2.53E+08 Sectorial hypoplasia of optic disc (disorder)
842 35640008 Acute adenoviral encephalitis (disorder)
842 2.54E+08 Congenital malformation of anterior pituitary (disorder)
842 56529007 Adenoviral encephalitis (disorder)
842 2.54E+08 Congenital malformation of posterior pituitary (disorder)
842 35672006 Subarachnoid hemorrhage following injury without open intracranial wound AND with no loss of consciousness (disorder)
842 2.55E+08 Bregeat's syndrome (disorder)
842 35786001 Tuberculoma of meninges (disorder)
842 2.55E+08 Glial tumor of brain (disorder)
842 1.93E+08 Generalized non-convulsive epilepsy (disorder)
842 2.55E+08 Intracranial glioma (disorder)
842 3.99E+08 Chastek paralysis (disorder)
842 2.55E+08 Astrocytoma of brain (disorder)
842 36010004 Congenital cerebral meningocele (disorder)
842 2.77E+08 Malignant glioma of brain (disorder)
842 36166001 Ruminant polioencephalomalacia (disorder)
842 58762006 Encephalomalacia (disorder)
842 36179005 Reversible ischemic neurologic deficit (R.I.N.D.) syndrome (disorder)
842 2.55E+08 Ependymoma of brain (disorder)
842 36217008 Organic personality disorder (disorder)
842 36276008 Syphilitic retrobulbar neuritis (disorder)
842 2.55E+08 Oligodendroglioma of brain (disorder)
842 2.31E+08 Retrobulbar neuritis (disorder)
842 2.55E+08 Mixed glial tumor of brain (disorder)
842 2.55E+08 Benign tumor of choroid plexus (disorder)
842 36716000 Brain stem contusion without open intracranial wound AND with no loss of consciousness (disorder)
842 79228001 Brain injury without open intracranial wound AND with no loss of consciousness (disorder)
842 2.55E+08 Neuronal and mixed neuronal - glial tumor of brain (disorder)
842 36785009 Aphasia-angular gyrus syndrome (disorder)
842 2.55E+08 Embryonal tumor of brain (disorder)
842 3.53E+08 Tonic-clonic epilepsy (disorder)
842 36822000 Cortex contusion without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 2.55E+08 Glial tumor of spinal cord (disorder)
842 2.55E+08 Glioma of spinal cord (disorder)
842 37028008 Juvenile tabes (disorder)
842 2.55E+08 Astrocytoma of spinal cord (disorder)
842 37134004 Intracranial hemorrhage following injury without open intracranial wound AND with no loss of consciousness (disorder)
842 67761004 Olivopontocerebellar degeneration (disorder)
842 2.55E+08 Ependymoma of spinal cord (disorder)
842 37382001 Known OR suspected fetal spina bifida with myelomeningocele affecting obstetrical care (disorder)
842 2.55E+08 Oligodendroglioma of spinal cord (disorder)
842 2.55E+08 Mixed glial tumor of spinal cord (disorder)
842 37650008 Hereditary cerebellar degeneration (disorder)
842 37754005 Asymptomatic neurosyphilis (disorder)
842 2.55E+08 Neuronal and mixed neuronal - glial tumor of spinal cord (disorder)
842 37955001 Intracranial hematoma following injury (disorder)
842 2.55E+08 Embryonal tumor of spinal cord (disorder)
842 37960002 Sanger-Brown cerebellar ataxia (disorder)
842 2.55E+08 Pituitary carcinoma (disorder)
842 37991008 Parinaud's syndrome (disorder)
842 38023001 Locked in syndrome (disorder)
842 2.55E+08 Somatotroph adenoma (disorder)
842 38115001 Tuberculosis of spinal meninges (disorder)
842 2.55E+08 Corticotroph adenoma (disorder)
842 4.45E+08 Bacterial meningomyelitis (disorder)
842 38116000 Hydromyelocele (disorder)
842 2.55E+08 Gonadotroph adenoma (disorder)
842 82058009 Myelocele (disorder)
842 38209007 Encephalo-ophthalmic dysplasia (disorder)
842 2.55E+08 Mixed-functioning pituitary adenoma (disorder)
842 38278003 Injury at C5-C7 level with central cord syndrome AND without bone injury (disorder)
842 2.55E+08 Functionless pituitary adenoma (disorder)
842 38281008 Benign neonatal convulsions (disorder)
842 2.55E+08 Pituitary microadenoma (disorder)
842 87476004 Convulsions in the newborn (disorder)
842 38353004 Congenital porencephaly (disorder)
842 2.55E+08 Pituitary mesoadenoma (disorder)
842 2.63E+08 Cerebral hemorrhage in fetus OR newborn (disorder)
842 2.62E+08 Neonatal cerebral hemorrhage (disorder)
842 38453000 Cerebral hemorrhage due to intrapartum anoxia of hypoxia (disorder)
842 2.55E+08 Pituitary macroadenoma (disorder)
842 38523005 Syphilitic parkinsonism (disorder)
842 2.55E+08 Suprasellar extension of pituitary adenoma (disorder)
842 2.55E+08 Malignant tumor of olfactory tract (disorder)
842 38576000 Nonfamilial hyperinsulinemic isolated somatotropin deficiency (disorder)
842 2.55E+08 Benign tumor of olfactory tract (disorder)
842 38632003 Pharyngeal pituitary tissue (disorder)
842 2.55E+08 Malignant tumor of optic nerve and sheath (disorder)
842 2.77E+08 Lymphocytic meningoencephalitis (disorder)
842 3.98E+08 Lymphocytic choriomeningitis (disorder)
842 2.55E+08 Malignant tumor of optic nerve sheath (disorder)
842 3.98E+08 Lymphocytic choriomeningitis virus encephalomyelitis (disorder)
842 2.76E+08 Lymphocytic meningitis (disorder)
842 2.55E+08 Malignant astrocytoma of optic nerve (disorder)
842 38742007 Central retinal artery occlusion (disorder)
842 2.55E+08 Malignant meningioma of optic nerve sheath (disorder)
842 2.55E+08 Meningioma of optic nerve sheath (disorder)
842 2.55E+08 Optic nerve glioma (disorder)
842 38761006 Brain stem contusion without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
842 4.05E+08 Optic glioma (disorder)
842 2.55E+08 Benign tumor of optic nerve and sheath (disorder)
842 38837006 Acquired porencephaly (disorder)
842 65705009 Porencephalic cyst (disorder)
842 39020005 Brain injury, without skull fracture (disorder)
842 54355006 Intracranial injury, without skull fracture (disorder)
842 39134007 Hematomyelia (disorder)
842 2.55E+08 Melanocytoma of optic nerve head (disorder)
842 39150004 Congenital anomaly of spinal meninges (disorder)
842 39194005 Visual epilepsy (disorder)
842 1.28E+08 Disorder of visual cortex (disorder)
842 2.55E+08 Malignant pinealoma (disorder)
842 4.2E+08 Myelopathy associated with AIDS (disorder)
842 39574006 Congenital hypoplasia of inner granular layer of cerebellum (disorder)
842 39648006 Fibrous hypertrophic cervical pachymeningitis (disorder)
842 4.3E+08 Germ cell tumor of the brain (disorder)
842 39745004 Chronic progressive epilepsia partialis continua (disorder)
842 2.55E+08 Benign pinealoma (disorder)
842 39807006 Cannabis intoxication delirium (disorder)
842 2.55E+08 Malignant tumor of pituitary and hypothalamus (disorder)
842 39881005 Injury at C5-C7 level with complete lesion of spinal cord AND without bone injury (disorder)
842 39912006 Hereditary spastic paraplegia (disorder)
842 39951001 Cannabis-induced anxiety disorder (disorder)
842 1.87E+08 Histoplasma capsulatum with meningitis (disorder)
842 2.63E+08 Intracranial foreign body (disorder)
842 2.63E+08 Burst lobe of brain (disorder)
842 40099009 Mumps meningoencephalitis (disorder)
842 2.63E+08 Traumatic generalized cerebral edema (disorder)
842 2.63E+08 Traumatic focal cerebral edema (disorder)
842 44201003 Mumps meningitis (disorder)
842 2.63E+08 Contusion of spinal cord (disorder)
842 40135004 Subdural hemorrhage following injury without open intracranial wound AND with no loss of consciousness (disorder)
842 2.63E+08 Contusion of cervical cord (disorder)
842 4.17E+08 Neuroinvasive Eastern equine encephalitis virus infection (disorder)
842 2.63E+08 Contusion of thoracic cord (disorder)
842 40230002 Encephalitis due to Langat virus (disorder)
842 40259002 Progressive sensory ataxia of Charolais (disorder)
842 2.63E+08 Contusion of lumbar cord (disorder)
842 63814006 Abnormal cerebral signs in the newborn (disorder)
842 1.27E+08 Perinatal anoxic-ischemic brain injury (disorder)
842 2.63E+08 Contusion of sacral cord (disorder)
842 40286002 Cortex contusion without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 2.63E+08 Edema of sacral cord (disorder)
842 2.63E+08 Laceration of cervical cord (disorder)
842 40405003 Illegal abortion with cerebral anoxia (disorder)
842 2.63E+08 Laceration of thoracic cord (disorder)
842 40425004 Postconcussion syndrome (disorder)
842 2.3E+08 Post-traumatic dementia (disorder)
842 2.63E+08 Laceration of lumbar cord (disorder)
842 40450001 Embolism of superior sagittal sinus (disorder)
842 2.63E+08 Laceration of sacral cord (disorder)
842 2.63E+08 Transection of spinal cord (disorder)
842 2.63E+08 Transection of cervical cord (disorder)
842 2.63E+08 Transection of thoracic cord (disorder)
842 40549004 Extradural hemorrhage following injury without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
842 2.63E+08 Transection of lumbar cord (disorder)
842 40571009 Hallucinogen intoxication delirium (disorder)
842 40592009 Avian encephalomyelitis (disorder)
842 2.63E+08 Transection of sacral cord (disorder)
842 2.63E+08 Traumatic spinal cord hemorrhage (disorder)
842 40781006 Hypopituitarism due to pituitary tumor (disorder)
842 2.63E+08 Traumatic spinal subarachnoid hemorrhage (disorder)
842 40795009 Injury at T1-T6 level with complete lesion of spinal cord AND without bone injury (disorder)
842 2.63E+08 Traumatic spinal extradural hematoma (disorder)
842 40816002 Retropulsion petit mal (disorder)
842 2.63E+08 Traumatic spinal subdural hematoma (disorder)
842 50866000 Childhood absence epilepsy (disorder)
842 2.63E+08 Transection of cervical nerve root (disorder)
842 72836002 Hepatic coma (disorder)
842 41009006 Progressive cerebellar tremor (disorder)
842 2.63E+08 Transection of thoracic nerve root (disorder)
842 41022003 Intervertebral disc disorder of thoracic region with myelopathy (disorder)
842 2.63E+08 Transection of lumbar nerve root (disorder)
842 41025001 Brain stem laceration with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
842 2.63E+08 Transection of sacral nerve root (disorder)
842 41075004 Fungal infection of brain (disorder)
842 2.63E+08 Partial division of cervical nerve root (disorder)
842 41083005 Alcohol-induced sleep disorder (disorder)
842 2.63E+08 Partial division of thoracic nerve root (disorder)
842 41133002 Closed fracture of T7-T12 level with posterior cord syndrome (disorder)
842 2.63E+08 Partial division of lumbar nerve root (disorder)
842 2.63E+08 Partial division of sacral nerve root (disorder)
842 41222005 Brain stem laceration with open intracranial wound AND concussion (disorder)
842 2.63E+08 Contusion of cervical nerve root (disorder)
842 41362007 Ossifying pachymeningitis (disorder)
842 83090005 Dural ossification (disorder)
842 2.63E+08 Contusion of thoracic nerve root (disorder)
842 41454003 Chronic benign lymphocytic meningitis (disorder)
842 2.3E+08 Chronic lymphocytic meningitis (disorder)
842 2.63E+08 Contusion of lumbar nerve root (disorder)
842 41713005 Benedikt's syndrome (disorder)
842 2.63E+08 Contusion of sacral nerve root (disorder)
842 95457000 Brain stem infarction (disorder)
842 2.63E+08 Traction injury of cervical nerve root (disorder)
842 41753008 Macrogenitosomia praecox (disorder)
842 2.63E+08 Traction injury of thoracic nerve root (disorder)
842 41783004 Traumatic anosmia (disorder)
842 2.63E+08 Traction injury of lumbar nerve root (disorder)
842 72758005 Injury of olfactory nerve (disorder)
842 2.63E+08 Traction injury of sacral nerve root (disorder)
842 59748008 Cortex laceration with open intracranial wound (disorder)
842 42021008 Familial diabetes insipidus (disorder)
842 2.63E+08 Avulsion of cervical nerve root (disorder)
842 42206007 Injury at T1-T6 level with anterior cord syndrome AND without bone injury (disorder)
842 42365007 Atonic seizure (disorder)
842 2.63E+08 Avulsion of thoracic nerve root (disorder)
842 42369001 Pallidopontonigral degeneration (disorder)
842 2.63E+08 Avulsion of lumbar nerve root (disorder)
842 42376006 Occipital encephalocele (disorder)
842 2.63E+08 Avulsion of sacral nerve root (disorder)
842 42397007 Sporadic bovine encephalomyelitis (disorder)
842 2.63E+08 Transection of vertebral artery (disorder)
842 42429001 Cerebromeningeal hemorrhage (disorder)
842 42440009 Partial seizure with illusions and hallucinations (disorder)
842 2.63E+08 Transection of anterior spinal artery (disorder)
842 42452002 Thoracic radiculopathy (disorder)
842 42594001 Organic mood disorder of depressed type (disorder)
842 42670008 Brain stem contusion with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 4.28E+08 Epidural hematoma (disorder)
842 2.63E+08 Traumatic intracranial subdural hematoma (disorder)
842 2.65E+08 Hypothalamic injury (disorder)
842 42769004 Diffuse Lewy body disease with spongiform cortical change (disorder)
842 2.65E+08 Pituitary macroadenoma with extrasellar extension (disorder)
842 80098002 Diffuse Lewy body disease (disorder)
842 2.04E+08 Multiple brain anomalies (disorder)
842 42970005 Nonpyogenic thrombosis of intracranial venous sinus (disorder)
842 2.67E+08 Idiopathic hypopituitarism (disorder)
842 42994005 Nonruptured cerebral aneurysm (disorder)
842 2.67E+08 Post-birth injury hypopituitarism (disorder)
842 1.29E+08 Intracranial aneurysm (disorder)
842 2.1E+08 Cortex contusion with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
842 2.72E+08 Primary microcephaly (disorder)
842 43019009 Nelson syndrome (disorder)
842 43069001 Cerebellar aplasia (disorder)
842 43100002 Late cortical cerebellar atrophy (disorder)
842 43105007 Choreoathetosis (disorder)
842 43216008 Extradural hemorrhage following injury without open intracranial wound (disorder)
842 82999001 Epidural hemorrhage (disorder)
842 43262000 Subdural hemorrhage following injury with open intracranial wound AND concussion (disorder)
842 2.75E+08 Semicoma (disorder)
842 43405004 Open fracture of C5-C7 level with anterior cord syndrome (disorder)
842 43486001 Hemiplegic cerebral palsy (disorder)
842 43497001 Amphetamine-induced mood disorder (disorder)
842 43532007 Hereditary oculoleptomeningeal amyloid angiopathy (disorder)
842 43647007 Juvenile paralysis agitans of Hunt (disorder)
842 43658003 Vertebral artery obstruction (disorder)
842 43727009 Disorder of visual cortex associated with neoplasm (disorder)
842 75885003 Disorder of visual pathways associated with neoplasm (disorder)
842 2.53E+08 Miller Dieker syndrome (disorder)
842 2.04E+08 Lissencephaly (disorder)
842 43977004 Corticostriatal-spinal degeneration (disorder)
842 44031002 Postseizure confusion (disorder)
842 44145005 Benign Rolandic epilepsy (disorder)
842 44248001 Raymond-Cestan syndrome (disorder)
842 44295002 Congenital coloboma of optic disc (disorder)
842 1.27E+08 Cortex laceration (disorder)
842 44395000 Spastic tetraplegia with rigidity syndrome (disorder)
842 48721008 Quadriplegic cerebral palsy (disorder)
842 44423001 Early myoclonic encephalopathy (disorder)
842 2.08E+08 Closed fracture of thoracic spine with spinal cord lesion (disorder)
842 44621005 Congenital anomaly of organ of Corti (disorder)
842 44823006 Intracranial embolic abscess (disorder)
842 2.3E+08 Balo concentric sclerosis (disorder)
842 45021001 Candidal meningitis (disorder)
842 2.41E+08 Central nervous system candidiasis (disorder)
842 45129002 Human T-cell lymphotropic virus (HTLV) 1-associated myelopathy-tropical spastic paraparesis (disorder)
842 45163000 Congenital pontocerebellar hypoplasia (disorder)
842 2.1E+08 Cortex contusion with open intracranial wound, with no loss of consciousness (disorder)
842 45639009 Hereditary cerebral amyloid angiopathy, Icelandic type (disorder)
842 2.31E+08 Cerebral amyloid angiopathy (disorder)
842 45740001 Diencephalic syndrome of infancy (disorder)
842 2.38E+08 Diencephalic syndrome (disorder)
842 45762001 Atelomyelia (disorder)
842 78784005 Amyelia (disorder)
842 45814002 Birnbaum's syndrome (disorder)
842 45853006 Roussy-Lévy syndrome (disorder)
842 45864009 Senile degeneration of brain (disorder)
842 45897005 Jervis' syndrome (disorder)
842 46138007 Tropical ataxic neuropathy (disorder)
842 46229002 Severe mixed bipolar I disorder without psychotic features (disorder)
842 46251005 Corticospinal motor disease (disorder)
842 46263000 Cataplexy (disorder)
842 46303000 Coccidioidal meningitis (disorder)
842 46322009 Non-arthropod-borne viral disease of the central nervous system (disorder)
842 4.22E+08 Encephalomyelitis associated with AIDS (disorder)
842 46549005 Multiple spinal cord injuries without spinal bone injury (disorder)
842 46721000 Psychoactive substance-induced organic personality disorder (disorder)
842 46758000 Open fracture of base of skull with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
842 71074007 Open skull fracture with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
842 1.12E+08 Open fracture of base of skull with intracranial hemorrhage (disorder)
842 46808003 Marie's cerebellar ataxia (disorder)
842 4.21E+08 Episodic ataxia (disorder)
842 46966000 Cerebral compression due to injury (disorder)
842 47000000 Acute transverse myelitis (disorder)
842 47198001 Cortex laceration with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 2.38E+08 Isolated growth hormone deficiency - autosomal dominant (disorder)
842 47664006 Sedative, hypnotic AND/OR anxiolytic-induced psychotic disorder with hallucinations (disorder)
842 47979002 Cortex contusion without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
842 47983002 Cerebellar laceration without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
842 48090007 Neurologic adductor spastic dysphonia (disorder)
842 1.12E+08 Acute necrotizing encephalitis (disorder)
842 48233004 Traumatic optic nerve injury (disorder)
842 2.12E+08 Optic nerve and pathway injury (disorder)
842 48248005 Thrombophlebitis of inferior sagittal sinus (disorder)
842 48359003 Urban rabies (disorder)
842 48376004 Congenital pseudoporencephaly (disorder)
842 58638006 Pseudoporencephaly (disorder)
842 48518008 Subarachnoid hemorrhage following injury with open intracranial wound AND concussion (disorder)
842 3.71E+08 Quadriplegic spastic cerebral palsy (disorder)
842 48956000 Open fracture of lumbar vertebra with spinal cord injury (disorder)
842 2.08E+08 Open fracture of lumbar spine with spinal cord lesion (disorder)
842 49049000 Parkinson's disease (disorder)
842 4.45E+08 Split spinal cord malformation (disorder)
842 49386006 Orofacial dyskinesia (disorder)
842 49422009 Cortical hemorrhage (disorder)
842 49453006 Cerebral herniation (disorder)
842 2.31E+08 Disorders of cerebrospinal fluid and intracranial pressure (disorder)
842 49481000 Postseizure delirium (disorder)
842 49497005 Open fracture of T1-T6 level with anterior cord syndrome (disorder)
842 49644006 Simple partial onset seizure followed by impaired consciousness (disorder)
842 49692006 Schilder's disease (disorder)
842 49747005 Closed fracture of lumbar vertebra with spinal cord injury (disorder)
842 2.74E+08 Fracture of lumbar spine with cord lesion (disorder)
842 2.08E+08 Closed fracture of lumbar spine with spinal cord lesion (disorder)
842 49776008 Centrencephalic epilepsy (disorder)
842 2.24E+08 Cerebellar deficiency syndrome (disorder)
842 49823009 Internuclear ophthalmoplegia (disorder)
842 49949003 Paroxysmal choreoathetosis (disorder)
842 2.3E+08 Kinesiogenic choreoathetosis (disorder)
842 50143004 Kernicterus of newborn (disorder)
842 50320000 Hallucinogen intoxication (disorder)
842 2.65E+08 Symptomatic parkinsonism (disorder)
842 50429003 Congenital stenosis of aqueduct of Sylvius (disorder)
842 50490005 Hypertensive encephalopathy (disorder)
842 50541007 Bruns' syndrome (disorder)
842 50595002 Disorder of optic chiasm associated with inflammatory disorder (disorder)
842 50722006 Phencyclidine (PCP) delusional disorder (disorder)
842 50751005 Sinus pericranii (disorder)
842 70884002 Allergic encephalitis (disorder)
842 50821009 Arterial retinal branch occlusion (disorder)
842 50888000 Closed fracture of C1-C4 level with central cord syndrome (disorder)
842 50933003 Hallucinogen delusional disorder (disorder)
842 51004007 Herniation under falx cerebri (disorder)
842 51075009 Complex partial seizure evolving to generalized seizure (disorder)
842 2.47E+08 Partial seizure evolving to secondary generalized seizure (disorder)
842 51101002 Cerebellar contusion without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
842 51169003 Pneumococcal meningitis (disorder)
842 51258005 Open fracture of T7-T12 level with posterior cord syndrome (disorder)
842 51371005 Pituitary dwarfism with normal somatotropin level AND low somatomedin (disorder)
842 51399001 Toxic encephalopathy due to lead (disorder)
842 2.3E+08 Encephalopathy due to heavy metals (disorder)
842 51443000 Amphetamine-induced psychotic disorder with hallucinations (disorder)
842 51493001 Cocaine-induced anxiety disorder (disorder)
842 51495008 Cerebral anoxia following anesthesia AND/OR sedation in labor AND/OR delivery (disorder)
842 51498005 Demyelinating myelopathy of Miniature Poodles (disorder)
842 3.09E+08 Spinal demyelination (disorder)
842 51514006 Closed fracture of C1-C4 level with posterior cord syndrome (disorder)
842 51568001 Brain stem vertigo (disorder)
842 51604006 Acute retrobulbar neuritis (disorder)
842 51638003 Thogoto virus disease (disorder)
842 51887003 Tonic seizure (disorder)
842 51928006 General paresis - neurosyphilis (disorder)
842 51978008 Head lag in the newborn (disorder)
842 2.3E+08 Punch drunk syndrome (disorder)
842 52008007 Organic writer's cramp (disorder)
842 2.3E+08 Occupational dystonia (disorder)
842 52125007 Gustatory seizure (disorder)
842 52201006 Internal capsule hemorrhage (disorder)
842 52274002 Dystonia lenticularis (disorder)
842 52281009 Meningoencephalitis due to Naegleria (disorder)
842 4.07E+08 Naegleria infection of the central nervous system (disorder)
842 2.3E+08 Amebic encephalitis (disorder)
842 52289006 Closed fracture of T1-T6 level with central cord syndrome (disorder)
842 52330001 Meningoencephalocele (disorder)
842 52713000 Infantile neuroaxonal dystrophy (disorder)
842 2.3E+08 Neuroaxonal dystrophy (disorder)
842 52859009 Rathke's pouch cyst (disorder)
842 2.38E+08 Pituitary cyst (disorder)
842 52866005 Opioid intoxication delirium (disorder)
842 52869003 Bovine spongiform encephalopathy (disorder)
842 1.27E+08 Brain stem contusion (disorder)
842 52902005 Subdural hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 91216000 Intracranial hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 52913008 Brain stem contusion with open intracranial wound AND no loss of consciousness (disorder)
842 78968003 Brain stem contusion with open intracranial wound (disorder)
842 52947006 Japanese encephalitis virus disease (disorder)
842 53194005 Posthemiplegic athetosis (disorder)
842 53318002 Spina bifida with hydrocephalus (disorder)
842 53429002 Cerebellar laceration with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
842 53622003 Cerebral malaria (disorder)
842 53730006 Cortex laceration without open intracranial wound AND with no loss of consciousness (disorder)
842 53776005 Encephalocystocele (disorder)
842 53810004 Injury at T1-T6 level with spinal cord injury AND without bone injury (disorder)
842 53868003 Closed fracture of C1-C4 level with anterior cord syndrome (disorder)
842 53936005 Alcohol-induced mood disorder (disorder)
842 54304004 Progressive bulbar palsy (disorder)
842 54364001 Lethal neonatal spasticity (disorder)
842 54502004 Primary degenerative dementia of the Alzheimer type, presenile onset, with delusions (disorder)
842 54519002 Basilar artery stenosis (disorder)
842 90520006 Vertebral artery stenosis (disorder)
842 1.95E+08 Basilar artery occlusion (disorder)
842 54637009 Brain stem contusion without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
842 54794009 Ectopic gray matter in centrum ovale (disorder)
842 54801001 Dalmatian leukodystrophy (disorder)
842 3.98E+08 Anterior acute poliomyelitis (disorder)
842 3.98E+08 Epidemic acute poliomyelitis (disorder)
842 55009008 Primary degenerative dementia of the Alzheimer type, senile onset, with delusions (disorder)
842 3.71E+08 Senile dementia with delusion (disorder)
842 55234004 Pyogranulomatous meningoencephalomyelitis (disorder)
842 82598004 Secondary hypothyroidism (disorder)
842 55382008 Cerebral atherosclerosis (disorder)
842 65312002 Cerebral arteriosclerosis (disorder)
842 55456003 Disorder of visual cortex associated with inflammatory disorder (disorder)
842 55489003 Eosinophilic meningoencephalitis (disorder)
842 2.3E+08 Parasitic encephalitis (disorder)
842 55600008 Injury at T7-T12 level with anterior cord syndrome AND without bone injury (disorder)
842 55623006 Toxic encephalopathy due to mercury (disorder)
842 55637002 Spinal hemiplegia (disorder)
842 55734000 Endophlebitis of basilar sinus (disorder)
842 55776008 Symptomatic torsion dystonia (disorder)
842 1.93E+08 Cluster headache syndrome (disorder)
842 55967005 Phencyclidine-induced anxiety disorder (disorder)
842 55983005 Injury at T7-T12 level with complete lesion of spinal cord AND without bone injury (disorder)
842 56097005 Migraine without aura (disorder)
842 56155002 Hemispheric cerebral agenesis (disorder)
842 56194001 Caffeine-induced sleep disorder (disorder)
842 4.3E+08 Vascular dementia (disorder)
842 2.31E+08 Multi-infarct state (disorder)
842 56271007 Hypothermia-sweating syndrome (disorder)
842 2.12E+08 Visual cortex injury (disorder)
842 56384000 Embolism of inferior sagittal sinus (disorder)
842 56409008 Monoplegic cerebral palsy (disorder)
842 56453003 Hereditary cerebral amyloid angiopathy, Dutch type (disorder)
842 56509006 Adductor spastic dysphonia of organic voice tremor (disorder)
842 56531003 Ulegyria (disorder)
842 2.31E+08 Late secondary abnormalities of the central nervous system (disorder)
842 56630009 Open fracture of C5-C7 level with complete lesion of cord (disorder)
842 56640007 Cortex laceration with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
842 56848002 Foville-Wilson syndrome (disorder)
842 57012007 Brain stem contusion with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
842 57099002 Cerebellar contusion with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
842 57138009 Pseudopapilledema (disorder)
842 4.06E+08 Cervical spinal cord injury (disorder)
842 57441008 Disorder of visual cortex associated with vascular disorder (disorder)
842 57480000 Known OR suspected fetal anencephaly affecting obstetrical care (disorder)
842 89369001 Anencephalus (disorder)
842 1.27E+08 Cerebellar contusion (disorder)
842 1.93E+08 Cyst of spinal meninges (disorder)
842 57917004 Seckel syndrome (disorder)
842 1.93E+08 Fragments of torsion dystonia (disorder)
842 57998008 Closed fracture of vault of skull with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
842 4.21E+08 Myelitis associated with AIDS (disorder)
842 58070005 Cortex laceration without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
842 58193001 Diplegic cerebral palsy (disorder)
842 58329000 Organic mood disorder of manic type (disorder)
842 1.93E+08 Adhesions - cerebral meninges (disorder)
842 58557008 Spina bifida aperta (disorder)
842 58610003 Leber's optic atrophy (disorder)
842 58706006 Murine encephalomyelitis (disorder)
842 58756001 Huntington's chorea (disorder)
842 58766009 Granulomatous meningoencephalomyelitis (disorder)
842 59008008 Leukoencephalomyelopathy of Rottweilers (disorder)
842 2.53E+08 External hydrocephalus (disorder)
842 59026006 Blepharospasm (disorder)
842 59029004 Cortex contusion without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
842 1.93E+08 Otogenic intracranial abscess (disorder)
842 59103002 Cerebral paralysis with homolateral ataxia (disorder)
842 59292006 Hemiplegic migraine (disorder)
842 59350003 Louping ill (disorder)
842 1.93E+08 Arbovirus encephalitis (disorder)
842 59457001 Simple partial seizure evolving to secondary generalized seizure (disorder)
842 59561005 Brain stem laceration without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
842 59572000 Necrosis of pituitary (disorder)
842 59633005 Subarachnoid hemorrhage following injury with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
842 75507000 Subarachnoid hemorrhage following injury with open intracranial wound AND loss of consciousness (disorder)
842 59648004 Extradural hemorrhage following injury with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
842 1.12E+08 Extradural hemorrhage following injury with open intracranial wound AND loss of consciousness (disorder)
842 59651006 Sedative, hypnotic AND/OR anxiolytic-induced persisting dementia (disorder)
842 1.11E+08 Psychoactive substance-induced organic dementia (disorder)
842 59671002 Derriengue (disorder)
842 4.15E+08 Paralytic rabies (disorder)
842 59704003 Congenital tremor syndrome (disorder)
842 59876009 Hereditary myelopathy of Afgan Hounds (disorder)
842 59918000 Cerebellar laceration with open intracranial wound AND concussion (disorder)
842 60146005 Bailey-Cushing syndrome (disorder)
842 60338000 Partial seizure with multiple symptoms (disorder)
842 60404007 Cerebral abscess (disorder)
842 95502000 Congenital anomaly of optic nerve (disorder)
842 60546000 Cerebellar contusion without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 60576007 Subacute combined degeneration of spinal cord (disorder)
842 60706008 Phlebitis of torcular Herophili (disorder)
842 60935008 Paramyoclonus multiplex (disorder)
842 61144001 Alcohol-induced psychotic disorder with delusions (disorder)
842 61165007 Hereditary nephrogenic diabetes insipidus (disorder)
842 1.11E+08 Nephrogenic diabetes insipidus (disorder)
842 61200008 Pallidonigroluysian degeneration (disorder)
842 2.04E+08 Foramen of Luschka atresia (disorder)
842 61337004 Electric chorea (disorder)
842 61386002 Open fracture of C1-C4 level with central cord syndrome (disorder)
842 61407009 Protozoal myelitis (disorder)
842 61484000 Simple partial seizure evolving to generalized seizure (disorder)
842 61642003 Multiple open fractures of skull AND/OR face with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
842 61663001 Juvenile neuronal ceroid lipofuscinosis (disorder)
842 61687004 Endophlebitis of inferior sagittal sinus (disorder)
842 61701006 Lymphocytic hypopituitarism (disorder)
842 2.38E+08 Hypophysitis (disorder)
842 61819007 Rachischisis (disorder)
842 61927004 Auditory seizure (disorder)
842 61974008 Epidural abscess (disorder)
842 4.21E+08 Presenile dementia associated with AIDS (disorder)
842 62106007 Concussion with no loss of consciousness (disorder)
842 62158001 Status marmoratus (disorder)
842 62186009 Enzootic polyarthritis in goats (disorder)
842 62206004 Abscess of pituitary (disorder)
842 62239001 Parkinson-dementia complex of Guam (disorder)
842 62564004 Concussion with loss of consciousness (disorder)
842 62732009 Alien limb phenomenon (disorder)
842 62904009 Spastic pseudobulbar dysphonia (disorder)
842 62973004 Extradural hemorrhage following injury without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
842 90178008 Extradural hemorrhage following injury without open intracranial wound AND with loss of consciousness (disorder)
842 62999006 Adiposogenital dystrophy (disorder)
842 82793005 Hypothalamic obesity (disorder)
842 63023005 Brain stem contusion without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 63081009 Acute infarction of spinal cord (disorder)
842 63260003 Concussion with moderate loss of consciousness (disorder)
842 63323000 Subdural hemorrhage following injury without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
842 63576006 Mixed flaccid-spastic pseudobulbar dysphonia (disorder)
842 2.1E+08 Subdural hemorrhage following injury with open intracranial wound, with no loss of consciousness (disorder)
842 63627007 Spinal epidural abscess (disorder)
842 63649001 Cannabis delusional disorder (disorder)
842 63795001 Thrombosis of intracranial venous sinus of pregnancy AND/OR puerperium (disorder)
842 63819001 Open fracture of T1-T6 level with central cord syndrome (disorder)
842 63903007 Incomplete spinal cord lesion at T7-T12 level without bone injury (disorder)
842 63983005 Inhalant-induced psychotic disorder with hallucinations (disorder)
842 63986002 Brain stem herniation (disorder)
842 64009001 Basilar artery syndrome (disorder)
842 2.31E+08 Vertebrobasilar territory transient ischemic attack (disorder)
842 64246009 Disorder of optic chiasm associated with non-pituitary neoplasm (disorder)
842 4.32E+08 Disorder of optic chiasm due to neoplasm (disorder)
842 64337000 Cerebellar laceration with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 64413001 Brain stem laceration with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 64617008 Injury at T7-T12 level with central cord syndrome AND without bone injury (disorder)
842 64624009 Hypoglycemic encephalopathy (disorder)
842 64673000 Cortex laceration with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
842 64678009 Non-pregnancy related A-G syndrome (disorder)
842 64684007 Injury at T1-T6 level with central cord syndrome AND without bone injury (disorder)
842 64764001 Acute paralytic poliomyelitis, bulbar (disorder)
842 2.4E+08 Acute paralytic poliomyelitis (disorder)
842 64775002 Vertebral artery thrombosis (disorder)
842 65084004 Vertebral artery embolism (disorder)
842 75543006 Cerebral embolism (disorder)
842 65096006 Primary degenerative dementia of the Alzheimer type, presenile onset, with delirium (disorder)
842 1.91E+08 Presenile dementia with delirium (disorder)
842 65144005 Congenital spinal meningocele (disorder)
842 65260001 Cervical spondylosis with myelopathy (disorder)
842 65433005 Mechanical complication of ventricular communicating shunt (disorder)
842 2.72E+08 Disorder of brain ventricular shunt (disorder)
842 65455002 Nasal encephalocele (disorder)
842 65491009 Open fracture of sacrum AND/OR coccyx with spinal cord injury (disorder)
842 65535000 Cerebellar laceration without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 65605001 Edema of spinal cord (disorder)
842 65971006 Cerebral hemorrhage due to birth trauma (disorder)
842 66020004 Open fracture of C5-C7 level with posterior cord syndrome (disorder)
842 66108005 Primary degenerative dementia of the Alzheimer type, senile onset, uncomplicated (disorder)
842 66158003 Closed fracture of C5-C7 level with incomplete spinal cord lesion (disorder)
842 66454007 Murray valley encephalitis (disorder)
842 66637005 Hemiballism (disorder)
842 66881004 Choreoacanthocytosis (disorder)
842 66976009 Intracranial hemorrhage following injury without intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
842 66988006 Abortive cerebellar ataxia (disorder)
842 67016008 Injury at C1-C4 level with posterior cord syndrome AND without bone injury (disorder)
842 67155006 Gerstmann-Straussler-Scheinker syndrome (disorder)
842 1.92E+08 Sleep drunkenness (disorder)
842 67254002 Sirenoform monster (disorder)
842 67305007 Familial essential myoclonus (disorder)
842 67378005 Brain stem laceration without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
842 67437007 Lumbar spondylosis with myelopathy (disorder)
842 2.3E+08 Late onset cerebellar ataxia (disorder)
842 67861006 Injury at C1-C4 level with anterior cord syndrome AND without bone injury (disorder)
842 67873006 Isolated prolactin deficiency (disorder)
842 67876003 Congenital obstruction of aqueduct of Sylvius (disorder)
842 67944007 Lhermitte-Duclos disease (disorder)
842 2.55E+08 Intracranial tumor (disorder)
842 67975003 Fibrocartilagenous emboli of spinal cord (disorder)
842 68107009 Cerebral paresis with homolateral ataxia (disorder)
842 68116008 Dentatorubropallidoluysian degeneration (disorder)
842 68267002 Benign intracranial hypertension (disorder)
842 68382005 Cerebrospinal fluid otorrhea (disorder)
842 2.31E+08 Cerebrospinal fluid leak (disorder)
842 2.06E+08 Local subdural hematoma due to birth trauma (disorder)
842 68448003 Myoclonus epilepsy AND ragged red fibers (disorder)
842 68478007 Central retinal vein occlusion (disorder)
842 68504005 Ataxia-telangiectasia syndrome (disorder)
842 68574006 Cortical blindness (disorder)
842 68577004 Acute necrotizing myelitis (disorder)
842 68618008 Rett's disorder (disorder)
842 3.98E+08 Nontraumatic extradural hemorrhage (disorder)
842 3.98E+08 Nontraumatic extradural hematoma (disorder)
842 68764005 Juvenile taboparesis (disorder)
842 68863007 Acute syphilitic meningitis (disorder)
Hip Fracture

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/HipFracture.xls)

Refset Name: Hip fracture refset
  refset_ID   SCTID FSN
835 1705000 Closed fracture of base of neck of femur (disorder)
835   2.63E+08 Basicervical fracture of neck of femur (disorder)
835 3.6E+08 Closed fracture of neck of femur (disorder)
835 5913000 Fracture of neck of femur (disorder)
835 2.63E+08 Fracture of proximal end of femur (disorder)
835 2.09E+08 Closed fracture of head of femur (disorder)
835 12746007 Open transcervical fracture of femur (disorder)
835 3.61E+08 Open fracture of neck of femur (disorder)
835 2.75E+08 Closed fracture of greater trochanter of femur (disorder)
835 2.75E+08 Open fracture of lesser trochanter of femur (disorder)
835 2.75E+08 Closed subcapital fracture of femur (disorder)
835 20100009 Closed fracture of intracapsular section of femur (disorder)
835 2.75E+08 Open subcapital fracture of femur (disorder)
835 22802006 Closed pertrochanteric fracture (disorder)
835 89820008 Closed intertrochanteric fracture (disorder)
835 26938002 Open intertrochanteric fracture (disorder)
835 1.27E+08 Intertrochanteric fracture (disorder)
835 3.61E+08 Open fracture of hip (disorder)
835 30489009 Open fracture of intracapsular section of femur (disorder)
835 41191003 Open fracture of head of femur (disorder)
835 2.63E+08 Open fracture of base of neck of femur (disorder)
835 2.75E+08 Open fracture of greater trochanter of femur (disorder)
835 52450003 Closed fracture of midcervical section of femur (disorder)
835 2.63E+08 Midcervical fracture of neck of femur (disorder)
835 66483005 Open pertrochanteric fracture (disorder)
835 68510005 Closed subtrochanteric fracture (disorder)
835 3.6E+08 Closed fracture of hip (disorder)
835 2.75E+08 Closed fracture of lesser trochanter of femur (disorder)
835 71313000 Open subtrochanteric fracture (disorder)
835 79484004 Closed transcervical fracture of femur (disorder)
835 84320000 Open fracture of midcervical section of femur (disorder)
835 2.03E+08 Non-traumatic acute slipped upper femoral epiphysis (disorder)
835 2.03E+08 Non-traumatic acute-on-chronic slipped upper femoral epiphysis (disorder)
835 2.03E+08 Non-traumatic chronic slipped upper femoral epiphysis (disorder)
835 2.09E+08 Closed fracture proximal femur, transcervical (disorder)
835 2.09E+08 Closed fracture proximal femur, transepiphyseal (disorder)
835 2.09E+08 Closed fracture proximal femur, midcervical section (disorder)
835 2.09E+08 Closed fracture proximal femur, subcapital, Garden grade I (disorder)
835 2.09E+08 Closed fracture proximal femur, subcapital, Garden grade II (disorder)
835 2.09E+08 Closed fracture proximal femur, subcapital, Garden grade III (disorder)
835 2.09E+08 Closed fracture proximal femur, subcapital, Garden grade IV (disorder)
835 2.09E+08 Open fracture proximal femur, transcervical (disorder)
835 2.09E+08 Open fracture proximal femur, transepiphyseal (disorder)
835 2.09E+08 Open fracture proximal femur, midcervical section (disorder)
835 2.09E+08 Open fracture proximal femur,subcapital, Garden grade unspec (disorder)
835 2.09E+08 Open fracture proximal femur,subcapital, Garden grade I (disorder)
835 2.09E+08 Open fracture proximal femur,subcapital, Garden grade II (disorder)
835 2.09E+08 Open fracture proximal femur,subcapital, Garden grade III (disorder)
835 2.09E+08 Open fracture proximal femur,subcapital, Garden grade IV (disorder)
835 2.09E+08 Closed fracture of proximal femur, pertrochanteric (disorder)
835 2.09E+08 Closed fracture proximal femur, intertrochanteric, two part (disorder)
835 2.09E+08 Closed fracture proximal femur, subtrochanteric (disorder)
835 2.09E+08 Closed fracture proximal femur, intertrochanteric, comminuted (disorder)
835 2.09E+08 Open fracture of proximal femur, pertrochanteric (disorder)
835 2.09E+08 Open fracture proximal femur, intertrochanteric, two part (disorder)
835 2.09E+08 Open fracture proximal femur, subtrochanteric (disorder)
835 2.09E+08 Open fracture proximal femur, intertrochanteric, comminuted (disorder)
835 2.09E+08 Pertrochanteric fracture (disorder)
835 2.63E+08 Subtrochanteric fracture of femur (disorder)
835 2.63E+08 Subcapital fracture of neck of femur (disorder)
835 3.01E+08 Fracture of greater trochanter (disorder)
835 4.26E+08 Closed avulsion fracture of greater trochanter of femur (disorder)
835 4.28E+08 Closed avulsion fracture of lesser trochanter of femur (disorder)
835 4.31E+08 Pathological fracture of neck of femur associated with osteoporosis (disorder)
Huntington’s Disease

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/HuntingtonsChorea.xls)

Refset Name: Huntingtons chorea refset
  refset_ID   SCTID FSN
846   58756001 Huntington's chorea (disorder)
846 2.3E+08 Juvenile onset Huntington's disease (disorder)
846 2.3E+08 Late onset Huntington's disease (disorder)
846 2.3E+08 Akinetic-rigid form of Huntington's disease (disorder)
Hyperkalemia

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Hyperkalemia.xls)

Refset Name: Hyperkalemia refset
  refset_ID   SCTID FSN
830   5354002 Hyperkalemia, transcellular shifts (disorder)
830 14140009 Hyperkalemia (disorder)
830 5579000 Acute hyperkalemia (disorder)
830 40777006 Chronic hyperkalemia (disorder)
830 54781007 Hyperkalemia, diminished renal excretion (disorder)
830 2.06E+08 Transitory neonatal hyperkalemia (disorder)
830 2.38E+08 Hyperkalemic alkalosis (disorder)
830 2.38E+08 Hyperkalemic acidosis (disorder)
830 2.38E+08 Hyperkalemia with normal acid-base balance (disorder)
830 2.38E+08 Drug-induced hyperkalemia (disorder)
830 2.38E+08 Gordon's syndrome (disorder)
830 4.27E+08 Hyperkalemia due to ACE inhibitor (disorder)
Hyperlipidemia

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Hyperlipidemia.xls)

Refset Name: Hyperlipidemia refset
  refset_ID   SCTID FSN
831 13644009 Hypercholesterolemia (disorder)
831   55822004 Hyperlipidemia (disorder)
831 3.98E+08 Fredrickson type IIa hyperlipoproteinemia (disorder)
831 3.98E+08 Familial hypercholesterolemia (disorder)
831 33513003 Familial apolipoprotein C-II deficiency (disorder)
831 2.67E+08 Familial hyperchylomicronemia (disorder)
831 2.38E+08 Fredrickson type I hyperlipoproteinemia (disorder)
831 34349009 Familial type 5 hyperlipoproteinemia (disorder)
831 34528009 Familial hypertriglyceridemia (disorder)
831 2.38E+08 Primary hypertriglyceridemia (disorder)
831 2.67E+08 Mixed hyperlipidemia (disorder)
831 2.99E+08 Familial multiple lipoprotein-type hyperlipidemia (disorder)
831 2.38E+08 Familial combined hyperlipidemia (disorder)
831 57218003 Cholesterol ester storage disease (disorder)
831 2.38E+08 Primary hypercholesterolemia (disorder)
831 1.3E+08 Endogenous hyperlipidemia (disorder)
831 1.3E+08 Exogenous hyperlipidemia (disorder)
831 1.3E+08 Mixed hypercholesterolemia and hypertriglyceridemia (disorder)
831 2.67E+08 Pure hypercholesterolemia (disorder)
831 2.67E+08 Pure hyperglyceridemia (disorder)
831 1.91E+08 Hyperlipidemia, group A (disorder)
831 2.38E+08 Very low density lipoprotinemia (disorder)
831 2.38E+08 Fredrickson type IV hyperlipoproteinemia (disorder)
831 2.38E+08 Primary combined hyperlipidemia (disorder)
831 2.38E+08 Polygenic hypercholesterolemia (disorder)
831 2.38E+08 Familial hypercholesterolemia - homozygous (disorder)
831 2.38E+08 Familial hypercholesterolemia - heterozygous (disorder)
831 2.38E+08 Hyperalphalipoproteinemia (disorder)
831 2.38E+08 Familial defective apolipoprotein B-100 (disorder)
831 2.38E+08 Secondary hypercholesterolemia (disorder)
831 3.03E+08 Hypertriglyceridemia (disorder)
831 2.38E+08 Secondary hypertriglyceridemia (disorder)
831 2.38E+08 Secondary combined hyperlipidemia (disorder)
831 4.02E+08 Sporadic primary hypertriglyceridemia (disorder)
831 4.02E+08 Primary "polygenic" type Iib combined hyperlipidemia (disorder)
831 4.02E+08 Primary acquired chylomicronemia (disorder)
831 4.03E+08 Primary chylomicronemia (disorder)
831 4.03E+08 Hyperlipidemia with lipid deposition in skin (disorder)
831 4.03E+08 Secondary hyperlipidemia (disorder)
831 4.03E+08 Primary genetic hyperlipidemia (disorder)
831 4.03E+08 Chylomicronemia syndrome (disorder)
831 4.03E+08 Primary genetic mixed hyperlipidemia (disorder)
831 4.04E+08 Familial lipoprotein lipase deficiency with type I phenotype (disorder)
831 4.04E+08 Familial lipoprotein lipase deficiency with type V phenotype (disorder)
831 4.04E+08 Familial hypercholesterolemia due to heterozygous LDL receptor mutation (disorder)
831 4.04E+08 Familial hypercholesterolemia due to homozygous LDL receptor mutation (disorder)
831 4.04E+08 Familial hypercholesterolemia due to genetic defect of apolipoprotein B (disorder)
831 4.26E+08 Chemically induced hyperlipidemia (disorder)
831 4.45E+08 Posttransplant hyperlipidemia (disorder)
Hypertension

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/HypertensiveDisorder.xls)

Refset Name: HypertensiveDisorder refset
  refset_ID   SCTID FSN
811 193003 Benign hypertensive renal disease (disorder)
811   38481006 Hypertensive renal disease (disorder)
811 1201005 Benign essential hypertension (disorder)
811 59621000 Essential hypertension (disorder)
811 10725009 Benign hypertension (disorder)
811 78975002 Malignant essential hypertension (disorder)
811 1474004 Hypertensive heart AND renal disease complicating AND/OR reason for care during childbirth (disorder)
811 49171007 Hypertensive renal disease complicating AND/OR reason for care during childbirth (disorder)
811 49102001 Hypertensive heart AND renal disease in obstetric context (disorder)
811 38341003 Hypertensive disorder, systemic arterial (disorder)
811 5499009 Pulmonary hypertensive venous disease (disorder)
811 70995007 Pulmonary hypertension (disorder)
811 3.98E+08 Pre-eclampsia (disorder)
811 3.98E+08 Hypertension with albuminuria (disorder)
811 8218002 Chronic hypertension complicating AND/OR reason for care during childbirth (disorder)
811 8762007 Chronic hypertension in obstetric context (disorder)
811 3.67E+08 Hypertension in the obstetric context (disorder)
811 9901000 Essential hypertension complicating AND/OR reason for care during puerperium (disorder)
811 72022006 Essential hypertension in obstetric context (disorder)
811 86041002 Pre-existing hypertension in obstetric context (disorder)
811 10562009 Malignant hypertension complicating AND/OR reason for care during childbirth (disorder)
811 81626002 Malignant hypertension in obstetric context (disorder)
811 10964002 Progressive pulmonary hypertension (disorder)
811 11399002 Pulmonary hypertensive arterial disease (disorder)
811 11511004 Hypertensive heart AND renal disease complicating AND/OR reason for care during puerperium (disorder)
811 14973001 Renal sclerosis with hypertension (disorder)
811 28119000 Renal hypertension (disorder)
811 15394000 Toxemia of pregnancy (disorder)
811 48194001 Pregnancy-induced hypertension (disorder)
811 16147005 Arteriolar nephritis (disorder)
811 18416000 Essential hypertension complicating AND/OR reason for care during childbirth (disorder)
811 19769006 High-renin essential hypertension (disorder)
811 1.95E+08 Secondary malignant renovascular hypertension (disorder)
811 22966008 Hypertensive heart AND renal disease complicating AND/OR reason for care during pregnancy (disorder)
811 23130000 Paroxysmal hypertension (disorder)
811 23717007 Benign essential hypertension complicating AND/OR reason for care during pregnancy (disorder)
811 78808002 Essential hypertension complicating AND/OR reason for care during pregnancy (disorder)
811 63287004 Benign essential hypertension in obstetric context (disorder)
811 23786008 Malignant hypertension complicating AND/OR reason for care during puerperium (disorder)
811 24042004 Chronic hypertension complicating AND/OR reason for care during puerperium (disorder)
811 26078007 Hypertension secondary to renal disease complicating AND/OR reason for care during childbirth (disorder)
811 1.11E+08 Hypertension secondary to renal disease in obstetric context (disorder)
811 26174007 Primary pulmonary hypertension (disorder)
811 2.34E+08 Small vessel pulmonary hypertension (disorder)
811 31992008 Secondary hypertension (disorder)
811 29259002 Malignant hypertension complicating AND/OR reason for care during pregnancy (disorder)
811 3.09E+08 Gestational hypertension (disorder)
811 2.37E+08 Transient hypertension of pregnancy (disorder)
811 31407004 Pre-existing hypertension complicating AND/OR reason for care during puerperium (disorder)
811 31881008 Cardiovascular renal disease (disorder)
811 86234004 Hypertensive heart AND renal disease (disorder)
811 32916005 Nephrosclerosis (disorder)
811 34694006 Pre-existing hypertension complicating AND/OR reason for care during childbirth (disorder)
811 35303009 Benign essential hypertension complicating AND/OR reason for care during puerperium (disorder)
811 37618003 Chronic hypertension complicating AND/OR reason for care during pregnancy (disorder)
811 39018007 Renal arterial hypertension (disorder)
811 1.24E+08 Renovascular hypertension (disorder)
811 39727004 Hypertension secondary to renal disease complicating AND/OR reason for care during puerperium (disorder)
811 41114007 Mild pre-eclampsia (disorder)
811 1.95E+08 Secondary benign hypertension (disorder)
811 46481004 Low-renin essential hypertension (disorder)
811 46764007 Severe pre-eclampsia (disorder)
811 48146000 Diastolic hypertension (disorder)
811 48552006 Hypertension secondary to renal disease complicating AND/OR reason for care during pregnancy (disorder)
811 1.99E+08 Hypertension complicating pregnancy, childbirth and the puerperium (disorder)
811 73030000 Hypertensive renal disease in obstetric context (disorder)
811 49220004 Hypertensive renal failure (disorder)
811 89242004 Malignant secondary hypertension (disorder)
811 50490005 Hypertensive encephalopathy (disorder)
811 52698002 Transient hypertension (disorder)
811 56218007 Systolic hypertension (disorder)
811 57684003 Parenchymal renal hypertension (disorder)
811 57873008 Hypertensive renal disease complicating AND/OR reason for care during puerperium (disorder)
811 59720008 Sustained diastolic hypertension (disorder)
811 59997006 Endocrine hypertension (disorder)
811 62240004 Benign arteriolar nephrosclerosis (disorder)
811 90493000 Arteriolar nephrosclerosis (disorder)
811 62275004 Hypertensive episode (disorder)
811 65402008 Pre-existing hypertension complicating AND/OR reason for care during pregnancy (disorder)
811 65443008 Malignant hypertensive renal disease (disorder)
811 65518004 Labile diastolic hypertension (disorder)
811 66052004 Benign hypertensive heart AND renal disease (disorder)
811 66610008 Malignant hypertensive heart AND renal disease (disorder)
811 66709007 Hypertensive renal disease complicating AND/OR reason for care during pregnancy (disorder)
811 67359005 Pre-eclampsia added to pre-existing hypertension (disorder)
811 69909000 Eclampsia added to pre-existing hypertension (disorder)
811 70272006 Malignant hypertension (disorder)
811 71874008 Benign essential hypertension complicating AND/OR reason for care during childbirth (disorder)
811 73410007 Benign secondary renovascular hypertension (disorder)
811 74451002 Secondary diastolic hypertension (disorder)
811 78544004 Chronic hypertensive uremia (disorder)
811 81363003 Malignant arteriolar nephrosclerosis (disorder)
811 83130006 Eisenmenger's defect (disorder)
811 84094009 Rebound hypertension (disorder)
811 87394009 Episodic pulmonary hypertension (disorder)
811 88223008 Secondary pulmonary hypertension (disorder)
811 89420002 Pulmonary veno-occlusive disease (disorder)
811 2.34E+08 Solitary pulmonary hypertension (disorder)
811 95605009 Hemolysis-elevated liver enzymes-low platelet count syndrome (disorder)
811 1.24E+08 Goldblatt hypertension (disorder)
811 2.88E+08 Maternal hypertension (disorder)
811 1.69E+08 Hypertension induced by oral contraceptive pill (disorder)
811 1.95E+08 Hypertension secondary to drug (disorder)
811 1.95E+08 Hypertensive renal disease with renal failure (disorder)
811 1.95E+08 Hypertensive heart and renal disease with (congestive) heart failure (disorder)
811 1.95E+08 Hypertensive heart and renal disease with renal failure (disorder)
811 1.95E+08 Hypertensive heart and renal disease with both (congestive) heart failure and renal failure (disorder)
811 1.95E+08 Hypertension secondary to endocrine disorder (disorder)
811 1.99E+08 Benign essential hypertension complicating pregnancy, childbirth and the puerperium (disorder)
811 1.99E+08 Benign essential hypertension complicating pregnancy, childbirth and the puerperium - delivered (disorder)
811 1.99E+08 Benign essential hypertension complicating pregnancy, childbirth and the puerperium - delivered with postnatal complication (disorder)
811 1.99E+08 Benign essential hypertension complicating pregnancy, childbirth and the puerperium - not delivered (disorder)
811 1.99E+08 Benign essential hypertension complicating pregnancy, childbirth and the puerperium with postnatal complication (disorder)
811 1.99E+08 Renal hypertension complicating pregnancy, childbirth and the puerperium (disorder)
811 1.99E+08 Renal hypertension complicating pregnancy, childbirth and the puerperium - delivered (disorder)
811 1.99E+08 Renal hypertension complicating pregnancy, childbirth and the puerperium - delivered with postnatal complication (disorder)
811 1.99E+08 Renal hypertension complicating pregnancy, childbirth and the puerperium - not delivered (disorder)
811 1.99E+08 Renal hypertension complicating pregnancy, childbirth and the puerperium with postnatal complication (disorder)
811 1.99E+08 Transient hypertension of pregnancy - delivered (disorder)
811 1.99E+08 Transient hypertension of pregnancy - delivered with postnatal complication (disorder)
811 1.99E+08 Transient hypertension of pregnancy - not delivered (disorder)
811 1.99E+08 Transient hypertension of pregnancy with postnatal complication (disorder)
811 1.99E+08 Severe pre-eclampsia - delivered (disorder)
811 1.99E+08 Severe pre-eclampsia - delivered with postnatal complication (disorder)
811 1.99E+08 Severe pre-eclampsia - not delivered (disorder)
811 1.99E+08 Severe pre-eclampsia with postnatal complication (disorder)
811 1.99E+08 Pre-eclampsia or eclampsia with pre-existing hypertension (disorder)
811 1.99E+08 Pre-eclampsia or eclampsia with pre-existing hypertension - delivered (disorder)
811 1.99E+08 Pre-eclampsia or eclampsia with pre-existing hypertension - delivered with postnatal complication (disorder)
811 1.99E+08 Pre-eclampsia or eclampsia with pre-existing hypertension - not delivered (disorder)
811 1.99E+08 Pre-eclampsia or eclampsia with pre-existing hypertension with postnatal complication (disorder)
811 1.99E+08 Pre-existing hypertension complicating pregnancy, childbirth and puerperium (disorder)
811 1.99E+08 Pre-existing hypertensive heart and renal disease complicating pregnancy, childbirth and the puerperium (disorder)
811 1.99E+08 Pre-existing secondary hypertension complicating pregnancy, childbirth and puerperium (disorder)
811 2.37E+08 Moderate proteinuric hypertension of pregnancy (disorder)
811 2.07E+08 Neonatal hypertension (disorder)
811 2.34E+08 Persistent pulmonary hypertension of the newborn (disorder)
811 2.34E+08 Sporadic primary pulmonary hypertension (disorder)
811 2.34E+08 Familial primary pulmonary hypertension (disorder)
811 2.34E+08 Drug-induced pulmonary hypertension (disorder)
811 2.34E+08 Large vessel pulmonary hypertension (disorder)
811 2.34E+08 Thromboembolic pulmonary hypertension (disorder)
811 2.34E+08 Post-arteritic pulmonary hypertension (disorder)
811 2.34E+08 Pulmonary hypertension associated with chronic underventilation (disorder)
811 2.34E+08 Pulmonary hypertension associated with septal defect / shunt (disorder)
811 3.61E+08 Pulmonary hypertension secondary to raised pulmonary vascular resistance (disorder)
811 3.61E+08 Post-capillary pulmonary hypertension (disorder)
811 2.34E+08 High altitude pulmonary hypertension (disorder)
811 3.08E+08 Non-proteinuric hypertension of pregnancy (disorder)
811 2.37E+08 Impending eclampsia (disorder)
811 2.77E+08 Labile hypertension (disorder)
811 2.77E+08 Pulmonary hypertension with extreme obesity (disorder)
811 2.77E+08 Pulmonary hypertension with occult mitral stenosis (disorder)
811 2.77E+08 Facultative pulmonary hypertension with shunt at atrial level (disorder)
811 3.71E+08 Labile essential hypertension (disorder)
811 4.17E+08 Suspected hypertension (situation)
811 4.28E+08 Hypertension associated with transplantation (disorder)
811 4.29E+08 Hypertension secondary to kidney transplant (disorder)
811 4.29E+08 Exertional hypertension (disorder)
811 4.29E+08 Systolic essential hypertension (disorder)
811 4.43E+08 Hypertensive urgency (disorder)
811 4.45E+08 Portopulmonary hypertension (disorder)
Hyponatremia

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Hyponatremia.xls)

Refset Name: Hyponatremia refset
  refset_ID   SCTID FSN
829 4575002 Acute hyponatremia (disorder)
829   89627008 Hyponatremia (disorder)
829 42669007 Hyponatremia with excess extracellular fluid volume (disorder)
829 50327002 Chronic hyponatremia (disorder)
829 71785001 Water intoxication syndrome (disorder)
829 74003001 Hyponatremia with normal extracellular fluid volume (disorder)
829 74185008 Hyponatremia with extracellular fluid depletion (disorder)
829 84937002 Cerebral hyponatremia (disorder)
829 2.06E+08 Transitory neonatal hyponatremia (disorder)
829 2.38E+08 Hyponatremia with decreased serum osmolality (disorder)
829 2.38E+08 Pseudohyponatremia (disorder)
829 2.38E+08 Drug-induced hyponatremia (disorder)
829 3.07E+08 Dilutional hyponatremia (disorder)
829 4.06E+08 Paraneoplastic hyponatremia (disorder)
Malnutrition, Risk of Malnutrition

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Malnutrition.xls)

Refset Name: Malnutrition refset
  refset_ID   SCTID FSN
851 13365009 Malnutrition following gastrointestinal surgery (disorder)
851 2.73E+08 Malnutrition (calorie) (disorder)
851   29740003 Nutritional marasmus (disorder)
851 2.38E+08 Deficiency of macronutrients (disorder)
851 3.61E+08 Severe protein-calorie malnutrition (Gomez: less than 60% of standard weight) (disorder)
851 3.61E+08 Alimentary edema (disorder)
851 48501009 Alteration in nutrition: potential for more than body requirements (finding)
851 1.3E+08 At risk for nutritional problem (finding)
851 58262005 Kwashiorkor (disorder)
851 2.73E+08 Protein deficiency disease (disorder)
851 77091003 Malnutrition of moderate degree (Gomez: 60% to less than 75% of standard weight) (disorder)
851 77702009 Malnutrition of mild degree (Gomez: 75% to less than 90% of standard weight) (disorder)
851 1.3E+08 At risk for imbalanced nutrition, less than body requirements (finding)
851 2.38E+08 Marasmic kwashiorkor (disorder)
851 1.91E+08 Moderate protein-calorie malnutrition (weight for age 60-74% of standard) (disorder)
851 1.91E+08 Mild protein-calorie malnutrition (weight for age 75-89% of standard) (disorder)
851 1.91E+08 Mild protein energy malnutrition (disorder)
851 1.91E+08 Moderate protein energy malnutrition (disorder)
851 2E+08 Malnutrition in pregnancy (disorder)
851 2.38E+08 Nutritional mental retardation (disorder)
851 2.82E+08 Nutritional wasting (disorder)
851 4.19E+08 Malnutrition due to child maltreatment (disorder)
Manic Depression

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Bipolar.xls)

Refset Name: Bipolar refset
  refset_ID   SCTID FSN
854 162004 Severe manic bipolar I disorder without psychotic features (disorder)
854   53049002 Severe bipolar disorder without psychotic features (disorder)
854 68569003 Manic bipolar I disorder (disorder)
854 3.72E+08 Severe bipolar I disorder (disorder)
854 1196001 Chronic bipolar II disorder, most recent episode major depressive (disorder)
854 1.92E+08 Bipolar affective disorder, current episode depression (disorder)
854 83225003 Bipolar II disorder (disorder)
854 1499003 Bipolar I disorder, single manic episode with postpartum onset (disorder)
854 1.92E+08 Bipolar affective disorder, current episode manic (disorder)
854 9340000 Bipolar I disorder, single manic episode (disorder)
854 3530005 Bipolar I disorder, single manic episode, in full remission (disorder)
854 75360000 Bipolar I disorder, single manic episode, in remission (disorder)
854 4441000 Severe bipolar disorder with psychotic features (disorder)
854 3.72E+08 Severe bipolar disorder (disorder)
854 5703000 Bipolar disorder in partial remission (disorder)
854 85248005 Bipolar disorder in remission (disorder)
854 3.72E+08 Bipolar I disorder (disorder)
854 10875004 Severe mixed bipolar I disorder with psychotic features, mood-incongruent (disorder)
854 26530004 Severe bipolar disorder with psychotic features, mood-incongruent (disorder)
854 10981006 Severe mixed bipolar I disorder with psychotic features (disorder)
854 16506000 Mixed bipolar I disorder (disorder)
854 12969000 Severe bipolar II disorder, most recent episode major depressive, in full remission (disorder)
854 13313007 Mild bipolar disorder (disorder)
854 13746004 Bipolar disorder (disorder)
854 13581000 Severe bipolar I disorder, single manic episode with psychotic features, mood-congruent (disorder)
854 14495005 Severe bipolar I disorder, single manic episode without psychotic features (disorder)
854 16295005 Bipolar II disorder, most recent episode major depressive (disorder)
854 1.92E+08 Mixed bipolar affective disorder (disorder)
854 17782008 Bipolar I disorder, most recent episode manic with catatonic features (disorder)
854 19300006 Severe bipolar II disorder, most recent episode major depressive with psychotic features, mood-congruent (disorder)
854 3.72E+08 Severe bipolar II disorder (disorder)
854 20960007 Severe bipolar II disorder, most recent episode major depressive with psychotic features, mood-incongruent (disorder)
854 21900002 Bipolar I disorder, most recent episode depressed with catatonic features (disorder)
854 22121000 Depressed bipolar I disorder in full remission (disorder)
854 53607008 Depressed bipolar I disorder in remission (disorder)
854 41836007 Bipolar disorder in full remission (disorder)
854 22407005 Bipolar II disorder, most recent episode major depressive with catatonic features (disorder)
854 26203008 Severe depressed bipolar I disorder with psychotic features, mood-incongruent (disorder)
854 59617007 Severe depressed bipolar I disorder with psychotic features (disorder)
854 28663008 Severe manic bipolar I disorder with psychotic features (disorder)
854 28884001 Moderate bipolar I disorder, single manic episode (disorder)
854 82998009 Moderate manic bipolar I disorder (disorder)
854 29929003 Bipolar I disorder, most recent episode depressed with atypical features (disorder)
854 30520009 Severe bipolar II disorder, most recent episode major depressive with psychotic features (disorder)
854 30687003 Bipolar II disorder, most recent episode major depressive with postpartum onset (disorder)
854 30935000 Manic bipolar I disorder in full remission (disorder)
854 45479006 Manic bipolar I disorder in remission (disorder)
854 31446002 Bipolar I disorder, most recent episode hypomanic (disorder)
854 33380008 Severe manic bipolar I disorder with psychotic features, mood-incongruent (disorder)
854 34315001 Bipolar II disorder, most recent episode major depressive with melancholic features (disorder)
854 35481005 Mixed bipolar I disorder in remission (disorder)
854 35722002 Severe bipolar II disorder, most recent episode major depressive, in remission (disorder)
854 35846004 Moderate bipolar II disorder, most recent episode major depressive (disorder)
854 79584002 Moderate bipolar disorder (disorder)
854 36583000 Mixed bipolar I disorder in partial remission (disorder)
854 38368003 Schizoaffective disorder, bipolar type (disorder)
854 40926005 Moderate mixed bipolar I disorder (disorder)
854 41552001 Mild bipolar I disorder, single manic episode (disorder)
854 71984005 Mild manic bipolar I disorder (disorder)
854 41832009 Severe bipolar I disorder, single manic episode with psychotic features (disorder)
854 43568002 Bipolar II disorder, most recent episode major depressive with atypical features (disorder)
854 43769008 Mild mixed bipolar I disorder (disorder)
854 46229002 Severe mixed bipolar I disorder without psychotic features (disorder)
854 48937005 Bipolar II disorder, most recent episode hypomanic (disorder)
854 49468007 Depressed bipolar I disorder (disorder)
854 49512000 Depressed bipolar I disorder in partial remission (disorder)
854 51637008 Chronic bipolar I disorder, most recent episode depressed (disorder)
854 54761006 Severe depressed bipolar I disorder with psychotic features, mood-congruent (disorder)
854 70546001 Severe bipolar disorder with psychotic features, mood-congruent (disorder)
854 55516002 Bipolar I disorder, most recent episode manic with postpartum onset (disorder)
854 61403008 Severe depressed bipolar I disorder without psychotic features (disorder)
854 63249007 Manic bipolar I disorder in partial remission (disorder)
854 64731001 Severe mixed bipolar I disorder with psychotic features, mood-congruent (disorder)
854 65042007 Bipolar I disorder, most recent episode mixed with postpartum onset (disorder)
854 1.92E+08 Bipolar affective disorder, current episode mixed (disorder)
854 66631006 Moderate depressed bipolar I disorder (disorder)
854 67002003 Severe bipolar II disorder, most recent episode major depressive, in partial remission (disorder)
854 71294008 Mild bipolar II disorder, most recent episode major depressive (disorder)
854 73471000 Bipolar I disorder, most recent episode mixed with catatonic features (disorder)
854 74686005 Mild depressed bipolar I disorder (disorder)
854 75752004 Bipolar I disorder, most recent episode depressed with melancholic features (disorder)
854 78269000 Bipolar I disorder, single manic episode, in partial remission (disorder)
854 78640000 Severe manic bipolar I disorder with psychotic features, mood-congruent (disorder)
854 81319007 Severe bipolar II disorder, most recent episode major depressive without psychotic features (disorder)
854 86058007 Severe bipolar I disorder, single manic episode with psychotic features, mood-incongruent (disorder)
854 87203005 Bipolar I disorder, most recent episode depressed with postpartum onset (disorder)
854 87950005 Bipolar I disorder, single manic episode with catatonic features (disorder)
854 1.11E+08 Mixed bipolar I disorder in full remission (disorder)
854 1.92E+08 Bipolar affective disorder, currently manic, mild (disorder)
854 1.92E+08 Bipolar affective disorder, currently manic, moderate (disorder)
854 1.92E+08 Bipolar affective disorder, currently manic, severe, with psychosis (disorder)
854 1.92E+08 Bipolar affective disorder, currently manic, in full remission (disorder)
854 1.92E+08 Bipolar affective disorder, currently depressed, mild (disorder)
854 1.92E+08 Bipolar affective disorder, currently depressed, moderate (disorder)
854 1.92E+08 Bipolar affective disorder, currently depressed, severe, with psychosis (disorder)
854 1.92E+08 Bipolar affective disorder, currently depressed, in full remission (disorder)
854 1.92E+08 Mixed bipolar affective disorder, mild (disorder)
854 1.92E+08 Mixed bipolar affective disorder, moderate (disorder)
854 1.92E+08 Mixed bipolar affective disorder, severe, with psychosis (disorder)
854 1.92E+08 Mixed bipolar affective disorder, in full remission (disorder)
854 2.31E+08 Organic bipolar disorder (disorder)
Multidrug Resistant Organism

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/MDRO.xls)

Refset Name: MDRO refset
  refset_ID   SCTID FSN
821 398002 Left axis deviation greater than -90 degrees by EKG (finding)
821 1.65E+08 Tonometry abnormal (finding)
821   69318006 Shortened ST interval (finding)
821 1.03E+08 Electrocardiogram abnormal (finding)
821 1.65E+08 Fundoscopy abnormal (finding)
821 71628007 Abnormal presence of albumin (finding)
821 2.77E+08 Diffuse motor nerve conduction abnormality (finding)
821 2.77E+08 Focal motor nerve conduction slowing (finding)
821 2.78E+08 Focal sensory nerve conduction slowing (finding)
821 4.17E+08 Bone marrow granulocytic hypoplasia (finding)
821 2.78E+08 Diffuse sensory nerve conduction abnormality (finding)
821 4.17E+08 Bone marrow granulocytic aplasia (finding)
821 2.78E+08 Sensory nerve conduction block (finding)
821 2.78E+08 Focal mixed nerve conduction slowing (finding)
821 2.78E+08 Diffuse mixed nerve conduction abnormality (finding)
821 2.78E+08 Mixed nerve conduction block (finding)
821 437009 Abnormal composition of urine (finding)
821 1.03E+08 Abnormal urine (finding)
821 991002 Wide QRS complex (finding)
821 73999000 Posterior myocardial infarction on electrocardiogram (finding)
821 1077002 Septal infarction by EKG (finding)
821 1.65E+08 Electrocardiogram: myocardial infarction (finding)
821 1155004 Myocardial hypertrophy, determined by electrocardiogram (finding)
821 1692000 P pulmonale by EKG (finding)
821 1.65E+08 Audiogram bilateral abnormality (finding)
821 1.65E+08 Audiogram left abnormality (finding)
821 1.65E+08 Audiogram right abnormality (finding)
821 3720003 Abnormal presence of hemoglobin (finding)
821 4.43E+08 Abnormal finding on evaluation procedure (finding)
821 1.65E+08 Postcoital test abnormal (finding)
821 1.65E+08 Exercise tolerance test abnormal (finding)
821 4725002 P mitrale by EKG (finding)
821 1.65E+08 Ambulatory ECG abnormal (finding)
821 1.65E+08 Gastroscopy abnormal (finding)
821 6412007 Digitalis toxicity by EKG (finding)
821 1.65E+08 Bronchoscopy abnormal (finding)
821 1.66E+08 Antibody studies abnormal (finding)
821 7326005 Inferior myocardial infarction on electrocardiogram (finding)
821 3.66E+08 Finding of bone marrow erythropoiesis (finding)
821 3.66E+08 Finding of bone marrow myeloid cells (finding)
821 3.66E+08 Finding of bone marrow: foreign cells (finding)
821 1.68E+08 Ear swab culture positive (finding)
821 1.68E+08 Stool culture cryptosporidium positive (finding)
821 1.68E+08 Stool culture positive (finding)
821 1.68E+08 Mouth swab culture positive (finding)
821 1.68E+08 Anal swab culture positive (finding)
821 1.68E+08 Urethral swab culture positive (finding)
821 1.68E+08 High vaginal swab culture positive (finding)
821 1.68E+08 Cervical swab culture positive (finding)
821 1.68E+08 Penile swab culture positive (finding)
821 76388001 ST segment elevation (finding)
821 3E+08 Feces in urine (finding)
821 3.02E+08 Catheter stream urine (CSU) = abnormal (finding)
821 2.76E+08 Nuclear abnormality on smear (finding)
821 3.09E+08 Abnormal cytology findings (finding)
821 77483002 Febrile urine (finding)
821 7766007 Cloudy urine (finding)
821 1.69E+08 Plain X-ray temporomandibular joint abnormal (finding)
821 4.42E+08 Imaging of musculoskeletal system abnormal (finding)
821 1.69E+08 Plain X-ray nose abnormal (finding)
821 1.69E+08 Plain X-ray facial sinuses abnormal (finding)
821 4.42E+08 X-ray of head abnormal (finding)
821 1.69E+08 Plain X-ray cervical spine abnormal (finding)
821 9437001 Abnormal presence of myoglobin (finding)
821 13930000 Abnormal presence of protein (finding)
821 1.69E+08 Plain X-ray thoracic spine abnormal (finding)
821 9615000 Maple syrup urine (finding)
821 1.69E+08 Plain X-ray lumbar spine abnormal (finding)
821 1.69E+08 Plain X-ray lumbar/sacral spine abnormal (finding)
821 1.69E+08 Plain X-ray sacrum abnormal (finding)
821 1.69E+08 Plain X-ray coccyx abnormal (finding)
821 1.69E+08 Plain X-ray clavicle abnormal (finding)
821 1.69E+08 Plain X-ray ribs abnormal (finding)
821 1.69E+08 Plain X-ray shoulder joint abnormal (finding)
821 1.69E+08 Plain X-ray scapula abnormal (finding)
821 1.69E+08 Plain X-ray elbow abnormal (finding)
821 1.69E+08 Plain X-ray of radius/ulna abnormal (finding)
821 1.69E+08 Plain X-ray of radius abnormal (finding)
821 1.69E+08 Plain X-ray of ulna abnormal (finding)
821 1.69E+08 Plain X-ray of wrist abnormal (finding)
821 1.69E+08 Plain X-ray humerus abnormal (finding)
821 1.69E+08 Plain X-ray carpus abnormal (finding)
821 1.69E+08 Plain X-ray scaphoid abnormal (finding)
821 1.69E+08 X-ray phalanges of fingers abnormal (finding)
821 4.07E+08 Infection due to vancomycin resistant enterococcus (disorder)
821 1.69E+08 X-ray of thumb abnormal (finding)
821 1.69E+08 Plain X-ray hip joint abnormal (finding)
821 1.69E+08 Plain X-ray knee abnormal (finding)
821 1.69E+08 Plain X-ray patella abnormal (finding)
821 1.69E+08 X-ray of tibia/fibula abnormal (finding)
821 1.69E+08 X-ray of tibia abnormal (finding)
821 1.69E+08 X-ray of fibula abnormal (finding)
821 1.69E+08 Plain X-ray ankle joint abnormal (finding)
821 1.69E+08 Plain X-ray femur abnormal (finding)
821 1.69E+08 Plain X-ray of toes abnormal (finding)
821 1.69E+08 Calcaneum X-ray abnormal (finding)
821 4.42E+08 Imaging of gastrointestinal tract abnormal (finding)
821 4.42E+08 Imaging of genitourinary system abnormal (finding)
821 1.69E+08 Peroral cholecystography abnormal (finding)
821 1.69E+08 Tomography - chest abnormal (finding)
821 1.69E+08 Isotope static scan kidneys abnormal (finding)
821 1.69E+08 Isotope scan spleen abnormal (finding)
821 77566008 Right atrial hypertrophy by EKG (finding)
821 1.65E+08 Prolonged PR interval (finding)
821 3.12E+08 Doppler studies abnormal (finding)
821 82281000 Hypertrophy of cardiac atrium, determined by electrocardiogram (finding)
821 3.71E+08 Therapy failure due to antibiotic resistance (disorder)
821 3.71E+08 Infection resistant to penicillin (disorder)
821 15232001 Increased vascular markings of lung (finding)
821 1.71E+08 Breast neoplasm screening abnormal (finding)
821 83464003 Increased markings (finding)
821 1.71E+08 Guthrie test abnormal (finding)
821 15268006 Abnormal presence of galactose (finding)
821 85090007 Dextrocardia/situs inversus finding (finding)
821 1.65E+08 Lateral infarction on electrocardiogram (finding)
821 87469009 Hypertrophy of left cardiac atrium, determined by electrocardiogram (finding)
821 20329001 Low ventricular voltage by EKG (finding)
821 1.65E+08 Electrocardiogram: right ventricle hypertrophy (finding)
821 1.65E+08 Anteroseptal infarction on electrocardiogram (finding)
821 3.98E+08 Sensory nerve conduction block - excessive (finding)
821 24480009 Abnormal nerve conduction (finding)
821 3.98E+08 Motor nerve conduction block - partial (finding)
821 1.65E+08 Neurological diagnostic procedure - abnormal (finding)
821 3.98E+08 Motor nerve conduction block - full (finding)
821 24652004 Decreased markings (finding)
821 28328005 Abnormal radiologic density (finding)
821 3.98E+08 Motor nerve conduction block - excessive (finding)
821 3.98E+08 Sensory nerve conduction block - inadequate caudad spread (finding)
821 3.98E+08 Sensory nerve conduction block - partial (finding)
821 25488008 Left ventricular hypertrophy by EKG (finding)
821 3.98E+08 Sensory nerve conduction block - inadequate cephalad spread (finding)
821 83370008 Hypertrophy of cardiac ventricle, determined by electrocardiogram (finding)
821 3.98E+08 Sensory nerve conduction block - patchy (finding)
821 3.98E+08 Motor nerve conduction block - none (finding)
821 26141007 ST segment depression (finding)
821 3.98E+08 Motor nerve conduction block - patchy (finding)
821 3.98E+08 Sensory nerve conduction block - full (finding)
821 3.98E+08 Sensory nerve conduction block - none (finding)
821 1.04E+08 Abnormal presence of endometrial cells in specimen from a menopausal woman (finding)
821 3.09E+08 Abnormal histology findings (finding)
821 55930002 Electrocardiogram ST segment changes (finding)
821 1.06E+08 Electrocardiogram finding in hypertrophy, infarction AND/OR ischemia (finding)
821 27649004 Left ventricular ST changes (finding)
821 4.05E+08 Infection due to glycopeptide resistant Staphylococcus aureus (disorder)
821 1.69E+08 Radiology result abnormal (finding)
821 4.05E+08 Infection due to vancomycin resistant Staphylococcus aureus (disorder)
821 29489007 Electrocardiogram axis perpendicular to frontal plane (finding)
821 4.07E+08 Infection due to vancomycin intermediate/resistant Staphylococcus aureus (disorder)
821 1.12E+08 Prolonged QT interval (finding)
821 4.06E+08 Bone marrow: myeloid dysplasia (finding)
821 4.07E+08 Infection due to glycopeptide intermediate/resistant Staphylococcus aureus (disorder)
821 31649001 Abnormal presence of glucose (finding)
821 4.07E+08 Infection due to glycopeptide intermediate Staphylococcus aureus (disorder)
821 4.07E+08 Infection due to vancomycin intermediate Staphylococcus aureus (disorder)
821 4.07E+08 Infection due to vancomycin resistant Staphylococcus aureus, coagulase positive (disorder)
821 2.75E+08 Electroencephalogram abnormal (finding)
821 4.07E+08 Invasive drug resistant Streptococcus pneumoniae disease (disorder)
821 3.11E+08 Vancomycin resistant enterococcal septicemia (disorder)
821 1.24E+08 Viruria (finding)
821 1.24E+08 Bisalbuminemia (finding)
821 37398008 Diabetic urine (finding)
821 38531000 Diminished LV forces by EKG (finding)
821 39321000 Shadow (finding)
821 39347009 Coin lesion (finding)
821 1.95E+08 Wandering atrial pacemaker (finding)
821 39732003 Left axis deviation (finding)
821 40434009 Dyspeptic urine (finding)
821 4.08E+08 Echocardiogram shows left ventricular systolic dysfunction (finding)
821 4.08E+08 Echocardiogram shows left ventricular diastolic dysfunction (finding)
821 4.08E+08 Magnetic resonance imaging of brain abnormal (finding)
821 43468004 Filling defect (finding)
821 2E+08 Abnormal cytological finding on antenatal screening of mother (finding)
821 43630006 Anterolateral infarction by EKG (finding)
821 44325009 Diminished RV forces by EKG (finding)
821 1.24E+08 Predominance of coccobacilli consistent with shift in vaginal flora (finding)
821 3.09E+08 Abnormal cervical smear (finding)
821 44998009 Right ventricular ST changes (finding)
821 1.25E+08 Abnormal radiologic density, diffuse (finding)
821 1.25E+08 Abnormal radiologic density, irregular (finding)
821 47665007 Right axis deviation (finding)
821 1.25E+08 Abnormal radiologic density, large area (finding)
821 1.25E+08 Abnormal radiologic density, localized (finding)
821 1.25E+08 Abnormal radiologic density, nodular (finding)
821 1.25E+08 Abnormal radiologic density, rounded (finding)
821 49578007 Shortened PR interval (finding)
821 1.65E+08 Electrocardiogram: P-R interval abnormal (finding)
821 1.25E+08 Abnormal radiologic density, small area (finding)
821 49621008 Gouty urine (finding)
821 1.25E+08 Abnormal radiologic density, unequal (finding)
821 1.25E+08 Abnormal radiologic density, uniform (finding)
821 1.25E+08 Endometrial cells, cytologically benign, in a postmenopausal woman (finding)
821 1.25E+08 Abnormal electron microscopy findings (finding)
821 1.3E+08 Computed tomography result abnormal (finding)
821 4.43E+08 Organism specific culture for Helicobacter pylori in gastric fluid positive (finding)
821 4.08E+08 Computed tomography of brain abnormal (finding)
821 4.45E+08 Computed tomography of head abnormal (finding)
821 4.09E+08 Carotid artery doppler abnormal (finding)
821 4.09E+08 Ultrasound scan of fetal head abnormal (finding)
821 1.3E+08 Abnormal radionuclide scan (finding)
821 4.09E+08 Imaging result abnormal (finding)
821 2.75E+08 Abnormal findings on diagnostic imaging of skull and head (finding)
821 50935005 Milky urine (finding)
821 51028009 Abnormal presence of pentose (finding)
821 1.65E+08 Electrocardiogram: subendocardial infarct (finding)
821 4.1E+08 Infection due to antimicrobial resistant fungi (disorder)
821 4.1E+08 Infection due to antimicrobial resistant virus (disorder)
821 1.65E+08 Visual testing abnormal (finding)
821 2.76E+08 Audiogram abnormal (finding)
821 4.1E+08 Infection due to extended spectrum beta-lactamase producing bacteria (disorder)
821 4.1E+08 Infection due to extended spectrum beta-lactamase producing Escherichia coli (disorder)
821 56743000 Ventricular inversion (finding)
821 4.1E+08 Infection due to extended spectrum beta-lactamase producing Klebsiella pneumoniae (disorder)
821 1.65E+08 Electrocardiogram: myocardial ischemia (finding)
821 1.65E+08 Tympanogram abnormal (finding)
821 1.65E+08 Special cardiovascular system test abnormal (finding)
821 1.65E+08 Electrocardiogram: old myocardial infarction (finding)
821 1.65E+08 Electrocardiogram: posterior/inferior infarct (finding)
821 4.13E+08 Radionuclide heart study abnormal (finding)
821 1.65E+08 Electrocardiogram: left ventricle hypertrophy (finding)
821 59931005 Inverted T wave (finding)
821 4.16E+08 Magnetic resonance imaging of abdomen abnormal (finding)
821 4.16E+08 Magnetic resonance imaging of thorax abnormal (finding)
821 1.65E+08 Electrocardiogram: supraventricular arrhythmia (finding)
821 1.65E+08 Electrocardiogram: atrial fibrillation (finding)
821 1.65E+08 Electrocardiogram: atrial flutter (finding)
821 1.65E+08 Electrocardiogram: ventricular arrhythmia (finding)
821 61721007 Counterclockwise vectorcardiographic loop (finding)
821 1.65E+08 Electrocardiogram: ventricular tachycardia (finding)
821 1.65E+08 Electrocardiogram: ventricular fibrillation (finding)
821 1.65E+08 Electrocardiogram: heart block (finding)
821 1.65E+08 Electrocardiogram: complete sinoatrial block (finding)
821 1.65E+08 Electrocardiogram: Wenckebach phenomenon (finding)
821 1.65E+08 Electrocardiogram: complete atrioventricular block (finding)
821 66627000 Chylous urine (finding)
821 1.65E+08 Electrocardiogram: right bundle branch block (finding)
821 66812002 Flattened T wave (finding)
821 1.65E+08 Electrocardiogram: left bundle branch block (finding)
821 1.65E+08 Electrocardiogram: P wave abnormal (finding)
821 1.65E+08 P mitrale (finding)
821 1.65E+08 P pulmonale (finding)
821 4.17E+08 Dapsone resistant leprosy (disorder)
821 1.65E+08 Electrocardiogram: Q wave abnormal (finding)
821 4.17E+08 Magnetic resonance imaging of thoracic spine abnormal (finding)
821 1.65E+08 Pathological Q wave (finding)
821 4.18E+08 Magnetic resonance imaging of cervical spine abnormal (finding)
821 1.65E+08 Electrocardiogram: R wave abnormal (finding)
821 1.65E+08 Tall R wave (finding)
821 1.65E+08 Electrocardiogram: S wave abnormal (finding)
821 1.65E+08 Deep S wave (finding)
821 1.65E+08 Electrocardiogram: ST interval abnormal (finding)
821 1.65E+08 Electrocardiogram: T wave abnormal (finding)
821 1.65E+08 Electrocardiogram: U wave abnormal (finding)
821 1.65E+08 Electrocardiogram: QRS complex abnormal (finding)
821 3.7E+08 Electrocardiogram: left ventricular strain (finding)
821 1.65E+08 Nonsurgical biopsy result abnormal (finding)
821 1.65E+08 Surgical biopsy result abnormal (finding)
821 1.65E+08 Endoscopy abnormal (finding)
821 3.13E+08 Colonoscopy abnormal (finding)
821 1.65E+08 Biopsy result abnormal (finding)
821 1.65E+08 Full blood count abnormal (finding)
821 1.66E+08 Red blood cell enzymes abnormal (finding)
821 1.67E+08 Gastric function test abnormal (finding)
821 1.67E+08 Digestive function test abnormal (finding)
821 4.18E+08 Temporal slowing (finding)
821 1.67E+08 Abnormal urinalysis (finding)
821 1.67E+08 Mid stream urine = abnormal (finding)
821 4.18E+08 Magnetic resonance imaging of lumbar spine abnormal (finding)
821 3.08E+08 Methicillin-resistant Staphylococcus aureus (MRSA) infection of postoperative wound (disorder)
821 4.24E+08 Community-acquired methicillin-resistant Staphylococcus aureus infection (disorder)
821 4.24E+08 Electrical alternation of heart (finding)
821 4.25E+08 Electrocardiogram: inferior ischemia (finding)
821 4.26E+08 Electrocardiogram: lateral ischemia (finding)
821 4.26E+08 Beta lactam resistant bacterial infection (disorder)
821 4.26E+08 Electrocardiogram: Mobitz type II atrioventricular block (finding)
821 4.26E+08 Electrocardiogram: anterior ischemia (finding)
821 4.27E+08 Electrocardiogram: supraventricular tachycardia (finding)
821 4.27E+08 Electrocardiogram: torsades de pointes (finding)
821 4.27E+08 Electrocardiogram: Mobitz type I incomplete atrioventricular block (finding)
821 4.27E+08 Electrocardiogram: junctional escape rhythm (finding)
821 4.27E+08 Electrocardiogram: asystole (finding)
821 1.67E+08 Urine microscopy = abnormality (finding)
821 4.29E+08 Secondary ST-T abnormality on electrocardiogram (finding)
821 4.29E+08 Nonspecific ST-T abnormality on electrocardiogram (finding)
821 4.29E+08 Increased lung tracer uptake (finding)
821 2.72E+08 Abnormal feces (finding)
821 4.29E+08 Subdiaphragmatic tracer uptake (finding)
821 1.68E+08 Feces: abnormal constituents (finding)
821 1.68E+08 Feces examination: cells (finding)
821 1.68E+08 Feces examination: growth (finding)
821 4.3E+08 Abnormal extracardiac tracer uptake (finding)
821 4.3E+08 Anterior myocardial infarction on electrocardiogram (finding)
821 4.31E+08 Infection due to mycobacteria resistant to multiple antimycobacterial agents (disorder)
821 4.31E+08 Infection due to quinolone and fluoroquinolone resistant bacteria (disorder)
821 4.31E+08 Culture positive for vancomycin resistant enterococcus (finding)
821 4.31E+08 Infection due to sulfonamide resistant organism (disorder)
821 1.68E+08 Cerebrospinal fluid: examination abnormal (finding)
821 1.68E+08 Semen exam: abnormal (finding)
821 4.4E+08 Abnormal anal Papanicolaou smear (finding)
821 4.4E+08 Abnormal vaginal Papanicolaou smear (finding)
821 4.41E+08 Culture positive for methicillin resistant Staphylococcus aureus (finding)
821 4.41E+08 Atypical glandular cells on vaginal Papanicolaou smear (finding)
821 4.41E+08 Atypical squamous cells of undetermined significance on anal Papanicolaou smear (finding)
821 4.41E+08 Atypical squamous cells of undetermined significance on cervical Papanicolaou smear (finding)
821 4.41E+08 Atypical squamous cells on cervical Papanicolaou smear cannot exclude high grade squamous intraepithelial lesion (finding)
821 4.41E+08 Atypical endocervical cells on cervical Papanicolaou smear (finding)
821 4.41E+08 Atypical endocervical cells on vaginal Papanicolaou smear (finding)
821 4.41E+08 Atypical squamous cells of undetermined significance on vaginal Papanicolaou smear (finding)
821 4.41E+08 Atypical squamous cells on anal Papanicolaou smear cannot exclude high grade squamous intraepithelial lesion (finding)
821 4.41E+08 Atypical squamous cells on vaginal Papanicolaou smear cannot exclude high grade squamous intraepithelial lesion (finding)
821 4.41E+08 Atypical glandular cells on cervical Papanicolaou smear (finding)
821 1.68E+08 Sperm morphology - no normal forms (finding)
821 4.41E+08 Abnormal electronystagmogram (finding)
821 1.68E+08 Sperm: abnormal constituents (finding)
821 1.68E+08 Vomit examination abnormal (finding)
821 1.68E+08 Synovial fluid examination - abnormal (finding)
821 1.68E+08 Bone marrow examination abnormal (finding)
821 1.68E+08 Bone marrow normoblastic (finding)
821 1.68E+08 Bone marrow megaloblastic (finding)
821 1.68E+08 Bone marrow erythropoiesis hyperplasia (finding)
821 1.68E+08 Erythroid hypoplasia of bone marrow (finding)
821 1.68E+08 Bone marrow: myeloid cells OK (finding)
821 1.68E+08 Bone marrow:myeloid hyperplasia (finding)
821 4.42E+08 Abnormal cervical Papanicolaou smear with positive human papillomavirus deoxyribonucleic acid test (finding)
821 1.68E+08 Bone marrow:myeloid hypoplasia (finding)
821 1.68E+08 Marrow: primitive blast cells+ (finding)
821 1.68E+08 Bone marrow: no foreign cells (finding)
821 4.43E+08 Culture positive for Bacillus anthracis (finding)
821 4.43E+08 Microbiologic culture of cerebrospinal fluid specimen positive (finding)
821 4.44E+08 Infection by methicillin resistant Staphylococcus intermedius (disorder)
821 2.51E+08 Type A Wolff-Parkinson-White pattern (finding)
821 4.44E+08 Infection by methicillin resistant Staphylococcus pseudintermedius (disorder)
821 2.51E+08 Type B Wolff-Parkinson-White pattern (finding)
821 4.44E+08 Infection by tetracycline resistant organism (disorder)
821 2.51E+08 Lown-Ganong-Levine pattern (finding)
821 4.45E+08 Left anterior fascicular block on electrocardiogram (finding)
821 2.51E+08 P wave right axis deviation (finding)
821 4.45E+08 Left posterior fascicular block on electrocardiogram (finding)
821 2.51E+08 Prolonged P wave (finding)
821 2.51E+08 Shortened P wave (finding)
821 1.68E+08 Bone marrow: lymphocytes (finding)
821 2.51E+08 Shortened ST segment (finding)
821 1.68E+08 Bone marrow: myeloma cells (finding)
821 1.68E+08 Bone marrow: tumor cells (finding)
821 2.51E+08 Prolonged T wave (finding)
821 1.68E+08 Marrow megakaryocytes abnormal (finding)
821 4.45E+08 Right bundle branch block and left anterior fascicular block on electrocardiogram (finding)
821 1.68E+08 Pleural fluid examination abnormal (finding)
821 4.45E+08 Bifascicular block on electrocardiogram (finding)
821 1.68E+08 Sputum examination: abnormal (finding)
821 4.45E+08 Trifascicular block on electrocardiogram (finding)
821 1.68E+08 Ascitic fluid examination abnormal (finding)
821 4.45E+08 Right bundle branch block and left posterior fascicular block on electrocardiogram (finding)
821 1.68E+08 Ascitic fluid cloudy (finding)
821 1.68E+08 Ascitic fluid blood-stained (finding)
821 1.68E+08 Ascitic fluid purulent (finding)
821 2.51E+08 Shortened T wave (finding)
821 1.68E+08 Ascitic fluid: malignant cells (finding)
821 1.68E+08 Ascitic fluid: pus cells (finding)
821 2.51E+08 Prolonged TU interval (finding)
821 1.68E+08 Ascitic fluid: blood cells (finding)
821 4.1E+08 Amniotic fluid examination abnormal (finding)
821 2.51E+08 Shortened TU interval (finding)
821 1.68E+08 Amniotic fetal cell abnormal (finding)
821 2.51E+08 Prolonged U wave (finding)
821 1.68E+08 Trisomy 21 in amniotic fetal cell (finding)
821 1.68E+08 Sample examination: abnormal (finding)
821 2.51E+08 Shortened U wave (finding)
821 1.68E+08 Eye swab culture positive (finding)
821 2.51E+08 Flattened P wave (finding)
821 1.68E+08 Skin swab culture positive (finding)
821 2.51E+08 Tall P wave (finding)
821 1.68E+08 Vaginal swab culture positive (finding)
821 1.68E+08 Rapid urease test for Helicobacter pylori infection positive (finding)
821 2.51E+08 Q wave height increased (finding)
821 2.51E+08 Dyskaryosis on cervical smear (finding)
821 4.39E+08 Dysplasia on cervical smear (finding)
821 2.51E+08 Q wave height decreased (finding)
821 2.7E+08 Cervical smear - mild dyskaryosis (finding)
821 2.51E+08 R wave height increased (finding)
821 2.51E+08 R wave height decreased (finding)
821 2.7E+08 Cervical smear - severe dyskaryosis (finding)
821 1.68E+08 Cannot exclude glandular neoplasia on cervical smear (finding)
821 2.51E+08 S wave height increased (finding)
821 1.68E+08 Cervical smear - atrophic changes (finding)
821 2.51E+08 S wave height decreased (finding)
821 2.7E+08 Cervical smear - moderate dyskaryosis (finding)
821 2.51E+08 QRS complex height increased (finding)
821 2.76E+08 Nuclear abnormality on C/S (finding)
821 1.68E+08 Cervical smear - inflammatory change (finding)
821 2.51E+08 QRS complex height decreased (finding)
821 1.68E+08 Cervical smear - severe inflammation (finding)
821 2.51E+08 Tall T wave (finding)
821 1.68E+08 Cervical smear - trichomonas (finding)
821 2.51E+08 Tall tented T wave (finding)
821 1.68E+08 Cervical smear - candida (finding)
821 2.76E+08 Viral changes on cervical smear (finding)
821 2.51E+08 Inverted U wave (finding)
821 2.7E+08 Cervical smear - viral inflammation unspecified (finding)
821 2.7E+08 Cervical smear - wart virus (finding)
821 2.51E+08 Flattened U wave (finding)
821 2.51E+08 Flat U wave (finding)
821 1.68E+08 Cervical smear - herpes (finding)
821 1.68E+08 Cervical smear - actinomyces (finding)
821 2.51E+08 Tall U wave (finding)
821 1.68E+08 Cervical smear - gardnerella (finding)
821 1.68E+08 Cervical smear - koilocytosis (finding)
821 2.51E+08 PR elevation (finding)
821 3.11E+08 Cervical smear - mild inflammation (finding)
821 2.51E+08 PR depression (finding)
821 3.11E+08 Cervical smear - moderate inflammation (finding)
821 2.51E+08 Sloping PR interval (finding)
821 2.51E+08 Sloping ST segment (finding)
821 1.68E+08 Tissue cytology abnormal (finding)
821 2.51E+08 Reverse tick ST segment (finding)
821 1.68E+08 Cell chromosome examination abnormal (finding)
821 1.68E+08 Forensic examination abnormal (finding)
821 2.51E+08 Bifid T wave (finding)
821 1.68E+08 Vaginal vault smear abnormal (finding)
821 2.51E+08 High T-voltage (finding)
821 2.51E+08 TU elevation (finding)
821 2.51E+08 TU depression (finding)
821 2.51E+08 Bifid U wave (finding)
821 2.51E+08 Generalized continuous EEG abnormality (finding)
821 2.51E+08 Low frequency background activity (finding)
821 2.51E+08 Low frequency alpha activity (finding)
821 3.1E+08 Urine cytology abnormal (finding)
821 2.51E+08 Low frequency theta activity (finding)
821 1.69E+08 Plain X-ray result abnormal (finding)
821 1.69E+08 Plain X-ray jaw abnormal (finding)
821 2.51E+08 Low frequency delta activity (finding)
821 1.69E+08 Plain X-ray teeth abnormal (finding)
821 1.69E+08 Plain X-ray skull abnormal (finding)
821 1.69E+08 Plain X-ray spine abnormal (finding)
821 2.51E+08 Periodic complexes (finding)
821 1.69E+08 X-ray thoracic cage abnormal (finding)
821 1.69E+08 Plain X-ray pelvis abnormal (finding)
821 2.51E+08 Continuous periodic complexes (finding)
821 1.69E+08 X-ray shoulder/arm abnormal (finding)
821 1.69E+08 Plain X-ray hand abnormal (finding)
821 1.69E+08 Plain X-ray hip/leg abnormal (finding)
821 1.69E+08 Plain X-ray foot abnormal (finding)
821 1.69E+08 Skeletal survey abnormal (finding)
821 1.69E+08 Plain X-ray abdomen abnormal (finding)
821 1.69E+08 Soft tissue X-ray abnormal (finding)
821 2.51E+08 Intermittent periodic complexes (finding)
821 1.69E+08 Soft tissue X-ray face abnormal (finding)
821 2.51E+08 Triphasic waves (finding)
821 1.69E+08 Soft tissue X-ray neck abnormal (finding)
821 1.69E+08 Soft tissue X-ray mouth abnormal (finding)
821 2.51E+08 Alpha coma type recording (finding)
821 1.69E+08 Standard chest X-ray abnormal (finding)
821 1.69E+08 Soft tissue X-ray chest abnormal (finding)
821 2.51E+08 Beta coma type recording (finding)
821 2.51E+08 Burst suppression (finding)
821 2.51E+08 Loss of reactivity (finding)
821 1.69E+08 Mammography abnormal (finding)
821 2.51E+08 Low amplitude EEG tracing (finding)
821 1.69E+08 Erect abdominal X-ray abnormal (finding)
821 2.51E+08 Isoelectric recording (finding)
821 1.69E+08 Soft tissue limb X-ray abnormal (finding)
821 1.69E+08 Neuroradiography with contrast abnormal (finding)
821 2.51E+08 Generalized episodic EEG abnormality (finding)
821 1.69E+08 Myelography abnormal (finding)
821 2.51E+08 Generalized epileptiform discharges (finding)
821 1.69E+08 Bronchography abnormal (finding)
821 1.69E+08 Barium swallow abnormal (finding)
821 2.51E+08 Generalized three per second spike wave (finding)
821 1.69E+08 Barium meal abnormal (finding)
821 2.51E+08 Generalized slow spike wave (less than three per second) (finding)
821 1.69E+08 Barium follow through abnormal (finding)
821 1.69E+08 Barium enema abnormal (finding)
821 2.51E+08 Generalized atypical spike wave (finding)
821 1.69E+08 Intravenous pyelogram abnormal (finding)
821 2.51E+08 Generalized multifocal spikes (finding)
821 1.69E+08 Cystography abnormal (finding)
821 1.69E+08 Biliary contrast radiography abnormal (finding)
821 2.51E+08 Bilateral periodic epileptiform discharges (finding)
821 1.69E+08 Placentography abnormal (finding)
821 2.51E+08 Generalized intermittent theta activity (finding)
821 1.69E+08 Hysterosalpingogram abnormal (finding)
821 2.51E+08 Generalized intermittent delta activity (finding)
821 1.69E+08 Knee arthrography abnormal (finding)
821 2.51E+08 Excessive overbreathing response (finding)
821 1.69E+08 Arthrography abnormal (finding)
821 1.69E+08 Carotid artery angiogram abnormal (finding)
821 1.69E+08 Angiocardiography abnormal (finding)
821 2.51E+08 Prolonged overbreathing response (finding)
821 1.69E+08 Coronary arteriography abnormal (finding)
821 2.51E+08 Focal continuous EEG abnormality (finding)
821 1.69E+08 Abdominal aortogram abnormal (finding)
821 1.69E+08 Renal arteriogram abnormal (finding)
821 2.51E+08 Focal continuous theta activity (finding)
821 2.51E+08 Focal continuous delta activity (finding)
821 1.69E+08 Femoral arteriogram abnormal (finding)
821 1.69E+08 Lower limb arteriogram abnormal (finding)
821 2.51E+08 Focal sharp waves (finding)
821 1.69E+08 Upper limb arteriogram abnormal (finding)
821 1.69E+08 Venogram abnormal (finding)
821 2.51E+08 Focal spikes (finding)
821 1.69E+08 Lymphangiography abnormal (finding)
821 2.51E+08 Focal rolandic spikes (finding)
821 1.69E+08 Tomography abnormal (finding)
821 2.51E+08 Periodic lateralized epileptiform discharges (finding)
821 1.69E+08 Cineradiography abnormal (finding)
821 1.69E+08 Kymography abnormal (finding)
821 2.51E+08 Focal reduction of EEG activity (finding)
821 1.69E+08 Nuclear magnetic resonance abnormal (finding)
821 1.69E+08 Post-mortem radiology abnormal (finding)
821 2.51E+08 Focal episodic EEG abnormality (finding)
821 1.69E+08 Ultrasound obstetric scan abnormal (finding)
821 2.51E+08 Focal episodic theta activity (finding)
821 1.69E+08 Ultrasound scan abnormal (finding)
821 1.69E+08 Thermography abnormal (finding)
821 2.51E+08 Focal episodic delta activity (finding)
821 2.51E+08 Frontal intermittent rhythmic delta activity (finding)
821 3.11E+08 Down's screening blood test abnormal (finding)
821 2.52E+08 Occipital intermittent rhythmic delta activity (finding)
821 2.52E+08 Focal episodic sharp waves (finding)
821 1.71E+08 Screened - abnormality (finding)
821 2.52E+08 Focal episodic spikes (finding)
821 2.52E+08 Focal episodic spike wave (finding)
821 1.71E+08 Urine screening abnormal (finding)
821 2.52E+08 Focal episodic spike wave with secondary generalization (finding)
821 2.52E+08 Focal recruiting discharge (finding)
821 2.52E+08 Motor nerve conduction block (finding)
821 2.52E+08 Repetitive discharge on single stimulus (finding)
821 2.66E+08 Methicillin resistant Staphylococcus aureus infection (disorder)
821 3.72E+08 Infection due to resistant organism (disorder)
821 4.1E+08 Infection due to antimicrobial resistant bacteria (disorder)
821 4.42E+08 Red blood cell morphology abnormal (finding)
821 4.42E+08 Amount of mucus in stool abnormal (finding)
821 2.75E+08 Spermatozoa abnormal (finding)
821 4.43E+08 Peritoneal fluid abnormal (finding)
821 4.42E+08 Imaging of head abnormal (finding)
821 2.75E+08 Shadow of lung (finding)
821 2.75E+08 Abnormal results of cardiovascular function studies (finding)
821 4.42E+08 Imaging of thorax abnormal (finding)
821 2.75E+08 Abnormal findings diagnostic imaging of liver+biliary tract (finding)
821 1.69E+08 Echocardiogram abnormal (finding)
821 2.75E+08 Abnormal findings diagnostic imaging heart+coronary circulat (finding)
821 4.43E+08 Imaging of biliary tract abnormal (finding)
821 2.75E+08 Abnormal findings on diagnostic imaging of limbs (finding)
821 4.42E+08 X-ray of gastrointestinal tract abnormal (finding)
821 2.75E+08 Abnormal findings on diagnostic imaging of lung (finding)
821 2.75E+08 Abnormal findings on diagnostic imaging of urinary organs (finding)
821 4.42E+08 X-ray of genitourinary system abnormal (finding)
821 4.42E+08 Imaging of abdomen abnormal (finding)
821 2.75E+08 Head scan abnormal (finding)
821 4.43E+08 X-ray of musculoskeletal system abnormal (finding)
821 2.75E+08 Abnormal findings on microbiological examination of urine (finding)
821 2.75E+08 Abnormal findings on diagnostic imaging of breast (finding)
821 2.75E+08 Abnormal microbiological finding in cerebrospinal fluid (finding)
821 2.75E+08 Abnormal microbiological finding in specimen from female genital organ (finding)
821 2.75E+08 Abnormal results function studies of central nervous system (finding)
821 2.75E+08 Abnormal microbiological finding in specimen from male genital organ (finding)
821 2.75E+08 Echoencephalogram abnormal (finding)
821 4.43E+08 Imaging of brain abnormal (finding)
821 2.75E+08 Abnormal result, function study of peripheral nervous system / special senses (finding)
821 4.43E+08 Retinal function study abnormal (finding)
821 2.75E+08 Abnormal cytological finding in specimen from male genital organ (finding)
821 2.75E+08 Electroretinogram abnormal (finding)
821 4.43E+08 Electrooculogram abnormal (finding)
821 2.75E+08 Abnormal cytological findings in CSF (finding)
821 4.43E+08 Evaluation of oculomotor system abnormal (finding)
821 2.75E+08 Abnormal cytological finding in specimen from female genital organ (finding)
821 2.75E+08 Abnormal findings in specimens from digestive organs and abdominal cavity (finding)
821 2.75E+08 Abnormal histological finding in specimen from female genital organ (finding)
821 2.75E+08 Abnormal histological findings in CSF (finding)
821 2.75E+08 Abnormal histological finding in specimen from male genital organ (finding)
821 2.75E+08 Abnormal immunological findings in CSF (finding)
821 2.75E+08 Abnormal immunological finding in specimen from female genital organ (finding)
821 2.75E+08 Abnormal immunological finding in specimen from male genital organ (finding)
821 4.42E+08 Abnormal presence of alpha-fetoprotein (finding)
821 2.75E+08 Electromyogram abnormal (finding)
821 4.43E+08 Imaging of lung abnormal (finding)
821 4.42E+08 Ballistocardiogram abnormal (finding)
821 4.43E+08 Phonocardiogram abnormal (finding)
821 4.43E+08 Vectorcardiogram abnormal (finding)
821 4.42E+08 Imaging of thyroid gland abnormal (finding)
821 4.43E+08 Imaging of liver abnormal (finding)
821 2.76E+08 Urodynamic studies abnormal (finding)
821 4.43E+08 Imaging of spleen abnormal (finding)
821 4.4E+08 Abnormal cervical Papanicolaou smear (finding)
821 4.42E+08 Karyotype evaluation abnormal (finding)
821 4.43E+08 Microbiologic culture positive (finding)
821 1.68E+08 Nose swab culture positive (finding)
821 4.43E+08 Microbiologic culture of sputum positive (finding)
821 1.68E+08 Throat swab culture positive (finding)
821 1.68E+08 Wound swab culture positive (finding)
Multiple Sclerosis

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/MS.xls)

Refset Name: MS refset
  refset_ID   SCTID FSN
845 1.93E+08 Multiple sclerosis of the spinal cord (disorder)
845 1.93E+08 Multiple sclerosis of the brainstem (disorder)
845   24700007 Multiple sclerosis (disorder)
845 1.93E+08 Generalized multiple sclerosis (disorder)
845 1.93E+08 Exacerbation of multiple sclerosis (disorder)
845 2.3E+08 Acute relapsing multiple sclerosis (disorder)
845 2.3E+08 Chronic progressive multiple sclerosis (disorder)
845 2.3E+08 Remittent-progressive multiple sclerosis (disorder)
845 4.26E+08 Secondary progressive multiple sclerosis (disorder)
845 4.26E+08 Relapsing remitting multiple sclerosis (disorder)
845 4.29E+08 Primary progressive multiple sclerosis (disorder)
845 4.39E+08 Benign multiple sclerosis (disorder)
845 4.4E+08 Malignant multiple sclerosis (disorder)
Neurogenic Bladder

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/NeurogenicBladder.xls)

Refset Name: Neurogenic bladder refset
  refset_ID   SCTID FSN
819   3.98E+08 Paralysis of bladder (finding)
819 3.98E+08 Neurogenic bladder (finding)
819 3.98E+08 Neurogenic dysfunction of the urinary bladder (finding)
819 1.03E+08 Uninhibited neurogenic bladder (finding)
819 4.26E+08 Neurogenic bladder as late effect of poliomyelitis (disorder)
819 4.26E+08 Spastic neurogenic bladder (finding)
819 4.27E+08 Flaccid neurogenic bladder (finding)
819 4.28E+08 Neurogenic bladder due to spina bifida (disorder)
819 4.33E+08 Neurogenic bladder as late effect of cerebrovascular accident (disorder)
819 4.45E+08 Congenital neurogenic urinary bladder (finding)
Obstructive Uropathy

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/ObstructiveUropathy.xls)

Refset Name: Obstrcutive uropathy refset
  refset_ID   SCTID FSN
820 1723008 Urethral stricture due to schistosomiasis (disorder)
820   80375002 Urethral stricture due to infection (disorder)
820 4127004 Prostatic obstruction (disorder)
820 95588004 Obstruction of urethra (disorder)
820 2.52E+08 Urinary outflow obstruction (disorder)
820 7163005 Urinary tract obstruction (disorder)
820 43064006 Hydronephrosis (disorder)
820 95574003 Stenosis of ureter (disorder)
820 12897005 Congenital stricture of ureteropelvic junction (disorder)
820 74919005 Congenital stricture of ureter (disorder)
820 12908005 Extrinsic ureteral obstruction (disorder)
820 20018005 Occlusion of ureter (disorder)
820 13671009 Congenital stricture of urethra (disorder)
820 2.37E+08 Urethral stenosis (disorder)
820 16297002 Congenital hydronephrosis (disorder)
820 16619007 Congenital occlusion of ureter (disorder)
820 18241005 Early urethral obstruction sequence (disorder)
820 22218007 Lower urinary tract obstructive syndrome (disorder)
820 23402009 Congenital stricture of ureterovesical orifice (disorder)
820 3.99E+08 Acquired bladder neck obstruction (disorder)
820 3.99E+08 Bladder neck obstruction (disorder)
820 25341005 Stricture of ureter (disorder)
820 25463000 Occlusion of ureter due to calculus (disorder)
820 29500006 Urethral stricture due to syphilis (disorder)
820 33495006 Pinhole meatus (disorder)
820 76618002 Urethral stricture (disorder)
820 34102000 Acquired contracture of bladder neck (disorder)
820 2.37E+08 Post-catheterization urethral stricture (disorder)
820 36388008 Stricture of pelviureteric junction (disorder)
820 40026008 Acquired stenosis of bladder neck (disorder)
820 2.05E+08 Stenosis of bladder neck (disorder)
820 40068008 Hydroureteronephrosis (disorder)
820 2.37E+08 Upper urinary tract dilatation and obstruction (disorder)
820 46284005 Congenital obstruction of bladder neck (disorder)
820 48337000 Congenital stricture of urinary meatus (disorder)
820 48980001 Congenital obstruction of urethra (disorder)
820 53212003 Postobstetric urethral stricture (disorder)
820 86347007 Traumatic urethral stricture (disorder)
820 65885002 Partial obstruction of the urinary tract (disorder)
820 71110009 Hydrocalycosis (disorder)
820 72225002 Urethral stricture due to gonococcal infection (disorder)
820 80797002 Congenital stricture of vesicourethral orifice (disorder)
820 80969003 Postoperative kinking of ureter (disorder)
820 2.37E+08 Kinking of ureter (disorder)
820 82916009 Female prostatic obstruction syndrome (disorder)
820 86113003 Complete obstruction of the urinary tract (disorder)
820 95575002 Obstruction of pelviureteric junction (disorder)
820 95581005 Bilateral hydronephrosis (disorder)
820 1.11E+08 Postoperative urethral stricture (disorder)
820 2.87E+08 Ureter stricture/obstruction (disorder)
820 2.36E+08 Chronic obstructive pyelonephritis (disorder)
820 1.98E+08 Hydronephrosis with renal and ureteral calculous obstruction (disorder)
820 3.11E+08 Hydronephrosis with ureteropelvic junction obstruction (disorder)
820 1.98E+08 Postoperative ureteric constriction (disorder)
820 2.67E+08 Acquired stricture of ureter (disorder)
820 2.68E+08 Congenital bladder neck stenosis (disorder)
820 2.37E+08 Bladder outflow obstruction (disorder)
820 1.98E+08 Stenosis of urinary meatus (disorder)
820 2.05E+08 Atresia of bladder neck (disorder)
820 2.37E+08 Stenosis of calyceal neck (disorder)
820 2.37E+08 Acquired hydronephrosis (disorder)
820 2.37E+08 Tuberculous stricture of ureter (disorder)
820 2.37E+08 Benign prostatic hypertrophy with outflow obstruction (disorder)
820 2.37E+08 Post-inflammatory urethral stricture (disorder)
820 2.52E+08 Mechanical urinary obstruction (disorder)
820 2.75E+08 Submeatal urethral stricture (disorder)
820 3.74E+08 Congenital pelviureteric junction obstruction (disorder)
820 3.74E+08 Congenital ureterovesical obstruction (disorder)
820 3.74E+08 Congenital urinary meatus obstruction (disorder)
820 3.74E+08 Idiopathic hydronephrosis (disorder)
820 4.06E+08 Acquired obstructive defect of renal pelvis (disorder)
820 4.17E+08 Bladder outlet obstruction (disorder)
820 4.23E+08 Recurrent obstructive pyelonephritis (disorder)
820 4.3E+08 Fetal hydronephrosis (disorder)
Orthostatic Hypotension

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Orthostatichypotension.xls)

Refset Name: OrthostaticHypotension refset
  refset_ID   SCTID FSN
812   28651003 Orthostatic hypotension (disorder)
812 61933008 Hyperadrenergic postural hypotension (disorder)
812 70247006 Hypoadrenergic postural hypotension (disorder)
812 75181005 Chronic orthostatic hypotension (disorder)
812 84438001 Pure autonomic failure (disorder)
812 2.31E+08 Sympathotonic orthostatic hypotension (disorder)
812 3.71E+08 Postural orthostatic tachycardia syndrome (disorder)
Osteoporosis

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Osteoporosis.xls)

Refset Name: Osteoporosis refset
  refset_ID   SCTID FSN
834 1515008 Gorham's disease (disorder)
834   64859006 Osteoporosis (disorder)
834 3345002 Idiopathic osteoporosis (disorder)
834 14651005 Drug-induced osteoporosis (disorder)
834 15743005 Posttraumatic osteoporosis (disorder)
834 18040001 Senile osteoporosis (disorder)
834 2.77E+08 Primary osteoporosis (disorder)
834 32369003 Menopausal osteoporosis (disorder)
834 53174001 Disuse osteoporosis (disorder)
834 82351006 Craniotabes (disorder)
834 1.02E+08 Postmenopausal osteoporosis (disorder)
834 1.09E+08 Osteoporotic bone marrow defect (disorder)
834 2.03E+08 Idiopathic generalized osteoporosis (disorder)
834 2.03E+08 Postoophorectomy osteoporosis (disorder)
834 2.03E+08 Post-surgical malabsorption osteoporosis (disorder)
834 2.03E+08 Localized osteoporosis - Lequesne (disorder)
834 2.4E+08 Secondary localized osteoporosis (disorder)
834 2.03E+08 Osteoporosis in multiple myelomatosis (disorder)
834 2.03E+08 Osteoporosis in endocrine disorders (disorder)
834 2.03E+08 Vertebral osteoporosis (disorder)
834 3.1E+08 Osteoporosis localized to spine (disorder)
834 2.4E+08 Osteoporotic vertebral collapse (disorder)
834 2.03E+08 Postoophorectomy osteoporosis with pathological fracture (disorder)
834 2.03E+08 Osteoporosis of disuse with pathological fracture (disorder)
834 2.03E+08 Post-surgical malabsorption osteoporosis with pathological fracture (disorder)
834 2.03E+08 Osteoporosis with pathological fracture of lumbar vertebrae (disorder)
834 2.03E+08 Osteoporosis with pathological fracture of thoracic vertebrae (disorder)
834 2.03E+08 Osteoporosis with pathological fracture of cervical vertebrae (disorder)
834 3.12E+08 Collapse of cervical vertebra due to osteoporosis (disorder)
834 2.4E+08 Idiopathic osteoporosis in pregnancy (disorder)
834 2.4E+08 Adult idiopathic generalized osteoporosis (disorder)
834 2.4E+08 Juvenile idiopathic generalized osteoporosis (disorder)
834 2.4E+08 Secondary generalized osteoporosis (disorder)
834 2.4E+08 Regional migrating osteoporosis (disorder)
834 2.81E+08 Regional osteoporosis (disorder)
834 2.4E+08 Transient osteoporosis of hip (disorder)
834 2.4E+08 Transient osteoporosis of hip in pregnancy (disorder)
834 2.4E+08 Disappearing bone disease (disorder)
834 2.4E+08 Post-irradiation osteoporosis (disorder)
834 2.68E+08 Localized disuse osteoporosis (disorder)
834 3.91E+08 Osteoporosis due to corticosteroids (disorder)
Paraplegia

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Paraplegia.xls)

Refset Name: Paraplegia refset
  refset_ID   SCTID FSN
843 1845001 Paraparesis (disorder)
843   29426003 Paralytic syndrome (disorder)
843 1.72E+08 Acute atrophic spinal paralysis (disorder)
843 4109002 Sweeney (disorder)
843 5822000 Athetosis with spastic paraplegia (disorder)
843 60389000 Paraplegia (disorder)
843 6481005 Diplegia (disorder)
843 9753004 Triplegia (disorder)
843 11045000 Supranuclear facial nerve paralysis (disorder)
843 66010009 Supranuclear paralysis (disorder)
843 11538006 Quadriplegia (disorder)
843 12454008 Cauda equina syndrome with neurogenic bladder (disorder)
843 16728003 Inherited spastic paresis (disorder)
843 28534004 Spastic paralysis due to intracranial birth injury (disorder)
843 40980002 Spastic paralysis due to birth injury (disorder)
843 38023001 Locked in syndrome (disorder)
843 39912006 Hereditary spastic paraplegia (disorder)
843 3.71E+08 Paralysis from birth trauma (disorder)
843 41764006 Monoplegia of upper limb (disorder)
843 86022000 Monoplegia (disorder)
843 44395000 Spastic tetraplegia with rigidity syndrome (disorder)
843 48721008 Quadriplegic cerebral palsy (disorder)
843 45129002 Human T-cell lymphotropic virus (HTLV) 1-associated myelopathy-tropical spastic paraparesis (disorder)
843 1.93E+08 Spastic paraplegia (disorder)
843 48163001 Triparesis (disorder)
843 3.71E+08 Quadriplegic spastic cerebral palsy (disorder)
843 54099005 Diplegia of upper limbs (disorder)
843 54364001 Lethal neonatal spasticity (disorder)
843 56409008 Monoplegic cerebral palsy (disorder)
843 58193001 Diplegic cerebral palsy (disorder)
843 59103002 Cerebral paralysis with homolateral ataxia (disorder)
843 68107009 Cerebral paresis with homolateral ataxia (disorder)
843 75299005 Spastic spinal syphilitic paralysis (disorder)
843 3.72E+08 Paralysis due to lesion of spinal cord (disorder)
843 76043009 Hereditary sensory-motor neuropathy, type V (disorder)
843 78306007 Epidural ascending spinal paralysis (disorder)
843 79520009 Monoparesis (disorder)
843 79591004 Spastic paralysis due to spinal birth injury (disorder)
843 80420005 Monoplegia of lower limb (disorder)
843 90119005 Downer cow syndrome (disorder)
843 91327001 Quadriparesis (disorder)
843 95651005 Chronic progressive paraparesis (disorder)
843 1.16E+08 Paralytic stroke (disorder)
843 1.64E+08 On examination - monoplegia (disorder)
843 1.64E+08 On examination - paraplegia (disorder)
843 1.64E+08 On examination - quadriplegia (disorder)
843 1.64E+08 On examination - diplegia (disorder)
843 1.64E+08 On examination - cranial 7 -paralysis-UMN (disorder)
843 4.42E+08 Transient monoplegia (disorder)
843 2.5E+08 Monoparesis - arm (disorder)
843 2.5E+08 Monoparesis - leg (disorder)
843 2.75E+08 Congenital diplegia (disorder)
843 1.93E+08 Congenital paraplegia (disorder)
843 2.75E+08 Congenital quadriplegia (disorder)
843 1.93E+08 Flaccid tetraplegia (disorder)
843 1.93E+08 Spastic tetraplegia (disorder)
843 1.93E+08 Flaccid paraplegia (disorder)
843 2.3E+08 Spastic paraplegia associated with human T-cell lymphotropic virus - 1 infection (disorder)
843 2.3E+08 Pure hereditary spastic paraplegia (disorder)
843 2.3E+08 Complicated hereditary spastic paraplegia (disorder)
843 2.31E+08 Cerebral palsy with spastic/ataxic diplegia (disorder)
843 2.31E+08 Monoplegic cerebral palsy affecting upper limb (disorder)
843 2.31E+08 Monoplegic cerebral palsy affecting lower limb (disorder)
843 2.5E+08 Spastic quadriplegia (disorder)
843 2.76E+08 Millard-Gubler syndrome (disorder)
843 2.81E+08 Spastic diplegia (disorder)
843 2.98E+08 Spastic quadraparesis (disorder)
843 3.71E+08 Paraplegic cerebral palsy (disorder)
843 3.71E+08 Quadriplegic spinal paralysis (disorder)
843 4.21E+08 Supranuclear gaze palsy (disorder)
843 4.26E+08 Monoplegia of dominant lower limb as a late effect of cerebrovascular accident (disorder)
843 4.26E+08 Monoplegia of lower limb affecting dominant side (disorder)
843 4.26E+08 Paralytic syndrome as late effect of stroke (disorder)
843 4.42E+08 Monoplegia of lower limb as late effect of cerebrovascular disease (disorder)
843 4.27E+08 Monoplegia of upper limb affecting non-dominant side (disorder)
843 4.27E+08 Monoplegia of lower limb affecting non-dominant side (disorder)
843 4.27E+08 Monoplegia of dominant upper limb as a late effect of cerebrovascular accident (disorder)
843 4.42E+08 Monoplegia of upper limb as late effect of cerebrovascular disease (disorder)
843 4.42E+08 Monoplegia of upper limb of dominant side (disorder)
843 4.27E+08 Paralytic syndrome as late effect of thalamic stroke (disorder)
843 4.31E+08 Paralytic syndrome of nondominant side as late effect of stroke (disorder)
843 4.31E+08 Paralytic syndrome of dominant side as late effect of stroke (disorder)
843 4.42E+08 Incomplete quadriplegia due to spinal cord lesion between first and fourth cervical vertebra (disorder)
843 4.42E+08 Complete quadriplegia due to spinal cord lesion between first and fourth cervical vertebra (disorder)
843 4.42E+08 Incomplete quadriplegia due to spinal cord lesion between fifth and seventh cervical vertebra (disorder)
843 4.42E+08 Monoplegia of nondominant lower limb as a late effect of cerebrovascular accident (disorder)
843 4.42E+08 Complete quadriplegia due to spinal cord lesion between fifth and seventh cervical vertebra (disorder)
843 4.42E+08 Monoplegia of nondominant upper limb as a late effect of cerebrovascular accident (disorder)
Parkinson’s Disease

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Parkinsons.xls)

Refset Name: Parkinsons refset
  refset_ID   SCTID FSN
847   49049000 Parkinson's disease (disorder)
847 1.93E+08 Parkinsonism with orthostatic hypotension (disorder)
847 2.3E+08 Juvenile Parkinson's disease (disorder)
847 2.97E+08 Family history of Parkinson's disease (situation)
Peripheral Vascular Disease or PAD

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/PeripheralPAD.xls)

Refset Name: PeripheralPAD refset
  refset_ID   SCTID FSN
813 1.27E+08 Diabetic peripheral angiopathy (disorder)
813 4.21E+08 Peripheral circulatory disorder associated with type I diabetes mellitus (disorder)
813   69352009 Varicose veins of lower extremity with ulcer AND inflammation (disorder)
813 4.22E+08 Peripheral circulatory disorder associated with type II diabetes mellitus (disorder)
813 3.05E+08 Varicose veins of lower extremity with ulcer (disorder)
813 2.75E+08 Rupture of superficial cerebral vein (disorder)
813 2.77E+08 Perinatal rupture of superficial cerebral vein (disorder)
813 1.93E+08 Phlebitis and thrombophlebitis of intracranial sinuses (disorder)
813 2.68E+08 Congenital peripheral aneurysm (disorder)
813 2.97E+08 Popliteal artery embolus (disorder)
813 1.93E+08 Embolism cavernous sinus (disorder)
813 1.93E+08 Embolism superior longitudinal sinus (disorder)
813 1.93E+08 Embolism lateral sinus (disorder)
813 1351002 Injury of iliac artery (disorder)
813 2.97E+08 Common femoral artery thrombosis (disorder)
813 2.86E+08 Injury of artery of lower limb (disorder)
813 2.97E+08 Common iliac artery thrombosis (disorder)
813 69954004 Thrombophlebitis of breast (disorder)
813 2.97E+08 Profunda femoris artery thrombosis (disorder)
813 4.39E+08 Thrombophlebitis of axillary vein (disorder)
813 1.93E+08 Embolism transverse sinus (disorder)
813 2.97E+08 Superficial femoral artery thrombosis (disorder)
813 1.93E+08 Thrombosis of superior longitudinal sinus (disorder)
813 2.97E+08 Profunda femoris aneurysm (disorder)
813 1.93E+08 Thrombosis transverse sinus (disorder)
813 1.93E+08 Phlebitis of central nervous system venous sinuses (disorder)
813 2.11E+08 Iliac blood vessel injury (disorder)
813 71719003 Thrombophlebitis of retinal vein (disorder)
813 1748006 Thrombophlebitis of deep femoral vein (disorder)
813 4.28E+08 Deep venous thrombosis of profunda femoris vein (disorder)
813 73390009 Endophlebitis of cavernous venous sinus (disorder)
813 1.95E+08 Thrombophlebitis of the femoral vein (disorder)
813 74725000 Erythrocyanosis (disorder)
813 77535002 Phlebitis of deep femoral vein (disorder)
813 75138007 Endophlebitis of superior sagittal sinus (disorder)
813 1.93E+08 Phlebitis of superior longitudinal sinus (disorder)
813 1.93E+08 Phlebitis transverse sinus (disorder)
813 1.93E+08 Thrombophlebitis of central nervous system venous sinuses (disorder)
813 1.93E+08 Thrombophlebitis of superior longitudinal venous sinus (disorder)
813 2.39E+08 Exanthematous disorder (disorder)
813 2.98E+08 Drug-induced erythema nodosum (disorder)
813 2.11E+08 Tibial blood vessel injury (disorder)
813 3.01E+08 Digital arterial thrombosis (disorder)
813 3.02E+08 Femoral popliteal occlusion (disorder)
813 3.02E+08 Caroticocavernous sinus fistula (disorder)
813 3393008 Phlebitis following infusion, perfusion AND/OR transfusion (disorder)
813 51188005 Phlebitis AND/OR thrombophlebitis during OR resulting from a procedure (disorder)
813 1.95E+08 Non-pyogenic venous sinus thrombosis (disorder)
813 2.34E+08 Aortoiliac atherosclerosis (disorder)
813 76019006 Injury of internal jugular vein (disorder)
813 3681008 Thrombophlebitis of torcular Herophili (disorder)
813 18322005 Thrombosis of torcular Herophili (disorder)
813 76097009 Erythema nodosum migrans (disorder)
813 3.13E+08 Intracranial thrombophlebitis (disorder)
813 3.03E+08 Septic thrombophlebitis of cavernous sinus (disorder)
813 4249000 Poor peripheral circulation (disorder)
813 4E+08 Peripheral vascular disease (disorder)
813 4262001 Phlebitis of superior sagittal sinus (disorder)
813 76211000 Injury of iliac vein (disorder)
813 3.03E+08 Septic thrombophlebitis of sagittal sinus (disorder)
813 18058007 Phlebitis of intracranial venous sinus (disorder)
813 5166001 Injury of external jugular vein (disorder)
813 2.86E+08 Injury of vein of head and neck (disorder)
813 3.07E+08 Occlusion of femoropopliteal bypass graft (disorder)
813 3.07E+08 Occlusion of femorofemoral crossover bypass graft (disorder)
813 3.07E+08 Thrombosis of femoropopliteal bypass graft (disorder)
813 1.95E+08 Brachial artery aneurysm (disorder)
813 3.07E+08 Thrombosis of femorofemoral crossover bypass graft (disorder)
813 1.95E+08 Radial artery aneurysm (disorder)
813 3.07E+08 Thrombosis of axillofemoral bypass graft (disorder)
813 1.95E+08 Ulnar artery aneurysm (disorder)
813 3.07E+08 Perforation iliac artery (disorder)
813 1.95E+08 Common iliac aneurysm (disorder)
813 3.07E+08 Rupture iliac artery (disorder)
813 5626004 Varicose veins of legs complicating pregnancy AND/OR puerperium (disorder)
813 72866009 Varicose veins of lower extremity (disorder)
813 1.95E+08 Internal iliac aneurysm (disorder)
813 1.95E+08 Anterior tibial aneurysm (disorder)
813 76523007 Intermittent cauda equina claudication (disorder)
813 3.07E+08 Rupture femoral artery (disorder)
813 3.07E+08 Rupture popliteal artery (disorder)
813 3.07E+08 Rupture anterior tibial artery (disorder)
813 3.07E+08 Rupture posterior tibial artery (disorder)
813 1.95E+08 Dorsalis pedis aneurysm (disorder)
813 3.07E+08 Rupture axillary artery (disorder)
813 1.95E+08 Posterior tibial aneurysm (disorder)
813 3.07E+08 Rupture brachial artery (disorder)
813 3.12E+08 Ruptured popliteal artery aneurysm (disorder)
813 3.07E+08 Rupture radial artery (disorder)
813 3.07E+08 Rupture ulna artery (disorder)
813 3.12E+08 Post-radiological femoral false aneurysm (disorder)
813 8214000 Telangiectasia macularis eruptiva perstans (disorder)
813 3.07E+08 Intracranial venous septic embolism (disorder)
813 3.07E+08 Infected femorofemoral crossover graft (disorder)
813 1.95E+08 Peripheral artery spasm (disorder)
813 1.95E+08 Phlebitis of the femoral vein (disorder)
813 3.07E+08 Infected iliopopliteal graft (disorder)
813 1.95E+08 Embolism and thrombosis of an arm or leg artery (disorder)
813 3.07E+08 Infected femoropopliteal graft (disorder)
813 3.07E+08 Infected femorodistal graft (disorder)
813 7014009 Mechanical purpura (disorder)
813 3.07E+08 Infected axillofemoral graft (disorder)
813 21112004 Vascular hemostatic disease (disorder)
813 1.95E+08 Embolism and thrombosis of the brachial artery (disorder)
813 3.09E+08 Alcohol-induced flushing (disorder)
813 4.28E+08 Ruptured aneurysm of common iliac artery (disorder)
813 2.34E+08 Brachial artery embolus (disorder)
813 3.12E+08 Femoral false aneurysm (disorder)
813 2.97E+08 Brachial artery thrombosis (disorder)
813 3.13E+08 Common femoral artery occlusion (disorder)
813 1.95E+08 Embolism and thrombosis of the radial artery (disorder)
813 2.34E+08 Saphenous vein thrombophlebitis (disorder)
813 7089008 Retinal phlebitis (disorder)
813 77788005 Vasomotor acroparesthesia (disorder)
813 1.95E+08 Embolism and thrombosis of the ulnar artery (disorder)
813 1.93E+08 Thrombophlebitis lateral venous sinus (disorder)
813 4.27E+08 Thrombosis of ulnar artery (disorder)
813 2.39E+08 Livedo reticularis (disorder)
813 2.8E+08 Livedo reticularis without ulceration (disorder)
813 3.13E+08 Common femoral artery stenosis (disorder)
813 80383008 Embolism of iliac artery (disorder)
813 1.95E+08 Embolism and thrombosis of the femoral artery (disorder)
813 80758005 Embolism of lateral venous sinus (disorder)
813 1.95E+08 Embolism and thrombosis of the popliteal artery (disorder)
813 7369002 Injury of palmar artery (disorder)
813 3.13E+08 Central retinal vein occlusion - ischemic (disorder)
813 4.29E+08 Injury of artery of hand (disorder)
813 3.13E+08 Central retinal vein occlusion - non-ischemic (disorder)
813 2.86E+08 Injury of artery of upper limb (disorder)
813 1.95E+08 Embolism and thrombosis of the anterior tibial artery (disorder)
813 3.13E+08 Varicose veins of leg in long saphenous vein distribution with eczema (disorder)
813 2.97E+08 Crural artery thrombosis (disorder)
813 1.95E+08 Embolism and thrombosis of the dorsalis pedis artery (disorder)
813 3.13E+08 Varicose veins of leg in short saphenous vein distribution with eczema (disorder)
813 1.95E+08 Embolism and thrombosis of the posterior tibial artery (disorder)
813 7387004 Thrombophlebitis of tibial vein (disorder)
813 58309001 Phlebitis of tibial vein (disorder)
813 3.12E+08 Post-radiological embolism of upper limb artery (disorder)
813 4.39E+08 Deep venous thrombosis of tibial vein (disorder)
813 3.12E+08 Post-radiological embolism of lower limb artery (disorder)
813 40198004 Thrombophlebitis of deep veins of lower extremity (disorder)
813 1.95E+08 Embolism and/or thrombosis of the common iliac artery (disorder)
813 7505006 Injury of multiple blood vessels of lower extremity (disorder)
813 1.95E+08 Embolism and/or thrombosis of the internal iliac artery (disorder)
813 41335004 Injury of blood vessels of lower extremity (disorder)
813 2.97E+08 Internal iliac artery thrombosis (disorder)
813 3.13E+08 Varicose veins of leg in long saphenous vein distribution with ulcer (disorder)
813 1.95E+08 Embolism and/or thrombosis of the external iliac artery (disorder)
813 3.13E+08 Varicose veins of leg in short saphenous vein distribution with ulcer (disorder)
813 1.95E+08 Embolism and thrombosis of the axillary artery (disorder)
813 3.14E+08 Branch retinal vein occlusion with no neovascularization (disorder)
813 2.97E+08 Axillary artery embolus (disorder)
813 3.15E+08 Recurrent varicose veins of leg (disorder)
813 2.97E+08 Subclavian artery thrombosis (disorder)
813 2.11E+08 Injury to blood vessels of arm (disorder)
813 2.11E+08 Deep plantar blood vessel injury (disorder)
813 80829003 Strangulated external hemorrhoids (disorder)
813 3.71E+08 Traumatic thrombosis of axillary vein (disorder)
813 3.14E+08 Iliac artery occlusion (disorder)
813 3.14E+08 Femoral artery occlusion (disorder)
813 3.14E+08 Popliteal artery occlusion (disorder)
813 2.39E+08 Primary idiopathic cutaneous telangiectasia (disorder)
813 8166000 Thrombophlebitis of basilar sinus (disorder)
813 4E+08 Internal jugular phlebectasia (disorder)
813 4.03E+08 Secondary telangiectasia (disorder)
813 4.4E+08 Vascular insufficiency of limb (disorder)
813 1.95E+08 Superficial thrombophlebitis of long saphenous vein (disorder)
813 80901002 Endophlebitis of torcular Herophili (disorder)
813 82388009 Thrombophlebitis following infusion, perfusion AND/OR transfusion (disorder)
813 88922007 Thrombosis of basilar sinus (disorder)
813 82453008 Thrombosis of iliac artery (disorder)
813 2.47E+08 Telangiectasia disorder (disorder)
813 1.93E+08 Retinal venous engorgement (disorder)
813 4.03E+08 Congenital vascular malformation of skin (disorder)
813 4.03E+08 Acquired cutaneous vascular malformation (disorder)
813 4.03E+08 Vasodilatation disorder of extremities (disorder)
813 4.03E+08 Vasoconstriction disorder of extremities (disorder)
813 84216001 Cerebral venous thrombosis of pregnancy AND/OR puerperium (disorder)
813 1.95E+08 Superficial thrombophlebitis of short saphenous vein (disorder)
813 95455008 Thrombosis of cerebral veins (disorder)
813 87239004 Popliteal artery thrombosis (disorder)
813 2.66E+08 Deep vein phlebitis and thrombophlebitis of the leg (disorder)
813 1.95E+08 Phlebitis of the common iliac vein (disorder)
813 4.03E+08 Congenital/genetic syndrome with poikiloderma (disorder)
813 4.03E+08 Congenital vascular malformation due to inherited syndrome (disorder)
813 1.95E+08 Phlebitis of the anterior tibial vein (disorder)
813 4.03E+08 Telangiectasia due to prolonged vasodilatation (disorder)
813 4.03E+08 Telangiectasia due to venous hypertension (disorder)
813 8281003 Injury of uterine artery (disorder)
813 4.03E+08 Sunburst telangiectases (disorder)
813 4.03E+08 Telangiectasia of nailfolds (disorder)
813 4.03E+08 Spider telangiectasis, secondary (disorder)
813 51536009 Injury of hypogastric artery (disorder)
813 4.03E+08 Spider telangiectasis in association with pregnancy (disorder)
813 1.95E+08 Phlebitis of the dorsalis pedis vein (disorder)
813 87730004 Capillary leak syndrome (disorder)
813 9177003 Histiocytic vasculitis of skin (disorder)
813 53312001 Vasculitis of the skin (disorder)
813 2.11E+08 Digital blood vessel injury (disorder)
813 90478004 Venous star (disorder)
813 10057001 Chronic lichenoid pityriasis (disorder)
813 4.03E+08 Spider telangiectasis in association with liver disease (disorder)
813 2.01E+08 Pityriasis lichenoides (disorder)
813 4.03E+08 Acquired arteriovenous malformation of the skin (disorder)
813 4.03E+08 Purpura due to prolonged vomiting and/or coughing (disorder)
813 1.95E+08 Phlebitis of the posterior tibial vein (disorder)
813 10129005 Injury of brachial artery (disorder)
813 1.95E+08 Thrombophlebitis of the external iliac vein (disorder)
813 91304009 Capillary fragility abnormality (disorder)
813 4.28E+08 Thrombosis of the popliteal vein (disorder)
813 1.95E+08 External iliac aneurysm (disorder)
813 1.95E+08 Thrombophlebitis of the anterior tibial vein (disorder)
813 4.03E+08 Acute hemorrhagic edema of childhood (disorder)
813 1.95E+08 Thrombophlebitis of the dorsalis pedis vein (disorder)
813 4.03E+08 Febrile ulceronecrotic pityriasis lichenoides acuta (disorder)
813 1.95E+08 Thrombophlebitis of the posterior tibial vein (disorder)
813 4.03E+08 Reactive vascular proliferation of skin (disorder)
813 4.03E+08 Erythema nodosum due to streptococcal infection (disorder)
813 3.1E+08 Thrombosis of vein of lower limb (disorder)
813 67843002 Injury of axillary artery (disorder)
813 4.03E+08 Erythema nodosum due to Yersinia enterocolitica (disorder)
813 2.11E+08 Axillary blood vessel injury (disorder)
813 4.03E+08 Erythrocyanosis with nodules (disorder)
813 10596002 Peripheral vascular complication (disorder)
813 4E+08 Malignant atrophic papulosis (disorder)
813 11263005 Vascular disease of the skin (disorder)
813 1.95E+08 Spider nevus (disorder)
813 49465005 Angioma serpiginosum (disorder)
813 2.34E+08 Saphenous vein phlebitis (disorder)
813 2.76E+08 Phlebitis and/or thrombophlebitis of iliac vein (disorder)
813 4.03E+08 Postmenopausal flushing (disorder)
813 1.95E+08 Phlebitis of the internal iliac vein (disorder)
813 95336007 Localized lipodermatosclerosis (disorder)
813 4.03E+08 Primary erythromelalgia (disorder)
813 1.95E+08 Phlebitis of the external iliac vein (disorder)
813 4.03E+08 Secondary erythromelalgia (disorder)
813 1.95E+08 Thrombophlebitis of the common iliac vein (disorder)
813 95337003 Extensive lipodermatosclerosis (disorder)
813 1.95E+08 Thrombophlebitis of the internal iliac vein (disorder)
813 95443002 Venous intermittent claudication (disorder)
813 12853006 Embolism of torcular Herophili (disorder)
813 95450003 Thrombophlebitis of upper extremities (disorder)
813 4.03E+08 Stellate pseudoscar in senile purpura (disorder)
813 1.95E+08 Varicose veins of the leg with ulcer (disorder)
813 95451004 Thrombophlebitis of superficial veins of upper extremities (disorder)
813 2.76E+08 Varicose veins of the leg with eczema (disorder)
813 95452006 Thrombophlebitis of deep veins of upper extremities (disorder)
813 1.95E+08 Varicose veins of the leg with ulcer and eczema (disorder)
813 1.28E+08 Deep venous thrombosis of upper extremity (disorder)
813 2.97E+08 Intracranial venous thrombosis (disorder)
813 95461006 Thrombophlebitis of cerebral vein (disorder)
813 1.95E+08 Varicose veins of the leg with rupture (disorder)
813 14246007 Embolism of intracranial venous sinus (disorder)
813 1.95E+08 Infected varicose ulcer (disorder)
813 1.06E+08 Intracranial sinus thrombosis, embolism AND/OR inflammation (disorder)
813 13290008 Aneurysm of iliac artery (disorder)
813 3.73E+08 Vascular disorder of lower extremity (disorder)
813 95794005 Tolosa-Hunt syndrome (disorder)
813 1.28E+08 Disorder of intracranial venous sinus (disorder)
813 15531007 Injury of popliteal artery (disorder)
813 76276001 Injury of popliteal vessels (disorder)
813 1.09E+08 Arteriosclerosis of saphenous vein (disorder)
813 15705007 Phlebitis of basilar sinus (disorder)
813 1.11E+08 Neovascularization of subepidermal region (disorder)
813 15742000 Thrombosis of inferior sagittal sinus (disorder)
813 3.13E+08 Varicose vein of leg with phlebitis (disorder)
813 2.34E+08 Venous insufficiency of leg (disorder)
813 1.93E+08 Cerebral venous sinus thrombosis (disorder)
813 2.31E+08 Cerebral venous thrombosis of sigmoid sinus (disorder)
813 2.11E+08 Multiple blood vessel injury of upper extremity (disorder)
813 15971009 Injury of anterior tibial vein (disorder)
813 1.12E+08 Injury of femoral vein (disorder)
813 2E+08 Varicose veins of legs in pregnancy and the puerperium - delivered (disorder)
813 4.03E+08 Poikiloderma due to photodynamic agent (disorder)
813 2E+08 Varicose veins of legs in pregnancy and the puerperium - delivered with postnatal complication (disorder)
813 2E+08 Varicose veins of legs in pregnancy and the puerperium with antenatal complication (disorder)
813 2E+08 Varicose veins of legs in pregnancy and the puerperium with postnatal complication (disorder)
813 2.86E+08 Injury of vein of lower limb (disorder)
813 2E+08 Obstetric cerebral venous thrombosis (disorder)
813 2E+08 Cerebral venous thrombosis in pregnancy (disorder)
813 4.04E+08 Lupus erythematosus-associated nailfold telangiectasia (disorder)
813 1.27E+08 Neoplasm of blood vessel of foot (disorder)
813 2E+08 Cerebral venous thrombosis in the puerperium (disorder)
813 4.22E+08 Peripheral circulatory disorder associated with diabetes mellitus (disorder)
813 1.34E+08 Stellate pseudoscar (disorder)
813 2.01E+08 Parapsoriasis atrophicans (disorder)
813 2.01E+08 Parapsoriasis herpetiformis (disorder)
813 4.04E+08 Scleroderma-associated telangiectasia (disorder)
813 2.01E+08 Parapsoriasis papulata (disorder)
813 2.01E+08 Parapsoriasis varioliformis (disorder)
813 4.04E+08 Scleroderma-associated nailfold telangiectasia (disorder)
813 2.01E+08 Retiform parapsoriasis (disorder)
813 1.34E+08 Deep vein thrombosis of leg related to air travel (disorder)
813 1.12E+08 Injury of popliteal vein (disorder)
813 2.11E+08 Popliteal blood vessel injury (disorder)
813 2.39E+08 Livedoid vasculitis (disorder)
813 16061002 Endophlebitis of lateral venous sinus (disorder)
813 4.04E+08 Toxic urticated erythema due to drug (disorder)
813 87937009 Endophlebitis of intracranial venous sinus (disorder)
813 2.11E+08 Closed injury, axillary artery (disorder)
813 88755007 Phlebitis of lateral venous sinus (disorder)
813 16341002 Parapsoriasis lichenoides (disorder)
813 1.95E+08 Extremity artery atheroma (disorder)
813 88233000 Parapsoriasis (disorder)
813 2.34E+08 Vibration white finger (disorder)
813 16418006 Embolism of basilar sinus (disorder)
813 4.04E+08 Drug-induced lymphocytic vasculitis (disorder)
813 2.76E+08 Telangiectasia (disorder)
813 2.66E+08 Superficial thrombophlebitis of leg (disorder)
813 16941005 Intermittent spinal claudication (disorder)
813 4.04E+08 Drug-induced flushing (disorder)
813 63491006 Intermittent claudication (disorder)
813 4.04E+08 Nitrite-induced flushing (disorder)
813 4.04E+08 Red man syndrome due to vancomycin (disorder)
813 2.11E+08 Closed injury, axillary vein (disorder)
813 1.95E+08 Thrombophlebitis of the popliteal vein (disorder)
813 1.95E+08 External hemorrhoids, simple (disorder)
813 20343006 Pigmented purpuric lichenoid dermatitis of Gougerot and Blum (disorder)
813 20427003 Postphlebitic syndrome (disorder)
813 2.34E+08 Secondary venous insufficiency of leg (disorder)
813 4.04E+08 Stellate pseudoscars due to corticosteroids (disorder)
813 4.04E+08 Corticosteroid-induced telangiectasia (disorder)
813 4.04E+08 Drug-induced erythromelalgia (disorder)
813 20593006 Injury of superficial femoral artery (disorder)
813 4.04E+08 Telangiectasia following surgery (disorder)
813 2.11E+08 Open injury, axillary artery (disorder)
813 2.11E+08 Open injury, axillary vein (disorder)
813 2.97E+08 Axillary vein thrombosis (disorder)
813 2.11E+08 Closed injury, brachial artery (disorder)
813 4.04E+08 Telangiectasia due to radiation damage (disorder)
813 2E+08 Varicose veins of legs in pregnancy and the puerperium (disorder)
813 2.11E+08 Injury to blood vessels of leg (disorder)
813 4.04E+08 Hereditary sclerosing poikiloderma of Weary (disorder)
813 2.11E+08 Open injury, brachial artery (disorder)
813 20656007 Sublingual varices (disorder)
813 2.11E+08 Closed injury, radial artery (disorder)
813 2.13E+08 Peripheral vascular complications of care (disorder)
813 2.39E+08 Flushing (disorder)
813 2.11E+08 Open injury, radial artery (disorder)
813 4.04E+08 Glomeruloid hemangioma (disorder)
813 4.06E+08 Occlusion of lower limb artery (disorder)
813 2.11E+08 Injury of radial artery at wrist and hand level (disorder)
813 4.06E+08 Occlusion of artery of upper limb (disorder)
813 4.06E+08 Upper limb artery stenosis (disorder)
813 2.11E+08 Closed injury, ulnar artery (disorder)
813 20696009 Peripheral venous insufficiency (disorder)
813 20981007 Aneurysm of artery of lower extremity (disorder)
813 4.06E+08 Dissecting aneurysm of artery of upper extremity (disorder)
813 2.11E+08 Open injury, ulnar artery (disorder)
813 2.11E+08 Injury of ulnar artery at wrist and hand level (disorder)
813 4.1E+08 Femoral pseudoaneurysm after arterial catheterization (disorder)
813 2.11E+08 Closed injury, palmar artery (disorder)
813 4.14E+08 Deep vein thrombosis of leg related to intravenous drug use (disorder)
813 2.11E+08 Open injury, palmar artery (disorder)
813 21148002 Allergic purpura (disorder)
813 21258007 Thrombosis of lateral venous sinus (disorder)
813 2.11E+08 Injury of superficial palmar arch (disorder)
813 4.15E+08 Purpura hemorrhagica in equine (disorder)
813 4.17E+08 Vein of Galen malformation (disorder)
813 2.11E+08 Injury of deep palmar arch (disorder)
813 21877004 Osler hemorrhagic telangiectasia syndrome (disorder)
813 2.11E+08 Closed injury, digital artery (disorder)
813 3.61E+08 Isolated primary Raynaud's phenomenon (disorder)
813 1.95E+08 Raynaud's disease (disorder)
813 2.86E+08 Injury of digital artery of hand (disorder)
813 23808003 Rolandic vein occlusion syndrome (disorder)
813 62702001 Cerebral vein occlusion (disorder)
813 4.23E+08 Dural carotid cavernous fistula (disorder)
813 23819000 Embolism of cavernous venous sinus (disorder)
813 2.11E+08 Open injury, digital artery (disorder)
813 23854007 Small plaque parapsoriasis (disorder)
813 4.24E+08 Chronic peripheral venous hypertension (disorder)
813 4.26E+08 Atheromatous embolus of lower limb (disorder)
813 2.11E+08 Closed injury, digital vein (disorder)
813 4.26E+08 Ruptured aneurysm of internal iliac artery (disorder)
813 1.93E+08 Phlebitis cavernous sinus (disorder)
813 2.86E+08 Injury of digital vein (disorder)
813 4.27E+08 Eosinophilic vasculitis of skin (disorder)
813 2.11E+08 Open injury, digital vein (disorder)
813 4.27E+08 Climacteric flushing (disorder)
813 2.11E+08 Closed injury, digital vessel, multiple (disorder)
813 4.28E+08 Atheromatous embolus of upper limb (disorder)
813 2.11E+08 Open injury, digital vessel, multiple (disorder)
813 4.28E+08 False aneurysm of distal brachial artery (disorder)
813 2.11E+08 Injury of blood vessels at forearm level (disorder)
813 2.11E+08 Injury of vein at forearm level (disorder)
813 23913003 External hemorrhoids (disorder)
813 2.11E+08 Injury of multiple blood vessels at forearm level (disorder)
813 4.28E+08 Venous hemangioma of brain (disorder)
813 2.11E+08 Injury of blood vessel(s) of thumb (disorder)
813 2.11E+08 Closed injury, common femoral artery (disorder)
813 4.29E+08 Cystic adventitial disease of popliteal artery (disorder)
813 2.11E+08 Open injury, common femoral artery (disorder)
813 4.32E+08 Occlusive disease of artery of lower extremity (disorder)
813 4.31E+08 Occlusive disease of artery of upper extremity (disorder)
813 2.11E+08 Closed injury, superficial femoral artery (disorder)
813 4.32E+08 Occlusion of artery of upper extremity (disorder)
813 4.32E+08 Congenital anomaly of blood vessel of upper limb (disorder)
813 2.11E+08 Open injury, superficial femoral artery (disorder)
813 4.42E+08 Disorder of vein of lower extremity (disorder)
813 2.11E+08 Radial blood vessel injury (disorder)
813 4.39E+08 Hot flash due to medication (disorder)
813 2.11E+08 Closed injury, femoral vein (disorder)
813 24272004 Injury of ulnar vein (disorder)
813 2.86E+08 Injury of vein of upper limb (disorder)
813 2.11E+08 Open injury, femoral vein (disorder)
813 4.42E+08 Nonischemic priapism (disorder)
813 58142005 Injury of brachial vein (disorder)
813 4.42E+08 Atherosclerosis of bypass graft of limb (disorder)
813 24366001 Varicose veins of lower extremity with inflammation (disorder)
813 4.43E+08 Atherosclerosis of autologous vein bypass graft of limb (disorder)
813 24596005 Venous retinal branch occlusion (disorder)
813 4.43E+08 Atherosclerosis of nonautologous biological bypass graft of limb (disorder)
813 2.11E+08 Greater saphenous vein injury (disorder)
813 4.43E+08 Atherosclerosis of nonautologous bypass graft of limb (disorder)
813 2.11E+08 Lesser saphenous vein injury (disorder)
813 4.43E+08 Deep venous thrombosis of peroneal vein (disorder)
813 2.11E+08 Closed injury, popliteal artery (disorder)
813 4.44E+08 Corona phlebectatica (disorder)
813 4.44E+08 Deep vein thrombosis of bilateral lower extremities (disorder)
813 2.11E+08 Closed injury, popliteal vein (disorder)
813 4.45E+08 Hypothenar hammer syndrome (disorder)
813 2.11E+08 Open injury, popliteal artery (disorder)
813 2.11E+08 Open injury, popliteal vein (disorder)
813 46085004 Thrombosis of retinal vein (disorder)
813 2.11E+08 Closed injury, anterior tibial artery (disorder)
813 25114006 Phlebitis of deep veins of lower extremity (disorder)
813 3.13E+08 Phlebitis of lower limb vein (disorder)
813 2.11E+08 Closed injury, posterior tibial artery (disorder)
813 26373009 Thrombosed external hemorrhoids (disorder)
813 2.11E+08 Open injury, anterior tibial artery (disorder)
813 26421009 Bleeding external hemorrhoids (disorder)
813 2.11E+08 Open injury, posterior tibial artery (disorder)
813 26825009 Cutis marmorata (disorder)
813 2.11E+08 Closed injury, deep plantar artery (disorder)
813 4.3E+08 Congenital anomaly of peripheral blood vessel (disorder)
813 26954004 Thrombophlebitis of superior sagittal sinus (disorder)
813 2.86E+08 Injury of deep plantar artery (disorder)
813 70607008 Thrombosis of superior sagittal sinus (disorder)
813 2.11E+08 Open injury, deep plantar artery (disorder)
813 28578008 Incipient occlusion of retinal vein (disorder)
813 2.11E+08 Injury of blood vessels at lower leg level (disorder)
813 2.11E+08 Injury of peroneal artery (disorder)
813 29495008 Aneurysm of artery of upper extremity (disorder)
813 3.63E+08 Vascular disorder of extremity (disorder)
813 2.11E+08 Injury of greater saphenous vein at lower leg level (disorder)
813 31295000 Phlebitis of iliac vein (disorder)
813 2.11E+08 Injury of lesser saphenous vein at lower leg level (disorder)
813 1.93E+08 Thrombophlebitis of cavernous sinus (disorder)
813 2.11E+08 Injury of multiple blood vessels at lower leg level (disorder)
813 31529002 Thrombosis of arteries of upper extremity (disorder)
813 2.11E+08 Injury of blood vessels at ankle and foot level (disorder)
813 33591000 Thrombosis of arteries of the extremities (disorder)
813 2.11E+08 Injury of dorsal vein of foot (disorder)
813 32112006 Phlebitis of inferior sagittal sinus (disorder)
813 2.11E+08 Injury of multiple blood vessels at ankle and foot level (disorder)
813 2.11E+08 Multiple leg blood vessel injury (disorder)
813 34173009 Injury of radial artery (disorder)
813 2.11E+08 Injury of multiple blood vessels at hip and thigh level (disorder)
813 35386004 Cavernous sinus syndrome (disorder)
813 2.11E+08 Closed injury, dorsalis pedis artery (disorder)
813 89980009 Thrombosis of cavernous venous sinus (disorder)
813 2.86E+08 Injury of dorsalis pedis artery (disorder)
813 2.39E+08 Venous stasis syndrome (disorder)
813 2.11E+08 Open injury, dorsalis pedis artery (disorder)
813 35709005 Injury of ulnar artery (disorder)
813 2.11E+08 Ulnar blood vessel injury (disorder)
813 2.12E+08 Injury of superficial vein at shoulder and upper arm level (disorder)
813 2.12E+08 Injury of multiple blood vessels at shoulder and upper arm level (disorder)
813 35979000 Phlebitis of femoropopliteal vein (disorder)
813 72565004 Phlebitis of superficial veins of lower extremity (disorder)
813 2.3E+08 Septic thrombophlebitis of straight sinus (disorder)
813 36523002 Injury of posterior tibial artery (disorder)
813 3.03E+08 Septic thrombophlebitis of lateral sinus (disorder)
813 37151006 Erythromelalgia (disorder)
813 37325002 Injury of saphenous vein (disorder)
813 3.03E+08 Intracranial septic thrombophlebitis (disorder)
813 2.75E+08 Gardner-Diamond syndrome (disorder)
813 37553001 Injury of axillary vein (disorder)
813 2.3E+08 Septic thrombophlebitis of sigmoid sinus (disorder)
813 64485000 Injury of axillary vessel (disorder)
813 2.3E+08 Septic thrombophlebitis of cortical vein (disorder)
813 38059007 Prolapsed external hemorrhoids (disorder)
813 2.3E+08 Septic thrombophlebitis of great cerebral vein (disorder)
813 38996000 External hemorrhoids without complication (disorder)
813 40136003 Aneurysm of subclavian artery (disorder)
813 2.31E+08 Cerebral venous thrombosis of straight sinus (disorder)
813 46253008 Thrombophlebitis of lower extremities (disorder)
813 2.31E+08 Cerebral venous thrombosis of cortical vein (disorder)
813 40283005 Thrombophlebitis of superficial veins of lower extremity (disorder)
813 2.31E+08 Cerebral venous thrombosis of great cerebral vein (disorder)
813 40450001 Embolism of superior sagittal sinus (disorder)
813 2.32E+08 Orbital thrombophlebitis (disorder)
813 41740005 Aneurysm of axillary artery (disorder)
813 2.32E+08 Central retinal vein occlusion with neovascularization (disorder)
813 42861008 Thrombophlebitis of iliac vein (disorder)
813 2.32E+08 Central retinal vein occlusion with macular edema (disorder)
813 4.04E+08 Deep venous thrombosis of lower extremity (disorder)
813 42970005 Nonpyogenic thrombosis of intracranial venous sinus (disorder)
813 2.32E+08 Central retinal vein occlusion - juvenile (disorder)
813 2.11E+08 Hypogastric vein injury (disorder)
813 2.32E+08 Central retinal vein occlusion - juvenile with neovascularization (disorder)
813 46286007 Lymphocytic vasculitis of skin (disorder)
813 48248005 Thrombophlebitis of inferior sagittal sinus (disorder)
813 2.32E+08 Central retinal vein occlusion - juvenile with macular edema (disorder)
813 48273005 Aneurysm of popliteal artery (disorder)
813 2.32E+08 Hemispheric retinal vein occlusion (disorder)
813 91445000 Aneurysm of femoral artery (disorder)
813 2.32E+08 Hemispheric retinal vein occlusion with neovascularization (disorder)
813 2.32E+08 Hemispheric retinal vein occlusion with macular edema (disorder)
813 50751005 Sinus pericranii (disorder)
813 51274000 Atherosclerosis of arteries of the extremities (disorder)
813 2.32E+08 Branch retinal vein occlusion with neovascularization (disorder)
813 4.44E+08 Arteriosclerosis of artery of extremity (disorder)
813 51696001 Lipogranulomatosis subcutanea of Rothmann and Makai (disorder)
813 2.32E+08 Branch retinal vein occlusion with macular edema (disorder)
813 2.98E+08 Varicose veins of lower extremity without ulcer AND without inflammation (disorder)
813 2.34E+08 Common iliac artery stenosis (disorder)
813 1.95E+08 Phlebitis of popliteal vein (disorder)
813 3.13E+08 Common iliac artery occlusion (disorder)
813 52156004 Femoral artery thrombosis (disorder)
813 3.12E+08 Iliac artery stenosis (disorder)
813 90958004 Thrombosis of arteries of lower extremity (disorder)
813 2.34E+08 External iliac artery stenosis (disorder)
813 2.97E+08 External iliac artery thrombosis (disorder)
813 3.13E+08 External iliac artery occlusion (disorder)
813 2.34E+08 Superficial femoral artery stenosis (disorder)
813 4.06E+08 Stenosis of lower limb artery (disorder)
813 3.13E+08 Superficial femoral artery occlusion (disorder)
813 52303006 Embolism of corpus cavernosum (disorder)
813 2.34E+08 Femoral artery embolus (disorder)
813 3.12E+08 Lower limb arterial embolus (disorder)
813 52496006 Thrombophlebitis of femoropopliteal vein (disorder)
813 3.12E+08 Upper limb arterial embolus (disorder)
813 4.29E+08 Thrombosis of superficial vein of lower limb (disorder)
813 2.34E+08 Popliteal entrapment syndrome (disorder)
813 52576001 Injury of anterior tibial artery (disorder)
813 2.34E+08 Common femoral aneurysm (disorder)
813 52984008 Injury of common femoral artery (disorder)
813 2.34E+08 Superficial femoral aneurysm (disorder)
813 53330008 Livedo telangiectatica (disorder)
813 2.34E+08 Iliac dissection (disorder)
813 53751009 Senile purpura (disorder)
813 2.34E+08 Femoral dissection (disorder)
813 54122009 Eales' disease (disorder)
813 4.06E+08 Dissecting aneurysm of artery of lower limb (disorder)
813 2.34E+08 Steal syndrome of hand (disorder)
813 55168004 Ulcerated external hemorrhoids (disorder)
813 2.34E+08 Steal syndrome of upper limb (disorder)
813 2.34E+08 Steal syndrome of lower limb (disorder)
813 2.34E+08 Vibration syndrome (disorder)
813 55275006 Nodular vasculitis (disorder)
813 2.34E+08 Superficial thrombophlebitis of cephalic vein (disorder)
813 4.03E+08 Localized cutaneous vasculitis (disorder)
813 55734000 Endophlebitis of basilar sinus (disorder)
813 2.34E+08 Superficial thrombophlebitis of basilic vein (disorder)
813 56231002 Purpura annularis telangiectodes of Majocchi (disorder)
813 2.34E+08 Thrombosis of vein of lower leg (disorder)
813 56253000 Parapsoriasis en plaques (disorder)
813 56384000 Embolism of inferior sagittal sinus (disorder)
813 2.34E+08 Ileofemoral deep vein thrombosis (disorder)
813 56780006 Segmental hyalinizing vasculitis (disorder)
813 2.34E+08 Primary venous insufficiency of leg (disorder)
813 2.34E+08 Varicose veins of leg with long saphenous vein distribution (disorder)
813 2.34E+08 Varicose veins of leg with short saphenous vein distribution (disorder)
813 2.34E+08 Calf perforator varicose veins (disorder)
813 58144006 Benign cutaneous periarteritis nodosa (disorder)
813 2.4E+08 Cutaneous polyarteritis nodosa (disorder)
813 2.34E+08 Internal jugular vein stenosis (disorder)
813 58361001 Injury of posterior tibial vein (disorder)
813 2.34E+08 Venous hypertension of upper limb (disorder)
813 2.34E+08 Venous hypertension of hand (disorder)
813 58872001 Erythema elevatum diutinum (disorder)
813 2.34E+08 Venous hypertension of lower limb (disorder)
813 60706008 Phlebitis of torcular Herophili (disorder)
813 2.35E+08 Senile hemangioma of lip (disorder)
813 61574004 Injury of radial vein (disorder)
813 2.36E+08 Clotted venous saccule (disorder)
813 61687004 Endophlebitis of inferior sagittal sinus (disorder)
813 2.39E+08 Rosaceal flushing (disorder)
813 62583006 Puerperal phlegmasia alba dolens (disorder)
813 2.39E+08 Generalized essential telangiectasia (disorder)
813 2.39E+08 Hereditary benign telangiectasia (disorder)
813 2.81E+08 Phlegmasia alba dolens - obstetric (disorder)
813 2.39E+08 Progressive ascending arborizing telangiectasia (disorder)
813 63168004 Peripheral congenital arteriovenous aneurysm (disorder)
813 2.39E+08 Secondary idiopathic telangiectasia (disorder)
813 4E+08 Peripheral arterial occlusive disease (disorder)
813 2.39E+08 Solar telangiectasia (disorder)
813 63795001 Thrombosis of intracranial venous sinus of pregnancy AND/OR puerperium (disorder)
813 2.39E+08 Palmar varices (disorder)
813 64042000 Injury of uterine vein (disorder)
813 2.39E+08 Idiopathic livedo reticularis (disorder)
813 2.39E+08 Idiopathic livedo reticularis with winter ulceration (disorder)
813 2.39E+08 Idiopathic livedo reticularis with summer ulceration (disorder)
813 2.39E+08 Idiopathic livedo reticularis with systemic involvement (disorder)
813 2.39E+08 Angiodyskinesia (disorder)
813 64146000 Progressive pigmentary dermatosis of Schamberg (disorder)
813 2.39E+08 Thread veins (disorder)
813 88744007 Injury of blood vessels of upper extremity (disorder)
813 3.61E+08 Stasis purpura (disorder)
813 64832003 Neutrophilic vasculitis of skin (disorder)
813 3.61E+08 Dermite ocre of Favre (disorder)
813 65366005 Small vessel thrombosis of skin (disorder)
813 2.39E+08 Primary cutaneous vasculitis (disorder)
813 65593009 Partial occlusion of retinal vein (disorder)
813 2.39E+08 Gougerot-Ruiter purpura (disorder)
813 2.39E+08 Secondary cutaneous vasculitis (disorder)
813 66877004 Phlegmasia cerulea dolens (disorder)
813 66923004 Phlegmasia alba dolens (disorder)
813 2.39E+08 Biers spots (disorder)
813 2.39E+08 Drug exanthem (disorder)
813 67081008 Large plaque parapsoriasis (disorder)
813 2.39E+08 Toxic urticated erythema (disorder)
813 4.16E+08 Port-wine stain of skin (disorder)
813 2.39E+08 Degos-Touraine syndrome (disorder)
813 68478007 Central retinal vein occlusion (disorder)
813 2.4E+08 Hypocomplementemic urticarial vasculitis (disorder)
813 2.4E+08 Postinfective Henoch-Sch÷nlein purpura (disorder)
813 68504005 Ataxia-telangiectasia syndrome (disorder)
813 2.4E+08 Erythema nodosum leprosum (disorder)
813 2.47E+08 Macular branch retinal vein occlusion (disorder)
813 2.47E+08 Retinociliary vein (disorder)
813 2.47E+08 Dilated blood vessels in skin (disorder)
813 2.51E+08 Peripheral pulmonary artery disease (disorder)
813 2.51E+08 Multiple peripheral pulmonary artery stenoses (disorder)
813 2.52E+08 Penile arterial insufficiency (disorder)
813 2.53E+08 Aneurysm of the vein of Galen (disorder)
813 2.55E+08 Extracellular cholesterosis (disorder)
813 2.55E+08 Cobb's syndrome (disorder)
813 4E+08 Cutaneous vascular malformation (disorder)
813 2.55E+08 Arteriovenous malformation of skin (disorder)
Pneumonia

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Pneumonia.xls)

Refset Name: pneumonia refset
  refset_ID   SCTID FSN
822 181007 Hemorrhagic bronchopneumonia (disorder)
822 3.96E+08 Bronchopneumonia (disorder)
822 805002 Pneumoconiosis due to silica (disorder)
822 2.34E+08 Mixed mineral dust pneumoconiosis (disorder)
822   17996008 Pneumoconiosis due to inorganic dust (disorder)
822 1259003 Schistosis (disorder)
822 2523007 Salmonella pneumonia (disorder)
822 4.3E+08 Pneumonia due to Gram negative bacteria (disorder)
822 53084003 Bacterial pneumonia (disorder)
822 3487004 Candidiasis of lung (disorder)
822 2.34E+08 Fungal pneumonia (disorder)
822 7063008 Gangrenous pneumonia (disorder)
822 2.34E+08 Pneumonia (disorder)
822 7343008 Liparitosis (disorder)
822 4.27E+08 Pneumoconiosis due to silicates (disorder)
822 7548000 Rheumatic pneumonia (disorder)
822 1.06E+08 Non-infectious pneumonia (disorder)
822 7678002 Cytomegaloviral pneumonia (disorder)
822 75570004 Viral pneumonia (disorder)
822 8549006 Desquamative interstitial pneumonia (disorder)
822 64667001 Interstitial pneumonia (disorder)
822 10785007 Vinyard sprayers' lung (disorder)
822 37471005 Extrinsic allergic alveolitis (disorder)
822 11885007 Corynebacterial pneumonia of foals (disorder)
822 11944003 Feather-pickers' disease (disorder)
822 12088005 Budgerigar-fanciers' disease (disorder)
822 69339004 Bird-fanciers' lung (disorder)
822 12181002 Tropical pulmonary alveolitis (disorder)
822 2.05E+08 Pneumonitis (disorder)
822 13394002 Suberosis (disorder)
822 2.4E+08 Pneumonitis due to fetal aspiration (disorder)
822 3.73E+08 Battey disease (disorder)
822 14700006 Bauxite fibrosis of lung (disorder)
822 40122008 Pneumoconiosis (disorder)
822 2.34E+08 Toxic pneumonitis (disorder)
822 4.27E+08 Drug-induced pneumonitis (disorder)
822 15341009 Atypical interstitial pneumonia of cattle (disorder)
822 15708009 Benign pneumoconiosis (disorder)
822 16623004 Coffee-workers' lung (disorder)
822 4.22E+08 Viral pneumonia associated with AIDS (disorder)
822 17365008 Allergic pneumonia (disorder)
822 18121009 Chronic berylliosis (disorder)
822 18690003 Farmers' lung (disorder)
822 19076009 Sick building syndrome (disorder)
822 19274004 Grain-handlers' disease (disorder)
822 22343003 Pneumonitis due to fumes AND/OR vapors (disorder)
822 22754005 Staphylococcal pneumonia (disorder)
822 23022004 Tuberculous bronchiectasis (disorder)
822 1.54E+08 Pulmonary tuberculosis (disorder)
822 23315001 Sequoiosis (disorder)
822 25897000 Malt-workers' lung (disorder)
822 26511004 Sisal workers' disease (disorder)
822 28168000 Idiopathic fibrosing alveolitis, chronic form (disorder)
822 45157009 Idiopathic fibrosing alveolitis (disorder)
822 28295001 Middle lobe syndrome (disorder)
822 2.34E+08 Giant cell pneumonia (disorder)
822 1.92E+08 Post measles pneumonia (disorder)
822 29422001 Coal workers' pneumoconiosis (disorder)
822 31561003 Hypostatic bronchopneumonia (disorder)
822 85469005 Hypostatic pneumonia (disorder)
822 31920006 Hemorrhagic varicella pneumonitis (disorder)
822 32139003 Mixed dust pneumoconiosis (disorder)
822 32204007 Pulmonary actinobacillosis (disorder)
822 32286006 Pneumonia in Q fever (disorder)
822 1.86E+08 Tuberculosis of lung with cavitation (disorder)
822 33548005 Anthracosilicosis (disorder)
822 34004002 Siderosilicosis (disorder)
822 34020007 Pneumonia due to Streptococcus (disorder)
822 1.96E+08 Pneumonia due to respiratory syncytial virus (disorder)
822 35037009 Primary atypical interstitial pneumonia (disorder)
822 35339003 Primary pneumonic plague (disorder)
822 38976008 Pneumonic plague (disorder)
822 36696005 Kaolinosis (disorder)
822 2.34E+08 Cholesterol pneumonia (disorder)
822 42680007 Endogenous lipoid pneumonia (disorder)
822 37711000 Cadmium pneumonitis (disorder)
822 2.34E+08 Metal pneumoconiosis (disorder)
822 4.21E+08 Pneumococcal pneumonia associated with AIDS (disorder)
822 38534008 Aspiration of stomach contents after anesthesia AND/OR sedation in labor AND/OR delivery (disorder)
822 47386001 Mendelson's syndrome resulting from a procedure (disorder)
822 38699009 Pneumonia due to Histoplasma capsulatum (disorder)
822 4.42E+08 Pneumonia due to Histoplasma (disorder)
822 38729007 Wheat weevil disease (disorder)
822 3.12E+08 Infective pneumonia (disorder)
822 39172002 Pneumonia due to Proteus mirabilis (disorder)
822 1.96E+08 Proteus pneumonia (disorder)
822 40218008 Carbon electrode makers' pneumoconiosis (disorder)
822 40640008 Massive silicotic fibrosis of lung (disorder)
822 40786001 Aspiration pneumonia due to regurgitated gastric secretions (disorder)
822 4.23E+08 Aspiration pneumonia (disorder)
822 57463004 Pneumonitis due to liquids (disorder)
822 41207000 Adenoviral pneumonia (disorder)
822 41269000 Influenzal bronchopneumonia (disorder)
822 1.96E+08 Pneumonia and influenza (disorder)
822 41381004 Pneumonia due to Pseudomonas (disorder)
822 4.1E+08 Pneumonia due to aerobic bacteria (disorder)
822 41997000 Asthmatic pulmonary alveolitis (disorder)
822 42004004 Aspiration pneumonia due to inhalation of vomitus (disorder)
822 4.17E+08 Lipoid pneumonitis (disorder)
822 44274007 Lymphoid interstitial pneumonia (disorder)
822 44547005 Chalicosis (disorder)
822 44549008 Aspiration pneumonia resulting from a procedure (disorder)
822 45312009 Pneumonia in typhoid fever (disorder)
822 45556008 Pulmonary tularemia (disorder)
822 46207001 Pneumonitis due to acquired toxoplasmosis (disorder)
822 46970008 Pneumonia due to Mycoplasma pneumoniae (disorder)
822 1.96E+08 Pneumonia due to pleuropneumonia-like organism (disorder)
822 47082005 Congenital rubella pneumonitis (disorder)
822 47515009 Simple silicosis (disorder)
822 1.56E+08 Aspiration pneumonitis (disorder)
822 48347002 Humidifier lung (disorder)
822 48722001 Progressive pneumonia of sheep (disorder)
822 49840000 Complicated silicosis (disorder)
822 50076003 Baritosis (disorder)
822 50589003 Silver polishers' lung disease (disorder)
822 62371005 Pulmonary siderosis (disorder)
822 2.78E+08 Tropical pulmonary eosinophilia (disorder)
822 50804000 Catarrhal pneumonia (disorder)
822 51277007 Stannosis (disorder)
822 51530003 Pneumonia due to Escherichia coli (disorder)
822 52333004 Mushroom workers' lung (disorder)
822 2.34E+08 Pneumococcal pneumonia (disorder)
822 2.79E+08 Lobar pneumonia (disorder)
822 55679008 Peribronchial pneumonia (disorder)
822 57086000 Enzootic pneumonia of calves (disorder)
822 4.15E+08 Pneumocystosis jiroveci pneumonia (disorder)
822 57702005 Unresolved pneumonia (disorder)
822 57716000 Brooder pneumonia (disorder)
822 1.12E+08 Pneumonia in aspergillosis (disorder)
822 58691003 Antimony pneumoconiosis (disorder)
822 58890000 Adenoviral bronchopneumonia (disorder)
822 59475000 Pneumonia in pertussis (disorder)
822 59773008 Simple pulmonary alveolitis (disorder)
822 59940009 Hypersensitivity alveolitis in lungworm infection (disorder)
822 60485005 Pleurobronchopneumonia (disorder)
822 4.21E+08 Bacterial pneumonia associated with AIDS (disorder)
822 60837001 Contagious bovine pleuropneumonia (disorder)
822 61233003 Silo-fillers' disease (disorder)
822 4.21E+08 Enzootic pneumonia of sheep (disorder)
822 61884008 Achromobacter pneumonia (disorder)
822 64030005 Pneumonitis due to solids (disorder)
822 4.15E+08 Pneumonitis due to inhaled substance (disorder)
822 64479007 Pneumonia due to Klebsiella pneumoniae (disorder)
822 64631008 Fullers' earth disease (disorder)
822 64703005 Terminal bronchopneumonia (disorder)
822 64880000 Parainfluenza virus bronchopneumonia (disorder)
822 64912000 Enzootic mycoplasmal pneumonia of swine (disorder)
822 64917006 Parainfluenza virus pneumonia (disorder)
822 64936001 Löffler's syndrome (disorder)
822 3.68E+08 Pulmonary eosinophilia (disorder)
822 65141002 Foreign body pneumonia (disorder)
822 66429007 Unresolved lobar pneumonia (disorder)
822 67242002 Bagassosis (disorder)
822 67525007 Secondary pneumonic plague (disorder)
822 3.96E+08 Bilateral bronchopneumonia (disorder)
822 3.96E+08 Lobular pneumonia (disorder)
822 68333005 Furriers' lung (disorder)
822 68409003 Organized pneumonia (disorder)
822 68759006 Idiopathic fibrosing alveolitis, subacute form (disorder)
822 70036007 Haemophilus influenzae pneumonia (disorder)
822 71926009 Infective pneumonia acquired prenatally (disorder)
822 78895009 Congenital pneumonia (disorder)
822 72270005 Collagenous pneumoconiosis (disorder)
822 72656004 Granulomatous pneumonia (disorder)
822 72854003 Aspiration pneumonia due to near drowning (disorder)
822 73144008 Pneumoconiosis due to talc (disorder)
822 73448002 Fish-meal workers' lung (disorder)
822 4.05E+08 Cheese-washers' lung (disorder)
822 74455006 Bovine allergic alveolitis (disorder)
822 1.86E+08 Infiltrative lung tuberculosis (disorder)
822 1.96E+08 Legionella pneumonia (disorder)
822 75426006 Aspiration pneumonia due to regurgitated food (disorder)
822 4.22E+08 Bovine respiratory disease complex (disorder)
822 4.2E+08 Pneumonia due to Mannheimia haemolytica (disorder)
822 76090006 Pittsburgh pneumonia (disorder)
822 77668003 Isolated tracheal tuberculosis (disorder)
822 77716004 Storage disease of the lung (disorder)
822 78723001 Cannabinosis (disorder)
822 79958002 Grain fever (disorder)
822 80003002 Tuberculous pneumonia (disorder)
822 2.34E+08 Mycobacterial pneumonia (disorder)
822 80602006 Nodular tuberculosis of lung (disorder)
822 80614003 Prolonged pulmonary alveolitis (disorder)
822 81164001 Ornithosis with pneumonia (disorder)
822 81554001 Tuberculosis of lung with involvement of bronchus (disorder)
822 81638006 Contagious caprine pleuropneumonia (disorder)
822 83608006 Aspiration pneumonia due to inhalation of milk (disorder)
822 84004001 Radiation pneumonitis (disorder)
822 84234002 Equine allergic pneumonitis (disorder)
822 84659003 Feline pneumonitis (disorder)
822 84753008 Pneumonia in systemic mycosis (disorder)
822 85407005 Pigeon-fanciers' disease (disorder)
822 85438006 Diatomaceous earth disease (disorder)
822 86263001 Cobaltosis (disorder)
822 86294001 Pneumonitis due to inhalation of essences (disorder)
822 1.96E+08 Pneumonitis due to inhalation of oil or essence (disorder)
822 86638007 Maple-bark strippers' lung (disorder)
822 86649001 Meconium pneumonitis (disorder)
822 87909002 Hard metal pneumoconiosis (disorder)
822 88687001 Manganese pneumonitis (disorder)
822 4.21E+08 Candidiasis of lung associated with AIDS (disorder)
822 89087009 Porcine contagious pleuropneumonia (disorder)
822 90117007 Tuberculous fibrosis of lung (disorder)
822 90623003 Aluminosis of lung (disorder)
822 2.34E+08 Asthmatic pulmonary eosinophilia (disorder)
822 1.11E+08 Airsacculitis (disorder)
Post-Traumatic Stress Disorder

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/PTSD.xls)

Refset Name: PTSD refset
  refset_ID   SCTID FSN
857 3.19E+08 Posttraumatic stress disorder, delayed onset (disorder)
857 3.18E+08 Stockholm syndrome (disorder)
857 13117000 Absence of stress (situation)
857   47505003 Posttraumatic stress disorder (disorder)
857 1.92E+08 Acute post-trauma stress state (disorder)
857 3.13E+08 Chronic post-traumatic stress disorder (disorder)
857 4.44E+08 Complex posttraumatic stress disorder (disorder)
Psychotic Disorder

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Psychotic.xls)

Refset Name: Psychotic refset
  refset_ID   SCTID FSN
855 1973000 Sedative, hypnotic AND/OR anxiolytic-induced psychotic disorder with delusions (disorder)
855 1.91E+08 Drug-induced psychosis (disorder)
855 4926007 Schizophrenia in remission (disorder)
855 1.92E+08 Simple schizophrenia (disorder)
855 5464005 Brief reactive psychosis (disorder)
855   69322001 Psychotic disorder (disorder)
855 7025000 Subchronic undifferentiated schizophrenia with acute exacerbations (disorder)
855 85861002 Subchronic undifferentiated schizophrenia (disorder)
855 1.11E+08 Subchronic schizophrenia with acute exacerbations (disorder)
855 12939007 Chronic disorganized schizophrenia (disorder)
855 83746006 Chronic schizophrenia (disorder)
855 35252006 Disorganized schizophrenia (disorder)
855 14291003 Subchronic disorganized schizophrenia with acute exacerbations (disorder)
855 27387000 Subchronic disorganized schizophrenia (disorder)
855 16990005 Subchronic schizophrenia (disorder)
855 17262008 Non-alcoholic Korsakoff's psychosis (disorder)
855 1.92E+08 Acute exacerbation of chronic paranoid schizophrenia (disorder)
855 18260003 Postpartum psychosis (disorder)
855 20385005 Opioid-induced psychotic disorder with delusions (disorder)
855 1.92E+08 Acute exacerbation of chronic catatonic schizophrenia (disorder)
855 3.03E+08 Sedative amnestic disorder (disorder)
855 26025008 Residual schizophrenia (disorder)
855 58214004 Schizophrenia (disorder)
855 26472000 Paraphrenia (disorder)
855 1.92E+08 Acute exacerbation of chronic schizophrenia (disorder)
855 29599000 Chronic undifferentiated schizophrenia (disorder)
855 1.11E+08 Undifferentiated schizophrenia (disorder)
855 30336007 Chronic residual schizophrenia with acute exacerbations (disorder)
855 71103003 Chronic residual schizophrenia (disorder)
855 30491001 Cocaine delusional disorder (disorder)
855 31373002 Disorganized schizophrenia in remission (disorder)
855 31658008 Chronic paranoid schizophrenia (disorder)
855 64905009 Paranoid schizophrenia (disorder)
855 32358001 Amphetamine delusional disorder (disorder)
855 35218008 Chronic disorganized schizophrenia with acute exacerbations (disorder)
855 36158005 Schizophreniform disorder with good prognostic features (disorder)
855 88975006 Schizophreniform disorder (disorder)
855 38295006 Involutional paraphrenia (disorder)
855 38368003 Schizoaffective disorder, bipolar type (disorder)
855 68890003 Schizoaffective disorder (disorder)
855 4.09E+08 Infantile psychosis (disorder)
855 39610001 Undifferentiated schizophrenia in remission (disorder)
855 1.92E+08 Acute exacerbation of subchronic paranoid schizophrenia (disorder)
855 42868002 Subchronic catatonic schizophrenia (disorder)
855 1.92E+08 Catatonic schizophrenia (disorder)
855 50722006 Phencyclidine (PCP) delusional disorder (disorder)
855 50933003 Hallucinogen delusional disorder (disorder)
855 51133006 Residual schizophrenia in remission (disorder)
855 54761006 Severe depressed bipolar I disorder with psychotic features, mood-congruent (disorder)
855 70546001 Severe bipolar disorder with psychotic features, mood-congruent (disorder)
855 55736003 Schizophreniform disorder without good prognostic features (disorder)
855 58647003 Severe mood disorder with psychotic features, mood-congruent (disorder)
855 61831009 Induced psychotic disorder (disorder)
855 63181006 Paranoid schizophrenia in remission (disorder)
855 63204009 Bouffée délirante (disorder)
855 2.75E+08 Acute polymorphic psychotic disorder (disorder)
855 63649001 Cannabis delusional disorder (disorder)
855 64731001 Severe mixed bipolar I disorder with psychotic features, mood-congruent (disorder)
855 4.42E+08 Lethal catatonia (disorder)
855 68995007 Chronic catatonic schizophrenia (disorder)
855 69482004 Korsakoff's psychosis (disorder)
855 70814008 Subchronic residual schizophrenia with acute exacerbations (disorder)
855 76566000 Subchronic residual schizophrenia (disorder)
855 75122001 Inhalant-induced psychotic disorder with delusions (disorder)
855 78640000 Severe manic bipolar I disorder with psychotic features, mood-congruent (disorder)
855 79204003 Chronic undifferentiated schizophrenia with acute exacerbations (disorder)
855 79866005 Subchronic paranoid schizophrenia (disorder)
855 84760002 Schizoaffective disorder, depressive type (disorder)
855 1.92E+08 Acute exacerbation of subchronic catatonic schizophrenia (disorder)
855 2.79E+08 Acute schizophrenia-like psychotic disorder (disorder)
855 1.11E+08 Catatonic schizophrenia in remission (disorder)
855 1.3E+08 Symbiotic infantile psychosis (disorder)
855 1.91E+08 Organic psychotic condition (disorder)
855 1.91E+08 Transient organic psychoses (disorder)
855 1.92E+08 Non-organic psychosis (disorder)
855 2.69E+08 Senile and presenile organic psychotic conditions (disorder)
855 2.31E+08 Presbyophrenic psychosis (disorder)
855 1.91E+08 Korsakov's alcoholic psychosis with peripheral neuritis (disorder)
855 1.91E+08 Drug-induced paranoia or hallucinatory states (disorder)
855 1.91E+08 Drug-induced paranoid state (disorder)
855 1.91E+08 Drug-induced hallucinosis (disorder)
855 1.91E+08 Drug-induced amnestic syndrome (disorder)
855 1.91E+08 Drug-induced personality disorder (disorder)
855 1.92E+08 Schizophrenic disorders (disorder)
855 1.92E+08 Acute exacerbation of subchronic schizophrenia (disorder)
855 1.92E+08 Subchronic hebephrenic schizophrenia (disorder)
855 1.92E+08 Chronic hebephrenic schizophrenia (disorder)
855 1.92E+08 Acute exacerbation of subchronic hebephrenic schizophrenia (disorder)
855 1.92E+08 Acute exacerbation of chronic hebephrenic schizophrenia (disorder)
855 1.92E+08 Hebephrenic schizophrenia in remission (disorder)
855 2.69E+08 Acute schizophrenic episode (disorder)
855 1.92E+08 Schizoaffective schizophrenia (disorder)
855 1.92E+08 Subchronic schizoaffective schizophrenia (disorder)
855 1.92E+08 Chronic schizoaffective schizophrenia (disorder)
855 1.92E+08 Acute exacerbation of subchronic schizoaffective schizophrenia (disorder)
855 1.92E+08 Acute exacerbation of chronic schizoaffective schizophrenia (disorder)
855 1.92E+08 Schizoaffective schizophrenia in remission (disorder)
855 1.92E+08 Cenesthopathic schizophrenia (disorder)
855 1.92E+08 Reactive depressive psychosis (disorder)
855 1.92E+08 Reactive confusion (disorder)
855 2.31E+08 Acute transient psychotic disorder (disorder)
855 2.69E+08 Acute paranoid reaction (disorder)
855 1.92E+08 Psychogenic paranoid psychosis (disorder)
855 2.71E+08 Schizoaffective disorder, manic type (disorder)
855 2.71E+08 Schizoaffective disorder, mixed type (disorder)
855 2.31E+08 Epileptic psychosis (disorder)
855 2.31E+08 Psychosis associated with intensive care (disorder)
855 2.31E+08 Drug-induced intensive care psychosis (disorder)
855 2.37E+08 Mild postnatal psychosis (disorder)
855 2.37E+08 Severe postnatal psychosis (disorder)
855 2.39E+08 Cutaneous monosymptomatic delusional psychosis (disorder)
855 2.39E+08 Delusions of parasitosis (disorder)
855 2.39E+08 Delusions of infestation (disorder)
855 2.39E+08 Delusion of foul odor (disorder)
855 2.39E+08 Delusional hyperhidrosis (disorder)
855 2.39E+08 Hyperschemazia (disorder)
855 2.39E+08 Hyposchemazia (disorder)
855 2.48E+08 Schizophrenic prodrome (disorder)
855 2.79E+08 Paranoid-hallucinatory epileptic psychosis (disorder)
855 3.07E+08 Cycloid psychosis (disorder)
855 3.71E+08 Senile dementia with psychosis (disorder)
855 4.04E+08 Pinocchio syndrome (disorder)
855 4.16E+08 Late onset schizophrenia (disorder)
855 4.42E+08 Affective psychosis (disorder)
Quadriplegia

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Quadriplegia.xls)

Refset Name: Quadriplegia refset
  refset_ID   SCTID FSN
844 1845001 Paraparesis (disorder)
844   29426003 Paralytic syndrome (disorder)
844 1.72E+08 Acute atrophic spinal paralysis (disorder)
844 4109002 Sweeney (disorder)
844 5822000 Athetosis with spastic paraplegia (disorder)
844 60389000 Paraplegia (disorder)
844 6481005 Diplegia (disorder)
844 9753004 Triplegia (disorder)
844 11045000 Supranuclear facial nerve paralysis (disorder)
844 66010009 Supranuclear paralysis (disorder)
844 11538006 Quadriplegia (disorder)
844 12454008 Cauda equina syndrome with neurogenic bladder (disorder)
844 16728003 Inherited spastic paresis (disorder)
844 28534004 Spastic paralysis due to intracranial birth injury (disorder)
844 40980002 Spastic paralysis due to birth injury (disorder)
844 38023001 Locked in syndrome (disorder)
844 39912006 Hereditary spastic paraplegia (disorder)
844 3.71E+08 Paralysis from birth trauma (disorder)
844 41764006 Monoplegia of upper limb (disorder)
844 86022000 Monoplegia (disorder)
844 44395000 Spastic tetraplegia with rigidity syndrome (disorder)
844 48721008 Quadriplegic cerebral palsy (disorder)
844 45129002 Human T-cell lymphotropic virus (HTLV) 1-associated myelopathy-tropical spastic paraparesis (disorder)
844 1.93E+08 Spastic paraplegia (disorder)
844 48163001 Triparesis (disorder)
844 3.71E+08 Quadriplegic spastic cerebral palsy (disorder)
844 54099005 Diplegia of upper limbs (disorder)
844 54364001 Lethal neonatal spasticity (disorder)
844 56409008 Monoplegic cerebral palsy (disorder)
844 58193001 Diplegic cerebral palsy (disorder)
844 59103002 Cerebral paralysis with homolateral ataxia (disorder)
844 68107009 Cerebral paresis with homolateral ataxia (disorder)
844 75299005 Spastic spinal syphilitic paralysis (disorder)
844 3.72E+08 Paralysis due to lesion of spinal cord (disorder)
844 76043009 Hereditary sensory-motor neuropathy, type V (disorder)
844 78306007 Epidural ascending spinal paralysis (disorder)
844 79520009 Monoparesis (disorder)
844 79591004 Spastic paralysis due to spinal birth injury (disorder)
844 80420005 Monoplegia of lower limb (disorder)
844 90119005 Downer cow syndrome (disorder)
844 91327001 Quadriparesis (disorder)
844 95651005 Chronic progressive paraparesis (disorder)
844 1.16E+08 Paralytic stroke (disorder)
844 1.64E+08 On examination - monoplegia (disorder)
844 1.64E+08 On examination - paraplegia (disorder)
844 1.64E+08 On examination - quadriplegia (disorder)
844 1.64E+08 On examination - diplegia (disorder)
844 1.64E+08 On examination - cranial 7 -paralysis-UMN (disorder)
844 4.42E+08 Transient monoplegia (disorder)
844 2.5E+08 Monoparesis - arm (disorder)
844 2.5E+08 Monoparesis - leg (disorder)
844 2.75E+08 Congenital diplegia (disorder)
844 1.93E+08 Congenital paraplegia (disorder)
844 2.75E+08 Congenital quadriplegia (disorder)
844 1.93E+08 Flaccid tetraplegia (disorder)
844 1.93E+08 Spastic tetraplegia (disorder)
844 1.93E+08 Flaccid paraplegia (disorder)
844 2.3E+08 Spastic paraplegia associated with human T-cell lymphotropic virus - 1 infection (disorder)
844 2.3E+08 Pure hereditary spastic paraplegia (disorder)
844 2.3E+08 Complicated hereditary spastic paraplegia (disorder)
844 2.31E+08 Cerebral palsy with spastic/ataxic diplegia (disorder)
844 2.31E+08 Monoplegic cerebral palsy affecting upper limb (disorder)
844 2.31E+08 Monoplegic cerebral palsy affecting lower limb (disorder)
844 2.5E+08 Spastic quadriplegia (disorder)
844 2.76E+08 Millard-Gubler syndrome (disorder)
844 2.81E+08 Spastic diplegia (disorder)
844 2.98E+08 Spastic quadraparesis (disorder)
844 3.71E+08 Paraplegic cerebral palsy (disorder)
844 3.71E+08 Quadriplegic spinal paralysis (disorder)
844 4.21E+08 Supranuclear gaze palsy (disorder)
844 4.26E+08 Monoplegia of dominant lower limb as a late effect of cerebrovascular accident (disorder)
844 4.26E+08 Monoplegia of lower limb affecting dominant side (disorder)
844 4.26E+08 Paralytic syndrome as late effect of stroke (disorder)
844 4.42E+08 Monoplegia of lower limb as late effect of cerebrovascular disease (disorder)
844 4.27E+08 Monoplegia of upper limb affecting non-dominant side (disorder)
844 4.27E+08 Monoplegia of lower limb affecting non-dominant side (disorder)
844 4.27E+08 Monoplegia of dominant upper limb as a late effect of cerebrovascular accident (disorder)
844 4.42E+08 Monoplegia of upper limb as late effect of cerebrovascular disease (disorder)
844 4.42E+08 Monoplegia of upper limb of dominant side (disorder)
844 4.27E+08 Paralytic syndrome as late effect of thalamic stroke (disorder)
844 4.31E+08 Paralytic syndrome of nondominant side as late effect of stroke (disorder)
844 4.31E+08 Paralytic syndrome of dominant side as late effect of stroke (disorder)
844 4.42E+08 Incomplete quadriplegia due to spinal cord lesion between first and fourth cervical vertebra (disorder)
844 4.42E+08 Complete quadriplegia due to spinal cord lesion between first and fourth cervical vertebra (disorder)
844 4.42E+08 Incomplete quadriplegia due to spinal cord lesion between fifth and seventh cervical vertebra (disorder)
844 4.42E+08 Monoplegia of nondominant lower limb as a late effect of cerebrovascular accident (disorder)
844 4.42E+08 Complete quadriplegia due to spinal cord lesion between fifth and seventh cervical vertebra (disorder)
844 4.42E+08 Monoplegia of nondominant upper limb as a late effect of cerebrovascular accident (disorder)
Renal Insufficiency, Renal Failure, ESRD

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/RenalFailure.xls)

Refset Name: Renal failure refset
  refset_ID   SCTID FSN
818 4451004 Illegal abortion with renal tubular necrosis (disorder)
818   10833000 Abortion with renal tubular necrosis (disorder)
818 8996006 Illegal abortion complicated by renal failure (disorder)
818 4576001 Legal abortion complicated by renal failure (disorder)
818 10123006 Abortion complicated by renal failure (disorder)
818 6134000 Illegal abortion with oliguria (disorder)
818 49809007 Abortion with oliguria (disorder)
818 8468007 Legal abortion with uremia (disorder)
818 40894000 Abortion with uremia (disorder)
818 42399005 Renal failure syndrome (disorder)
818 10697004 Spontaneous abortion complicated by renal failure (disorder)
818 11026009 Spontaneous abortion with renal tubular necrosis (disorder)
818 11109001 Spontaneous abortion with uremia (disorder)
818 13010001 Acute renal failure following labor AND/OR delivery (disorder)
818 14669001 Acute renal failure syndrome (disorder)
818 14853005 Abortion with acute renal failure (disorder)
818 17380002 Failed attempted abortion with acute renal failure (disorder)
818 20483002 Legal abortion with renal tubular necrosis (disorder)
818 22846003 Hepatorenal syndrome following delivery (disorder)
818 51292008 Hepatorenal syndrome (disorder)
818 23697004 Crush syndrome (disorder)
818 26235008 Renal tubular necrosis following molar AND/OR ectopic pregnancy (disorder)
818 43629001 Renal failure following molar AND/OR ectopic pregnancy (disorder)
818 28196006 Uremia following molar AND/OR ectopic pregnancy (disorder)
818 29908007 Oliguria following molar AND/OR ectopic pregnancy (disorder)
818 31005002 Hepatorenal syndrome due to a procedure (disorder)
818 33561005 Illegal abortion with acute renal failure (disorder)
818 36225005 Acute renal failure due to procedure (disorder)
818 90688005 Chronic renal failure syndrome (disorder)
818 36473002 Legal abortion with oliguria (disorder)
818 36568005 Hemolytic uremic syndrome of childhood (disorder)
818 1.11E+08 Hemolytic uremic syndrome (disorder)
818 43258006 Milk alkali syndrome (disorder)
818 45646000 Subacute milk alkali syndrome (disorder)
818 46177005 End stage renal disease (disorder)
818 52342006 Legal abortion with acute renal failure (disorder)
818 54155004 Illegal abortion with uremia (disorder)
818 57469000 Spontaneous abortion with acute renal failure (disorder)
818 57557005 Chronic milk alkali syndrome (disorder)
818 62216007 Familial arthrogryposis-cholestatic hepatorenal syndrome (disorder)
818 71909003 Acute renal failure following molar AND/OR ectopic pregnancy (disorder)
818 72613009 Spontaneous abortion with oliguria (disorder)
818 78209002 Hemolytic uremic syndrome, adult type (disorder)
818 88380005 Acute milk alkali syndrome (disorder)
818 1.09E+08 Enamel-renal syndrome (disorder)
818 1.6E+08 Family history: Polycystic kidney (situation)
818 2.9E+08 Family history of kidney disease (situation)
818 4.15E+08 Personal history of primary malignant neoplasm of kidney (situation)
818 2.76E+08 History of - kidney disease (situation)
818 1.62E+08 History of - nephritis (situation)
818 1.62E+08 History of - kidney infection (situation)
818 2.36E+08 Traumatic anuria - crush syndrome (disorder)
818 2.69E+08 Acute renal failure due to crush syndrome (disorder)
818 1.95E+08 Hypertensive renal disease with renal failure (disorder)
818 1.95E+08 Hypertensive heart and renal disease with renal failure (disorder)
818 1.95E+08 Hypertensive heart and renal disease with both (congestive) heart failure and renal failure (disorder)
818 1.99E+08 Renal failure following abortive pregnancy (disorder)
818 1.99E+08 Renal shutdown following abortive pregnancy (disorder)
818 1.99E+08 Renal tubular necrosis following abortive pregnancy (disorder)
818 2E+08 Post-delivery acute renal failure - delivered with postnatal problem (disorder)
818 2E+08 Post-delivery acute renal failure with postnatal problem (disorder)
818 2.13E+08 Hepatorenal syndrome as a complication of care (disorder)
818 2.69E+08 Renal failure as a complication of care (disorder)
818 2.75E+08 Postoperative renal failure (disorder)
818 2.36E+08 Nephrotoxic acute renal failure (disorder)
818 2.36E+08 Acute drug-induced renal failure (disorder)
818 2.36E+08 Pulmonary renal syndrome (disorder)
818 2.36E+08 Acute-on-chronic renal failure (disorder)
818 2.36E+08 End stage renal failure untreated by renal replacement therapy (disorder)
818 2.36E+08 End stage renal failure on dialysis (disorder)
818 2.36E+08 End stage renal failure with renal transplant (disorder)
818 3.02E+08 Post-renal renal failure (disorder)
818 3.07E+08 Transient acute renal failure (disorder)
818 3.73E+08 Diarrhea-associated hemolytic uremic syndrome (disorder)
818 3.73E+08 Diarrhea-negative hemolytic uremic syndrome (disorder)
818 4.23E+08 Acute renal failure due to angiotensin-converting-enzyme inhibitor (disorder)
818 4.24E+08 Acute renal failure due to ischemia (disorder)
818 4.25E+08 Chronic progressive renal failure (disorder)
818 4.29E+08 Acute renal failure due to acute cortical necrosis (disorder)
818 4.29E+08 Acute renal failure due to obstruction (disorder)
818 4.31E+08 Acute renal failure with oliguria (disorder)
818 4.39E+08 Acute postoperative renal failure (disorder)
818 4.41E+08 Full renal function recovered (situation)
818 4.45E+08 Congenital hemolytic uremic syndrome (disorder)
Respiratory Failure

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/RespiratoryFailure.xls)

Refset Name: Respiratory failure refset
  refset_ID   SCTID FSN
859 1.82E+08 Neonatal cardiorespiratory arrest (disorder)
859 4.1E+08 Cardiorespiratory failure (disorder)
859 4.1E+08 Cardiorespiratory arrest (disorder)
859   39871006 Chronic respiratory failure (disorder)
859 4.1E+08 Respiratory failure (disorder)
859 2.3E+08 Sleep-related respiratory failure (disorder)
859 65710008 Acute respiratory failure (disorder)
859 67905004 Acute-on-chronic respiratory failure (disorder)
859 87317003 Respiratory arrest (disorder)
859 91581004 Perinatal respiratory failure (disorder)
859 95619009 Neonatal respiratory failure (disorder)
859 95634003 Neonatal respiratory arrest (disorder)
859 1.63E+08 On examination - collapse - respiratory arrest (disorder)
859 2.74E+08 On examination - respiratory arrest (disorder)
859 1.63E+08 On examination - collapse - asphyxia (disorder)
859 3.1E+08 Postprocedural respiratory failure (disorder)
859 2.13E+08 Cardiorespiratory failure as a complication of care (disorder)
859 2.34E+08 Respiratory failure without hypercapnia (disorder)
859 2.76E+08 Respiratory arrest preceding cardiac arrest (disorder)
859 2.77E+08 Respiratory insufficiency syndrome of newborn (disorder)
859 3.98E+08 Acute respiratory failure requiring reintubation (disorder)
859 4.27E+08 Chronic hypercapnic respiratory failure (disorder)
859 4.28E+08 Chronic hypoxemic respiratory failure (disorder)
Schizophrenia

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Schizophrenia.xls)

Refset Name: Schizophrenia refset
  refset_ID   SCTID FSN
856 4926007 Schizophrenia in remission (disorder)
856 1.92E+08 Simple schizophrenia (disorder)
856 7025000 Subchronic undifferentiated schizophrenia with acute exacerbations (disorder)
856   85861002 Subchronic undifferentiated schizophrenia (disorder)
856 1.11E+08 Subchronic schizophrenia with acute exacerbations (disorder)
856 12939007 Chronic disorganized schizophrenia (disorder)
856 83746006 Chronic schizophrenia (disorder)
856 35252006 Disorganized schizophrenia (disorder)
856 14291003 Subchronic disorganized schizophrenia with acute exacerbations (disorder)
856 27387000 Subchronic disorganized schizophrenia (disorder)
856 16990005 Subchronic schizophrenia (disorder)
856 1.92E+08 Acute exacerbation of chronic paranoid schizophrenia (disorder)
856 1.92E+08 Acute exacerbation of chronic catatonic schizophrenia (disorder)
856 26025008 Residual schizophrenia (disorder)
856 58214004 Schizophrenia (disorder)
856 26472000 Paraphrenia (disorder)
856 1.92E+08 Acute exacerbation of chronic schizophrenia (disorder)
856 29599000 Chronic undifferentiated schizophrenia (disorder)
856 1.11E+08 Undifferentiated schizophrenia (disorder)
856 30336007 Chronic residual schizophrenia with acute exacerbations (disorder)
856 71103003 Chronic residual schizophrenia (disorder)
856 31373002 Disorganized schizophrenia in remission (disorder)
856 31658008 Chronic paranoid schizophrenia (disorder)
856 64905009 Paranoid schizophrenia (disorder)
856 35218008 Chronic disorganized schizophrenia with acute exacerbations (disorder)
856 38295006 Involutional paraphrenia (disorder)
856 39610001 Undifferentiated schizophrenia in remission (disorder)
856 1.92E+08 Acute exacerbation of subchronic paranoid schizophrenia (disorder)
856 42868002 Subchronic catatonic schizophrenia (disorder)
856 1.92E+08 Catatonic schizophrenia (disorder)
856 51133006 Residual schizophrenia in remission (disorder)
856 63181006 Paranoid schizophrenia in remission (disorder)
856 4.42E+08 Lethal catatonia (disorder)
856 68995007 Chronic catatonic schizophrenia (disorder)
856 70814008 Subchronic residual schizophrenia with acute exacerbations (disorder)
856 76566000 Subchronic residual schizophrenia (disorder)
856 79204003 Chronic undifferentiated schizophrenia with acute exacerbations (disorder)
856 79866005 Subchronic paranoid schizophrenia (disorder)
856 1.92E+08 Acute exacerbation of subchronic catatonic schizophrenia (disorder)
856 1.11E+08 Catatonic schizophrenia in remission (disorder)
856 1.92E+08 Schizophrenic disorders (disorder)
856 1.92E+08 Acute exacerbation of subchronic schizophrenia (disorder)
856 1.92E+08 Subchronic hebephrenic schizophrenia (disorder)
856 1.92E+08 Chronic hebephrenic schizophrenia (disorder)
856 1.92E+08 Acute exacerbation of subchronic hebephrenic schizophrenia (disorder)
856 1.92E+08 Acute exacerbation of chronic hebephrenic schizophrenia (disorder)
856 1.92E+08 Hebephrenic schizophrenia in remission (disorder)
856 2.69E+08 Acute schizophrenic episode (disorder)
856 1.92E+08 Cenesthopathic schizophrenia (disorder)
856 2.48E+08 Schizophrenic prodrome (disorder)
856 4.16E+08 Late onset schizophrenia (disorder)
Seizure Disorder or Epilepsy

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Epilepsy.xls)

Refset Name: Epilepsy refset
  refset_ID   SCTID FSN
849 241006 Epilepsia partialis continua (disorder)
849   29753000 Partial seizure (disorder)
849 2.3E+08 Status epilepticus (disorder)
849 2198002 Visceral epilepsy (disorder)
849 84757009 Epilepsy (disorder)
849 4103001 Complex partial seizure with impairment of consciousness (disorder)
849 4619009 Generalized-onset seizures (disorder)
849 1.29E+08 Seizure disorder (disorder)
849 6204001 Juvenile myoclonic epilepsy (disorder)
849 37356005 Myoclonic seizure (disorder)
849 36803009 Idiopathic generalized epilepsy (disorder)
849 7033004 Petit mal status (disorder)
849 79631006 Absence seizure (disorder)
849 4.43E+08 Nonconvulsive status epilepticus (disorder)
849 7454002 Simple partial seizure with autonomic dysfunction (disorder)
849 79348005 Simple partial seizure, consciousness not impaired (disorder)
849 68761002 Epileptic vertigo (disorder)
849 13847000 Partial seizure with impaired consciousness (disorder)
849 13973009 Grand mal status (disorder)
849 65120008 Generalized convulsive epilepsy (disorder)
849 14521008 Visual seizure (disorder)
849 15523002 Benign focal epilepsy of childhood (disorder)
849 2.79E+08 Localization-related idiopathic epilepsy (disorder)
849 19598007 Generalized epilepsy (disorder)
849 23374007 Atypical absence seizure (disorder)
849 28055006 West syndrome (disorder)
849 2.3E+08 Cryptogenic generalized epilepsy (disorder)
849 29963001 Dysmnesic seizure (disorder)
849 33941008 Simple partial seizure with disturbance of higher cerebral function (disorder)
849 34601006 Somatosensory seizure (disorder)
849 2.47E+08 Simple partial seizure with somatosensory or special sensory dysfunction (disorder)
849 1.93E+08 Generalized non-convulsive epilepsy (disorder)
849 3.53E+08 Tonic-clonic epilepsy (disorder)
849 38281008 Benign neonatal convulsions (disorder)
849 87476004 Convulsions in the newborn (disorder)
849 39194005 Visual epilepsy (disorder)
849 39745004 Chronic progressive epilepsia partialis continua (disorder)
849 40816002 Retropulsion petit mal (disorder)
849 50866000 Childhood absence epilepsy (disorder)
849 42365007 Atonic seizure (disorder)
849 42440009 Partial seizure with illusions and hallucinations (disorder)
849 44145005 Benign Rolandic epilepsy (disorder)
849 49644006 Simple partial onset seizure followed by impaired consciousness (disorder)
849 49776008 Centrencephalic epilepsy (disorder)
849 51075009 Complex partial seizure evolving to generalized seizure (disorder)
849 2.47E+08 Partial seizure evolving to secondary generalized seizure (disorder)
849 51887003 Tonic seizure (disorder)
849 52125007 Gustatory seizure (disorder)
849 59457001 Simple partial seizure evolving to secondary generalized seizure (disorder)
849 60338000 Partial seizure with multiple symptoms (disorder)
849 61484000 Simple partial seizure evolving to generalized seizure (disorder)
849 61927004 Auditory seizure (disorder)
849 68448003 Myoclonus epilepsy AND ragged red fibers (disorder)
849 71427006 Cursive seizure (disorder)
849 71831005 Symptomatic generalized epilepsy (disorder)
849 72103000 Simple partial seizure with special sensory symptoms (disorder)
849 1.93E+08 Epileptic automatism (disorder)
849 74737003 Complex partial seizure + impairment consciousness at onset (disorder)
849 75023009 Post-traumatic epilepsy (disorder)
849 2.3E+08 Lennox-Gastaut syndrome (disorder)
849 2.3E+08 Hemiplegia-hemiconvulsion-epilepsy syndrome (disorder)
849 77450009 Unclassified epileptic seizures (disorder)
849 79745005 Reflex epilepsy (disorder)
849 82401000 Simple partial seizure with motor dysfunction (disorder)
849 1.29E+08 Focal motor seizure (disorder)
849 3.61E+08 Psychomotor epilepsy (disorder)
849 1.93E+08 Temporal lobe epilepsy (disorder)
849 87095001 Olfactory seizure (disorder)
849 2.68E+08 Progressive myoclonic epilepsy (disorder)
849 2.3E+08 Unverricht-Lundborg syndrome (disorder)
849 89525009 Gelastic seizure (disorder)
849 95208000 Photogenic epilepsy (disorder)
849 1.09E+08 Kohlschutter's syndrome (disorder)
849 1.11E+08 Extratemporal epilepsy (disorder)
849 2.3E+08 Localization-related symptomatic epilepsy (disorder)
849 1.64E+08 On examination - petit mal fit (disorder)
849 2.69E+08 On examination - focal (Jacksonian) fit (disorder)
849 1.64E+08 On examination - psychomotor fit (disorder)
849 1.64E+08 On examination - salaam attack (disorder)
849 2.3E+08 Nocturnal epilepsy (disorder)
849 3.07E+08 Jacksonian, focal or motor epilepsy (disorder)
849 3.07E+08 Motor epilepsy (disorder)
849 2.3E+08 Localization-related epilepsy (disorder)
849 2.68E+08 Motor cortex epilepsy (disorder)
849 1.63E+08 Epilepsy resolved (finding)
849 2.3E+08 Rasmussen syndrome (disorder)
849 1.93E+08 Myoclonic encephalopathy (disorder)
849 2.3E+08 Juvenile absence epilepsy (disorder)
849 1.93E+08 Benign myoclonic epilepsy in infancy (disorder)
849 1.93E+08 Epileptic seizures - myoclonic (disorder)
849 2.3E+08 Myoclonic epilepsy - ragged red fibers (disorder)
849 1.93E+08 Partial epilepsy with impairment of consciousness (disorder)
849 1.93E+08 Psychosensory epilepsy (disorder)
849 1.93E+08 Mesiobasal limbic epilepsy (disorder)
849 1.93E+08 Somatosensory epilepsy (disorder)
849 1.93E+08 Partial epilepsy with autonomic symptoms (disorder)
849 1.93E+08 Visual reflex epilepsy (disorder)
849 1.93E+08 Kojevnikov's epilepsy (disorder)
849 1.93E+08 Cursive (running) epilepsy (disorder)
849 1.93E+08 Localization-related(focal)(partial)idiopathic epilepsy and epileptic syndromes with seizures of localized onset (disorder)
849 2.3E+08 Complex partial status epilepticus (disorder)
849 2.3E+08 Benign frontal epilepsy of childhood (disorder)
849 2.3E+08 Benign psychomotor epilepsy of childhood (disorder)
849 2.3E+08 Benign atypical partial epilepsy in childhood (disorder)
849 2.3E+08 Epilepsy with recurrent unilateral seizures in children (disorder)
849 2.3E+08 Childhood epilepsy with occipital paroxysms (disorder)
849 2.3E+08 Benign occipital epilepsy of childhood - early onset variant (disorder)
849 2.3E+08 Benign occipital epilepsy of childhood - late onset variant (disorder)
849 2.3E+08 Primary inherited reading epilepsy (disorder)
849 2.3E+08 Amygdalo-hippocampal epilepsy (disorder)
849 2.3E+08 Rhinencephalic epilepsy (disorder)
849 2.3E+08 Lateral temporal epilepsy (disorder)
849 2.3E+08 Frontal lobe epilepsy (disorder)
849 2.3E+08 Supplementary motor epilepsy (disorder)
849 2.3E+08 Cingulate epilepsy (disorder)
849 2.3E+08 Anterior frontopolar epilepsy (disorder)
849 2.3E+08 Orbitofrontal epilepsy (disorder)
849 2.3E+08 Dorsolateral epilepsy (disorder)
849 2.3E+08 Opercular epilepsy (disorder)
849 2.3E+08 Non-progressive Kozhevnikow syndrome (disorder)
849 2.3E+08 Parietal lobe epilepsy (disorder)
849 2.3E+08 Occipital lobe epilepsy (disorder)
849 2.3E+08 Chronic progressive epilepsia partialis continua of childhood (disorder)
849 2.3E+08 Localization-related symptomatic epilepsy with specific precipitant (disorder)
849 2.3E+08 Localization-related cryptogenic epilepsy (disorder)
849 2.3E+08 Benign neonatal familial convulsions (disorder)
849 2.3E+08 Benign non-familial neonatal convulsions (disorder)
849 2.3E+08 Myoclonic epilepsy of early childhood (disorder)
849 2.3E+08 Epilepsy with grand mal seizures on awakening (disorder)
849 2.3E+08 Cryptogenic West syndrome (disorder)
849 2.3E+08 Symptomatic West syndrome (disorder)
849 2.3E+08 Cryptogenic Lennox-Gastaut syndrome (disorder)
849 2.3E+08 Symptomatic Lennox-Gastaut syndrome (disorder)
849 2.3E+08 Myoclonic astatic epilepsy (disorder)
849 2.3E+08 Myoclonic absence epilepsy (disorder)
849 2.3E+08 Lafora disease (disorder)
849 2.3E+08 Cryptogenic myoclonic epilepsy (disorder)
849 2.3E+08 Idiopathic myoclonic epilepsy (disorder)
849 2.3E+08 Early infantile epileptic encephalopathy with suppression bursts (disorder)
849 2.3E+08 Symptomatic myoclonic epilepsy (disorder)
849 2.3E+08 Situation-related seizures (disorder)
849 2.3E+08 Isolated seizures (disorder)
849 2.3E+08 Seizures in response to acute event (disorder)
849 2.3E+08 Epilepsy undetermined whether focal or generalized (disorder)
849 2.3E+08 Severe myoclonic epilepsy in infancy (disorder)
849 2.3E+08 Epilepsy with continuous spike wave during slow-wave sleep (disorder)
849 2.3E+08 Secondary reading epilepsy (disorder)
849 2.3E+08 Drug-induced epilepsy (disorder)
849 3.61E+08 Alcohol-induced epilepsy (disorder)
849 2.3E+08 Narcotic withdrawal epilepsy (disorder)
849 2.3E+08 Menstrual epilepsy (disorder)
849 2.3E+08 Eyelid myoclonus with absences (disorder)
849 2.3E+08 Writing epilepsy (disorder)
849 2.3E+08 Tactile epilepsy (disorder)
849 2.3E+08 Eating epilepsy (disorder)
849 2.3E+08 Tapping epilepsy (disorder)
849 2.3E+08 Toothbrushing epilepsy (disorder)
849 2.3E+08 Decision-making epilepsy (disorder)
849 2.3E+08 Aquagenic epilepsy (disorder)
849 2.3E+08 Non-convulsive status epilepticus with three per second spike wave (disorder)
849 2.3E+08 Non-convulsive status epilepticus without three per second spike wave (disorder)
849 2.3E+08 Non-convulsive simple partial status epilepticus (disorder)
849 2.47E+08 Simple partial seizure with focal motor signs without march (disorder)
849 2.47E+08 Simple partial seizure with focal motor signs with march (disorder)
849 2.47E+08 Versive seizure (disorder)
849 2.47E+08 Postural seizure (disorder)
849 2.47E+08 Phonatory seizure (disorder)
849 2.47E+08 Dysphasic seizure (disorder)
849 2.47E+08 Cognitive seizure (disorder)
849 2.47E+08 Affective seizure (disorder)
849 2.47E+08 Seizure causing illusions (disorder)
849 2.47E+08 Seizure with structured hallucinations (disorder)
849 2.47E+08 Simple partial seizure followed by impaired consciousness (disorder)
849 2.47E+08 Simple partial onset of seizure with automatisms (disorder)
849 2.47E+08 Complex part seizure with impairment of consciousness only (disorder)
849 2.47E+08 Absence seizure with impairment of consciousness only (disorder)
849 2.47E+08 Absence seizure with mild clonic components (disorder)
849 2.47E+08 Absence seizure with atonic components (disorder)
849 2.47E+08 Absence seizure with tonic components (disorder)
849 2.47E+08 Absence seizure with automatisms (disorder)
849 2.47E+08 Absence seizure with autonomic components (disorder)
849 2.77E+08 Fifth day fits (disorder)
849 2.8E+08 Familial neonatal seizures (disorder)
849 3.09E+08 Hypoglycemia-induced convulsion (disorder)
849 3.09E+08 Alcohol withdrawal-induced convulsion (disorder)
849 3.71E+08 Seizures due to metabolic disorder (disorder)
849 3.71E+08 Seizures complicating intracranial hemorrhage in the newborn (disorder)
849 3.71E+08 Seizures complicating intracranial hemorrhage (disorder)
849 3.71E+08 Seizures complicating infection (disorder)
849 3.72E+08 Seizures complicating infection in the newborn (disorder)
849 4.08E+08 Suspected epilepsy (situation)
849 4.08E+08 Complex partial epileptic seizure (disorder)
849 4.13E+08 Stress-induced epilepsy (disorder)
849 4.23E+08 Epilepsy, not refractory (disorder)
849 4.23E+08 Refractory infantile spasms (disorder)
849 4.23E+08 Refractory localization-related epilepsy (disorder)
849 4.45E+08 Refractory epilepsy (disorder)
849 4.23E+08 Refractory epilepsia partialis continua (disorder)
849 4.23E+08 Simple partial status epilepticus (disorder)
849 4.25E+08 Refractory occipital lobe epilepsy (disorder)
849 4.25E+08 Refractory frontal lobe epilepsy (disorder)
849 4.25E+08 Refractory parietal lobe epilepsy (disorder)
849 4.42E+08 Refractory generalized nonconvulsive epilepsy (disorder)
849 4.42E+08 Epilepsy characterized by intractable complex partial seizures (disorder)
Septicemia

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Septicemia.xls)

Refset Name: Septicemia refset
  refset_ID   SCTID FSN
823 1089000 Intrauterine sepsis of fetus (disorder)
823 1.06E+08 Septicemia (disorder)
823 1125006 Septicemia during labor (disorder)
823 1976008 Anaerobic septicemia (disorder)
823   10001005 Bacterial septicemia (disorder)
823 2858002 Puerperal septicemia (disorder)
823 91302008 Systemic infection (disorder)
823 4089001 Meningococcemia (disorder)
823 53869006 Gram negative septicemia (disorder)
823 5567000 Gas gangrene septicemia (disorder)
823 8173005 Illegal abortion with septicemia (disorder)
823 12020000 Abortion with septicemia (disorder)
823 11373009 Illegal abortion with sepsis (disorder)
823 30260009 Abortion with sepsis (disorder)
823 9012003 Septicemic plague (disorder)
823 3.01E+08 Coliform septicemia (disorder)
823 9323009 Septicemia due to Escherichia coli (disorder)
823 1.98E+08 Hemorrhagic septicemia due to Pasteurella multocida (disorder)
823 1.97E+08 Septicemic pasteurellosis (disorder)
823 1.95E+08 Hemorrhagic septicemia barbone (disorder)
823 1.96E+08 Bacterial hemorrhagic septicemia (disorder)
823 11855002 Septicemia following molar AND/OR ectopic pregnancy (disorder)
823 4.2E+08 Disseminated paracoccidioidomycosis (disorder)
823 14972006 Anthrax septicemia (disorder)
823 1.94E+08 Gram positive sepsis (disorder)
823 1.94E+08 Gram positive septicemia (disorder)
823 18700001 Septicemia due to Chromobacterium (disorder)
823 18767001 Abortion with pyemic embolism (disorder)
823 42939002 Pyemia (disorder)
823 20604004 Failed attempted abortion with septicemia (disorder)
823 24444009 Failed attempted abortion with sepsis (disorder)
823 23863009 Haemophilus influenzae septicemia (disorder)
823 25042006 Tracheostomy sepsis (disorder)
823 29577008 Streptococcal septicemia (disorder)
823 29601003 Legal abortion with pyemic embolism (disorder)
823 35586003 White piedra (disorder)
823 2.41E+08 Trichosporonosis (disorder)
823 36866003 Mucocutaneous-lymphangitic paracoccidioidomycosis (disorder)
823 2.38E+08 Systemic mycosis affecting skin (disorder)
823 37122007 Septicemia due to Erysipelothrix rhusiopathiae (disorder)
823 4.21E+08 Septicemia associated with AIDS (disorder)
823 39246002 Legal abortion with sepsis (disorder)
823 41229001 Septicemia of newborn (disorder)
823 2.06E+08 Sepsis of the newborn (disorder)
823 41936006 Septicemia due to Erysipelothrix insidiosa (disorder)
823 1.86E+08 Erysipelothrix septicemia (disorder)
823 42755004 Failed attempted abortion with pyemic embolism (disorder)
823 43424001 Tetanus neonatorum (disorder)
823 2.77E+08 Bacterial sepsis of newborn (disorder)
823 2.06E+08 Sepsis of newborn due to anaerobes (disorder)
823 46848006 Sepsis following molar AND/OR ectopic pregnancy (disorder)
823 49012006 Herpes simplex septicemia (disorder)
823 49786009 Salmonella septicemia (disorder)
823 51831006 Sepsis following infusion, injection, transfusion AND/OR vaccination (disorder)
823 56113006 Spontaneous abortion with pyemic embolism (disorder)
823 3.99E+08 Systemic mycosis (disorder)
823 61145000 Tetanus omphalitis (disorder)
823 61636002 Spontaneous abortion with septicemia (disorder)
823 67465009 Spontaneous abortion with sepsis (disorder)
823 65696007 Coccidioidal granuloma (disorder)
823 2.41E+08 Cutaneous coccidioidomycosis (disorder)
823 66380007 Listeria septicemia (disorder)
823 3.6E+08 Neonatal disseminated listeriosis (disorder)
823 1.87E+08 Systemic cryptococcosis (disorder)
823 74689003 Septicemia due to anaerobic streptococci (disorder)
823 77206006 Puerperal pelvic sepsis (disorder)
823 79587009 Septicemia due to Bacteroides (disorder)
823 79949009 Primary cutaneous coccidioidomycosis (disorder)
823 82091000 Septicemia due to Serratia (disorder)
823 84753008 Pneumonia in systemic mycosis (disorder)
823 85292007 Postoperative septicemia (disorder)
823 86011004 Septicemia due to Pseudomonas (disorder)
823 90849005 Pneumococcal septicemia (disorder)
823 91657000 Illegal abortion with pyemic embolism (disorder)
823 1.11E+08 Legal abortion with septicemia (disorder)
823 1.12E+08 Staphylococcal septicemia (disorder)
823 1.86E+08 Acute meningococcemia (disorder)
823 2.4E+08 Chronic meningococcemia (disorder)
823 1.86E+08 Gp A streptococcal septicemia (disorder)
823 1.86E+08 Gp B streptococcal septicemia (disorder)
823 1.86E+08 Group D streptococcal septicemia (disorder)
823 3.11E+08 Septicemia due to streptococcus pneumoniae (disorder)
823 3.11E+08 Septicemia due to enterococcus (disorder)
823 3.11E+08 Vancomycin resistant enterococcal septicemia (disorder)
823 1.86E+08 Septicemia due to Staphylococcus aureus (disorder)
823 1.86E+08 Septicemia due to coagulase-negative staphylococcus (disorder)
823 1.86E+08 Actinomycotic septicemia (disorder)
823 1.87E+08 Systemic bartonellosis (disorder)
823 1.87E+08 Candidal septicemia (disorder)
823 2.41E+08 Cutaneous cryptococcosis (disorder)
823 2E+08 Septicemia during labor - delivered (disorder)
823 2E+08 Septicemia during labor with antenatal problem (disorder)
823 2E+08 Puerperal septicemia with postnatal complication (disorder)
823 2.11E+08 Neonatal candida septicemia (disorder)
823 2.06E+08 Sepsis of newborn due to Staphylococcus aureus (disorder)
823 2.06E+08 Sepsis of newborn due to Escherichia coli (disorder)
823 2.35E+08 Post-splenectomy septicemia (disorder)
823 2.38E+08 Systemic fungal infection affecting skin (disorder)
823 2.4E+08 Septicemic glanders (disorder)
823 2.4E+08 Septicemic melioidosis (disorder)
823 2.41E+08 Systemic aspergillosis (disorder)
823 2.41E+08 Subcutaneous coccidioidomycosis (disorder)
823 2.41E+08 Cutaneous histoplasmosis (disorder)
823 2.41E+08 Primary cutaneous histoplasmosis (disorder)
823 2.41E+08 Disseminated cutaneous histoplasmosis (disorder)
823 2.41E+08 Cutaneous trichosporonosis (disorder)
823 2.41E+08 Disseminated trichosporonosis (disorder)
823 2.76E+08 Recurrent salmonella septicemia (disorder)
823 2.77E+08 Umbilical sepsis (disorder)
823 2.78E+08 Cutaneous African histoplasmosis (disorder)
823 3.01E+08 Proteus septicemia (disorder)
823 3.71E+08 Transient respiratory distress with sepsis (disorder)
823 3.71E+08 Urosepsis (disorder)
823 4.02E+08 Disseminated cutaneous mycosis (disorder)
823 4.03E+08 Pseudomonas septicemia with skin involvement (disorder)
823 4.03E+08 Septicemia affecting skin (disorder)
823 4.03E+08 Neonatal systemic candidosis (disorder)
823 4.03E+08 Disseminated cutaneous coccidioidomycosis (disorder)
823 4.03E+08 Disseminated cutaneous mycosis due to Penicillium (disorder)
823 4.03E+08 Disseminated cutaneous mycosis due to Fusarium (disorder)
823 4.03E+08 Disseminated cutaneous mycosis due to Trichosporon (disorder)
823 4.29E+08 Sepsis due to infected central venous catheter (disorder)
823 4.44E+08 Neutropenic sepsis (disorder)
Thyroid Disorder

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/ThyroidDisorder.xls)

Refset Name: Thyroid disorder refset
  refset_ID   SCTID FSN
832 479003 Graves' disease with pretibial myxedema AND with thyrotoxic crisis (disorder)
832   60268006 Toxic diffuse goiter with pretibial myxedema (disorder)
832 14304000 Disorder of thyroid gland (disorder)
832 60216004 Toxic diffuse goiter with thyrotoxic crisis (disorder)
832 547009 Hypersecretion of calcitonin (disorder)
832 2.38E+08 Iodine-induced thyrotoxicosis (disorder)
832 2241003 X-linked absence of thyroxine-binding globulin (disorder)
832 56112001 Thyroxine transport defect (disorder)
832 34486009 Hyperthyroidism (disorder)
832 2917005 Transient hypothyroidism (disorder)
832 40930008 Hypothyroidism (disorder)
832 3002002 Hemorrhage of thyroid (disorder)
832 3511005 Infectious thyroiditis (disorder)
832 3.12E+08 Thyroid infection (disorder)
832 82119001 Thyroiditis (disorder)
832 2.17E+08 Hypothyroid dwarfism (disorder)
832 2.18E+08 Congenital iodine deficiency syndrome (disorder)
832 3716002 Goiter (disorder)
832 4641009 Myxedema heart disease (disorder)
832 43153006 Myxedema (disorder)
832 4997005 Thyrotoxicosis factitia (disorder)
832 90739004 Thyrotoxicosis (disorder)
832 5604000 Neonatal transient hyperthyroidism (disorder)
832 5834008 Hyperthyroidism secondary to potassium iodide (disorder)
832 8868001 Dyshormonogenetic goiter AND iodide leak (disorder)
832 1.9E+08 Dyshormonogenic goiter (disorder)
832 9476000 Chronic suppurative thyroiditis (disorder)
832 45053005 Chronic thyroiditis (disorder)
832 10718002 Juvenile myxedema (disorder)
832 11459001 Hypothyroidism due to drugs (disorder)
832 1.12E+08 Acquired hypothyroidism (disorder)
832 11859008 Infarction of thyroid (disorder)
832 13795004 Neonatal thyrotoxicosis (disorder)
832 14779006 Hypothyroidism following external radiotherapy (disorder)
832 1.9E+08 Irradiation hypothyroidism (disorder)
832 15470004 Toxic diffuse goiter with acropachy (disorder)
832 3.53E+08 Graves' disease (disorder)
832 17885001 Iodotyrosine deiodination defect (disorder)
832 36985004 Inherited disorder of thyroid metabolism (disorder)
832 3.61E+08 Atypical subacute thyroiditis (disorder)
832 3.61E+08 Self-limiting autoimmune thyroiditis with transient hyperthyroidism and/or hypothyroidism (disorder)
832 3.61E+08 Subacute autoimmune thyroiditis (disorder)
832 3.61E+08 Subacute lymphocytic thyroiditis (disorder)
832 2.38E+08 Silent thyroiditis (disorder)
832 18621008 Transient decreased production of T>4< (disorder)
832 19608008 Hurthle cell metaplasia of thyroid gland (disorder)
832 21279007 Lingual thyroid (disorder)
832 2.68E+08 Aberrant thyroid gland (disorder)
832 21367009 Autosomal dominant variant form of albumin (disorder)
832 21983002 Hashimoto thyroiditis (disorder)
832 66944004 Autoimmune thyroiditis (disorder)
832 22350004 T>3< thyrotoxicosis (disorder)
832 22558005 Iodide transport defect (disorder)
832 23536000 Iodotyrosyl coupling defect (disorder)
832 25008002 Hyperthyroidism due to struma ovarii (disorder)
832 25476006 Acute suppurative thyroiditis (disorder)
832 1.9E+08 Acute thyroiditis (disorder)
832 26151008 Graves' disease with acropachy AND with thyrotoxic crisis (disorder)
832 26389007 Toxic multinodular goiter (disorder)
832 57777000 Toxic nodular goiter (disorder)
832 2.38E+08 Multinodular goiter (disorder)
832 26692000 Central hypothyroidism (disorder)
832 26730002 Persistent thyroglossal duct (disorder)
832 3.03E+08 Thyroglossal duct anomaly (disorder)
832 26935004 Tuberculosis of thyroid gland (disorder)
832 27059002 Postoperative hypothyroidism (disorder)
832 27538003 Hyperthyroidism with Hashimoto disease (disorder)
832 28599006 Ascher's syndrome (disorder)
832 29028009 Thyrotoxic crisis (disorder)
832 30229009 Hypothyroidism due to infiltrative disease (disorder)
832 30985009 Toxic nodular goiter with thyrotoxic storm (disorder)
832 32454003 Congenital anomaly of the thyroid gland (disorder)
832 36241006 Non-toxic multinodular goiter (disorder)
832 1.9E+08 Non-toxic nodular goiter (disorder)
832 37429009 Hypothalamic hypothyroidism (disorder)
832 2.67E+08 Toxic diffuse goiter (disorder)
832 38727009 Subacute thyroiditis (disorder)
832 39444001 Hypothyroidism due to fibrous invasive thyroiditis (disorder)
832 89024000 Riedel's thyroiditis (disorder)
832 39462005 Thyroglossal duct cyst (disorder)
832 40539002 Hypothyroidism following radioiodine therapy (disorder)
832 40607004 Hyperthyroidism due to hydatidiform mole with thyrotoxic crisis (disorder)
832 44744000 Hyperthyroidism due to molar thyrotropin (disorder)
832 41300001 X-linked reduction of thyroxine-binding globulin (disorder)
832 42277004 Transient decreased production of T>3< (disorder)
832 42785009 Hypothyroidism due to cystinosis (disorder)
832 43449002 Thyroglobulin proteolysis defect (disorder)
832 43507005 Adult myxedema (disorder)
832 45476004 Iodine deficiency disease, non goiter (disorder)
832 2.38E+08 Iodine deficiency syndrome (disorder)
832 47378001 Viral thyroiditis (disorder)
832 49830003 Hypothyroidism due to food stuffs (disorder)
832 50375007 Thyroid hormone responsiveness defect (disorder)
832 52724003 Iodide oxidation defect (disorder)
832 52772002 Postpartum thyroiditis (disorder)
832 54823002 Subclinical hypothyroidism (disorder)
832 82598004 Secondary hypothyroidism (disorder)
832 55296004 X-linked excess of thyroxine-binding globulin (disorder)
832 55426007 Open wound of thyroid gland with complication (disorder)
832 2.1E+08 Open wound of thyroid (disorder)
832 55807009 Toxic diffuse goiter with exophthalmos (disorder)
832 55838005 Athyrotic hypothyroidism sequence (disorder)
832 56041007 Hypothyroidism due to defect in thyroid hormone synthesis (disorder)
832 56805008 Endemic goiter (disorder)
832 56823000 Cervical thyroid remnant (disorder)
832 2.15E+08 Ectopic thyroid tissue (disorder)
832 4.19E+08 Nodular goiter (disorder)
832 59136001 Thyroid disease in mother complicating pregnancy, childbirth AND/OR puerperium (disorder)
832 59957008 Neonatal Graves' disease (disorder)
832 2.77E+08 Neonatal goiter (disorder)
832 2.37E+08 Thyrotoxicosis due to Graves' disease (disorder)
832 60733007 Hypothyroidism due to amyloidosis (disorder)
832 60741007 Goiter due to iodine excess in foals (disorder)
832 60968001 Adenomatous goiter (disorder)
832 92439006 Benign neoplasm of thyroid gland (disorder)
832 61037007 Colloid goiter (disorder)
832 2.67E+08 Simple goiter (disorder)
832 61530001 Multiple endocrine neoplasia, type 3 (disorder)
832 61556008 Iatrogenic thyroiditis (disorder)
832 62052002 Hyperthyroidism secondary to amiodarone (disorder)
832 2.38E+08 Iatrogenic thyrotoxicosis (disorder)
832 62278002 Toxic multinodular goiter with thyrotoxic crisis (disorder)
832 63115005 Hypothyroidism due to scleroderma (disorder)
832 63127008 Thyroglobulin synthesis defect (disorder)
832 64491003 Myxedematous form of cretinism (disorder)
832 65237009 Accessory thyroid gland (disorder)
832 65963007 Echinococcus granulosus infection of thyroid (disorder)
832 66185005 Autosomal dominant excess of transthyretin (disorder)
832 66392007 Substernal goiter (disorder)
832 66628005 Toxic diffuse goiter with exophthalmos AND with thyrotoxic storm (disorder)
832 67723002 Hyperthyroidism secondary to radio contrast dyes (disorder)
832 69329005 Toxic uninodular goiter with thyrotoxic crisis (disorder)
832 73869005 Toxic uninodular goiter (disorder)
832 70225006 Hypothyroidism due to iodide excess (disorder)
832 70348004 Pendred's syndrome (disorder)
832 70953003 Transient decreased production of thyroid hormone (disorder)
832 72071001 Mumps thyroiditis (disorder)
832 72325004 Cyst of thyroid (disorder)
832 73068003 X-linked variant form of thyroxine-binding globulin (disorder)
832 2.38E+08 Uninodular goiter (disorder)
832 75065003 Endemic cretinism (disorder)
832 75667007 Lingual goiter (disorder)
832 1.9E+08 Non-toxic uninodular goiter (disorder)
832 2.37E+08 Thyroid nodule (disorder)
832 78574007 Hypothyroidism due to sarcoidosis (disorder)
832 79488001 Thyroxine plasma membrane transport defect (disorder)
832 80304004 Intrathyroidal calcification AND goiter syndrome (disorder)
832 81873006 Iodide peroxidase defect (disorder)
832 1.9E+08 Thyroid atrophy (disorder)
832 3.68E+08 Hypoplasia of thyroid (disorder)
832 83664006 Idiopathic atrophic hypothyroidism (disorder)
832 83986005 Severe hypothyroidism (disorder)
832 84362007 Fibrous autoimmune thyroiditis (disorder)
832 84781002 Sporadic cretinism (disorder)
832 1.9E+08 Congenital hypothyroidism (disorder)
832 85568000 Sporadic goiter (disorder)
832 86304007 Open wound of thyroid gland without complication (disorder)
832 87232008 Hyperthyroidism due to ectopic thyroid nodule (disorder)
832 88104005 Focal thyroiditis (disorder)
832 88273006 Iatrogenic hypothyroidism (disorder)
832 88740003 Thyrotoxicosis factitia with thyrotoxic crisis (disorder)
832 89261000 Isolated thyrotropin deficiency (disorder)
832 89719007 Thyrotoxicosis without goiter OR other cause (disorder)
832 90441002 Chronic nonsuppurative thyroiditis (disorder)
832 92438003 Benign neoplasm of thyroglossal duct (disorder)
832 1.27E+08 Neoplasm of thyroglossal duct (disorder)
832 1.27E+08 Neoplasm of thyroid gland (disorder)
832 92767001 Carcinoma in situ of thyroid gland (disorder)
832 92978002 Congenital absence of thyroid gland (disorder)
832 93359004 Congenital malposition of the thyroid gland (disorder)
832 2.38E+08 Congenital hypothyroidism without goiter (disorder)
832 94098005 Primary malignant neoplasm of thyroid gland (disorder)
832 3.63E+08 Malignant tumor of thyroid gland (disorder)
832 94634005 Secondary malignant neoplasm of thyroid gland (disorder)
832 95137009 Neoplasm of uncertain behavior of thyroglossal duct (disorder)
832 95138004 Neoplasm of uncertain behavior of thyroid gland (disorder)
832 1.02E+08 Abscess of thyroid (disorder)
832 1.11E+08 Neurologic form of cretinism (disorder)
832 1.12E+08 Refetoff syndrome (disorder)
832 1.24E+08 Complex thyroid endocrine disorder (disorder)
832 1.6E+08 Family history: Thyroid disorder (situation)
832 2.76E+08 History of - thyroid disorder (situation)
832 2.67E+08 History of - endocrine disorder (situation)
832 1.61E+08 History of - hyperthyroidism (situation)
832 1.61E+08 History of - hypothyroidism (situation)
832 1.61E+08 History of - diabetes mellitus (situation)
832 3.1E+08 History of - hospital admission in last year for hyperglycemic disorder (situation)
832 2.55E+08 Thyroid adenoma (disorder)
832 2.37E+08 Toxic goiter (disorder)
832 2.87E+08 Thyrotoxicosis with or without goiter (disorder)
832 2.87E+08 Hypothyroidism - congenital and acquired (disorder)
832 2.74E+08 Thyroid disease in pregnancy (disorder)
832 1.9E+08 Toxic diffuse goiter with no crisis (disorder)
832 1.9E+08 Toxic diffuse goiter with crisis (disorder)
832 1.9E+08 Toxic uninodular goiter with no crisis (disorder)
832 1.9E+08 Toxic uninodular goiter with crisis (disorder)
832 1.9E+08 Toxic multinodular goiter with no crisis (disorder)
832 1.9E+08 Toxic multinodular goiter with crisis (disorder)
832 1.9E+08 Thyrotoxicosis from ectopic thyroid nodule with no crisis (disorder)
832 1.9E+08 Thyrotoxicosis from ectopic thyroid nodule with crisis (disorder)
832 2.79E+08 Congenital hypothyroidism with diffuse goiter (disorder)
832 2.38E+08 Postablative hypothyroidism (disorder)
832 1.9E+08 Iodine hypothyroidism (disorder)
832 1.9E+08 Hypothyroidism resulting from para-aminosalicylic acid (disorder)
832 1.9E+08 Hypothyroidism resulting from phenylbutazone (disorder)
832 1.9E+08 Hypothyroidism resulting from resorcinol (disorder)
832 2.38E+08 Post-infectious hypothyroidism (disorder)
832 2.38E+08 Atrophy of thyroid - acquired (disorder)
832 2.38E+08 Autoimmune hypothyroidism (disorder)
832 2.38E+08 Hypothyroid goiter, acquired (disorder)
832 1.9E+08 Acute non-suppurative thyroiditis (disorder)
832 2.38E+08 Chronic thyroiditis with transient thyrotoxicosis (disorder)
832 1.9E+08 Disorder of thyrocalcitonin secretion (disorder)
832 1.9E+08 Thyroid hemorrhage and infarction (disorder)
832 1.9E+08 Thyroid-binding globulin abnormality (disorder)
832 2.38E+08 Thyroid hormone binding abnormality (disorder)
832 2.38E+08 Congenital iodine deficiency syndrome - neurological type (disorder)
832 2.38E+08 Congenital iodine deficiency syndrome - mixed type (disorder)
832 2.72E+08 Iodine-deficiency-related endemic goiter (disorder)
832 2.38E+08 Iodine-deficiency-related multinodular endemic goiter (disorder)
832 2.38E+08 Subclinical iodine deficiency hypothyroidism (disorder)
832 1.99E+08 Thyroid dysfunction during pregnancy, childbirth and the puerperium (disorder)
832 2.65E+08 Thyroid dysfunction (disorder)
832 1.99E+08 Thyroid dysfunction during pregnancy - baby delivered (disorder)
832 1.99E+08 Thyroid dysfunction in the puerperium - baby delivered during current episode of care (disorder)
832 1.99E+08 Thyroid dysfunction during pregnancy - baby not yet delivered (disorder)
832 1.99E+08 Thyroid dysfunction in the puerperium - baby delivered during previous episode of care (disorder)
832 2.97E+08 Retrosternal thyroid gland (disorder)
832 2.38E+08 Injury of thyroid gland (disorder)
832 2.16E+08 Congenital hypothyroidism with ectopic thyroid (disorder)
832 2.37E+08 Diffuse goiter (disorder)
832 2.37E+08 Thyroid colloid nodule (disorder)
832 2.38E+08 Hashitoxicosis - transient (disorder)
832 2.38E+08 Thyrotoxicosis due to acute thyroiditis (disorder)
832 2.38E+08 Borderline thyrotoxicosis (disorder)
832 2.38E+08 Autonomous thyroid function (disorder)
832 2.38E+08 Apathetic thyrotoxicosis (disorder)
832 2.38E+08 Thyrotoxicosis in pregnancy (disorder)
832 2.38E+08 Human chorionic gonadotrophin (HCG)-induced thyrotoxicosis (disorder)
832 2.38E+08 Thyrotoxicosis on thyroxine therapy (disorder)
832 3.6E+08 Thyrotoxicosis due to overproduction of thyroid stimulating hormone (disorder)
832 3.6E+08 Thyrotoxicosis due to inappropriate TSH secretion (disorder)
832 2.38E+08 Thyrotoxicosis due to TSHoma (disorder)
832 3.6E+08 Pituitary thyroid hormone resistance (disorder)
832 2.38E+08 Congenital thyroid hypoplasia (disorder)
832 2.38E+08 Congenital atrophy of thyroid (disorder)
832 2.38E+08 Hypothyroidism due to Hashimoto's thyroiditis (disorder)
832 2.38E+08 Hypothyroidism due to TSH receptor blocking antibody (disorder)
832 2.38E+08 Borderline hypothyroidism (disorder)
832 2.38E+08 Compensated hypothyroidism (disorder)
832 2.38E+08 Compensated euthyroidism (disorder)
832 2.38E+08 Euthyroid with thyroid antibodies (disorder)
832 2.38E+08 Acute viral thyroiditis (disorder)
832 4.28E+08 Subacute granulomatous thyroiditis (disorder)
832 2.38E+08 Lymphadenoid goiter (disorder)
832 2.38E+08 Lymphocytic thyroiditis - autoimmune (disorder)
832 2.38E+08 Drug-induced thyroiditis (disorder)
832 2.38E+08 Sick-euthyroid syndrome (disorder)
832 2.38E+08 Thyroid-binding globulin deficiency (disorder)
832 2.38E+08 Drug interference with thyroid-binding globulin (disorder)
832 2.38E+08 Thyroid-binding globulin high (disorder)
832 2.38E+08 Familial dysalbuminemic hyperthyroxinemia (disorder)
832 2.38E+08 Thyroid pre-albumin binding abnormality (disorder)
832 2.38E+08 Dysprealbuminemic euthyroidal hyperthyroxinemia (disorder)
832 2.38E+08 Euthyroid hypothyroxinemia (disorder)
832 2.38E+08 Euthyroid hyperthyroxinamia (disorder)
832 2.38E+08 C-cell hyperplasia of thyroid (disorder)
832 2.38E+08 Familial dyshormonogenetic goiter (disorder)
832 2.38E+08 Hypothyroidism due to iodide trapping defect (disorder)
832 2.38E+08 Hypothyroidism due to iodide organification defect (disorder)
832 2.38E+08 Thyroid hormone resistance syndrome (disorder)
832 2.38E+08 Generalized thyroid hormone resistance (disorder)
832 3.6E+08 Thyrotoxicosis due to pituitary thyroid hormone resistance (disorder)
832 2.38E+08 Idiopathic TSH deficiency (disorder)
832 3.67E+08 Basedow's disease (disorder)
832 2.38E+08 Juvenile Graves' disease (disorder)
832 2.55E+08 Follicular thyroid carcinoma (disorder)
832 2.55E+08 Papillary thyroid carcinoma (disorder)
832 2.55E+08 Mixed follicular and papillary thyroid carcinoma (disorder)
832 2.55E+08 Anaplastic thyroid carcinoma (disorder)
832 2.55E+08 Medullary thyroid carcinoma (disorder)
832 2.55E+08 Thyroid follicular adenoma (disorder)
832 2.63E+08 Thyroid gland hematoma (disorder)
832 2.63E+08 Contusion of thyroid gland (disorder)
832 2.63E+08 Fragmentation of thyroid gland (disorder)
832 2.77E+08 Perinatal thyroid disorder (disorder)
832 2.77E+08 Transient neonatal hypothyroidism (disorder)
832 4.06E+08 Infant hypothyroidism (disorder)
832 2.77E+08 Transient hypothyroxinemia (disorder)
832 2.77E+08 Transient hypothyrotropinemia (disorder)
832 2.78E+08 Malignant lymphoma of thyroid gland (disorder)
832 3.01E+08 Family history: Hypothyroidism (situation)
832 3.03E+08 Laceration of thyroid gland (disorder)
832 3.15E+08 Local recurrence of malignant tumor of thyroid gland (disorder)
832 4.06E+08 Infant hypothyroidism to 24 months of age (disorder)
832 4.23E+08 Hurthle cell carcinoma of thyroid (disorder)
832 4.25E+08 Primary malignant neoplasm of thyroid gland, metastatic to bone (disorder)
832 4.28E+08 Subclinical hyperthyroidism (disorder)
832 4.28E+08 Hypothyroidism in pregnancy (disorder)
832 4.4E+08 Endemic congenital iodine deficiency syndrome of myxedematous type (disorder)
832 4.45E+08 Calcifying cyst of thyroid (disorder)
Tourette’s Syndrome

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Tourettes.xls)

Refset Name: Tourettes refset
  refset_ID   SCTID FSN
848 5158005 Gilles de la Tourette's syndrome (disorder)
848   23772009 Dysphonia of Gilles de la Tourette's syndrome (disorder)
Traumatic Brain Injury

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/TBI.xls)

Refset Name: TBI refset
  refset_ID   SCTID FSN
850 2.75E+08 Tentorial laceration (disorder)
850 2.06E+08 Traumatic glaucoma due to birth trauma (disorder)
850 2.75E+08 Falx laceration (disorder)
850 2.75E+08 Perforating wound of eyelid (disorder)
850 1.72E+08 Avulsion of nerve of eyelid (disorder)
850 2.32E+08 Avulsion of eyelid (disorder)
850 775008 Open wound of head with complication (disorder)
850   38354005 Open wound of head (disorder)
850 69178005 Subarachnoid hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 1.12E+08 Intracranial hemorrhage following injury with open intracranial wound and prolonged loss of consciousness (more than 24 hours) without return to pre-existing level (disorder)
850 69190007 Concussion with prolonged loss of consciousness AND return to pre-existing conscious level (disorder)
850 69271009 Crushing injury of cheek (disorder)
850 90465004 Crushing injury of face (disorder)
850 2.84E+08 Crush injury of mouth (disorder)
850 2.75E+08 Wound of oropharynx (disorder)
850 964004 Open wound of pharynx without complication (disorder)
850 1.26E+08 Injury of pharynx (disorder)
850 2.1E+08 Open wound of pharynx (disorder)
850 40883004 Open wound of head without complication (disorder)
850 2.77E+08 Neonatal scalp injury (disorder)
850 3.13E+08 Neonatal extracranial head trauma (disorder)
850 1135000 Solar retinopathy (disorder)
850 2.69E+08 Fracture of malar or maxillary bones, open (disorder)
850 2.32E+08 Photic retinopathy (disorder)
850 2.77E+08 Neonatal scalp abrasion (disorder)
850 2.77E+08 Neonatal bruising of scalp (disorder)
850 1203008 Deep third degree burn of forehead AND/OR cheek with loss of body part (disorder)
850 2.77E+08 Bruising over mastoid (disorder)
850 69820004 Injury of optic chiasm (disorder)
850 72030007 Deep third degree burn of forehead AND/OR cheek (disorder)
850 2.12E+08 Deep full thickness burn of the cheek, with loss of body part (disorder)
850 2.12E+08 Deep full thickness burn of the forehead, with loss of body part (disorder)
850 9015001 Brain injury without open intracranial wound (disorder)
850 1.27E+08 Intracranial injury with loss of consciousness (disorder)
850 2.78E+08 Eye injury from lightning (disorder)
850 1739001 Fracture of occipital bone (disorder)
850 71642004 Fracture of skull (disorder)
850 69866009 Closed fracture of vault of skull without intracranial injury (disorder)
850 1.95E+08 Subarachnoid hemorrhage from vertebral artery (disorder)
850 2136001 Open wound of jaw with complication (disorder)
850 79167003 Open wound of face with complication (disorder)
850 2.1E+08 Open wound of jaw (disorder)
850 2.63E+08 Injury of vertebral artery (disorder)
850 2.82E+08 Contusion of nasal septum (disorder)
850 2.82E+08 Burn of nasal cavity (disorder)
850 2.82E+08 Corrosion of pharynx (disorder)
850 2.82E+08 Contusion of pharynx (disorder)
850 69875006 Cortex laceration with open intracranial wound AND concussion (disorder)
850 2.83E+08 Knocked out (disorder)
850 2.83E+08 Injury of back of head (disorder)
850 2.06E+08 Subdural and cerebral hemorrhage due to birth trauma (disorder)
850 2.4E+08 Cerebral injury due to birth trauma (disorder)
850 2.06E+08 Tentorial tear due to birth trauma (disorder)
850 70097001 Third degree burn of forehead AND/OR cheek (disorder)
850 1.1E+08 Third degree burn of cheek (disorder)
850 1.1E+08 Third degree burn of forehead (disorder)
850 2245007 Foreign body in nasopharynx (disorder)
850 2.86E+08 Injury of nasopharynx (disorder)
850 2.06E+08 Extradural hemorrhage in fetus or newborn (disorder)
850 70171009 Open wound of alveolar process with complication (disorder)
850 2.06E+08 Cerebral hemorrhage due to birth injury (disorder)
850 2419001 Open wound of forehead with complication (disorder)
850 2.1E+08 Open wound of forehead (disorder)
850 2532009 Choroidal rupture (disorder)
850 2.86E+08 Injury of choroid (disorder)
850 2.32E+08 Rupture of globe (disorder)
850 2.83E+08 Injury of ciliary ganglion (disorder)
850 2.83E+08 Abrasion of nose (disorder)
850 2.83E+08 Abrasion of cheek (disorder)
850 2825006 Abrasion AND/OR friction burn of gum without infection (disorder)
850 2.83E+08 Scratch of eye region (disorder)
850 4.32E+08 Superficial abrasion of eye region structure (disorder)
850 66176005 Abrasion AND/OR friction burn of face without infection (disorder)
850 2.83E+08 Scratch of mouth (disorder)
850 2.83E+08 Gum injury (disorder)
850 2.06E+08 Cephalhematoma due to birth trauma (disorder)
850 2.83E+08 Traumatic blister of forehead (disorder)
850 2.83E+08 Traumatic blister of ear region (disorder)
850 2.06E+08 Scalp abrasions due to birth trauma (disorder)
850 2.06E+08 Scalp bruising due to birth trauma (disorder)
850 2.83E+08 Traumatic blister of nose (disorder)
850 2.77E+08 Sampling injury to scalp during birth (disorder)
850 2.83E+08 Traumatic blister of cheek (disorder)
850 2.77E+08 Electrode injury to scalp during birth (disorder)
850 2.69E+08 Fetal monitoring scalp injury (disorder)
850 2.83E+08 Traumatic blister of mouth (disorder)
850 2840008 Open fracture of vault of skull with cerebral laceration AND/OR contusion (disorder)
850 90898001 Open skull fracture with cerebral laceration AND/OR contusion (disorder)
850 2.06E+08 Cerebral edema due to birth injury (disorder)
850 2.08E+08 Open fracture vault of skull with intracranial injury (disorder)
850 2.31E+08 Traumatic cerebral edema (disorder)
850 2999009 Injury of ear (disorder)
850 70294003 Nonvenomous insect bite of scalp with infection (disorder)
850 82271004 Injury of head (disorder)
850 70345001 Open wound of multiple sites of nose with complication (disorder)
850 2.83E+08 Fishing hook in scalp (disorder)
850 2.83E+08 Fishing hook in head (disorder)
850 2.83E+08 Fishing hook in eye region (disorder)
850 2.83E+08 Fishing hook in ear region (disorder)
850 2.83E+08 Fishing hook in nose (disorder)
850 2.83E+08 Fishing hook in face (disorder)
850 3013004 Open wound of ear drum without complication (disorder)
850 87362004 Open wound of ear without complication (disorder)
850 70417006 Nonvenomous insect bite of nose without infection (disorder)
850 2.83E+08 Injury of tympanic membrane (disorder)
850 2.84E+08 Animal bite of nose (disorder)
850 2.83E+08 Fishing hook in lip (disorder)
850 2.83E+08 Fishing hook in forehead (disorder)
850 2.83E+08 Fishing hook in cheek (disorder)
850 2.83E+08 Insect bite of forehead (disorder)
850 2.84E+08 Animal bite of forehead (disorder)
850 2.06E+08 Subconjunctival hemorrhage due to birth trauma (disorder)
850 2.84E+08 Animal bite of eye region (disorder)
850 3018008 Penetration of eyeball with magnetic foreign body (disorder)
850 3.13E+08 Bite wound of mouth (disorder)
850 2.84E+08 Animal bite of mouth (disorder)
850 3.15E+08 Penetrating wound of eye (disorder)
850 2.06E+08 Birth injury to face (disorder)
850 70686002 Brain stem laceration without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 2.08E+08 Closed fracture of vault of skull with intracranial injury, with no loss of consciousness (disorder)
850 1.12E+08 Open skull fracture with intracranial hemorrhage (disorder)
850 2.83E+08 Cut of head (disorder)
850 2.74E+08 Burn of eye region (disorder)
850 2.83E+08 Cut of scalp (disorder)
850 2.83E+08 Cut of face (disorder)
850 71266000 Open fracture of vault of skull with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
850 2.83E+08 Cut of forehead (disorder)
850 3032005 Nonvenomous insect bite of cheek without infection (disorder)
850 71696000 Nonvenomous insect bite of face without infection (disorder)
850 1.12E+08 Open fracture of vault of skull with intracranial hemorrhage (disorder)
850 2.83E+08 Insect bite of cheek (disorder)
850 71491003 Open wound of scalp with complication (disorder)
850 72061003 Open wound of pharynx with complication (disorder)
850 2.08E+08 Closed fracture of vault of skull with intracranial injury, with less than 1 hour loss of consciousness (disorder)
850 2.83E+08 Cut of eye region (disorder)
850 2.08E+08 Closed fracture of vault of skull with intracranial injury, with 1-24 hours loss of consciousness (disorder)
850 2.83E+08 Cut of ear region (disorder)
850 2.08E+08 Closed fracture of vault of skull with intracranial injury, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
850 3084004 Nonvenomous insect bite of gum without infection (disorder)
850 2.08E+08 Closed fracture of vault of skull with intracranial injury, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
850 2.83E+08 Cut of nose (disorder)
850 2.08E+08 Open fracture of vault of skull with intracranial injury, with no loss of consciousness (disorder)
850 2.83E+08 Cut of cheek (disorder)
850 2.08E+08 Open fracture of vault of skull with intracranial injury, with less than 1 hour loss of consciousness (disorder)
850 2.83E+08 Cut of mouth (disorder)
850 2.08E+08 Open fracture of vault of skull with intracranial injury, with 1-24 hours loss of consciousness (disorder)
850 2.08E+08 Open fracture of vault of skull with intracranial injury, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
850 32900008 Superficial injury of gum without infection (disorder)
850 2.08E+08 Open fracture of vault of skull with intracranial injury, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
850 2.83E+08 Insect bite of mouth (disorder)
850 2.84E+08 Animal bite of face (disorder)
850 2.08E+08 Closed fracture of base of skull with intracranial injury, with no loss of consciousness (disorder)
850 2.08E+08 Closed fracture of base of skull with intracranial injury, with less than 1 hour loss of consciousness (disorder)
850 2.08E+08 Closed fracture of base of skull with intracranial injury, with 1-24 hours loss of consciousness (disorder)
850 2.08E+08 Closed fracture of base of skull with intracranial injury, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
850 2.83E+08 Stab wound of head and neck (disorder)
850 2.08E+08 Closed fracture of base of skull with intracranial injury, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
850 2.83E+08 Stab wound of head (disorder)
850 2.83E+08 Stab wound of scalp (disorder)
850 2.08E+08 Open fracture of base of skull with intracranial injury, with no loss of consciousness (disorder)
850 2.83E+08 Stab wound of face (disorder)
850 3097002 Superficial injury of lip with infection (disorder)
850 2.83E+08 Stab wound of forehead (disorder)
850 2.83E+08 Stab wound of eye region (disorder)
850 44422006 Superficial injury of face with infection (disorder)
850 2.83E+08 Stab wound of ear region (disorder)
850 33931005 Injury of lip (disorder)
850 2.83E+08 Stab wound of nose (disorder)
850 1.1E+08 Superficial injury of mouth (disorder)
850 2.83E+08 Stab wound of cheek (disorder)
850 2.83E+08 Stab wound of mouth (disorder)
850 2.08E+08 Open fracture of base of skull with intracranial injury, with less than 1 hour loss of consciousness (disorder)
850 2.83E+08 Stab wound of lip (disorder)
850 2.08E+08 Open fracture of base of skull with intracranial injury, with 1-24 hours loss of consciousness (disorder)
850 2.08E+08 Open fracture of base of skull with intracranial injury, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
850 72282001 Open wound of multiple sites of nose without complication (disorder)
850 2.08E+08 Open fracture of base of skull with intracranial injury, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
850 2.1E+08 Multiple wounds of nose (disorder)
850 3119002 Brain stem laceration with open intracranial wound AND loss of consciousness (disorder)
850 2.83E+08 Puncture wound of head (disorder)
850 2.84E+08 Puncture wound of scalp (disorder)
850 2.84E+08 Puncture wound of face (disorder)
850 2.84E+08 Puncture wound of forehead (disorder)
850 2.84E+08 Puncture wound of eye region (disorder)
850 12589008 Brain stem laceration with open intracranial wound (disorder)
850 2.84E+08 Puncture wound of ear region (disorder)
850 13752003 Brain injury with open intracranial wound AND loss of consciousness (disorder)
850 2.84E+08 Puncture wound of nose (disorder)
850 2.84E+08 Puncture wound of cheek (disorder)
850 2.08E+08 Fracture of malar and maxillary bones (disorder)
850 72512006 Abrasion AND/OR friction burn of nose with infection (disorder)
850 2.84E+08 Puncture wound of mouth (disorder)
850 2.08E+08 Fracture of alveolus, open (disorder)
850 72797002 Cerebellar contusion with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
850 73143002 Multiple closed fractures of skull AND/OR face with cerebral laceration AND/OR contusion (disorder)
850 2.84E+08 Pellet wound of head (disorder)
850 73308006 Extradural hemorrhage following injury with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
850 2.84E+08 Pellet wound of scalp (disorder)
850 3208005 Open wound of ossicles without complication (disorder)
850 2.84E+08 Pellet wound of face (disorder)
850 2.1E+08 Open wound of ear ossicle (disorder)
850 2.84E+08 Pellet wound of forehead (disorder)
850 2.84E+08 Pellet wound of eye region (disorder)
850 2.84E+08 Pellet wound of ear region (disorder)
850 73413009 Cortex contusion with open intracranial wound AND concussion (disorder)
850 87888006 Cortex contusion with open intracranial wound (disorder)
850 2.08E+08 Fracture of palate, open (disorder)
850 2.84E+08 Pellet wound of nose (disorder)
850 2.63E+08 Multiple face fractures (disorder)
850 2.84E+08 Pellet wound of cheek (disorder)
850 2.08E+08 Multiple fractures involving skull and facial bones (disorder)
850 2.84E+08 Pellet wound of mouth (disorder)
850 2.84E+08 Pellet wound of lip (disorder)
850 2.84E+08 Needle stick injury of head (disorder)
850 2.84E+08 Needle stick of scalp (disorder)
850 73439007 Subarachnoid hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 2.84E+08 Needle stick injury of face (disorder)
850 2.84E+08 Needle stick injury of forehead (disorder)
850 3282008 Welders' keratitis (disorder)
850 2.84E+08 Needle stick injury of eye region (disorder)
850 2.84E+08 Needle stick injury of ear region (disorder)
850 2.32E+08 Thermal and radiation injury to the cornea (disorder)
850 2.84E+08 Needle stick injury of nose (disorder)
850 2.84E+08 Needle stick injury of cheek (disorder)
850 2.84E+08 Needle stick injury of mouth (disorder)
850 3421000 Open fracture of orbital floor (blow-out) (disorder)
850 2.84E+08 Nail wound of head (disorder)
850 73455000 Open wound of floor of mouth without complication (disorder)
850 2.08E+08 Fracture of orbital floor (disorder)
850 2.84E+08 Human bite of head (disorder)
850 2.69E+08 Dislocation or subluxation of jaw (disorder)
850 2.84E+08 Human bite of scalp (disorder)
850 2.84E+08 Human bite of face (disorder)
850 2.84E+08 Human bite of forehead (disorder)
850 2.84E+08 Human bite of eye region (disorder)
850 1.12E+08 Open fracture of facial bones (disorder)
850 2.63E+08 Blow out fracture of orbit (disorder)
850 2.63E+08 Periocular open wound (disorder)
850 3.71E+08 Open fracture of skull (disorder)
850 3500002 Open wound of ossicles with complication (disorder)
850 50683006 Open wound of ear with complication (disorder)
850 4332009 Subarachnoid hemorrhage following injury without open intracranial wound AND with concussion (disorder)
850 78757009 Intracranial hemorrhage following injury without open intracranial wound AND with concussion (disorder)
850 2.1E+08 Open wound of mouth floor (disorder)
850 2.84E+08 Human bite of ear region (disorder)
850 2.84E+08 Human bite of nose (disorder)
850 73518002 Burn of lip (disorder)
850 1.1E+08 Burn of circumoral region (disorder)
850 2.09E+08 Closed subluxation jaw (disorder)
850 2.06E+08 Vacuum extraction chignon (disorder)
850 2.84E+08 Human bite of cheek (disorder)
850 2.84E+08 Human bite of mouth (disorder)
850 2.1E+08 Extradural hemorrhage following injury with open intracranial wound, with no loss of consciousness (disorder)
850 4788002 Closed fracture of zygoma (disorder)
850 2.84E+08 Dog bite of head (disorder)
850 2.09E+08 Open subluxation jaw (disorder)
850 3.71E+08 Closed fracture of skull (disorder)
850 2.84E+08 Dog bite of scalp (disorder)
850 2.63E+08 Fracture of zygoma (disorder)
850 2.84E+08 Dog bite of face (disorder)
850 34649000 Closed fracture of malar AND/OR maxillary bones (disorder)
850 2.84E+08 Dog bite of forehead (disorder)
850 2.84E+08 Dog bite of eye region (disorder)
850 4807003 Open skull fracture without intracranial injury (disorder)
850 2.84E+08 Dog bite of ear region (disorder)
850 4821001 Contusion of cheek (disorder)
850 1.1E+08 Contusion of mouth (disorder)
850 1.26E+08 Contusion of face (disorder)
850 2.83E+08 Cheek injury (disorder)
850 75199002 Retained old foreign body following penetrating wound of orbit (disorder)
850 76371008 Penetrating wound of orbit with foreign body (disorder)
850 2.84E+08 Dog bite of nose (disorder)
850 75767000 Abrasion AND/OR friction burn of cheek without infection (disorder)
850 5073009 Brain stem laceration with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 2.69E+08 Closed dislocation atlanto-occipital joint (disorder)
850 27923006 Brain injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 2.84E+08 Dog bite of cheek (disorder)
850 2.84E+08 Dog bite of mouth (disorder)
850 5120006 Cortex laceration without open intracranial wound AND with concussion (disorder)
850 2.84E+08 Animal bite of ear region (disorder)
850 2.84E+08 Animal bite of cheek (disorder)
850 33332005 Brain injury without open intracranial wound AND with concussion (disorder)
850 44341005 Cortex laceration without open intracranial wound (disorder)
850 5202009 Brain injury with open intracranial wound AND concussion (disorder)
850 2.84E+08 Degloving injury of head (disorder)
850 1.1E+08 Concussion injury of brain (disorder)
850 2.84E+08 Crush injury of forehead (disorder)
850 28188001 Brain injury with open intracranial wound (disorder)
850 2.84E+08 Crush injury of eye region (disorder)
850 5251007 Subarachnoid hemorrhage following injury with open intracranial wound (disorder)
850 2.84E+08 Crush injury of nose (disorder)
850 1.27E+08 Intracranial injury (disorder)
850 5470004 Cerebellar contusion with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 76174009 Closed fracture of alveolar border of body of mandible (disorder)
850 19233004 Cerebellar contusion with open intracranial wound AND loss of consciousness (disorder)
850 2.84E+08 Superficial corrosion of scalp (disorder)
850 2.84E+08 Superficial corrosion of forehead (disorder)
850 76418009 Concussion with mental confusion AND/OR disorientation without loss of consciousness (disorder)
850 2.69E+08 Open dislocation atlanto-occipital joint (disorder)
850 2.84E+08 Superficial corrosion of ear (disorder)
850 2.84E+08 Superficial corrosion of nose (disorder)
850 2.84E+08 Superficial corrosion of cheek (disorder)
850 2.84E+08 Superficial corrosion of lip (disorder)
850 2.09E+08 Closed subluxation atlanto-occipital joint (disorder)
850 2.63E+08 Subluxation of atlanto-occipital joint (disorder)
850 76542006 Fracture of frontal sinus (disorder)
850 76675006 Cerebellar laceration without open intracranial wound AND with concussion (disorder)
850 2.09E+08 Open subluxation atlanto-occipital joint (disorder)
850 2.1E+08 Cortex contusion with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
850 2.32E+08 Dislocated nasal septum (disorder)
850 77260003 Superficial injury of cheek without infection (disorder)
850 2.84E+08 Superficial corrosion of chin (disorder)
850 5529003 Superficial foreign body of cheek without major open wound AND without infection (disorder)
850 60012007 Superficial foreign body of face without major open wound AND without infection (disorder)
850 28417005 Superficial injury of face without infection (disorder)
850 2.83E+08 Superficial injury of cheek (disorder)
850 2.84E+08 Superficial laceration of face (disorder)
850 2.08E+08 Closed fracture of mandible, angle of jaw (disorder)
850 5708009 Open fracture of zygomatic arch (disorder)
850 2.63E+08 Fracture of zygomatic process (disorder)
850 77498000 Extradural hemorrhage following injury without open intracranial wound AND with concussion (disorder)
850 2.1E+08 Open division, temporomandibular ligament (disorder)
850 2.86E+08 Injury of mastoid (disorder)
850 2.1E+08 Concussion with less than 1 hour loss of consciousness (disorder)
850 2.86E+08 Open wound of skin of nose (disorder)
850 2.1E+08 Concussion with 1-24 hours loss of consciousness (disorder)
850 2.1E+08 Concussion with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
850 5886004 Cortex contusion without open intracranial wound AND with no loss of consciousness (disorder)
850 2.1E+08 Concussion with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
850 32106001 Cortex contusion without open intracranial wound (disorder)
850 2.63E+08 Cortex laceration and contusion (disorder)
850 6045004 Superficial foreign body of lip without major open wound AND without infection (disorder)
850 2.86E+08 Oral cavity, dental and salivary gland injury (disorder)
850 2.63E+08 Cerebellar laceration and contusion (disorder)
850 2.1E+08 Closed cerebral contusion (disorder)
850 2.1E+08 Open cerebral contusion (disorder)
850 2.1E+08 Cortex contusion with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
850 2.1E+08 Cortex contusion with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
850 3.02E+08 Supraorbital bruise (disorder)
850 6147005 Brain stem laceration with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
850 28156009 Brain injury with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
850 2.32E+08 Injury of globe of eye (disorder)
850 2.1E+08 Cortex laceration with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
850 3.13E+08 Burn of skin of eye region (disorder)
850 2.1E+08 Cortex laceration with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
850 3.15E+08 Traumatic corneal abrasion (disorder)
850 2.1E+08 Cortex laceration with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
850 2.1E+08 Cortex laceration with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
850 3.15E+08 Blunt injury of eye (disorder)
850 2.1E+08 Closed hindbrain contusion (disorder)
850 3.15E+08 Eyelid laceration without lid margin involvement (disorder)
850 2.1E+08 Open hindbrain contusion (disorder)
850 3.15E+08 Eyelid laceration with lid margin involvement (disorder)
850 2.1E+08 Hind brain contusion with open intracranial wound, with no loss of consciousness (disorder)
850 3.15E+08 Moderate head injury (disorder)
850 2.1E+08 Hind brain contusion with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
850 2.1E+08 Hind brain contusion with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
850 2.1E+08 Hind brain contusion with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
850 2.1E+08 Hind brain contusion with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
850 78028004 Brain stem contusion with open intracranial wound AND concussion (disorder)
850 2.1E+08 Hind brain laceration with open intracranial wound, with no loss of consciousness (disorder)
850 6666006 Subdural hemorrhage following injury without open intracranial wound AND with concussion (disorder)
850 2.1E+08 Hind brain laceration with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
850 78202006 Burn erythema of lip (disorder)
850 2.1E+08 Hind brain laceration with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
850 2.1E+08 Hind brain laceration with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
850 2.1E+08 Hind brain laceration with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
850 2.1E+08 Brain contusion with open intracranial wound, with no loss of consciousness (disorder)
850 2.1E+08 Brain contusion with open intracranial wound, with more than 1 hour loss of consciousness (disorder)
850 78525006 Brain stem laceration without open intracranial wound AND with no loss of consciousness (disorder)
850 2.1E+08 Brain contusion with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
850 4.28E+08 Laceration of head (disorder)
850 84170006 Contusion of brain with open intracranial wound (disorder)
850 2.1E+08 Brain contusion with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
850 2.1E+08 Brain contusion with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
850 79220008 Brain stem contusion without open intracranial wound AND with concussion (disorder)
850 6733004 Abrasion AND/OR friction burn of ear without infection (disorder)
850 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
850 2.85E+08 Injury of external ear (disorder)
850 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
850 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
850 3.71E+08 Traumatic intracranial subdural hematoma with brief loss of consciousness (disorder)
850 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
850 80027000 Second degree burn of forehead AND/OR cheek (disorder)
850 2.1E+08 Subdural hemorrhage following injury with open intracranial wound, with less than 1 hour loss of consciousness (disorder)
850 2.1E+08 Cortex laceration with open intracranial wound, with no loss of consciousness (disorder)
850 2.1E+08 Subdural hemorrhage following injury with open intracranial wound, with 1-24 hours loss of consciousness (disorder)
850 2.1E+08 Subdural hemorrhage following injury with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level (disorder)
850 2.1E+08 Subdural hemorrhage following injury with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
850 3.12E+08 Traumatic cerebral edema without open intracranial wound (disorder)
850 80340002 Open wound of tongue with complication (disorder)
850 3.12E+08 Traumatic cerebral edema with open intracranial wound (disorder)
850 2.63E+08 Diffuse brain injury (disorder)
850 2.1E+08 Open wound of tongue (disorder)
850 2.1E+08 Focal brain injury (disorder)
850 7407001 Open wound of buccal mucosa with complication (disorder)
850 80744008 Commotio retinae (disorder)
850 2.1E+08 Open wound of buccal mucosa (disorder)
850 2.1E+08 Subarachnoid hemorrhage following injury with open intracranial wound, with no loss of consciousness (disorder)
850 54634002 Open wound of cheek with complication (disorder)
850 2.83E+08 Chin injury (disorder)
850 2.1E+08 Open wound in mouth with complication (disorder)
850 3.71E+08 Contact lens related corneal abrasion (disorder)
850 2.1E+08 Intracranial injury with prolonged coma (disorder)
850 3.12E+08 Intracranial injury with prolonged coma without open wound (disorder)
850 81268009 Cerebellar contusion without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
850 3.12E+08 Intracranial injury with prolonged coma with open wound (disorder)
850 7559009 Open wound of multiple sites of ear with complication (disorder)
850 7581004 Superficial injury of conjunctiva (disorder)
850 81520002 Extradural hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 2.63E+08 Open wound of eyelid (disorder)
850 2.1E+08 Full thickness eyelid laceration without lacrimal passage involvement (disorder)
850 2.32E+08 Injury of conjunctiva (disorder)
850 78598000 Superficial injury of eye (disorder)
850 2.69E+08 Eyelid and lacrimal drainage system laceration (disorder)
850 7604001 Cortex laceration with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 86488006 Brain injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 2.1E+08 Ocular laceration without intraocular prolapse (disorder)
850 41870008 Cortex laceration with open intracranial wound AND loss of consciousness (disorder)
850 2.1E+08 Ocular laceration with intraocular prolapse (disorder)
850 2.1E+08 Traumatic amputation of ear (disorder)
850 7711006 Cortex laceration without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 2.63E+08 Injury of middle ear and Eustachian tube (disorder)
850 9978007 Cortex laceration without open intracranial wound AND with loss of consciousness (disorder)
850 47462004 Brain injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 7765006 Burn erythema of scalp (disorder)
850 38978009 Burn of scalp (disorder)
850 2.87E+08 First degree burn of head (disorder)
850 7819003 Intracranial hemorrhage following injury with open intracranial wound AND no loss of consciousness (disorder)
850 12912004 Brain injury with open intracranial wound AND no loss of consciousness (disorder)
850 77768006 Intracranial hemorrhage following injury with open intracranial wound (disorder)
850 81639003 Closed fracture of nasal bones (disorder)
850 3.71E+08 Post-radiation maculopathy (disorder)
850 2.32E+08 Cochlear trauma (disorder)
850 7926002 Irradiated enamel (disorder)
850 2.82E+08 Injury of nasal septum (disorder)
850 21763005 Injury of teeth (disorder)
850 2.86E+08 Injury of nasal cavity (disorder)
850 2.1E+08 Multiple open wounds of nose with complication (disorder)
850 8047003 Open wound of nasal sinus without complication (disorder)
850 3.71E+08 Infected conjunctival abrasion (disorder)
850 2.82E+08 Injury of sinus (disorder)
850 1.1E+08 Complete avulsion of tooth (disorder)
850 47126008 Open wound of face without complication (disorder)
850 8135006 Traumatic closed dislocation of temporomandibular joint (disorder)
850 3.71E+08 Infected corneal abrasion (disorder)
850 81629009 Traumatic dislocation of temporomandibular joint (disorder)
850 3.13E+08 Open wound of chin (disorder)
850 82601009 Multiple closed fractures of skull AND/OR face without intracranial injury (disorder)
850 2.1E+08 Multiple open wounds of face with complication (disorder)
850 82637004 Cerebellar contusion without open intracranial wound AND with no loss of consciousness (disorder)
850 2.69E+08 Broken tooth injury (disorder)
850 2.06E+08 Fracture of skull due to birth trauma (disorder)
850 2.63E+08 Broken teeth injury without complication (disorder)
850 3.74E+08 Enamel and dentine fracture (disorder)
850 2.1E+08 Multiple open mouth wounds (disorder)
850 2.1E+08 Broken tooth injury with complication (disorder)
850 2.1E+08 Multiple open mouth wounds with complication (disorder)
850 82729001 Caput succedaneum (disorder)
850 2.1E+08 Open wounds involving head with neck (disorder)
850 8457007 Open wound of Eustachian tube without complication (disorder)
850 2.1E+08 Open wound of eustachian tube (disorder)
850 2.75E+08 Brain damage - traumatic (disorder)
850 2.83E+08 Abrasion of head (disorder)
850 83095000 Fetal cephalhematoma (disorder)
850 2.11E+08 Abrasion of face, infected (disorder)
850 83385002 Fracture of parietal bone (disorder)
850 2.11E+08 Abrasion of scalp, infected (disorder)
850 3.98E+08 Laceration of hypopharynx (disorder)
850 2.83E+08 Traumatic blister of head (disorder)
850 2.71E+08 Traumatic blister of head, infected (disorder)
850 4.03E+08 Ear-lobe keloid (disorder)
850 83513002 Open wound of auditory canal without complication (disorder)
850 2.71E+08 Traumatic blister of face, infected (disorder)
850 4.04E+08 Scalp injury due to vacuum extraction (disorder)
850 4.04E+08 Traumatized incisor (disorder)
850 8656007 Total traumatic cataract (disorder)
850 2.71E+08 Traumatic blister of scalp, infected (disorder)
850 2.83E+08 Insect bite of head (disorder)
850 34361001 Traumatic cataract (disorder)
850 83587009 Nonvenomous insect bite of cheek with infection (disorder)
850 2.11E+08 Multiple superficial injuries of head (disorder)
850 1.26E+08 Injury of face (disorder)
850 1.27E+08 Traumatic brain injury (disorder)
850 2.69E+08 Abrasion or friction burn of eyelids and periocular area (disorder)
850 9269007 Burn erythema of ear (disorder)
850 2.69E+08 Traumatic blister of eyelids and periocular area (disorder)
850 83969004 Fracture of temporal bone (disorder)
850 2.69E+08 Insect bite of eyelids and periocular area (disorder)
850 2.78E+08 Insect bite of eyelid (disorder)
850 39065001 Burn of ear (disorder)
850 9391002 Open wound of multiple sites of mouth without complication (disorder)
850 74066007 Open wound of mouth without complication (disorder)
850 2.08E+08 Fracture of mandible, closed (disorder)
850 84063009 Traumatic deafness, occupational (disorder)
850 4.05E+08 Traumatic mydriasis (disorder)
850 9501009 Cerebellar laceration with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
850 84111004 Open fracture of zygoma (disorder)
850 84900008 Cerebellar laceration with open intracranial wound AND loss of consciousness (disorder)
850 4.14E+08 Closed, displaced fracture of nasal bone (disorder)
850 9665009 Occupational friction injury of tooth (disorder)
850 4.15E+08 Open, displaced fracture of nasal bone (disorder)
850 47222000 Friction injury of tooth (disorder)
850 53267002 Brain injury without open intracranial wound AND with loss of consciousness (disorder)
850 10061007 Brain stem contusion without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 2.11E+08 Superficial injuries involving head with neck (disorder)
850 29807001 Brain stem contusion without open intracranial wound AND with loss of consciousness (disorder)
850 55885004 Brain injury without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) with return to pre-existing conscious level (disorder)
850 10137002 Burn erythema of chin (disorder)
850 84432000 Deep third degree burn of face, head AND/OR neck with loss of body part (disorder)
850 2.83E+08 Jaw injury (disorder)
850 4.16E+08 Subluxation of corneal flap (disorder)
850 85709009 Deep third degree burn of face, head AND/OR neck (disorder)
850 4.16E+08 Perforating injury of lens (disorder)
850 81116005 Burn of chin (disorder)
850 10256000 Brain stem laceration without open intracranial wound AND with loss of consciousness (disorder)
850 20899000 Brain stem laceration without open intracranial wound (disorder)
850 10662001 Nonvenomous insect bite of face with infection (disorder)
850 2.11E+08 Insect bite, nonvenomous, of head, infected (disorder)
850 2.12E+08 Deep full thickness burn of ear, with loss of body part (disorder)
850 2.11E+08 Insect bite, nonvenomous, of face (disorder)
850 84721004 Concussion with prolonged loss of consciousness without return to pre-existing conscious level (disorder)
850 2.09E+08 Open dislocation of jaw (disorder)
850 2.63E+08 Crushing injury of skull and intracranial contents (disorder)
850 2.12E+08 Crushing injury of skull (disorder)
850 84777002 Dislocation of lacrimal gland (disorder)
850 4.17E+08 Nonperforating scleral wound (disorder)
850 84803006 Cerebellar laceration with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
850 84866000 Superficial injury of cheek with infection (disorder)
850 4.17E+08 Corneal epithelial wound (disorder)
850 2.85E+08 Burn of conjunctiva (disorder)
850 4.17E+08 Penetrating injury of lens (disorder)
850 2.69E+08 Burn confined to eye and adnexa (disorder)
850 10859002 Fracture of ethmoid sinus (disorder)
850 85140006 Superficial foreign body of ear without major open wound AND without infection (disorder)
850 2.12E+08 Chemical burn of eyelid region (disorder)
850 85314006 Cerebellar laceration without open intracranial wound AND with no loss of consciousness (disorder)
850 2.12E+08 Alkaline chemical burn of cornea and conjunctival sac (disorder)
850 4.17E+08 Corneoscleral laceration (disorder)
850 85848002 Corneal abrasion (disorder)
850 2.12E+08 Acid chemical burn of cornea and conjunctival sac (disorder)
850 10920005 Abrasion AND/OR friction burn of lip with infection (disorder)
850 2.32E+08 Chemical injury to cornea (disorder)
850 4.17E+08 Corneal endothelial wound (disorder)
850 2.12E+08 Burn resulting in eyeball rupture and destruction of eyeball (disorder)
850 4.17E+08 Factitious keratitis (disorder)
850 2.12E+08 Corrosion with resulting rupture and destruction of eyeball (disorder)
850 4.19E+08 Corneal wound burn (disorder)
850 2.12E+08 Unspecified thickness burn of nose (disorder)
850 4.19E+08 Chemical keratitis (disorder)
850 2.12E+08 Superficial burn of the eye (disorder)
850 2.12E+08 Superficial burn of lip(s) (disorder)
850 1.12E+08 Abrasion AND/OR friction burn of face with infection (disorder)
850 11386000 Open wound of ear (disorder)
850 2.83E+08 Abrasion of eye region (disorder)
850 11406003 Second degree burn of nose (disorder)
850 22233004 Burn of nose (disorder)
850 2.69E+08 Superficial partial thickness burn of ear (disorder)
850 2.87E+08 Second degree burn of head (disorder)
850 86010003 Brain injury with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
850 2.69E+08 Superficial partial thickness burn of the eye (disorder)
850 2.84E+08 Partial thickness burn of eye (disorder)
850 12193006 Avulsion of eye (disorder)
850 2.69E+08 Superficial partial thickness burn of lip(s) (disorder)
850 41658006 Traumatic enucleation of eye (disorder)
850 2.69E+08 Superficial partial thickness burn of chin (disorder)
850 4.19E+08 Ectopia lentis et pupillae (disorder)
850 4.19E+08 Retinal light toxicity (disorder)
850 12279008 Open wound of cochlea without complication (disorder)
850 86018005 Frostbite of face (disorder)
850 2.63E+08 Injury of inner ear (disorder)
850 22819008 Laceration of brain with open intracranial wound (disorder)
850 2.69E+08 Superficial partial thickness burn of scalp (disorder)
850 1.27E+08 Brain stem laceration (disorder)
850 2.69E+08 Superficial partial thickness burn of forehead (disorder)
850 86125000 Cerebellar contusion with open intracranial wound AND concussion (disorder)
850 4.2E+08 Ruptured Descemet membrane due to birth trauma (disorder)
850 2.69E+08 Superficial partial thickness burn of cheek (disorder)
850 4.22E+08 Simple ectopia lentis (disorder)
850 2.12E+08 Deep partial thickness burn of ear (disorder)
850 2.12E+08 Deep partial thickness burn of the eye (disorder)
850 4.24E+08 Scleral surgical wound burn (disorder)
850 2.12E+08 Deep partial thickness burn of lip(s) (disorder)
850 2.12E+08 Deep partial thickness burn of chin (disorder)
850 4.28E+08 Open undisplaced fracture of nasal bone (disorder)
850 2.12E+08 Deep partial thickness burn of nose (disorder)
850 2.12E+08 Deep partial thickness burn of scalp (disorder)
850 86182004 Extradural hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 2.12E+08 Deep partial thickness burn of forehead (disorder)
850 4.28E+08 Burn of nasal septum (disorder)
850 2.12E+08 Deep partial thickness burn of cheek (disorder)
850 4.28E+08 Closed undisplaced fracture of nasal bone (disorder)
850 4.29E+08 Displaced fracture of mandible (disorder)
850 12779007 Traumatic ulceration of tongue (disorder)
850 4.29E+08 Injury of soft tissue of face (disorder)
850 2.12E+08 Full thickness burn of the eye (disorder)
850 2.83E+08 Injury of tongue (disorder)
850 1.27E+08 Traumatic brain injury with no loss of consciousness (disorder)
850 2.12E+08 Deep full thickness burn of the ear without loss of body part (disorder)
850 4.31E+08 Superficial foreign body in eyelid (disorder)
850 86267000 Concussion with brief loss of consciousness (disorder)
850 13159004 Open wound of auditory canal with complication (disorder)
850 4.32E+08 Open wound of face with foreign body (disorder)
850 2.1E+08 Open wound of auditory canal (disorder)
850 32550009 Open wound of external ear with complication (disorder)
850 4.39E+08 Friction injury of tooth limited to enamel (disorder)
850 13289004 Intracranial hemorrhage following injury with open intracranial wound AND loss of consciousness (disorder)
850 2.12E+08 Deep full thickness burn of the eye without loss of body part (disorder)
850 13616008 Superficial injury of eye AND/OR adnexa (disorder)
850 2.83E+08 Injury of eye region (disorder)
850 2.83E+08 Superficial injury of head (disorder)
850 86559007 Closed fracture of ramus of mandible (disorder)
850 1.27E+08 Traumatic brain injury with loss of consciousness (disorder)
850 86704005 Fracture of anterior fossa (disorder)
850 2.12E+08 Deep full thickness burn of the lip(s) without loss of body part (disorder)
850 2.08E+08 Open subcondylar fracture of mandible (disorder)
850 14169000 Posterior dislocation of lens (disorder)
850 2.12E+08 Deep full thickness burn of the chin without loss of body part (disorder)
850 2.12E+08 Deep full thickness burn of the nose without loss of body part (disorder)
850 2.12E+08 Deep full thickness burn of the scalp without loss of body part (disorder)
850 4.24E+08 Complete luxation of lens (disorder)
850 2.12E+08 Deep full thickness burn of the forehead without loss of body part (disorder)
850 2.12E+08 Deep full thickness burn of the cheek without loss of body part (disorder)
850 87020000 Subarachnoid hemorrhage following injury without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
850 2.12E+08 Deep full thickness burn of the eye, with loss of body part (disorder)
850 2.12E+08 Corrosion of mouth and pharynx (disorder)
850 87253004 Subarachnoid hemorrhage following injury with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
850 14220008 Nonvenomous insect bite of lip without infection (disorder)
850 4.39E+08 Friction injury of tooth extending into pulp (disorder)
850 2.12E+08 Injury of muscle and tendon of head (disorder)
850 4.4E+08 Friction injury of tooth extending into dentine (disorder)
850 14434006 Cerebellar laceration with open intracranial wound AND no loss of consciousness (disorder)
850 30858001 Cerebellar laceration with open intracranial wound (disorder)
850 87492009 Cortex contusion with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
850 14936004 Subdural hemorrhage following injury with open intracranial wound (disorder)
850 2.63E+08 Fracture of upper jaw, closed (disorder)
850 2.1E+08 Dislocation of tooth (disorder)
850 3.99E+08 Closed fracture of superior maxilla (disorder)
850 2.12E+08 Multiple injuries of head (disorder)
850 88008005 Multiple open fractures of skull AND/OR face with cerebral laceration AND/OR contusion (disorder)
850 14997005 Laceration of skin of eyelid AND periocular area (disorder)
850 88180003 Retained magnetic foreign body in multiple sites (disorder)
850 2.83E+08 Laceration of eye region (disorder)
850 3.7E+08 Facial laceration (disorder)
850 2.13E+08 Frostbite with tissue necrosis of head (disorder)
850 88548007 Sinus barotrauma (disorder)
850 4.42E+08 Contusion of infraorbital nerve (disorder)
850 15741007 Closed fracture of palate (disorder)
850 88552007 Non-chemical burn of eyelid AND/OR periocular area (disorder)
850 2.85E+08 Eyelid burn (disorder)
850 88756008 Second degree burn of chin (disorder)
850 3.15E+08 Major head injury (disorder)
850 2.32E+08 Injury to eyelid (disorder)
850 89308006 Open wound of palate with complication (disorder)
850 89424006 Open wound of tongue without complication (disorder)
850 4.31E+08 Closed fracture of facial bone (disorder)
850 2.63E+08 Fracture of palatal process (disorder)
850 4.42E+08 Sprain of ligament of face (disorder)
850 16096002 Chemical burn of eyelid AND/OR periocular area (disorder)
850 71157005 Burn of eye AND/OR adnexa (disorder)
850 2.32E+08 Contusion of eyelid (disorder)
850 89761001 Superficial foreign body of nose without major open wound but with infection (disorder)
850 2.32E+08 Full thickness eyelid laceration (disorder)
850 16319002 Cortex contusion without open intracranial wound AND with concussion (disorder)
850 89762008 Superficial foreign body of lip without major open wound but with infection (disorder)
850 2.32E+08 Full thickness eyelid laceration with lacrimal passage damage (disorder)
850 2.32E+08 Radiation injury of eyelid (disorder)
850 16374002 Open wound of multiple sites of face without complication (disorder)
850 2.1E+08 Multiple open wounds of face (disorder)
850 2.32E+08 Lacrimal punctum burn (disorder)
850 2.63E+08 Injury of external auditory canal (disorder)
850 90165008 Subdural hemorrhage following injury with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
850 2.32E+08 Canalicular laceration (disorder)
850 91012008 Repeated concussion of brain (disorder)
850 2.32E+08 Conjunctivitis artefacta (disorder)
850 91168001 Cerebellar laceration without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 2.32E+08 Conjunctival wound (disorder)
850 2.08E+08 Closed fracture of multiple sites of mandible (disorder)
850 16837005 Brain stem contusion with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 4.42E+08 Strain of muscle of face (disorder)
850 66393002 Brain stem contusion with open intracranial wound AND loss of consciousness (disorder)
850 2.32E+08 Thermal injury to conjunctiva (disorder)
850 4.45E+08 Linear fracture of vault of skull (disorder)
850 2.32E+08 Radiational injury to conjunctiva (disorder)
850 91589002 Closed fracture of base of skull with cerebral laceration AND/OR contusion (disorder)
850 16998003 Open wound of ocular adnexa (disorder)
850 1.12E+08 Closed fracture of base of skull with intracranial injury (disorder)
850 1.29E+08 Injury of ocular adnexa (disorder)
850 1.12E+08 Wound of ocular adnexa (disorder)
850 91843000 Friction injury of tooth secondary to deleterious oral practices (disorder)
850 17169009 Cerebellar contusion without open intracranial wound AND with loss of consciousness (disorder)
850 2.32E+08 Chemical injury to conjunctiva (disorder)
850 57739006 Cerebellar contusion without open intracranial wound (disorder)
850 3.15E+08 Burn of anterior eyeball segment (disorder)
850 17198008 Nonvenomous insect bite of ear with infection (disorder)
850 2.32E+08 Perforating scleral wound (disorder)
850 95221007 Radiation retinopathy (disorder)
850 2.32E+08 Perforating corneoscleral wound (disorder)
850 2.32E+08 Scleral rupture (disorder)
850 2.32E+08 Burn of sclera (disorder)
850 2.32E+08 Radiational injury of sclera (disorder)
850 2.32E+08 Concussional injury of cornea (disorder)
850 2.83E+08 Insect bite of ear region (disorder)
850 95306003 Traumatic perforation of pharynx (disorder)
850 2.32E+08 Nonperforating wound of cornea (disorder)
850 2.32E+08 Injury of iris and ciliary body (disorder)
850 95718009 Rupture of lens (disorder)
850 2.32E+08 Traumatic iris atrophy (disorder)
850 95725002 Corneal laceration (disorder)
850 17494000 Superficial injury of scalp without infection (disorder)
850 2.32E+08 Tears of iris stroma (disorder)
850 2.74E+08 Superficial injury of scalp (disorder)
850 17498002 Cortex contusion without open intracranial wound AND with loss of consciousness (disorder)
850 17562007 Deep third degree burn of ear (disorder)
850 36520004 Third degree burn of ear (disorder)
850 2.32E+08 Tear of iris root (disorder)
850 17667005 Intracranial hemorrhage following injury without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
850 22693008 Brain injury without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
850 17771000 Burn of face AND/OR head (disorder)
850 2.63E+08 Head burn (disorder)
850 17819003 Brain stem laceration without open intracranial wound AND with concussion (disorder)
850 2.32E+08 Traumatic aniridia (disorder)
850 18080005 Superficial foreign body of scalp without major open wound but with infection (disorder)
850 2.32E+08 Traumatic cyclodialysis (disorder)
850 26492007 Superficial injury of scalp with infection (disorder)
850 18139000 Fracture of fissure of tooth (disorder)
850 36202009 Fracture of tooth (disorder)
850 95762000 Laceration of third eyelid (disorder)
850 2.32E+08 Concussion cataract (disorder)
850 4.18E+08 Conjunctival laceration (disorder)
850 95799000 Scleral laceration (disorder)
850 2.32E+08 Cataract following rupture of capsule (disorder)
850 2.32E+08 Injury of sclera (disorder)
850 2.32E+08 Spontaneous subluxation of lens (disorder)
850 2.1E+08 Open wound of mouth floor with complication (disorder)
850 2.32E+08 Traumatic subluxation of lens (disorder)
850 2.32E+08 Spontaneous dislocation of lens (disorder)
850 95817008 Labyrinthine concussion (disorder)
850 2.32E+08 Traumatic dislocation of lens (disorder)
850 2.32E+08 Vestibular trauma (disorder)
850 18531006 Brain stem laceration without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
850 47450003 Brain injury without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
850 18605003 Intracranial hemorrhage following injury with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
850 95848000 Injury of head with otorrhagia (disorder)
850 95850008 Depressed fracture of skull (disorder)
850 2.08E+08 Closed fracture of symphysis of body of mandible (disorder)
850 2.32E+08 Laser coagulation burn to retina (disorder)
850 95861000 Vertigo preceded by head injury (disorder)
850 2.32E+08 Cryotherapy burn to retina (disorder)
850 2.08E+08 Open fracture of coronoid process of mandible (disorder)
850 2.12E+08 Full thickness burn of lip(s) (disorder)
850 2.32E+08 Purtscher's retinopathy (disorder)
850 19210000 Brain stem laceration with open intracranial wound AND no loss of consciousness (disorder)
850 1.09E+08 Osteoradionecrosis of the frontal bone (disorder)
850 1.28E+08 Osteoradionecrosis of bone of skull (disorder)
850 82344002 Cerebellar contusion with open intracranial wound (disorder)
850 19345005 Avulsion of lip (disorder)
850 1.09E+08 Osteoradionecrosis of the zygomatic bone (disorder)
850 1.09E+08 Osteoradionecrosis of the sphenoid bone (disorder)
850 1.1E+08 Avulsion of circumoral region of face (disorder)
850 19491003 Injury of nose (disorder)
850 1.09E+08 Osteoradionecrosis of the temporal bone (disorder)
850 2.32E+08 Intraocular foreign body in vitreous (disorder)
850 1.09E+08 Osteoradionecrosis of the nasal-orbital complex (disorder)
850 2.86E+08 Injury of vitreous body (disorder)
850 3.98E+08 Dental trauma (disorder)
850 2.32E+08 Osteoradionecrosis of external auditory canal (disorder)
850 1.1E+08 Abrasion of neck of tooth (disorder)
850 20158009 Open fracture of ramus of mandible (disorder)
850 23611004 Open fracture of mandible (disorder)
850 2.32E+08 Traumatic hemotympanum (disorder)
850 20167009 Cortex laceration without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 1.1E+08 Malocclusion due to intraoral soft tissue chewing (disorder)
850 20509003 Open wound of lip with complication (disorder)
850 1.1E+08 Extrusive luxation of tooth (disorder)
850 2.32E+08 Barotraumatic Eustachian tube dysfunction (disorder)
850 1.1E+08 Occlusal trauma (disorder)
850 2.1E+08 Open wound of lip (disorder)
850 1.1E+08 Primary occlusal trauma (disorder)
850 1.1E+08 Secondary occlusal trauma (disorder)
850 20638007 Nonvenomous insect bite of scalp without infection (disorder)
850 2.84E+08 Animal bite of scalp (disorder)
850 1.1E+08 Localized secondary occlusal trauma (disorder)
850 20714001 Multiple open fractures of skull AND/OR face without intracranial injury (disorder)
850 4.19E+08 Fracture of bone of head (disorder)
850 1.1E+08 Fracture of migrated tooth (disorder)
850 20842008 Luxation of eye (disorder)
850 1.1E+08 Lateral luxation of tooth (disorder)
850 55702009 Laceration of brain without open intracranial wound (disorder)
850 20945009 Burn erythema of face AND/OR head (disorder)
850 1.1E+08 Intrusive luxation of tooth (disorder)
850 21051006 Open wound of eyebrow without complication (disorder)
850 1.1E+08 Fracture of dental root (disorder)
850 73973007 Open wound of forehead without complication (disorder)
850 1.1E+08 Osteoradionecrosis of the maxilla (disorder)
850 2.1E+08 Open wound of eyebrow (disorder)
850 1.1E+08 Osteoradionecrosis of the mandible (disorder)
850 21549001 Superficial laceration of cornea (disorder)
850 4.28E+08 Injury of mandible (disorder)
850 2.32E+08 Laceration of globe of eye (disorder)
850 1.1E+08 Concussion of tooth (disorder)
850 2.63E+08 Superficial laceration of head (disorder)
850 62635000 Superficial injury of cornea (disorder)
850 1.1E+08 Cracked tooth (disorder)
850 2.84E+08 Injury of dental structures (disorder)
850 1.1E+08 Cracked crown (disorder)
850 4.18E+08 Contusion of ocular adnexa and periocular tissues (disorder)
850 1.1E+08 Cracked root (disorder)
850 3.67E+08 Contusion of eye (disorder)
850 2.11E+08 Contusion of globe of eye (disorder)
850 1.1E+08 Fracture of crown of tooth, enamel only (disorder)
850 4.16E+08 Contusion of eye AND ocular adnexa (disorder)
850 22045003 Second degree burn of scalp (disorder)
850 1.1E+08 Fracture of crown of tooth, enamel and dentin, without pulp exposure (disorder)
850 22075008 Snow blindness (disorder)
850 2.63E+08 Uncomplicated tooth crown fracture (disorder)
850 2.32E+08 Traumatic ossicular dislocation (disorder)
850 1.1E+08 Fracture of crown of tooth, enamel and dentin, with pulp exposure (disorder)
850 2.32E+08 Longitudinal fracture of temporal bone (disorder)
850 2.32E+08 Transverse fracture of temporal bone (disorder)
850 2.79E+08 Tooth crown fracture (disorder)
850 2.32E+08 Complex fracture of temporal bone (disorder)
850 2.32E+08 Vestibular barotrauma (disorder)
850 2.63E+08 Burn of face (disorder)
850 1.1E+08 Fracture of crown and root of tooth (disorder)
850 22383006 Closed fracture of vault of skull with cerebral laceration AND/OR contusion (disorder)
850 1.1E+08 Fracture of cusp of tooth during masticatory loading (disorder)
850 2.32E+08 Concussive cochlear trauma (disorder)
850 2.32E+08 Cochlear barotrauma (disorder)
850 1.1E+08 Horizontal fracture of tooth (disorder)
850 1.1E+08 Horizontal fracture of middle third of root of tooth (disorder)
850 2.08E+08 Closed fracture vault of skull with intracranial injury (disorder)
850 88651008 Closed skull fracture with cerebral laceration AND/OR contusion (disorder)
850 1.1E+08 Horizontal fracture of cervical third of root of tooth (disorder)
850 48466003 Fracture of vault of skull (disorder)
850 1.1E+08 Horizontal fracture of apical third of root of tooth (disorder)
850 22562004 Contusion of scalp (disorder)
850 2.12E+08 Scalp injury (disorder)
850 2.63E+08 Bruise of head (disorder)
850 1.1E+08 Fracture of root of tooth at bifurcation (disorder)
850 1.27E+08 Traumatic brain injury with brief loss of consciousness (disorder)
850 1.1E+08 Multiple root fractures (disorder)
850 78914008 Laceration of brain (disorder)
850 1.1E+08 Vertical fracture of root of tooth (disorder)
850 22825007 Cerebellar contusion with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 23026001 Brain stem contusion with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
850 23293006 Rupture of eye with partial loss of intraocular tissue (disorder)
850 85100000 Open wound of eyeball (disorder)
850 23415000 Sprain of jaw (disorder)
850 1.1E+08 Bednar's aphthae (disorder)
850 2.63E+08 Fracture of mandible (disorder)
850 1.1E+08 Abrasion of hard palate (disorder)
850 2.32E+08 Traumatic epistaxis (disorder)
850 1.1E+08 Decapitation (disorder)
850 1.1E+08 Closed fracture of zygomatic tripod (disorder)
850 2.32E+08 Fractured nasal septum (disorder)
850 1.1E+08 Open fracture of zygomatic tripod (disorder)
850 2.32E+08 Traumatic nasal septal perforation (disorder)
850 23632007 Open wound of auricle of ear without complication (disorder)
850 2.1E+08 Open wound of external ear (disorder)
850 1.1E+08 Closed fracture of orbital portion of zygomatic bone (disorder)
850 38055001 Open wound of external ear without complication (disorder)
850 23713006 Contusion of cerebral cortex (disorder)
850 1.1E+08 Open fracture of orbital portion of zygomatic bone (disorder)
850 2.63E+08 Contusion of cerebrum (disorder)
850 24056002 Multiple closed fractures of skull AND/OR face with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
850 4.31E+08 Closed wound of head (disorder)
850 1.1E+08 Closed fracture of alveolar ridge of maxilla (disorder)
850 24063002 Fracture of base of skull (disorder)
850 2.32E+08 Traumatic stenosis of pharynx (disorder)
850 1.1E+08 Closed horizontal fracture of maxilla (disorder)
850 24087000 Burn of gum (disorder)
850 1.1E+08 Closed pyramidal fracture of maxilla (disorder)
850 2.87E+08 Burn of oral cavity (disorder)
850 1.1E+08 Complete closed fracture of maxilla (disorder)
850 87177002 Burn of mouth (disorder)
850 24379005 Burn of forehead AND/OR cheek (disorder)
850 1.1E+08 Open fracture of alveolar ridge of maxilla (disorder)
850 24457001 Superficial injury of ear with infection (disorder)
850 1.1E+08 Open horizontal fracture of maxilla (disorder)
850 1.1E+08 Open pyramidal fracture of maxilla (disorder)
850 2.83E+08 Superficial injury of ear region (disorder)
850 1.1E+08 Complete open fracture of maxilla (disorder)
850 24578001 Superficial foreign body of cheek without major open wound but with infection (disorder)
850 1.1E+08 Simple periorbital laceration (disorder)
850 1.1E+08 Contaminated simple periorbital laceration (disorder)
850 2.34E+08 Anterior spinal artery rupture (disorder)
850 1.1E+08 Complex periorbital laceration (disorder)
850 1.1E+08 Contaminated complex periorbital laceration (disorder)
850 1.1E+08 Avulsion of periorbital region (disorder)
850 2.63E+08 Injury of anterior spinal artery (disorder)
850 1.1E+08 Simple laceration of cheek (disorder)
850 2.83E+08 Laceration of cheek (disorder)
850 2.35E+08 Chemical burn of oral mucosa (disorder)
850 1.1E+08 Contaminated simple laceration of cheek (disorder)
850 2.35E+08 Temporomandibular joint dislocation - non-traumatic (disorder)
850 1.1E+08 Complex laceration of cheek (disorder)
850 1.1E+08 Contaminated complex laceration of cheek (disorder)
850 33628006 Superficial foreign body of face without major open wound but with infection (disorder)
850 1.1E+08 Avulsion of cheek (disorder)
850 1.1E+08 Simple laceration of malar region of cheek (disorder)
850 25185004 Cerebellar contusion with open intracranial wound AND no loss of consciousness (disorder)
850 1.1E+08 Contaminated simple laceration of malar region of cheek (disorder)
850 25257007 Cortex contusion with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
850 1.1E+08 Complex laceration of malar region of cheek (disorder)
850 81412002 Cortex contusion with open intracranial wound AND loss of consciousness (disorder)
850 1.1E+08 Contaminated complex laceration of malar region of cheek (disorder)
850 25312001 Open wound of multiple sites of face with complication (disorder)
850 3.61E+08 Avulsion of malar region of cheek (disorder)
850 25424007 Fracture of frontal bone (disorder)
850 3.61E+08 Avulsion of zygomatic region of cheek (disorder)
850 2.35E+08 Injury of salivary gland (disorder)
850 2.84E+08 Injury of salivary apparatus (disorder)
850 1.1E+08 Simple laceration of preauricular region of face (disorder)
850 2.83E+08 Laceration of ear region (disorder)
850 1.1E+08 Contaminated simple laceration of preauricular region of face (disorder)
850 25471001 Superficial injury of ear without infection (disorder)
850 1.1E+08 Complex laceration of preauricular region of face (disorder)
850 25689009 Cortex laceration without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
850 1.1E+08 Contaminated complex laceration of preauricular region of face (disorder)
850 1.1E+08 Avulsion of preauricular region of face (disorder)
850 25952008 Impaired mobility of ear ossicles, except malleus (disorder)
850 1.1E+08 Simple laceration of circumoral region of face (disorder)
850 87040007 Dislocation of ear ossicles (disorder)
850 1.1E+08 Contaminated simple laceration of circumoral region of face (disorder)
850 1.1E+08 Complex laceration of circumoral region of face (disorder)
850 26301007 Open wound of ear drum with complication (disorder)
850 1.1E+08 Contaminated complex laceration of circumoral region of face (disorder)
850 2.69E+08 Open wound of eardrum (disorder)
850 1.1E+08 Simple laceration of forehead (disorder)
850 26422002 Open wound of buccal mucosa without complication (disorder)
850 2.83E+08 Laceration of forehead (disorder)
850 1.1E+08 Contaminated simple laceration of forehead (disorder)
850 62104005 Open wound of cheek without complication (disorder)
850 1.1E+08 Complex laceration of forehead (disorder)
850 26652002 Abrasion AND/OR friction burn of scalp with infection (disorder)
850 1.1E+08 Contaminated complex laceration of forehead (disorder)
850 2.35E+08 Injury of salivary duct (disorder)
850 1.1E+08 Avulsion of forehead (disorder)
850 2.83E+08 Injury of forehead (disorder)
850 1.1E+08 Simple laceration of auricle of ear (disorder)
850 1.1E+08 Contaminated simple laceration of auricle of ear (disorder)
850 2.11E+08 Abrasion or friction burn of head, infected (disorder)
850 1.1E+08 Complex laceration of auricle of ear (disorder)
850 27160009 Habitual friction injury of tooth (disorder)
850 1.1E+08 Contaminated complex laceration of auricle of ear (disorder)
850 2.63E+08 Abrasion of oral cavity (disorder)
850 1.1E+08 Avulsion of auricle of ear (disorder)
850 27477003 Fracture of face bones (disorder)
850 1.1E+08 Simple laceration of scalp (disorder)
850 2.74E+08 Scalp laceration (disorder)
850 27644009 Closed fracture of base of skull without intracranial injury (disorder)
850 1.1E+08 Contaminated simple laceration of scalp (disorder)
850 1.1E+08 Complex laceration of scalp (disorder)
850 4.28E+08 Closed fracture of base of skull (disorder)
850 1.1E+08 Contaminated complex laceration of scalp (disorder)
850 77295000 Closed skull fracture without intracranial injury (disorder)
850 1.1E+08 Avulsion of scalp (disorder)
850 1.1E+08 Simple laceration of nose (disorder)
850 1.27E+08 Traumatic brain injury with prolonged loss of consciousness (disorder)
850 3.74E+08 Laceration of nose (disorder)
850 2.12E+08 Deep full thickness burn of nose, with loss of body part (disorder)
850 1.1E+08 Contaminated simple laceration of nose (disorder)
850 1.1E+08 Complex laceration of nose (disorder)
850 2.08E+08 Open fracture of mandible, angle of jaw (disorder)
850 1.1E+08 Contaminated complex laceration of nose (disorder)
850 1.1E+08 Avulsion of nose (disorder)
850 1.1E+08 Simple laceration of chin (disorder)
850 2.38E+08 Friction alopecia (disorder)
850 1.1E+08 Contaminated simple laceration of chin (disorder)
850 2.38E+08 Wig friction (disorder)
850 1.1E+08 Complex laceration of chin (disorder)
850 1.1E+08 Contaminated complex laceration of chin (disorder)
850 1.1E+08 Avulsion of chin (disorder)
850 1.1E+08 Avulsion of mandible (disorder)
850 1.1E+08 Avulsion of maxilla (disorder)
850 28155008 Extradural hemorrhage following injury with open intracranial wound AND concussion (disorder)
850 1.1E+08 Simple laceration of tongue (disorder)
850 65189006 Extradural hemorrhage following injury with open intracranial wound (disorder)
850 78879009 Intracranial hemorrhage following injury with open intracranial wound AND concussion (disorder)
850 2.42E+08 Descent barotrauma of sinuses (disorder)
850 2.74E+08 Superficial injury of face (disorder)
850 2.42E+08 Blast injury to ears (disorder)
850 2.87E+08 Laceration of tongue (disorder)
850 1.1E+08 Contaminated simple laceration of tongue (disorder)
850 1.1E+08 Complex laceration of tongue (disorder)
850 2.47E+08 Corneal stromal wound (disorder)
850 1.1E+08 Contaminated complex laceration of tongue (disorder)
850 1.1E+08 Avulsion of tongue (disorder)
850 1.1E+08 Simple laceration of floor of mouth (disorder)
850 28534004 Spastic paralysis due to intracranial birth injury (disorder)
850 2.75E+08 Laceration of floor of mouth (disorder)
850 28883007 Superficial foreign body of ear without major open wound but with infection (disorder)
850 1.1E+08 Contaminated simple laceration of floor of mouth (disorder)
850 1.1E+08 Complex laceration of floor of mouth (disorder)
850 2.48E+08 Sun-damaged skin on face (disorder)
850 1.1E+08 Contaminated complex laceration of floor of mouth (disorder)
850 28946006 Retained magnetic foreign body in iris AND/OR ciliary body (disorder)
850 2.49E+08 Nasal septal caudal dislocation (disorder)
850 1.1E+08 Avulsion of floor of mouth (disorder)
850 29256009 Open wound of lip without complication (disorder)
850 29264003 Closed fracture of base of skull with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
850 2.83E+08 Laceration of lip (disorder)
850 58020007 Closed skull fracture with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
850 1.1E+08 Simple laceration of labial mucosa (disorder)
850 2.63E+08 Laceration of oral alveolar mucosa (disorder)
850 29635000 Subdural hemorrhage following injury with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
850 2.63E+08 Laceration of intraoral surface of lip (disorder)
850 45659008 Subdural hemorrhage following injury with open intracranial wound AND loss of consciousness (disorder)
850 1.1E+08 Contaminated simple laceration of labial mucosa (disorder)
850 2.63E+08 Abrasion of intraoral surface of lip (disorder)
850 1.1E+08 Complex laceration of labial mucosa (disorder)
850 2.63E+08 Abrasion of oral alveolar mucosa (disorder)
850 2.83E+08 Laceration of oral cavity (disorder)
850 1.1E+08 Contaminated complex laceration of labial mucosa (disorder)
850 52888005 Brain stem contusion without open intracranial wound (disorder)
850 30031007 Cerebellar laceration without open intracranial wound (disorder)
850 1.1E+08 Avulsion of labial mucosa (disorder)
850 2.63E+08 Contusion of palate (disorder)
850 1.1E+08 Simple laceration of buccal mucosa (disorder)
850 1.27E+08 Cerebellar laceration (disorder)
850 2.63E+08 Laceration of buccal mucosa (disorder)
850 30371007 Open fracture of base of skull with cerebral laceration AND contusion (disorder)
850 1.1E+08 Contaminated simple laceration of buccal mucosa (disorder)
850 1.12E+08 Open fracture of base of skull with intracranial injury (disorder)
850 1.1E+08 Complex laceration of buccal mucosa (disorder)
850 2.63E+08 Laceration of cerebrum (disorder)
850 1.1E+08 Contaminated complex laceration of buccal mucosa (disorder)
850 30715007 Burn of tongue (disorder)
850 1.1E+08 Avulsion of buccal mucosa (disorder)
850 30742008 Abrasion AND/OR friction burn of nose without infection (disorder)
850 2.1E+08 Hind brain laceration with open intracranial wound (disorder)
850 1.1E+08 Simple laceration of mandibular vestibule (disorder)
850 1.1E+08 Contaminated simple laceration of mandibular vestibule (disorder)
850 2.63E+08 Contusion of intraoral surface of lip (disorder)
850 1.1E+08 Complex laceration of mandibular vestibule (disorder)
850 1.1E+08 Contaminated complex laceration of mandibular vestibule (disorder)
850 2.63E+08 Contusion of oral alveolar mucosa (disorder)
850 1.1E+08 Avulsion of mandibular vestibule (disorder)
850 2.63E+08 Bruising of oral cavity (disorder)
850 1.1E+08 Simple laceration of maxillary vestibule (disorder)
850 1.1E+08 Contaminated simple laceration of maxillary vestibule (disorder)
850 2.63E+08 Bruise of tongue (disorder)
850 1.1E+08 Complex laceration of maxillary vestibule (disorder)
850 2.63E+08 Penetrating injury of oral cavity (disorder)
850 1.1E+08 Contaminated complex laceration of maxillary vestibule (disorder)
850 2.63E+08 Penetrating injury of palate (disorder)
850 1.1E+08 Avulsion of maxillary vestibule (disorder)
850 1.1E+08 Simple laceration of mandibular attached gingiva (disorder)
850 2.87E+08 Laceration of gingivae (disorder)
850 1.1E+08 Contaminated simple laceration of mandibular attached gingiva (disorder)
850 30888005 Blister of gum with infection (disorder)
850 30972006 Open wound of nose without complication (disorder)
850 1.1E+08 Complex laceration of mandibular attached gingiva (disorder)
850 2.1E+08 Open wound of nose (disorder)
850 1.1E+08 Contaminated complex laceration of mandibular attached gingiva (disorder)
850 2.63E+08 Penetrating injury of gingivae (disorder)
850 1.1E+08 Avulsion of mandibular attached gingiva (disorder)
850 2.63E+08 Injury of periodontal tissue (disorder)
850 1.1E+08 Simple laceration of maxillary attached gingiva (disorder)
850 2.63E+08 Penetrating injury of tongue (disorder)
850 31187005 Closed fracture of zygomatic arch (disorder)
850 2.63E+08 Penetrating injury of floor of mouth (disorder)
850 1.1E+08 Contaminated simple laceration of maxillary attached gingiva (disorder)
850 1.1E+08 Complex laceration of maxillary attached gingiva (disorder)
850 31607006 Open wound of alveolar process without complication (disorder)
850 1.1E+08 Contaminated complex laceration of maxillary attached gingiva (disorder)
850 74058003 Open wound of jaw without complication (disorder)
850 31717008 Deep third degree burn of nose (disorder)
850 2.63E+08 Penetrating injury of buccal mucosa (disorder)
850 1.1E+08 Avulsion of maxillary attached gingiva (disorder)
850 1.1E+08 Simple laceration of hard palate (disorder)
850 89614009 Third degree burn of nose (disorder)
850 2.87E+08 Laceration of palate (disorder)
850 2.63E+08 Penetrating injury of intraoral surface of lip (disorder)
850 1.1E+08 Contaminated simple laceration of hard palate (disorder)
850 2.63E+08 Penetrating injury of oral alveolar mucosa (disorder)
850 1.1E+08 Complex laceration of hard palate (disorder)
850 1.1E+08 Contaminated complex laceration of hard palate (disorder)
850 2.82E+08 Laceration of pharynx (disorder)
850 31869009 Superficial foreign body of nose without major open wound AND without infection (disorder)
850 1.1E+08 Avulsion of hard palate (disorder)
850 1.1E+08 Simple laceration of soft palate (disorder)
850 2.63E+08 Bruising of oropharynx (disorder)
850 2.63E+08 Penetrating injury of oropharynx (disorder)
850 3.98E+08 Laceration of nasopharynx (disorder)
850 31957000 Superficial injury of nose without infection (disorder)
850 2.63E+08 Laceration of oropharynx (disorder)
850 2.83E+08 Superficial injury of nose (disorder)
850 1.1E+08 Contaminated simple laceration of soft palate (disorder)
850 90768003 Contusion of brain without open intracranial wound (disorder)
850 32124004 Laceration of eyelid, full-thickness, not involving lacrimal passages (disorder)
850 2.63E+08 Injury of nasal cavity and sinuses (disorder)
850 1.1E+08 Complex laceration of soft palate (disorder)
850 2.63E+08 Burst lobe of brain (disorder)
850 2.63E+08 Traumatic generalized cerebral edema (disorder)
850 1.1E+08 Complex laceration of oropharynx (disorder)
850 1.1E+08 Contaminated complex laceration of soft palate (disorder)
850 2.32E+08 Laceration of eyelid (disorder)
850 1.1E+08 Contaminated complex laceration of oropharynx (disorder)
850 32200003 Superficial foreign body of gum without major open wound AND without infection (disorder)
850 1.1E+08 Avulsion of soft palate (disorder)
850 32415004 Cerebellar contusion without open intracranial wound AND with concussion (disorder)
850 2.63E+08 Traumatic focal cerebral edema (disorder)
850 33056002 Deep third degree burn of chin (disorder)
850 1.1E+08 Avulsion of oropharynx (disorder)
850 73545001 Third degree burn of chin (disorder)
850 33117006 Cerebellar contusion without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 2.63E+08 Traumatic dislocation of ossicular prosthesis (disorder)
850 2.63E+08 Radiation middle ear effusion (disorder)
850 33727006 Friction injury of tooth due to dentifrice (disorder)
850 2.63E+08 Contusion of salivary gland (disorder)
850 33799001 Ocular laceration without prolapse of intraocular tissue (disorder)
850 65759007 Injury of mouth (disorder)
850 2.63E+08 Fragmentation of salivary gland (disorder)
850 2.63E+08 Injury of lens (disorder)
850 2.63E+08 Laceration of salivary gland (disorder)
850 34501004 Intracranial hemorrhage following injury with intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
850 2.63E+08 Injury of salivary gland papilla (disorder)
850 1.27E+08 Traumatic brain injury with moderate loss of consciousness (disorder)
850 2.63E+08 Tear of salivary duct (disorder)
850 34622000 Temporomandibular subluxation (disorder)
850 3.03E+08 Dislocation of temporomandibular joint (disorder)
850 2.63E+08 Transection of salivary duct (disorder)
850 2.63E+08 Fracture of midfacial bones (disorder)
850 34663006 Contusion of brain (disorder)
850 2.63E+08 Transection of vertebral artery (disorder)
850 1.1E+08 Simple laceration of tonsil (disorder)
850 34751006 Cerebellar laceration without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
850 1.1E+08 Contaminated simple laceration of tonsil (disorder)
850 1.1E+08 Complex laceration of tonsil (disorder)
850 90429009 Cerebellar laceration without open intracranial wound AND with loss of consciousness (disorder)
850 1.1E+08 Contaminated complex laceration of tonsil (disorder)
850 34813004 Fracture of posterior fossa (disorder)
850 1.1E+08 Avulsion of tonsil (disorder)
850 35447004 Burn of pharynx (disorder)
850 1.1E+08 Simple laceration of oropharynx (disorder)
850 2.87E+08 Third degree burn of head (disorder)
850 36716000 Brain stem contusion without open intracranial wound AND with no loss of consciousness (disorder)
850 1.1E+08 Contaminated simple laceration of oropharynx (disorder)
850 2.63E+08 Injury of oropharynx (disorder)
850 79228001 Brain injury without open intracranial wound AND with no loss of consciousness (disorder)
850 1.1E+08 Abrasion of buccal mucosa (disorder)
850 36822000 Cortex contusion without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 1.1E+08 Abrasion of maxillary vestibule (disorder)
850 1.1E+08 Abrasion of mandibular vestibule (disorder)
850 2.08E+08 Closed fracture of coronoid process of mandible (disorder)
850 1.1E+08 Abrasion of maxillary attached gingiva (disorder)
850 37027003 Le Fort's fracture, type III (disorder)
850 1.1E+08 Abrasion of mandibular attached gingiva (disorder)
850 48407005 Le Fort's fracture (disorder)
850 1.1E+08 Abrasion of floor of mouth (disorder)
850 37283009 Anterior dislocation of lens (disorder)
850 37384000 Birth injury to scalp (disorder)
850 1.1E+08 Superficial injury of palate (disorder)
850 2.63E+08 Abrasion of palate (disorder)
850 37533000 Open wound of cochlea with complication (disorder)
850 1.1E+08 Abrasion of soft palate (disorder)
850 2.1E+08 Open wound of cochlea (disorder)
850 2.08E+08 Open fracture of mandible, condylar process (disorder)
850 1.1E+08 Abrasion of oropharynx (disorder)
850 2.84E+08 Partial thickness burn of lip (disorder)
850 1.1E+08 Abrasion of tonsil (disorder)
850 1.1E+08 Abrasion of tongue (disorder)
850 37795008 Penetrating wound of orbit proper without foreign body (disorder)
850 2.32E+08 Penetrating wound of orbit proper (disorder)
850 1.1E+08 Abrasion of forehead (disorder)
850 37911007 Ocular laceration with prolapse AND/OR exposure of intraocular tissue (disorder)
850 2.11E+08 Abrasion of face (disorder)
850 38372004 Injury of eyebrow (disorder)
850 1.1E+08 Abrasion of periorbital region of face (disorder)
850 38567007 Fracture of orbital roof (disorder)
850 95851007 Fracture of orbit (disorder)
850 1.1E+08 Abrasion of zygomatic region of face (disorder)
850 38761006 Brain stem contusion without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
850 1.1E+08 Abrasion of circumoral region of face (disorder)
850 38906007 Open wound of gum without complication (disorder)
850 1.1E+08 Abrasion of chin (disorder)
850 2.1E+08 Open wound of gum (disorder)
850 1.1E+08 Abrasion of preauricular region of face (disorder)
850 38916004 Alkaline chemical burn of cornea AND/OR conjunctival sac (disorder)
850 2.83E+08 Abrasion of ear region (disorder)
850 39020005 Brain injury, without skull fracture (disorder)
850 54355006 Intracranial injury, without skull fracture (disorder)
850 1.1E+08 Burn of periorbital region (disorder)
850 2.63E+08 Transection of anterior spinal artery (disorder)
850 1.1E+08 Burn erythema of periorbital region (disorder)
850 1.1E+08 Second degree burn of periorbital region (disorder)
850 2.63E+08 Recurrent dislocation of temporomandibular joint (disorder)
850 1.29E+08 Crushing injury of pharynx (disorder)
850 2.63E+08 Dislocation of atlanto-occipital joint (disorder)
850 1.1E+08 Third degree burn of periorbital region (disorder)
850 1.1E+08 Burn of preauricular region of face (disorder)
850 40194002 Superficial injury of lip without infection (disorder)
850 1.1E+08 Burn erythema of preauricular region of face (disorder)
850 1.1E+08 Second degree burn of preauricular region of face (disorder)
850 2.63E+08 Recurrent subluxation of temporomandibular joint (disorder)
850 1.1E+08 Third degree burn of preauricular region of face (disorder)
850 2.63E+08 Fracture dislocation of temporomandibular joint (disorder)
850 40286002 Cortex contusion without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 1.1E+08 Burn erythema of circumoral region (disorder)
850 40613008 Open fracture of nasal bones (disorder)
850 1.1E+08 Second degree burn of circumoral region (disorder)
850 2.63E+08 Fractured nasal bones (disorder)
850 1.1E+08 Third degree burn of circumoral region (disorder)
850 41025001 Brain stem laceration with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
850 1.1E+08 Burn of forehead (disorder)
850 1.1E+08 Burn erythema of forehead (disorder)
850 41222005 Brain stem laceration with open intracranial wound AND concussion (disorder)
850 1.1E+08 Second degree burn of forehead (disorder)
850 41445001 Retinal damage (disorder)
850 2.63E+08 Injury of retina (disorder)
850 1.1E+08 Burn of cheek (disorder)
850 41783004 Traumatic anosmia (disorder)
850 1.1E+08 Burn erythema of cheek (disorder)
850 72758005 Injury of olfactory nerve (disorder)
850 1.1E+08 Second degree burn of cheek (disorder)
850 1.1E+08 Burn of buccal mucosa (disorder)
850 59748008 Cortex laceration with open intracranial wound (disorder)
850 1.1E+08 Burn erythema of buccal mucosa (disorder)
850 1.26E+08 Contusion of ocular adnexa (disorder)
850 42066004 Second degree burn of ear (disorder)
850 1.1E+08 Second degree burn of buccal mucosa (disorder)
850 1.1E+08 Third degree burn of buccal mucosa (disorder)
850 2.63E+08 Injury of meniscus of temporomandibular joint (disorder)
850 2.63E+08 Sphenoid sinus fracture (disorder)
850 1.1E+08 Burn of labial mucosa (disorder)
850 1.1E+08 Burn erythema of labial mucosa (disorder)
850 90316008 Ritual friction injury of tooth (disorder)
850 1.1E+08 Second degree burn of labial mucosa (disorder)
850 42261000 Fracture of middle fossa (disorder)
850 1.1E+08 Third degree burn of labial mucosa (disorder)
850 42670008 Brain stem contusion with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 1.1E+08 Burn of maxillary vestibule (disorder)
850 42697001 Contusion of orbital tissues (disorder)
850 2.63E+08 Cribriform plate fracture (disorder)
850 1.1E+08 Burn erythema of maxillary vestibule (disorder)
850 1.1E+08 Second degree burn of maxillary vestibule (disorder)
850 2.63E+08 Petrous bone fracture (disorder)
850 1.1E+08 Third degree burn of maxillary vestibule (disorder)
850 2.63E+08 Fracture of frontonasoethmoidal complex (disorder)
850 1.1E+08 Burn of mandibular vestibule (disorder)
850 2.63E+08 Fracture of frontonasoethmoidal complex with increased intercanthal distance (disorder)
850 1.1E+08 Burn erythema of mandibular vestibule (disorder)
850 2.63E+08 Fracture of maxillary alveolar bone (disorder)
850 1.1E+08 Second degree burn of mandibular vestibule (disorder)
850 2.63E+08 Total fracture of maxillary alveolus (disorder)
850 1.1E+08 Third degree burn of mandibular vestibule (disorder)
850 1.1E+08 Burn of maxillary attached gingiva (disorder)
850 2.63E+08 Partial fracture of maxillary alveolus (disorder)
850 2.63E+08 Injury of orbit proper (disorder)
850 42744004 Broken tooth without complication (disorder)
850 1.1E+08 Burn erythema of maxillary attached gingiva (disorder)
850 2.1E+08 Cortex contusion with open intracranial wound, with more than 24 hours loss of consciousness without return to pre-existing conscious level (disorder)
850 1.1E+08 Second degree burn of maxillary attached gingiva (disorder)
850 43262000 Subdural hemorrhage following injury with open intracranial wound AND concussion (disorder)
850 1.1E+08 Third degree burn of maxillary attached gingiva (disorder)
850 2.63E+08 Fracture of maxillary tuberosity (disorder)
850 1.1E+08 Burn of mandibular attached gingiva (disorder)
850 2.63E+08 Fracture of maxillary alveolar socket wall (disorder)
850 1.1E+08 Burn erythema of mandibular attached gingiva (disorder)
850 2.63E+08 Comminuted fracture of maxillary alveolar bone (disorder)
850 1.1E+08 Second degree burn of mandibular attached gingiva (disorder)
850 2.63E+08 Fracture of zygomatic complex (disorder)
850 1.1E+08 Third degree burn of mandibular attached gingiva (disorder)
850 2.63E+08 Fracture of medial wall of orbit (disorder)
850 2.63E+08 Fracture of lateral wall of orbit (disorder)
850 1.1E+08 Burn of floor of mouth (disorder)
850 2.63E+08 Fracture of supraorbital rim (disorder)
850 1.1E+08 Burn erythema of floor of mouth (disorder)
850 2.82E+08 Injury of nasal bones (disorder)
850 1.1E+08 Second degree burn of floor of mouth (disorder)
850 1.1E+08 Third degree burn of floor of mouth (disorder)
850 2.08E+08 Open fracture of multiple sites of mandible (disorder)
850 1.1E+08 Burn of hard palate (disorder)
850 43337002 Open fracture of alveolar border of body of mandible (disorder)
850 1.1E+08 Burn erythema of hard palate (disorder)
850 2.1E+08 Open wound in mouth (disorder)
850 1.1E+08 Second degree burn of hard palate (disorder)
850 69425000 Open fracture of body of mandible (disorder)
850 1.1E+08 Third degree burn of hard palate (disorder)
850 2.97E+08 Fracture of mandibular alveolus (disorder)
850 1.1E+08 Burn of soft palate (disorder)
850 2.63E+08 Comminuted fracture of mandibular alveolar bone (disorder)
850 1.1E+08 Burn of oropharynx (disorder)
850 2.63E+08 Fracture of mandibular alveolar socket wall (disorder)
850 2.12E+08 Burn of mouth and pharynx (disorder)
850 2.63E+08 Fracture of mandible involving dental socket (disorder)
850 1.1E+08 Burn erythema of soft palate (disorder)
850 2.63E+08 Fracture of edentulous mandible (disorder)
850 1.1E+08 Burn erythema of oropharynx (disorder)
850 2.63E+08 Bilateral fracture of condylar head and midline fracture of mandible (disorder)
850 2.63E+08 Uncomplicated tooth crown and root fracture (disorder)
850 1.1E+08 Second degree burn of soft palate (disorder)
850 43972005 Localized traumatic opacity (disorder)
850 1.1E+08 Second degree burn of oropharynx (disorder)
850 2.63E+08 Complicated tooth crown and root fracture (disorder)
850 1.1E+08 Third degree burn of soft palate (disorder)
850 2.63E+08 Concussion of periodontal ligament (disorder)
850 1.1E+08 Third degree burn of oropharynx (disorder)
850 44006003 Superficial injury of nose with infection (disorder)
850 2.65E+08 Hypothalamic injury (disorder)
850 1.1E+08 Burn of tonsillar area (disorder)
850 1.1E+08 Burn erythema of tonsillar area (disorder)
850 2.83E+08 Traumatic blister of eye region (disorder)
850 1.1E+08 Second degree burn of tonsillar area (disorder)
850 2.83E+08 Insect bite of eye region (disorder)
850 44199000 Penetration of eyeball with nonmagnetic foreign body (disorder)
850 1.27E+08 Cortex laceration (disorder)
850 44669008 Superficial foreign body of scalp without major open wound AND without infection (disorder)
850 2.63E+08 Contusion of gingivae (disorder)
850 1.1E+08 Third degree burn of tonsillar area (disorder)
850 1.1E+08 Burn erythema of tongue (disorder)
850 2.69E+08 Superficial partial thickness burn of nose (disorder)
850 44916009 Le Fort's fracture, type II (disorder)
850 2.74E+08 Destruction of eardrum (disorder)
850 1.1E+08 Second degree burn of tongue (disorder)
850 1.1E+08 Third degree burn of tongue (disorder)
850 44921007 Nonvenomous insect bite of ear without infection (disorder)
850 1.1E+08 Contusion of condylar process of mandible (disorder)
850 2.84E+08 Animal bite wound of head (disorder)
850 1.1E+08 Contusion of ramus of mandible (disorder)
850 44962001 Open wound of Eustachian tube with complication (disorder)
850 1.1E+08 Contusion of subcondylar region of mandible (disorder)
850 2.1E+08 Cortex contusion with open intracranial wound, with no loss of consciousness (disorder)
850 1.1E+08 Contusion of coronoid process of mandible (disorder)
850 1.1E+08 Contusion of symphysis of body of mandible (disorder)
850 46758000 Open fracture of base of skull with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
850 1.1E+08 Contusion of alveolar border of body of mandible (disorder)
850 71074007 Open skull fracture with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
850 1.1E+08 Contusion of maxilla (disorder)
850 1.12E+08 Open fracture of base of skull with intracranial hemorrhage (disorder)
850 1.1E+08 Contusion of forehead (disorder)
850 1.1E+08 Contusion of auricle of ear (disorder)
850 46766009 Open wound of nasal septum with complication (disorder)
850 1.1E+08 Contusion of preauricular region of face (disorder)
850 66830009 Open wound of nose with complication (disorder)
850 1.1E+08 Contusion of malar region of face (disorder)
850 2.1E+08 Open wound of nasal septum (disorder)
850 1.1E+08 Contusion of circumoral region of face (disorder)
850 46966000 Cerebral compression due to injury (disorder)
850 1.1E+08 Contusion of chin (disorder)
850 2.1E+08 Open wound of face (disorder)
850 47198001 Cortex laceration with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 1.1E+08 Contusion of maxillary vestibule (disorder)
850 1.1E+08 Contusion of mandibular vestibule (disorder)
850 2.12E+08 Deep full thickness burn of chin, with loss of body part (disorder)
850 1.1E+08 Contusion of maxillary attached gingiva (disorder)
850 47979002 Cortex contusion without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
850 1.1E+08 Contusion of mandibular attached gingiva (disorder)
850 47983002 Cerebellar laceration without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
850 1.1E+08 Contusion of floor of mouth (disorder)
850 48260006 Deep third degree burn of scalp (disorder)
850 56716005 Third degree burn of scalp (disorder)
850 1.1E+08 Contusion of tongue (disorder)
850 2.63E+08 Fracture of maxilla (disorder)
850 1.1E+08 Contusion of buccal mucosa (disorder)
850 48518008 Subarachnoid hemorrhage following injury with open intracranial wound AND concussion (disorder)
850 49002004 Open wound of multiple sites of ear without complication (disorder)
850 1.1E+08 Contusion of soft palate (disorder)
850 49089006 Retained magnetic foreign body in anterior chamber (disorder)
850 49128003 Multiple fractures of skull (disorder)
850 1.1E+08 Contusion of oropharynx (disorder)
850 49346003 Closed fracture of orbital floor (blow-out) (disorder)
850 2.63E+08 Bruise of palate (disorder)
850 1.1E+08 Contusion of hard palate (disorder)
850 50228009 Contusion of ear (disorder)
850 1.1E+08 Contusion of tonsil (disorder)
850 50882004 Traumatic ulcer of oral mucosa (disorder)
850 1.1E+08 Contusion of periorbital region (disorder)
850 2.08E+08 Open fracture vault of skull without intracranial injury (disorder)
850 51101002 Cerebellar contusion without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
850 1.12E+08 Persistent posttraumatic perforation of ear drum (disorder)
850 51736007 Sprain of septal cartilage of nose (disorder)
850 3.07E+08 Traumatic tympanic membrane perforation (disorder)
850 1.94E+08 Partial resolved traumatic cataract (disorder)
850 1.12E+08 Closed fracture of vault of skull with intracranial hemorrhage (disorder)
850 1.12E+08 Closed skull fracture with intracranial hemorrhage (disorder)
850 52271005 Fracture of sphenoid bone (disorder)
850 4.45E+08 Open fracture of vault of skull (disorder)
850 52545007 Superficial foreign body of gum without major open wound but with infection (disorder)
850 1.12E+08 Closed fracture of base of skull with intracranial hemorrhage (disorder)
850 1.12E+08 Closed skull fracture with intracranial injury (disorder)
850 76362004 Superficial injury of gum with infection (disorder)
850 1.12E+08 Open skull fracture with intracranial injury (disorder)
850 1.27E+08 Brain stem contusion (disorder)
850 1.12E+08 Subarachnoid hemorrhage following injury without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
850 52902005 Subdural hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 1.12E+08 Subdural hemorrhage following injury with open intracranial wound and prolonged loss of consciousness (more than 24 hours) and without return to pre-existing conscious level (disorder)
850 91216000 Intracranial hemorrhage following injury with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 1.12E+08 Laceration of eyelid involving lacrimal passages (disorder)
850 52913008 Brain stem contusion with open intracranial wound AND no loss of consciousness (disorder)
850 2.63E+08 Injury of lacrimal passage (disorder)
850 2.63E+08 Laceration of lacrimal passage (disorder)
850 78968003 Brain stem contusion with open intracranial wound (disorder)
850 52945003 Contusion of mandibular joint area (disorder)
850 53089008 Open wound of palate without complication (disorder)
850 2.1E+08 Open wound of palate (disorder)
850 1.27E+08 Injury of head with rhinorrhagia (disorder)
850 1.27E+08 Fracture of basilar portion of occipital bone (disorder)
850 53188002 Nonvenomous insect bite of gum with infection (disorder)
850 1.27E+08 Fracture of occipital condyle (disorder)
850 1.27E+08 Fracture of clivus of occipital bone (disorder)
850 1.27E+08 Fracture of ethmoid bone (disorder)
850 1.27E+08 Fracture of orbital plate of ethmoid bone (disorder)
850 53429002 Cerebellar laceration with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) AND return to pre-existing conscious level (disorder)
850 1.27E+08 Fracture of lacrimal bone (disorder)
850 53642007 Non-chemical burn of cornea AND/OR conjunctival sac (disorder)
850 53730006 Cortex laceration without open intracranial wound AND with no loss of consciousness (disorder)
850 1.36E+08 Bite to own tongue (disorder)
850 54463008 Open wound of gum with complication (disorder)
850 2.1E+08 Open wound of cheek (disorder)
850 54637009 Brain stem contusion without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
850 54674008 Burn erythema of forehead AND/OR cheek (disorder)
850 54896004 Deep third degree burn of face AND/OR head with loss of body part (disorder)
850 85962005 Deep third degree burn of face AND/OR head (disorder)
850 54975007 Second degree burn of face AND/OR head (disorder)
850 55798004 Open fracture of base of skull without intracranial injury (disorder)
850 2.06E+08 Eye damage due to birth trauma (disorder)
850 56211001 Retained magnetic foreign body in lens (disorder)
850 2.06E+08 Scalp injuries due to birth trauma (disorder)
850 3.03E+08 Chignon (disorder)
850 2.12E+08 Visual cortex injury (disorder)
850 2.75E+08 Cerebral trauma (disorder)
850 56372002 Open wound of eyebrow with complication (disorder)
850 2.69E+08 Cerebral laceration and contusion (disorder)
850 2.74E+08 Minor head injury (disorder)
850 2.71E+08 Traumatic blister of face (disorder)
850 56640007 Cortex laceration with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
850 2.11E+08 Superficial injury to head, excluding eye (disorder)
850 56697009 Crushing injury of scalp (disorder)
850 2.11E+08 Abrasion of scalp (disorder)
850 56863004 Closed fracture of orbit (disorder)
850 2.71E+08 Traumatic blister of scalp (disorder)
850 2.11E+08 Insect bite, nonvenomous, of scalp (disorder)
850 57012007 Brain stem contusion with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
850 57099002 Cerebellar contusion with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
850 2.74E+08 Superficial injury: eyelids (disorder)
850 57129007 Retained magnetic foreign body in vitreous (disorder)
850 2.32E+08 Abrasion of eyelid (disorder)
850 2.12E+08 Deep full thickness burn of the lip(s), with loss of body part (disorder)
850 3.03E+08 Traumatic blister of eyelid (disorder)
850 1.27E+08 Cerebellar contusion (disorder)
850 2.87E+08 Insect bite to eyelids - nonvenomous (disorder)
850 57998008 Closed fracture of vault of skull with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
850 2.87E+08 Insect bite to cornea - nonvenomous (disorder)
850 4.45E+08 Closed fracture of vault of skull (disorder)
850 2.87E+08 Burn to eyelid - erythema (disorder)
850 58070005 Cortex laceration without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
850 58340008 Burn erythema of nose (disorder)
850 2.87E+08 Burn to eyelid - blister (disorder)
850 58411009 Broken tooth with complication (disorder)
850 2.87E+08 Burn to eyelid - full thickness (disorder)
850 2.32E+08 Thermal burn of eyelid (disorder)
850 59029004 Cortex contusion without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
850 2.74E+08 Corneal burn (disorder)
850 2.85E+08 Burn of eye structure (disorder)
850 59561005 Brain stem laceration without open intracranial wound AND with brief loss of consciousness (less than one hour) (disorder)
850 2.87E+08 Burn to cornea - blister (disorder)
850 2.87E+08 Burn to cornea - full thickness (disorder)
850 59633005 Subarachnoid hemorrhage following injury with open intracranial wound AND brief loss of consciousness (less than one hour) (disorder)
850 75507000 Subarachnoid hemorrhage following injury with open intracranial wound AND loss of consciousness (disorder)
850 59648004 Extradural hemorrhage following injury with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
850 1.12E+08 Extradural hemorrhage following injury with open intracranial wound AND loss of consciousness (disorder)
850 59918000 Cerebellar laceration with open intracranial wound AND concussion (disorder)
850 60076001 Open wound of scalp without complication (disorder)
850 2.1E+08 Open wound of scalp (disorder)
850 60203004 Abrasion AND/OR friction burn of gum with infection (disorder)
850 60546000 Cerebellar contusion without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 60716000 Open wound of nasal cavity with complication (disorder)
850 2.1E+08 Open wound of nasal cavity (disorder)
850 60807005 Nonvenomous insect bite of lip with infection (disorder)
850 60897004 Contusion of nose (disorder)
850 61202000 Open fracture of symphysis of body of mandible (disorder)
850 61383005 Abrasion AND/OR friction burn of ear with infection (disorder)
850 61642003 Multiple open fractures of skull AND/OR face with subarachnoid, subdural AND/OR extradural hemorrhage (disorder)
850 2.08E+08 Fracture of skull and facial bones (disorder)
850 62106007 Concussion with no loss of consciousness (disorder)
850 62564004 Concussion with loss of consciousness (disorder)
850 62603000 Abrasion AND/OR friction burn of scalp without infection (disorder)
850 2.32E+08 Injury of cornea (disorder)
850 2.08E+08 Fracture of alveolus, closed (disorder)
850 63023005 Brain stem contusion without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 63260003 Concussion with moderate loss of consciousness (disorder)
850 63323000 Subdural hemorrhage following injury without open intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
850 63542002 Acid chemical burn of cornea AND/OR conjunctival sac (disorder)
850 2.1E+08 Subdural hemorrhage following injury with open intracranial wound, with no loss of consciousness (disorder)
850 1.96E+08 Loss of teeth due to an accident (disorder)
850 63669006 Le Fort's fracture, type I (disorder)
850 63810002 Osteoradionecrosis of jaw (disorder)
850 1.09E+08 Osteoradionecrosis of facial bones (disorder)
850 63811003 Abrasion AND/OR friction burn of lip without infection (disorder)
850 63943002 Superficial injury of eyelid AND/OR periocular area (disorder)
850 2.06E+08 Scalpel wound due to birth trauma (disorder)
850 64337000 Cerebellar laceration with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 64413001 Brain stem laceration with open intracranial wound AND prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 64458007 Contusion of lip (disorder)
850 2.63E+08 Contusion of oral cavity (disorder)
850 64673000 Cortex laceration with open intracranial wound AND moderate loss of consciousness (1-24 hours) (disorder)
850 65029007 Open wound of multiple sites of mouth with complication (disorder)
850 65535000 Cerebellar laceration without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 65648007 Open fracture of superior maxilla (disorder)
850 2.08E+08 Open fracture of maxilla (disorder)
850 65752003 Closed subcondylar fracture of mandible (disorder)
850 2.08E+08 Closed fracture of condylar process of mandible (disorder)
850 65814009 Subluxation of lens (disorder)
850 2.12E+08 Deep full thickness burn of the scalp, with loss of body part (disorder)
850 66517001 Closed fracture of body of mandible (disorder)
850 66526003 Burn with resulting rupture AND/OR destruction of eyeball (disorder)
850 66578000 Abrasion AND/OR friction burn of cheek with infection (disorder)
850 66976009 Intracranial hemorrhage following injury without intracranial wound AND with moderate loss of consciousness (1-24 hours) (disorder)
850 67070005 Crushing injury of ear (disorder)
850 67378005 Brain stem laceration without open intracranial wound AND with prolonged loss of consciousness (more than 24 hours) without return to pre-existing conscious level (disorder)
850 67543006 Open wound of nasal sinus with complication (disorder)
850 2.1E+08 Open wound of nasal sinus (disorder)
850 2.1E+08 Open wound of ear auricle with complication (disorder)
850 67974004 Nonvenomous insect bite of nose with infection (disorder)
850 2.83E+08 Insect bite of nose (disorder)
850 68279002 Open wound of nasal septum without complication (disorder)
850 75769002 Open wound of nasal cavity without complication (disorder)
Tuberculosis

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Tuberculosis.xls)

Refset Name: Tuberculosis refset
  refset_ID   SCTID FSN
824 4225003 Tuberculosis of nose (disorder)
824   56717001 Tuberculosis (disorder)
824 4445009 Tuberculosis of genitourinary system (disorder)
824 4501007 Tuberculous ascites (disorder)
824 3.67E+08 Tuberculosis of joint (disorder)
824 7444001 Tuberculosis of rectum (disorder)
824 38420005 Tuberculosis of large intestine (disorder)
824 60136008 Tuberculosis of intestines (disorder)
824 8250007 Tuberculosis of subcutaneous cellular tissue (disorder)
824 2.71E+08 Tuberculosis of skin and subcutaneous tissue (disorder)
824 8832006 Tuberculosis orificialis of anus (disorder)
824 39306006 Tuberculosis of anus (disorder)
824 2.14E+08 Caseating tuberculoid granuloma (disorder)
824 54084005 Cervical tuberculous lymphadenitis (disorder)
824 10528009 Lupus vulgaris (disorder)
824 10706006 Tuberculosis of central nervous system (disorder)
824 10893003 Tuberculous adenitis (disorder)
824 11676005 Tuberculous leptomeningitis (disorder)
824 58437007 Tuberculosis of meninges (disorder)
824 11700005 Reptilian tuberculosis due to Mycobacterium chelonei (disorder)
824 11999007 Inactive tuberculosis (disorder)
824 12137005 Tuberculous enteritis (disorder)
824 2.4E+08 Tuberculosis of gastrointestinal tract (disorder)
824 12677003 Tuberculosis of brain (disorder)
824 12985005 Tuberculosis of seminal vesicle (disorder)
824 2.4E+08 Tuberculosis of male genital organs (disorder)
824 13570003 Tuberculous tenosynovitis (disorder)
824 2.03E+08 Tuberculous infection of tendon sheath (disorder)
824 14188007 Tuberculosis of hip (disorder)
824 14527007 Tuberculous empyema (disorder)
824 15202009 Tuberculoma (disorder)
824 15284007 Tuberculosis of esophagus (disorder)
824 16409009 Tuberculosis of retroperitoneal lymph nodes (disorder)
824 4.22E+08 Tuberculosis associated with AIDS (disorder)
824 17136009 Tuberculosis of knee (disorder)
824 17653001 Tuberculosis of bones AND/OR joints (disorder)
824 1.99E+08 Maternal tuberculosis during pregnancy, childbirth and the puerperium (disorder)
824 20372007 Tuberculosis of prostate (disorder)
824 35984006 Tuberculosis of vertebral column (disorder)
824 1.85E+08 Tuberculosis of adrenal glands (disorder)
824 1.86E+08 Tuberculous Addison's disease (disorder)
824 4.17E+08 Tuberculoma of spinal cord (disorder)
824 4.17E+08 Tuberculous abscess of spinal cord (disorder)
824 22990009 Chronic tuberculosis (disorder)
824 23022004 Tuberculous bronchiectasis (disorder)
824 1.54E+08 Pulmonary tuberculosis (disorder)
824 24235005 Tuberculous hydrothorax (disorder)
824 24810006 Tuberculosis orificialis of mouth (disorder)
824 4.42E+08 Tuberculosis of external body orifice (disorder)
824 4.16E+08 Tuberculoma of brain (disorder)
824 1.86E+08 Tuberculous abscess of brain (disorder)
824 25629007 Acute tuberculosis (disorder)
824 63309002 Primary tuberculosis (disorder)
824 25738004 Tuberculous synovitis (disorder)
824 25831001 Tuberculosis of nasal septum (disorder)
824 26935004 Tuberculosis of thyroid gland (disorder)
824 82796002 Scrofuloderma (disorder)
824 28399005 Tuberculosis of spleen (disorder)
824 29731002 Tuberculous pneumothorax (disorder)
824 31112008 Tuberculous meningoencephalitis (disorder)
824 1.86E+08 Tuberculous chronic iridocyclitis (disorder)
824 44572005 Tuberculous peritonitis (disorder)
824 32268008 Tuberculosis of bladder (disorder)
824 1.12E+08 Tuberculosis of urinary organs (disorder)
824 1.86E+08 Tuberculosis of lung with cavitation (disorder)
824 33893009 Tuberculosis verrucosa cutis (disorder)
824 66986005 Tuberculosis of skin (disorder)
824 34320001 Tuberculous myelitis (disorder)
824 35585004 Tuberculous endometritis (disorder)
824 1.98E+08 Female tuberculous pelvic inflammatory disease (disorder)
824 35786001 Tuberculoma of meninges (disorder)
824 38279006 Tuberculosis of bone (disorder)
824 1.86E+08 Tuberculous pleurisy in primary progressive tuberculosis (disorder)
824 37133005 Tuberculous pyelitis (disorder)
824 37260006 Congenital tuberculosis (disorder)
824 38115001 Tuberculosis of spinal meninges (disorder)
824 40138002 Tuberculous osteitis (disorder)
824 40258005 Tuberculosis of testis (disorder)
824 44182001 Tuberculous necrosis of bone (disorder)
824 44323002 Tuberculosis of kidney (disorder)
824 2.34E+08 Tuberculous mesenteric adenitis (disorder)
824 47292005 Tuberculosis of myocardium (disorder)
824 83784000 Tuberculosis of mediastinum (disorder)
824 3.02E+08 Tuberculosis of heart (disorder)
824 47604008 Miliary tuberculosis (disorder)
824 1.82E+08 Disseminated tuberculosis (disorder)
824 48225000 Tuberculous disseminated chorioretinitis (disorder)
824 1.86E+08 Tuberculous chorioretinitis (disorder)
824 49107007 Tuberculosis of eye (disorder)
824 49558004 Tuberculous salpingitis (disorder)
824 74181004 Tuberculosis of female genital organs (disorder)
824 1.86E+08 Tuberculosis of ear (disorder)
824 49807009 Tuberculous dactylitis (disorder)
824 51014003 Reinfection tuberculosis (disorder)
824 52721006 Tuberculosis of nasal sinus (disorder)
824 52987001 Tuberculosis of endocardium (disorder)
824 77038006 Tuberculosis of peripheral lymph nodes (disorder)
824 54146002 Bovine tuberculous mastitis (disorder)
824 2.37E+08 Tuberculosis of breast (disorder)
824 55419007 Tuberculosis of glottis (disorder)
824 70341005 Tuberculous laryngitis (disorder)
824 56498009 Tuberculosis of nasopharynx (disorder)
824 58374007 Acute diffuse tuberculosis (disorder)
824 58764007 Tuberculous osteomyelitis (disorder)
824 3.73E+08 Infection due to Mycobacterium bovis (disorder)
824 62494007 Chronic miliary tuberculosis (disorder)
824 62819009 Tuberculous cervicitis (disorder)
824 63808004 Tuberculous chancre (disorder)
824 65127006 Tuberculous pyelonephritis (disorder)
824 66291003 Tuberculous phlyctenular keratoconjunctivitis (disorder)
824 1.12E+08 Tuberculosis of conjunctiva (disorder)
824 67256000 Tuberculosis of pericardium (disorder)
824 4.2E+08 Serosal tuberculosis of cattle (disorder)
824 1.86E+08 Tuberculosis of pleura (disorder)
824 71375000 Tuberculosis of mastoid process (disorder)
824 71943007 Chronic granulomatous tuberculosis (disorder)
824 72643006 Tuberculous chancriform pyoderma (disorder)
824 72807002 Tuberculous polyserositis (disorder)
824 2.82E+08 Genital tuberculosis (disorder)
824 74387008 Tuberculosis of hilar lymph nodes (disorder)
824 78436002 Tuberculosis of intrathoracic lymph nodes (disorder)
824 1.86E+08 Infiltrative lung tuberculosis (disorder)
824 1.86E+08 Acute miliary tuberculosis (disorder)
824 1.81E+08 Generalized tuberculosis (disorder)
824 2.4E+08 Acute miliary cutaneous tuberculosis (disorder)
824 77668003 Isolated tracheal tuberculosis (disorder)
824 82495004 Tuberculosis of mediastinal lymph nodes (disorder)
824 79158003 Tuberculous interstitial keratitis (disorder)
824 80003002 Tuberculous pneumonia (disorder)
824 80010008 Isolated bronchial tuberculosis (disorder)
824 1.86E+08 Tuberculosis of bronchus (disorder)
824 80602006 Nodular tuberculosis of lung (disorder)
824 81133003 Tuberculosis of bones of lower extremity (disorder)
824 2.03E+08 Tuberculosis of limb bones (disorder)
824 81359005 Tuberculosis of ureter (disorder)
824 81554001 Tuberculosis of lung with involvement of bronchus (disorder)
824 83652003 Tuberculosis of epididymis (disorder)
824 84194006 Tuberculous oophoritis (disorder)
824 84288007 Tuberculous episcleritis (disorder)
824 85692003 Tuberculosis of tracheobronchial lymph nodes (disorder)
824 85940005 Tuberculous otitis media (disorder)
824 88356006 Primary tuberculous complex (disorder)
824 89872003 Tuberculosis of bones of arm (disorder)
824 90117007 Tuberculous fibrosis of lung (disorder)
824 90302003 Tuberculosis of cerebral meninges (disorder)
824 91331007 Reptilian tuberculosis due to Mycobacterium ulcerans (disorder)
824 91483004 Tuberculous encephalitis (disorder)
824 1.12E+08 Primary progressive tuberculosis (disorder)
824 2.67E+08 Tuberculosis in pregnancy (disorder)
824 2.88E+08 Maternal infection (situation)
824 1.86E+08 Isolated tracheal or bronchial tuberculosis (disorder)
824 1.86E+08 Respiratory tuberculosis, bacteriologically and histologically confirmed (disorder)
824 1.86E+08 Tuberculosis of lung, confirmed by sputum microscopy with or without culture (disorder)
824 1.86E+08 Tuberculosis of lung, confirmed by culture only (disorder)
824 1.86E+08 Tuberculosis of lung, confirmed histologically (disorder)
824 1.86E+08 Tuberculosis of intrathoracic lymph nodes, confirmed bacteriologically and histologically (disorder)
824 1.86E+08 Tuberculosis of larynx, trachea and bronchus, confirmed bacteriologically and histologically (disorder)
824 1.86E+08 Tuberculous pleurisy, confirmed bacteriologically and histologically (disorder)
824 1.86E+08 Primary respiratory tuberculosis, confirmed bacteriologically and histologically (disorder)
824 1.86E+08 Respiratory tuberculosis, not confirmed bacteriologically or histologically (disorder)
824 1.86E+08 Tuberculosis of lung, bacteriologically and histologically negative (disorder)
824 1.86E+08 Tuberculosis of lung, bacteriological and histological examination not done (disorder)
824 1.93E+08 Tuberculous intracranial abscess (disorder)
824 1.86E+08 Tuberculous encephalitis or myelitis (disorder)
824 1.86E+08 Tuberculosis of intestines, peritoneum and mesenteric glands (disorder)
824 1.86E+08 Tuberculosis limb bones - Tuberculous dactylitis (disorder)
824 1.86E+08 Tuberculous nephropathy (disorder)
824 1.86E+08 Tuberculous oophoritis or salpingitis (disorder)
824 1.86E+08 Scrofulous tuberculous abscess (disorder)
824 1.86E+08 Tuberculous keratoconjunctivitis (disorder)
824 1.86E+08 Tuberculosis of stomach (disorder)
824 1.86E+08 Tuberculosis of liver (disorder)
824 1.86E+08 Acute miliary tuberculosis of multiple sites (disorder)
824 1.94E+08 Keratitis due to tuberculosis (disorder)
824 1.95E+08 Acute tuberculous pericarditis (disorder)
824 1.95E+08 Acute myocarditis - tuberculous (disorder)
824 1.97E+08 Cardituberculous cirrhosis (disorder)
824 1.99E+08 Tuberculosis in pregnancy, childbirth and the puerperium - delivered (disorder)
824 1.99E+08 Maternal tuberculosis in the puerperium - baby delivered during current episode of care (disorder)
824 1.99E+08 Maternal tuberculosis during pregnancy - baby not yet delivered (disorder)
824 1.99E+08 Maternal tuberculosis in the puerperium - baby delivered during previous episode of care (disorder)
824 2.03E+08 Tuberculosis of cervical spine (disorder)
824 2.03E+08 Tuberculosis of thoracic spine (disorder)
824 2.03E+08 Tuberculosis of lumbar spine (disorder)
824 2.03E+08 Tuberculosis of sacrum/coccyx (disorder)
824 2.03E+08 Tuberculosis of the upper arm bone (disorder)
824 2.03E+08 Tuberculosis of the forearm bone (disorder)
824 2.03E+08 Tuberculosis of the pelvic and/or thigh bones (disorder)
824 2.03E+08 Tuberculosis of the lower leg bone (disorder)
824 2.03E+08 Tuberculosis of multiple limb bones (disorder)
824 2.03E+08 Tuberculosis of the bones of the shoulder region (disorder)
824 2.03E+08 Tuberculosis of the bones of the hand (disorder)
824 2.03E+08 Tuberculosis of the bones of the ankle and/or foot (disorder)
824 2.03E+08 Tuberculosis of the bones of multiple sites (disorder)
824 2.34E+08 Tuberculous chylothorax (disorder)
824 2.34E+08 Silicotuberculosis (disorder)
824 2.34E+08 Tuberculous bronchopleural fistula (disorder)
824 2.35E+08 Oral tuberculosis (disorder)
824 2.36E+08 Tuberculous duodenitis (disorder)
824 2.37E+08 Tuberculous stricture of ureter (disorder)
824 2.37E+08 Tuberculous urethritis (disorder)
824 2.37E+08 Tuberculous epididymo-orchitis (disorder)
824 2.38E+08 Cutaneous complication of BCG immunization (disorder)
824 2.38E+08 Bacillus Calmette-Guerin (BCG) granuloma (disorder)
824 2.38E+08 Bacillus Calmette-Guerin (BCG) ulcer (disorder)
824 2.4E+08 Osteitis cystica tuberculosa multiplex (disorder)
824 2.4E+08 Acute tuberculous ulcer (disorder)
824 2.4E+08 Cutaneous tuberculous gumma (disorder)
824 3.02E+08 Tuberculosis of colon (disorder)
824 3.14E+08 Tuberculous uveitis (disorder)
824 3.73E+08 Infection due to Mycobacterium microti (disorder)
824 3.73E+08 Infection due to mycobacterium africanum (disorder)
824 3.73E+08 Infection due to mycobacterium tuberculosis hominis (disorder)
824 3.74E+08 Infection due to Mycobacterium tuberculosis (disorder)
824 3.89E+08 Tuberculous pneumonia of humans (disorder)
824 3.89E+08 Tuberculous pneumonia of animals (disorder)
824 4.03E+08 Bacillus Calmette-Guerin (BCG)-induced lupus vulgaris (disorder)
824 4.03E+08 Bacillus Calmette-Guerin (BCG)-induced scrofuloderma (disorder)
824 4.03E+08 Bacillus Calmette-Guerin (BCG)-induced tuberculide (disorder)
824 4.14E+08 Antibiotic resistant tuberculosis (disorder)
824 4.24E+08 Drug resistant tuberculosis (disorder)
824 4.14E+08 Ciprofloxacin resistant tuberculosis (disorder)
824 4.14E+08 Ethambutol resistant tuberculosis (disorder)
824 4.14E+08 Ethionamide resistant tuberculosis (disorder)
824 4.15E+08 Isoniazid resistant tuberculosis (disorder)
824 4.15E+08 Pyrazinamide resistant tuberculosis (disorder)
824 4.15E+08 Rifampicin resistant tuberculosis (disorder)
824 4.16E+08 Streptomycin resistant tuberculosis (disorder)
824 4.22E+08 Extreme drug resistant tuberculosis (disorder)
824 4.23E+08 Multidrug resistant tuberculosis (disorder)
824 4.24E+08 Tuberculosis, extrapulmonary (disorder)
824 4.27E+08 Active tuberculosis (disorder)
824 4.29E+08 Inactive tuberculosis of lung (disorder)
Ulcerative Colitis, Crohn’s, Inflam Bowel Disease

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/Crohns.xls)

Refset Name: Crohns refset
  refset_ID   SCTID FSN
816 981008 Hemorrhagic proctitis (disorder)
816   3951002 Proctitis (disorder)
816 984000 Perirectal cellulitis (disorder)
816 84681008 Rectal cellulitis (disorder)
816 2707005 Necrotizing enterocolitis in fetus OR newborn (disorder)
816 43752006 Inflammation of small intestine and colon (disorder)
816 3815005 Crohn's disease of rectum (disorder)
816 7620006 Crohn's disease of large bowel (disorder)
816 34000006 Crohn's disease (disorder)
816 3899003 Neutropenic typhlitis (disorder)
816 61564002 Typhlitis (disorder)
816 3.02E+08 Inflammation of large intestine (disorder)
816 4494009 Diverticulitis of large intestine (disorder)
816 4998000 Acute obstructive appendicitis (disorder)
816 85189001 Acute appendicitis (disorder)
816 5596004 Atypical appendicitis (disorder)
816 74400008 Appendicitis (disorder)
816 5820008 Acute ischemic enterocolitis (disorder)
816 75700000 Acute ischemic colitis (disorder)
816 90891007 Ischemic enterocolitis (disorder)
816 6066007 Carbuncle of anus (disorder)
816 3.02E+08 Anal inflammation (disorder)
816 6503008 Relapsing appendicitis (disorder)
816 3.97E+08 Crohn's disease of intestine (disorder)
816 8744003 Catarrhal appendicitis (disorder)
816 9124008 Subacute appendicitis (disorder)
816 64766004 Ulcerative colitis (disorder)
816 13470001 Chronic ulcerative ileocolitis (disorder)
816 2.36E+08 Ulcerative enterocolitis (disorder)
816 54597004 Chronic colitis (disorder)
816 4.45E+08 Chronic ulcerative colitis (disorder)
816 14066009 Noninfectious colitis (disorder)
816 64226004 Colitis (disorder)
816 14311001 Severe chronic ulcerative colitis (disorder)
816 15342002 Chronic ulcerative enterocolitis (disorder)
816 18229003 Suppurative colitis (disorder)
816 39341005 Infectious colitis (disorder)
816 19311003 Collagenous colitis (disorder)
816 20335001 Fulminant enterocolitis (disorder)
816 22207007 Chronic proliferative enteritis (disorder)
816 24526004 Inflammatory bowel disease (disorder)
816 24829000 Eosinophilic ulcerative colitis (disorder)
816 29120000 Eosinophilic colitis (disorder)
816 25552000 Acute cecitis (disorder)
816 25598004 Retrocecal appendicitis (disorder)
816 25887009 Allergic sigmoiditis (disorder)
816 30304000 Allergic colitis (disorder)
816 53372009 Noninfectious sigmoiditis (disorder)
816 25959004 Endemic colic (disorder)
816 26826005 Amebic appendicitis (disorder)
816 27241008 Chronic ischemic colitis (disorder)
816 4.18E+08 Proctocolitis (disorder)
816 28358004 Acute obstructive appendicitis with perforation AND peritonitis (disorder)
816 1.97E+08 Acute appendicitis with peritonitis (disorder)
816 28845006 Acute appendicitis with generalized peritonitis (disorder)
816 30588004 Ischemic colitis (disorder)
816 31015008 Primary anal syphilis (disorder)
816 31437008 Lymphocytic-plasmacytic colitis (disorder)
816 32084004 Retroileal appendicitis (disorder)
816 34786008 Candidal proctitis (disorder)
816 2.36E+08 Infective proctitis (disorder)
816 35246005 Anorectal cellulitis (disorder)
816 38106008 Crohn's disease of ileum (disorder)
816 56689002 Crohn's disease of small intestine (disorder)
816 39642007 Acute cecitis with perforation AND peritonitis (disorder)
816 40663003 Colitis cystica profunda (disorder)
816 41152008 Anal cellulitis (disorder)
816 41364008 Proctosigmoiditis (disorder)
816 2.36E+08 Sigmoiditis (disorder)
816 42359007 Toxic colitis (disorder)
816 42640003 Suppurative appendicitis (disorder)
816 3.6E+08 Idiopathic colitis (disorder)
816 3.6E+08 Idiopathic chronic inflammatory bowel disease (disorder)
816 46672003 Helicobacter-associated proctitis (disorder)
816 46882000 Chronic ischemic enterocolitis (disorder)
816 49464009 Dietetic sigmoiditis (disorder)
816 50440006 Crohn's disease of colon (disorder)
816 50846009 Acute gangrenous appendicitis (disorder)
816 51036000 Acute appendicitis with peritoneal abscess (disorder)
816 3.98E+08 Pseudomembranous enterocolitis (disorder)
816 3.98E+08 Perinatal necrotizing enterocolitis (disorder)
816 3.98E+08 Antibiotic enterocolitis (disorder)
816 2.07E+08 Neonatal necrotizing enterocolitis (disorder)
816 51290000 Diversion colitis (disorder)
816 52111006 Perisigmoiditis (disorder)
816 88773005 Pericolitis (disorder)
816 52231000 Chronic ulcerative proctitis (disorder)
816 52506002 Chronic ulcerative rectosigmoiditis (disorder)
816 3.69E+08 Chronic proctocolitis (disorder)
816 55023005 Amebic nondysenteric colitis (disorder)
816 2.36E+08 Amebic colitis (disorder)
816 55025003 Uremic colitis (disorder)
816 55809007 Colitis due to radiation (disorder)
816 56287005 Crohn's disease of duodenum (disorder)
816 58997001 Chronic appendicitis (disorder)
816 61424003 Crohn's disease of pylorus (disorder)
816 2.36E+08 Crohn's disease of stomach (disorder)
816 64252005 Acute gangrenous appendicitis with perforation AND peritonitis (disorder)
816 3.6E+08 Idiopathic diffuse ulcerative nongranulomatous enteritis (disorder)
816 64994000 Acute fulminating appendicitis with perforation AND peritonitis (disorder)
816 2.87E+08 Acute perforated appendicitis (disorder)
816 84534001 Acute fulminating appendicitis (disorder)
816 65983008 Histiocytic ulcerative colitis of Boxer dogs (disorder)
816 66186006 Furuncle of anus (disorder)
816 67038005 Nonspecific ulcerative proctitis (disorder)
816 67365005 Recurrent appendicitis (disorder)
816 69810009 Acute hemorrhagic colitis due to Escherichia coli (disorder)
816 81318004 Hemorrhagic colitis (disorder)
816 70622003 Crohn's disease of pyloric antrum (disorder)
816 71833008 Crohn's disease of small AND large intestines (disorder)
816 72048003 Acute appendicitis without peritonitis (disorder)
816 72547003 Dietetic colitis (disorder)
816 72965009 Chemical colitis (disorder)
816 74744007 Typhlocolitis (disorder)
816 76816000 Soap colitis (disorder)
816 76953007 Diverticulitis of colon with perforation (disorder)
816 1.11E+08 Diverticulitis of colon (disorder)
816 78128001 Helicobacter-associated colitis (disorder)
816 78324009 Mild chronic ulcerative colitis (disorder)
816 78712000 Moderate chronic ulcerative colitis (disorder)
816 79099006 Colitis presumed infectious (disorder)
816 86604004 Colitis-X (disorder)
816 2.36E+08 Acute hemorrhagic enterocolitis (disorder)
816 91313006 Appendicitis of a pelvic appendix (disorder)
816 91390005 Crohn's disease of jejunum (disorder)
816 95547004 Ruptured suppurative appendicitis (disorder)
816 1.11E+08 Anal furunculosis (disorder)
816 1.24E+08 Focal appendicitis (disorder)
816 1.29E+08 Acute ulcerative colitis (disorder)
816 2.66E+08 Acute appendicitis with appendix abscess (disorder)
816 1.97E+08 Orofacial Crohn's disease (disorder)
816 1.97E+08 Crohn's disease of terminal ileum (disorder)
816 1.97E+08 Regional ileocolitis (disorder)
816 2.95E+08 Ulcerative proctocolitis (disorder)
816 1.97E+08 Ulcerative ileocolitis (disorder)
816 1.97E+08 Radiation enterocolitis (disorder)
816 1.97E+08 Toxic enterocolitis (disorder)
816 2.66E+08 Allergic gastroenteritis and colitis (disorder)
816 1.97E+08 Allergic enterocolitis (disorder)
816 1.97E+08 Dietetic enterocolitis (disorder)
816 2.36E+08 Colonic diverticular abscess (disorder)
816 3.07E+08 Cellulitis - anus or rectum (disorder)
816 2.36E+08 Radiation proctitis (disorder)
816 2.35E+08 Orofacial Crohn's disease of gingivae (disorder)
816 2.36E+08 Crohn's disease of esophagus (disorder)
816 3.97E+08 Gastrointestinal Crohn's disease (disorder)
816 2.36E+08 Non-Crohn's granulomatous colitis (disorder)
816 2.36E+08 Indeterminate colitis (disorder)
816 2.36E+08 Fulminant amebic colitis (disorder)
816 2.36E+08 Cytomegaloviral colitis (disorder)
816 2.36E+08 Drug-induced colitis (disorder)
816 2.36E+08 Non-steroidal anti-inflammatory drug-induced colitis (disorder)
816 2.36E+08 Microscopic colitis (disorder)
816 2.36E+08 Phlegmonous colitis (disorder)
816 2.36E+08 Neutropenic colitis (disorder)
816 2.36E+08 Acute radiation colitis (disorder)
816 2.36E+08 Chronic radiation colitis (disorder)
816 2.36E+08 Behcet's colitis (disorder)
816 2.36E+08 Chemically-induced proctitis (disorder)
816 2.36E+08 Acute radiation proctitis (disorder)
816 2.36E+08 Chronic radiation proctitis (disorder)
816 2.36E+08 Traumatic proctitis (disorder)
816 2.36E+08 Acute focal appendicitis (disorder)
816 2.36E+08 Acute suppurative appendicitis (disorder)
816 2.36E+08 Perianal Crohn's disease (disorder)
816 2.36E+08 Transient ischemic colitis (disorder)
816 2.4E+08 Neutropaenic enterocolitis (disorder)
816 2.77E+08 Transient neonatal colitis (disorder)
816 3.69E+08 Chronic proctocolitis, patchy (disorder)
816 3.69E+08 Chronic proctocolitis, confluent (disorder)
816 3.7E+08 Enterotyphlitis (disorder)
816 3.74E+08 Distal colitis (disorder)
816 3.96E+08 Acute and chronic colitis (disorder)
816 3.98E+08 Antibiotic induced pseudomembranous enterocolitis (disorder)
816 4.05E+08 Non-specific colitis (disorder)
816 4.1E+08 Iritis with inflammatory bowel disease (disorder)
816 4.1E+08 Iritis with ulcerative colitis (disorder)
816 4.1E+08 Iritis with Crohn's disease (disorder)
816 4.13E+08 Crohn's stricture of colon (disorder)
816 4.14E+08 Exacerbation of Crohn's disease of large intestine (disorder)
816 4.14E+08 Exacerbation of Crohn's disease of small intestine (disorder)
816 4.14E+08 Exacerbation of non-infective colitis (disorder)
816 4.14E+08 Exacerbation of ulcerative colitis (disorder)
816 4.18E+08 Complicated appendicitis (disorder)
816 4.24E+08 Clostridium difficile colitis (disorder)
816 4.27E+08 Crohn's disease in remission (disorder)
816 4.28E+08 Diverticulitis of sigmoid colon (disorder)
816 4.3E+08 Diverticulitis of cecum (disorder)
816 4.31E+08 Diverticulitis of rectosigmoid (disorder)
816 4.31E+08 Diverticulitis of rectum (disorder)
816 4.32E+08 Perforating inflammation of rectum due to radiation (disorder)
816 4.42E+08 Chronic left-sided ulcerative colitis (disorder)
816 4.45E+08 Left sided ulcerative colitis (disorder)
816 4.42E+08 Chronic ulcerative pancolitis (disorder)
816 4.45E+08 Ulcerative pancolitis (disorder)
Urinary Tract Infection

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/UTI.xls)

Refset Name: UTI refset
  refset_ID   SCTID FSN
825 1469007 Spontaneous abortion with urinary tract infection (disorder)
825   87307008 Abortion with urinary tract infection (disorder)
825 4009004 Lower urinary tract infectious disease (disorder)
825 68566005 Urinary tract infectious disease (disorder)
825 5093001 Cystitis with actinomycosis (disorder)
825 2.37E+08 Infective cystitis (disorder)
825 4.25E+08 Bacterial cystitis (disorder)
825 5945005 Legal abortion with urinary tract infection (disorder)
825 7448003 Acute pyonephrosis with renal medullary necrosis (disorder)
825 1.98E+08 Acute pyonephrosis (disorder)
825 8436004 Bacterial kidney disease of fish (disorder)
825 3.12E+08 Bacterial urinary infection (disorder)
825 1.29E+08 Infectious disorder of kidney (disorder)
825 8776008 Amebic cystitis (disorder)
825 12301009 Neonatal urinary tract infection (disorder)
825 16751003 Acute tubulointerstitial nephritis associated with systemic infection (disorder)
825 66993009 Acute infectious tubulointerstitial nephritis (disorder)
825 17121006 Mumps nephritis (disorder)
825 22352007 Acute bacterial tubulointerstitial nephritis (disorder)
825 23754003 Calculous pyelonephritis (disorder)
825 24868007 Acute gonococcal cystitis (disorder)
825 1.98E+08 Gonococcal cystitis (disorder)
825 3.07E+08 Acute infective cystitis (disorder)
825 27810000 Acute viral tubulointerstitial nephritis (disorder)
825 29864006 Acute gonococcal urethritis (disorder)
825 4.32E+08 Acute lower urinary tract infection (disorder)
825 2.37E+08 Gonococcal urethritis (disorder)
825 30116001 Trichomonal urethritis (disorder)
825 2.37E+08 Infective urethritis (disorder)
825 31563000 Asymptomatic bacteriuria in pregnancy (disorder)
825 3.08E+08 Urinary tract infection in pregnancy (disorder)
825 2.37E+08 Asymptomatic bacteriuria (disorder)
825 32268008 Tuberculosis of bladder (disorder)
825 2.37E+08 Chronic infective cystitis (disorder)
825 1.12E+08 Tuberculosis of urinary organs (disorder)
825 33046001 Illegal abortion with urinary tract infection (disorder)
825 36689008 Acute pyelonephritis (disorder)
825 4.31E+08 Acute upper urinary tract infection (disorder)
825 37133005 Tuberculous pyelitis (disorder)
825 38176009 Urinary tract infection following molar AND/OR ectopic pregnancy (disorder)
825 84619001 Nongonococcal urethritis (disorder)
825 40635000 Cystitis due to Pseudomonas (disorder)
825 44323002 Tuberculosis of kidney (disorder)
825 44412000 Chronic gonococcal urethritis (disorder)
825 48278001 Diphtheritic cystitis (disorder)
825 48631008 Pyonephrosis (disorder)
825 51105006 Nongonococcal urethritis due to Ureaplasma urealyticum (disorder)
825 4.3E+08 Bacterial urethritis (disorder)
825 1.79E+08 Urethritis due to Chlamydia trachomatis (disorder)
825 2.37E+08 Chlamydial urethritis (disorder)
825 52123000 Emphysematous cystitis (disorder)
825 53991003 Cystitis with bilharziasis (disorder)
825 54026009 Cystitis with Echinococcus infestation (disorder)
825 56346006 Lucke frog kidney carcinoma (disorder)
825 59530001 Syphilis of kidney (disorder)
825 60867007 Klebsiella cystitis (disorder)
825 3.01E+08 Coliform urinary tract infection (disorder)
825 61680002 Contagious bovine pyelonephritis (disorder)
825 65127006 Tuberculous pyelonephritis (disorder)
825 66892003 Failed attempted abortion with urinary tract infection (disorder)
825 1.98E+08 Nephrotic syndrome in malaria (disorder)
825 1.02E+08 Hemorrhagic nephroso-nephritis (disorder)
825 75712001 Renal coccidiosis (disorder)
825 81359005 Tuberculosis of ureter (disorder)
825 4.23E+08 Upper urinary tract infection (disorder)
825 85495007 Acute pyonephrosis without renal medullary necrosis (disorder)
825 85884009 Pyoureter (disorder)
825 88813005 Chronic gonococcal cystitis (disorder)
825 91195006 Acute fungal tubulointerstitial nephritis (disorder)
825 2.36E+08 Fungal infection of kidney (disorder)
825 95572004 Renal carbuncle (disorder)
825 95889002 Mycoplasmal pyelonephritis (disorder)
825 1.24E+08 Subacute pyelonephritis (disorder)
825 1.24E+08 Focal pyelonephritis (disorder)
825 1.24E+08 Diffuse pyelonephritis (disorder)
825 1.98E+08 Recurrent urinary tract infection (disorder)
825 1.98E+08 Chronic pyonephrosis (disorder)
825 1.86E+08 Tuberculous nephropathy (disorder)
825 1.87E+08 Plasmodium malariae malaria with nephropathy (disorder)
825 1.87E+08 Hydatid cyst of kidney (disorder)
825 1.98E+08 Late syphilis of kidney (disorder)
825 1.98E+08 Chronic urinary tract infection (disorder)
825 1.98E+08 Acute pyelonephritis without medullary necrosis (disorder)
825 1.98E+08 Acute pyelonephritis with medullary necrosis (disorder)
825 1.98E+08 Monilial cystitis (disorder)
825 2.41E+08 Renal tract candidiasis (disorder)
825 1.98E+08 Trichomonal cystitis (disorder)
825 1.98E+08 Candidal urethritis (disorder)
825 1.98E+08 Postoperative urinary tract infection (disorder)
825 1.99E+08 Urinary tract infection following abortive pregnancy (disorder)
825 1.99E+08 Asymptomatic bacteriuria in pregnancy - delivered (disorder)
825 1.99E+08 Asymptomatic bacteriuria in pregnancy - delivered with postnatal complication (disorder)
825 1.99E+08 Asymptomatic bacteriuria in pregnancy - not delivered (disorder)
825 1.99E+08 Asymptomatic bacteriuria in pregnancy with postnatal complication (disorder)
825 1.99E+08 Infections of kidney in pregnancy (disorder)
825 1.99E+08 Urinary tract infection following delivery (disorder)
825 1.99E+08 Infections of bladder in pregnancy (disorder)
825 1.99E+08 Infections of urethra in pregnancy (disorder)
825 2.36E+08 Emphysematous pyelonephritis (disorder)
825 2.36E+08 Chronic infective interstitial nephritis (disorder)
825 2.36E+08 Infected renal cyst (disorder)
825 2.36E+08 Candida pyelonephritis (disorder)
825 3.7E+08 Renal candidiasis (disorder)
825 2.36E+08 Acquired immune deficiency syndrome-related nephropathy (disorder)
825 2.37E+08 Cytomegalovirus-induced glomerulonephritis (disorder)
825 2.37E+08 Schistosomiasis of ureter (disorder)
825 3.12E+08 Infective ureteritis (disorder)
825 2.37E+08 Urinary schistosomiasis (disorder)
825 2.37E+08 Candida ureteritis (disorder)
825 2.37E+08 Tuberculous stricture of ureter (disorder)
825 2.37E+08 Recurrent infective cystitis (disorder)
825 4.28E+08 Chronic lower urinary tract infection (disorder)
825 2.37E+08 Tuberculous urethritis (disorder)
825 2.37E+08 Schistosomiasis of the urethra (disorder)
825 2.37E+08 Schistosomal urethral fistula (disorder)
825 2.37E+08 Gonococcal urethral abscess (disorder)
825 2.41E+08 Gonococcal paraurethral gland abscess (disorder)
825 4.45E+08 Abscess of urethral gland due to Neisseria gonorrhoeae (disorder)
825 2.37E+08 Reiter's urethritis (disorder)
825 2.37E+08 Acute culture positive cystitis (disorder)
825 2.37E+08 Candiduria (disorder)
825 2.41E+08 Gonococcal Skenitis (disorder)
825 2.41E+08 Gonococcal Cowperitis (disorder)
825 2.41E+08 Gonococcal Littritis (disorder)
825 2.41E+08 Gonococcal Littré gland abscess (disorder)
825 2.75E+08 Infected diverticulum of bladder (disorder)
825 3.01E+08 Escherichia coli urinary tract infection (disorder)
825 3.01E+08 Proteus urinary tract infection (disorder)
825 3.01E+08 Pseudomonas urinary tract infection (disorder)
825 3.71E+08 Infection of bladder catheter (disorder)
825 3.71E+08 Urosepsis (disorder)
825 3.74E+08 Pyocystis (disorder)
825 4.23E+08 Recurrent obstructive pyelonephritis (disorder)
825 4.26E+08 Recurrent bacterial cystitis (disorder)
825 4.26E+08 Urethral wart (disorder)
825 4.31E+08 Acute urinary tract infection (disorder)
Viral Hepatitis

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/ViralHep.xls)

Refset Name: Viral hepatitis refset
  refset_ID   SCTID FSN
826 757007 Infectious canine hepatitis (disorder)
826 1.97E+08 Hepatitis with adenovirus (disorder)
826 3738000 Viral hepatitis (disorder)
826 1116000 Chronic aggressive type B viral hepatitis (disorder)
826   89789003 Chronic aggressive viral hepatitis (disorder)
826 61977001 Chronic type B viral hepatitis (disorder)
826 40468003 Viral hepatitis, type A (disorder)
826 4846001 Anicteric viral hepatitis (disorder)
826 10295004 Chronic viral hepatitis (disorder)
826 13265006 Acute fulminating type B viral hepatitis (disorder)
826 76795007 Acute type B viral hepatitis (disorder)
826 45042004 Acute fulminating viral hepatitis (disorder)
826 16060001 Viral hepatitis A with hepatic coma (disorder)
826 40946000 Viral hepatitis with hepatic coma (disorder)
826 18917003 Acute fulminating type A viral hepatitis (disorder)
826 25102003 Acute type A viral hepatitis (disorder)
826 57412004 Acute viral hepatitis (disorder)
826 26206000 Viral hepatitis B with hepatic coma (disorder)
826 66071002 Type B viral hepatitis (disorder)
826 28766006 Posttransfusion viral hepatitis (disorder)
826 29062009 Relapsing type B viral hepatitis (disorder)
826 58282009 Relapsing viral hepatitis (disorder)
826 36155008 Hepatitis in coxsackie viral disease (disorder)
826 1.97E+08 Coxsackie virus hepatitis (disorder)
826 38662009 Chronic persistent type B viral hepatitis (disorder)
826 60037002 Chronic persistent viral hepatitis (disorder)
826 3.03E+08 Epstein-Barr virus hepatitis (disorder)
826 43634002 Relapsing type A viral hepatitis (disorder)
826 46496000 Murine hepatitis (disorder)
826 50167007 Chronic active type B viral hepatitis (disorder)
826 66870002 Chronic active viral hepatitis (disorder)
826 50711007 Viral hepatitis C (disorder)
826 1.87E+08 Cytomegalovirus hepatitis (disorder)
826 53425008 Anicteric type B viral hepatitis (disorder)
826 60498001 Congenital viral hepatitis B infection (disorder)
826 2.06E+08 Congenital viral hepatitis (disorder)
826 62245009 Avian inclusion body hepatitis (disorder)
826 78416003 Duck viral hepatitis (disorder)
826 79031007 Anicteric type A viral hepatitis (disorder)
826 89231008 Mumps hepatitis (disorder)
826 1.12E+08 Viral hepatitis A without hepatic coma (disorder)
826 1.12E+08 Viral hepatitis B without hepatic coma (disorder)
826 1.12E+08 Viral hepatitis without hepatic coma (disorder)
826 1.28E+08 Chronic hepatitis C (disorder)
826 1.87E+08 Viral hepatitis A with coma (disorder)
826 1.87E+08 Viral hepatitis B with coma (disorder)
826 1.87E+08 Acute hepatitis B with delta agent (coinfection) with hepatic coma (disorder)
826 2.36E+08 Acute hepatitis B with hepatitis D (disorder)
826 1.87E+08 Acute hepatitis B with delta-agent (coinfection) without hepatic coma (disorder)
826 1.87E+08 Viral hepatitis C with coma (disorder)
826 2.36E+08 Hepatitis D superinfection of hepatitis B carrier (disorder)
826 2.36E+08 Acute hepatitis E (disorder)
826 1.87E+08 Hepatitis non-A non-B (disorder)
826 2.36E+08 Chronic viral hepatitis B with hepatitis D (disorder)
826 1.87E+08 Chronic viral hepatitis B without delta-agent (disorder)
826 1.97E+08 Hepatitis in yellow fever (disorder)
826 1.99E+08 Viral hepatitis complicating pregnancy, childbirth and the puerperium (disorder)
826 2.06E+08 Congenital hepatitis A infection (disorder)
826 2.36E+08 Acute hepatitis C (disorder)
826 2.36E+08 Acute non-A non-B hepatitis (disorder)
826 2.36E+08 Chronic non-A non-B hepatitis (disorder)
826 2.77E+08 Congenital non-A non-B hepatitis infection (disorder)
826 2.79E+08 Congenital hepatitis C infection (disorder)
826 3.98E+08 Viral hepatitis, type G (disorder)
826 4.24E+08 Acute hepatitis B with hepatic coma (disorder)
826 4.24E+08 Chronic hepatitis B with hepatic coma (disorder)
826 4.24E+08 Hepatitis B with hepatitis D superinfection (disorder)
826 4.25E+08 Viral hepatitis A without hepatic coma, without hepatitis delta (disorder)
826 4.42E+08 Hepatitis B associated with Human immunodeficiency virus infection (disorder)
826 4.42E+08 Hepatitis B and hepatitis C (disorder)
Wound Infection

(Excel file available at: http://aspe.hhs.gov/daltcp/reports/2011/SE-D/WoundInfection.xls)

Refset Name: Wound infection refset
  refset_ID   SCTID FSN
827   43422002 Crushing injury of foot (disorder)
827 65896005 Crushing injury of ankle (disorder)
827 2E+08 Infection of obstetric surgical wound (disorder)
827 426008 Superficial injury of ankle without infection (disorder)
827 2.74E+08 Superficial injury of ankle (disorder)
827 2.01E+08 Callosity on toe (disorder)
827 2.3E+08 Foot callus (disorder)
827 2.01E+08 Callosity between toes (disorder)
827 2.01E+08 Callosity under metatarsal head (disorder)
827 2.09E+08 Open fracture of lower epiphysis of femur (disorder)
827 2.01E+08 Traumatic leg ulcer (disorder)
827 3.01E+08 Fracture of greater trochanter (disorder)
827 69830008 Multiple closed fractures of lower end of femur (disorder)
827 714002 Abrasion AND/OR friction burn of toe with infection (disorder)
827 2.69E+08 Abrasion AND/OR friction burn of foot AND/OR toe, infected (disorder)
827 2.83E+08 Injury of toe (disorder)
827 2.83E+08 Traumatic blister of heel (disorder)
827 733007 Superficial foreign body of groin without major open wound but with infection (disorder)
827 2.83E+08 Superficial injury of groin (disorder)
827 69976008 Open dislocation of metatarsal joint (disorder)
827 70000009 Crushing injury of multiple sites of lower limb (disorder)
827 34767000 Superficial foreign body of leg without major open wound but with infection (disorder)
827 11805005 Injury of groin (disorder)
827 2.82E+08 Traumatic effusion of the knee joint (disorder)
827 70204006 Closed fracture of fifth metatarsal bone (disorder)
827 2.02E+08 Traumatic arthropathy of ankle (disorder)
827 2.12E+08 Full thickness burn of multiple sites of leg (disorder)
827 2.75E+08 Closed fracture of lesser trochanter of femur (disorder)
827 70873009 Superficial foreign body of ankle without major open wound but with infection (disorder)
827 2.82E+08 Traumatic division of extensor tendon of toe (disorder)
827 4.28E+08 Fracture of tibial plateau (disorder)
827 2.83E+08 Shin injury (disorder)
827 71313000 Open subtrochanteric fracture (disorder)
827 71364004 Deep third degree burn of thigh (disorder)
827 2.83E+08 Injury of great toenail (disorder)
827 2.83E+08 Superficial injury of great toe (disorder)
827 2.83E+08 Superficial injury of little toe (disorder)
827 2.02E+08 Peripheral detachment of medial meniscus (disorder)
827 2.83E+08 Superficial injury of dorsum of foot (disorder)
827 71790003 Open fracture of fourth metatarsal bone (disorder)
827 2.83E+08 Superficial injury of sole of foot (disorder)
827 2.02E+08 Horizontal cleavage tear of medial meniscus (disorder)
827 2.83E+08 Superficial injury of heel (disorder)
827 2.83E+08 Abrasion of dorsum of foot (disorder)
827 2.83E+08 Abrasion of sole of foot (disorder)
827 2.83E+08 Traumatic blister of dorsum of foot (disorder)
827 1351002 Injury of iliac artery (disorder)
827 71816001 Abrasion AND/OR friction burn of buttock without infection (disorder)
827 2.02E+08 Horizontal cleavage tear of lateral meniscus (disorder)
827 2.83E+08 Contusion of dorsum of foot (disorder)
827 2.86E+08 Injury of artery of lower limb (disorder)
827 2.11E+08 Iliac blood vessel injury (disorder)
827 2.02E+08 Pathological dislocation of ankle joint (disorder)
827 2.4E+08 Neuromuscular dislocation of the hip joint (disorder)
827 2.83E+08 Fishing hook in lower limb (disorder)
827 1378000 Supination-eversion injury of ankle (disorder)
827 71830006 Supination-adduction injury of ankle, stage 2 (disorder)
827 44465007 Sprain of ankle (disorder)
827 2.02E+08 Pathological dislocation of patellofemoral joint (disorder)
827 2.83E+08 Fishing hook in buttock (disorder)
827 2.83E+08 Fishing hook in hip (disorder)
827 2.02E+08 Pathological dislocation of subtalar joint (disorder)
827 2.02E+08 Pathological dislocation of midtarsal joint (disorder)
827 1544005 Open dislocation of knee (disorder)
827 2.02E+08 Pathological dislocation of tarsometatarsal joint (disorder)
827 1.26E+08 Open wound of knee (disorder)
827 58320001 Traumatic dislocation of knee joint (disorder)
827 72634002 Sprain of ligament of tarsometatarsal joint (disorder)
827 2.83E+08 Fishing hook in groin (disorder)
827 2.83E+08 Fishing hook in thigh (disorder)
827 73015009 Open fracture of navicular bone of foot (disorder)
827 2.63E+08 Fracture of navicular (disorder)
827 2.02E+08 Pathological dislocation of 1st metatarsophalangeal joint (disorder)
827 2.83E+08 Injury of great toe (disorder)
827 2.02E+08 Pathological dislocation of lesser metatarsophalangeal joint (disorder)
827 1705000 Closed fracture of base of neck of femur (disorder)
827 2.83E+08 Injury of little toe (disorder)
827 2.83E+08 Fishing hook in knee (disorder)
827 2.02E+08 Pathological dislocation of toe interphalangeal joint (disorder)
827 2.83E+08 Fishing hook in lower leg (disorder)
827 2.83E+08 Fishing hook in shin (disorder)
827 46866001 Fracture of lower limb (disorder)
827 2.63E+08 Basicervical fracture of neck of femur (disorder)
827 2.83E+08 Fishing hook in calf (disorder)
827 3.6E+08 Closed fracture of neck of femur (disorder)
827 2.83E+08 Fishing hook in ankle (disorder)
827 2.02E+08 Recurrent dislocation of the patellofemoral joint (disorder)
827 4.29E+08 Recurrent dislocation of hip (disorder)
827 2.02E+08 Recurrent dislocation of ankle (disorder)
827 2.83E+08 Fishing hook in foot (disorder)
827 2.83E+08 Fishing hook in toe (disorder)
827 2.83E+08 Fishing hook in great toe (disorder)
827 2202000 Open posterior dislocation of distal end of femur (disorder)
827 2.09E+08 Open traumatic dislocation knee joint, posterior (disorder)
827 2.83E+08 Fishing hook in dorsum of foot (disorder)
827 2.83E+08 Fishing hook in sole of foot (disorder)
827 2582004 Deep third degree burn of multiple sites of lower limb (disorder)
827 2.02E+08 Recurrent subluxation of the patella (disorder)
827 3975002 Deep third degree burn of lower limb (disorder)
827 2.63E+08 Subluxation of patellofemoral joint (disorder)
827 2.11E+08 Tibial blood vessel injury (disorder)
827 2.02E+08 Habitual dislocation of the patellofemoral joint (disorder)
827 2.02E+08 Recurrent subluxation of the ankle (disorder)
827 2.83E+08 Fishing hook in heel (disorder)
827 2.63E+08 Subluxation of ankle joint (disorder)
827 2.02E+08 Recurrent dislocation of foot joint (disorder)
827 73600009 Bilateral traumatic amputation of legs at any level without complication (disorder)
827 2.02E+08 Recurrent subluxation of the subtalar joint (disorder)
827 2.63E+08 Subluxation of foot joint (disorder)
827 73602001 Open wound of hip AND thigh with complication (disorder)
827 73825003 Crushing injury of buttock (disorder)
827 74204001 Open wound of toe with tendon involvement (disorder)
827 74270009 Crushing injury of thigh (disorder)
827 74383007 Sprain of distal tibiofibular ligament (disorder)
827 74395007 Open fracture of phalanx of foot (disorder)
827 74682007 Crushing injury of toe (disorder)
827 75308009 Closed fracture of navicular bone of foot (disorder)
827 2.84E+08 Animal bite wound of lower limb (disorder)
827 2.03E+08 Tibialis posterior rupture (disorder)
827 2.03E+08 Subluxation of peroneal tendon (disorder)
827 3381004 Open fracture of talus (disorder)
827 2.63E+08 Fracture of talus (disorder)
827 4.28E+08 Open fracture of tarsal bone (disorder)
827 48187004 Open fracture of ankle (disorder)
827 55473001 Third degree burn of lower limb (disorder)
827 2.03E+08 Non-traumatic acute slipped upper femoral epiphysis (disorder)
827 75580000 Open dislocation of distal end of tibia (disorder)
827 2.83E+08 Insect bite of great toe (disorder)
827 2.75E+08 Dislocation of tibia, distal end (disorder)
827 2.84E+08 Animal bite of great toe (disorder)
827 4.28E+08 Injury of fibula (disorder)
827 2.83E+08 Insect bite of dorsum of foot (disorder)
827 2.84E+08 Animal bite of dorsum of foot (disorder)
827 2.83E+08 Insect bite of sole of foot (disorder)
827 2.84E+08 Animal bite of sole of foot (disorder)
827 4.14E+08 Closed fracture of tibia AND fibula (disorder)
827 75759008 Open wound of foot except toes with tendon involvement (disorder)
827 2.03E+08 Non-traumatic acute-on-chronic slipped upper femoral epiphysis (disorder)
827 76211000 Injury of iliac vein (disorder)
827 2.03E+08 Non-traumatic chronic slipped upper femoral epiphysis (disorder)
827 2.74E+08 Superficial injury of foot (disorder)
827 2.68E+08 Pathological dislocation of the ankle and/or foot (disorder)
827 2.83E+08 Insect bite of heel (disorder)
827 2.84E+08 Animal bite of heel (disorder)
827 4208000 Closed multiple fractures of both lower limbs (disorder)
827 52603002 Closed fracture of lower limb (disorder)
827 64569008 Closed fractures of multiple bones of lower limb (disorder)
827 25427000 Multiple fractures of both lower limbs (disorder)
827 4478002 Multiple fractures of upper AND lower limbs (disorder)
827 2.83E+08 Infected insect bite of sole of foot (disorder)
827 4673003 Open fracture of lateral malleolus (disorder)
827 2.54E+08 Predislocation status of hip at birth (disorder)
827 2.82E+08 Fracture of lateral malleolus (disorder)
827 2.05E+08 Congenital dislocation of knee grade I (disorder)
827 2.05E+08 Congenital dislocation of knee grade II (disorder)
827 3.08E+08 Open fracture of distal fibula (disorder)
827 2.83E+08 Laceration of groin (disorder)
827 2.05E+08 Congenital dislocation of knee grade III (disorder)
827 2.05E+08 Congenital dislocation of patella (disorder)
827 2.83E+08 Laceration of buttock (disorder)
827 2.83E+08 Laceration of hip (disorder)
827 2.83E+08 Laceration of thigh (disorder)
827 2.83E+08 Laceration of knee (disorder)
827 2.83E+08 Laceration of lower leg (disorder)
827 2.83E+08 Laceration of shin (disorder)
827 2.83E+08 Laceration of calf (disorder)
827 76584003 Nonvenomous insect bite of hip with infection (disorder)
827 2.83E+08 Laceration of ankle (disorder)
827 2.83E+08 Laceration of great toe (disorder)
827 2.85E+08 Laceration of toe (disorder)
827 5353008 Open wound of hip AND thigh without complication (disorder)
827 1.26E+08 Open wound of thigh (disorder)
827 2.83E+08 Laceration of dorsum of foot (disorder)
827 1.26E+08 Open wound of hip region (disorder)
827 2.85E+08 Laceration of foot (disorder)
827 11464002 Open wound of lower limb without complication (disorder)
827 2.83E+08 Laceration of sole of foot (disorder)
827 5801006 Open wound of hip AND thigh with tendon involvement (disorder)
827 2.83E+08 Laceration of heel (disorder)
827 89730005 Open wound of lower limb with tendon involvement (disorder)
827 5853003 Sprain of lower extremity (disorder)
827 77754004 Superficial injury of hip with infection (disorder)
827 1.27E+08 Injury of lower extremity (disorder)
827 5913000 Fracture of neck of femur (disorder)
827 2.63E+08 Fracture of proximal end of femur (disorder)
827 5949004 Open dislocation of tarsal joint (disorder)
827 2.09E+08 Open traumatic dislocation of foot (disorder)
827 5965003 Supination-eversion injury of ankle, stage 3 (disorder)
827 2.83E+08 Cut of groin (disorder)
827 2.83E+08 Cut of lower limb (disorder)
827 2.06E+08 Fracture of femur due to birth trauma (disorder)
827 2.83E+08 Cut of buttock (disorder)
827 2.06E+08 Fracture of tibia and/or fibula due to birth trauma (disorder)
827 6132001 Burn of thigh (disorder)
827 84677008 Burn of lower limb (disorder)
827 7523003 Injury of thigh (disorder)
827 6628008 Open fracture of shaft of femur (disorder)
827 2.75E+08 Ruptured Achilles tendon - traumatic (disorder)
827 54441004 Fracture of shaft of femur (disorder)
827 28576007 Open fracture of femur (disorder)
827 2.83E+08 Cut of hip (disorder)
827 2.83E+08 Cut of thigh (disorder)
827 77505009 Open fracture of second metatarsal bone (disorder)
827 2.83E+08 Cut of knee (disorder)
827 2.83E+08 Cut of lower leg (disorder)
827 2.83E+08 Cut of shin (disorder)
827 2.83E+08 Cut of calf (disorder)
827 2.83E+08 Cut of ankle (disorder)
827 2.83E+08 Cut of foot (disorder)
827 2.83E+08 Cut of toe (disorder)
827 2.83E+08 Cut of great toe (disorder)
827 2.83E+08 Cut of dorsum of foot (disorder)
827 2.83E+08 Cut of sole of foot (disorder)
827 2.08E+08 Closed fracture acetabulum, anterior lip alone (disorder)
827 2.83E+08 Cut of heel (disorder)
827 2.08E+08 Closed fracture acetabulum, posterior lip alone (disorder)
827 2.08E+08 Closed fracture acetabulum, anterior column (disorder)
827 2.08E+08 Closed fracture acetabulum, posterior column (disorder)
827 6698000 Closed trimalleolar fracture (disorder)
827 2.08E+08 Closed fracture acetabulum, floor (disorder)
827 25899002 Closed bimalleolar fracture (disorder)
827 2.08E+08 Closed fracture acetabulum, double column transverse (disorder)
827 15385006 Closed fracture of medial malleolus (disorder)
827 1.24E+08 Trimalleolar fracture (disorder)
827 6990005 Fracture of shaft of tibia (disorder)
827 31978002 Fracture of tibia (disorder)
827 2.83E+08 Stab wound of groin (disorder)
827 2.09E+08 Closed fracture of head of femur (disorder)
827 2.83E+08 Stab wound of lower limb (disorder)
827 2.83E+08 Stab wound of buttock (disorder)
827 2.83E+08 Stab wound of hip (disorder)
827 2.83E+08 Stab wound of thigh (disorder)
827 2.83E+08 Stab wound of knee (disorder)
827 2.83E+08 Stab wound of lower leg (disorder)
827 2.83E+08 Stab wound of shin (disorder)
827 2.83E+08 Stab wound of calf (disorder)
827 2.83E+08 Stab wound of ankle (disorder)
827 2.83E+08 Stab wound of foot (disorder)
827 2.83E+08 Stab wound of toe (disorder)
827 2.83E+08 Stab wound of great toe (disorder)
827 2.83E+08 Stab wound of dorsum of foot (disorder)
827 2.83E+08 Stab wound of sole of foot (disorder)
827 2.83E+08 Stab wound of heel (disorder)
827 2.08E+08 Open fracture acetabulum, anterior lip alone (disorder)
827 2.08E+08 Open fracture acetabulum, posterior lip alone (disorder)
827 2.84E+08 Puncture wound of groin (disorder)
827 2.08E+08 Open fracture acetabulum, anterior column (disorder)
827 2.84E+08 Puncture wound of buttock (disorder)
827 2.84E+08 Puncture wound of hip (disorder)
827 2.08E+08 Open fracture acetabulum, posterior column (disorder)
827 2.84E+08 Puncture wound of thigh (disorder)
827 2.84E+08 Puncture wound of knee (disorder)
827 2.08E+08 Open fracture acetabulum, floor (disorder)
827 2.08E+08 Open fracture acetabulum, double column transverse (disorder)
827 2.09E+08 Closed fracture proximal femur, transcervical (disorder)
827 2.09E+08 Closed fracture proximal femur, transepiphyseal (disorder)
827 77572008 Open multiple fractures of lower limb AND sternum (disorder)
827 77598002 Open fracture of acetabulum (disorder)
827 2.09E+08 Closed fracture proximal femur, midcervical section (disorder)
827 2.84E+08 Puncture wound of shin (disorder)
827 2.09E+08 Closed fracture proximal femur, subcapital, Garden grade I (disorder)
827 2.84E+08 Puncture wound of calf (disorder)
827 2.09E+08 Closed fracture proximal femur, subcapital, Garden grade II (disorder)
827 2.84E+08 Puncture wound of ankle (disorder)
827 2.09E+08 Closed fracture proximal femur, subcapital, Garden grade III (disorder)
827 2.09E+08 Closed fracture proximal femur, subcapital, Garden grade IV (disorder)
827 77706007 Injury of cutaneous sensory nerve of lower limb (disorder)
827 2.09E+08 Open fracture proximal femur, transcervical (disorder)
827 2.69E+08 Pelvic girdle and lower limb peripheral nerve injury (disorder)
827 2.09E+08 Open fracture proximal femur, transepiphyseal (disorder)
827 77803008 Closed fracture of shaft of fibula (disorder)
827 2.09E+08 Open fracture proximal femur, midcervical section (disorder)
827 78849002 Closed traumatic dislocation of distal end of fibula (disorder)
827 2.09E+08 Open fracture proximal femur,subcapital, Garden grade unspec (disorder)
827 79484004 Closed transcervical fracture of femur (disorder)
827 2.09E+08 Open fracture proximal femur,subcapital, Garden grade I (disorder)
827 79626009 Closed fracture of talus (disorder)
827 2.09E+08 Open fracture proximal femur,subcapital, Garden grade II (disorder)
827 2.84E+08 Puncture wound of toe (disorder)
827 2.84E+08 Puncture wound of great toe (disorder)
827 2.09E+08 Open fracture proximal femur,subcapital, Garden grade III (disorder)
827 2.84E+08 Puncture wound of dorsum of foot (disorder)
827 2.09E+08 Open fracture proximal femur,subcapital, Garden grade IV (disorder)
827 2.84E+08 Puncture wound of sole of foot (disorder)
827 2.84E+08 Puncture wound of heel (disorder)
827 2.09E+08 Closed fracture of proximal femur, pertrochanteric (disorder)
827 2.84E+08 Pellet wound of groin (disorder)
827 2.09E+08 Closed fracture proximal femur, intertrochanteric, two part (disorder)
827 79763005 Closed traumatic dislocation of distal end of tibia (disorder)
827 2.09E+08 Closed fracture proximal femur, subtrochanteric (disorder)
827 2.09E+08 Closed fracture proximal femur, intertrochanteric, comminuted (disorder)
827 7449006 Injury of femoral nerve (disorder)
827 2.84E+08 Pellet wound of lower limb (disorder)
827 2.09E+08 Open fracture of proximal femur, pertrochanteric (disorder)
827 79978005 Open supracondylar fracture of femur (disorder)
827 2.09E+08 Open fracture proximal femur, intertrochanteric, two part (disorder)
827 1.29E+08 Injury of nerve of lower extremity (disorder)
827 80183002 Burn of multiple sites of lower limb (disorder)
827 7505006 Injury of multiple blood vessels of lower extremity (disorder)
827 2.09E+08 Open fracture proximal femur, subtrochanteric (disorder)
827 2.84E+08 Pellet wound of buttock (disorder)
827 2.84E+08 Pellet wound of hip (disorder)
827 2.09E+08 Open fracture proximal femur, intertrochanteric, comminuted (disorder)
827 2.84E+08 Pellet wound of thigh (disorder)
827 2.09E+08 Pertrochanteric fracture (disorder)
827 2.63E+08 Subtrochanteric fracture of femur (disorder)
827 41335004 Injury of blood vessels of lower extremity (disorder)
827 2.84E+08 Pellet wound of knee (disorder)
827 2.11E+08 Deep plantar blood vessel injury (disorder)
827 2.84E+08 Pellet wound of lower leg (disorder)
827 80756009 Closed fracture of patella (disorder)
827 2.84E+08 Pellet wound of shin (disorder)
827 2.09E+08 Closed fracture distal femur, medial condyle (disorder)
827 2.84E+08 Pellet wound of calf (disorder)
827 2.09E+08 Closed fracture distal femur, lateral condyle (disorder)
827 2.84E+08 Pellet wound of ankle (disorder)
827 2.09E+08 Closed fracture distal femur, bicondylar (T-Y fracture) (disorder)
827 2.84E+08 Pellet wound of foot (disorder)
827 2.09E+08 Closed fracture distal femur, comminuted/intra-articular (disorder)
827 2.84E+08 Pellet wound of toe (disorder)
827 2.84E+08 Pellet wound of great toe (disorder)
827 2.09E+08 Open fracture distal femur, medial condyle (disorder)
827 2.84E+08 Pellet wound of dorsum of foot (disorder)
827 2.09E+08 Open fracture distal femur, lateral condyle (disorder)
827 2.84E+08 Pellet wound of sole of foot (disorder)
827 2.09E+08 Open fracture distal femur, bicondylar (T-Y fracture) (disorder)
827 2.84E+08 Pellet wound of heel (disorder)
827 2.09E+08 Open fracture distal femur, comminuted/intra-articular (disorder)
827 2.09E+08 Closed fracture patella, transverse (disorder)
827 81094005 Burn erythema of thigh (disorder)
827 2.09E+08 Closed fracture patella, proximal pole (disorder)
827 2.09E+08 Closed fracture patella, distal pole (disorder)
827 81576005 Closed fracture of phalanx of foot (disorder)
827 2.09E+08 Closed fracture patella, vertical (disorder)
827 2.09E+08 Closed fracture patella, comminuted (stellate) (disorder)
827 3.07E+08 Comminuted fracture of patella (disorder)
827 81884004 Injury of tibial nerve (disorder)
827 2.84E+08 Needle stick injury of groin (disorder)
827 2.09E+08 Open fracture patella, transverse (disorder)
827 2.09E+08 Open fracture patella, proximal pole (disorder)
827 2.84E+08 Needle stick injury of lower limb (disorder)
827 2.84E+08 Needle stick injury of buttock (disorder)
827 2.09E+08 Open fracture patella, distal pole (disorder)
827 2.09E+08 Open fracture patella, vertical (disorder)
827 2.84E+08 Needle stick injury of hip (disorder)
827 2.09E+08 Open fracture patella, comminuted (stellate) (disorder)
827 2.84E+08 Needle stick injury of thigh (disorder)
827 2.84E+08 Needle stick injury of knee (disorder)
827 2.84E+08 Needle stick injury of lower leg (disorder)
827 2.84E+08 Needle stick injury of shin (disorder)
827 81902001 Sprain of medial collateral ligament of knee (disorder)
827 2.84E+08 Needle stick injury of calf (disorder)
827 2.84E+08 Needle stick injury of ankle (disorder)
827 2.09E+08 Closed fracture proximal tibia, medial condyle (plateau) (disorder)
827 2.09E+08 Closed fracture proximal tibia, lateral condyle (plateau) (disorder)
827 2.09E+08 Closed fracture proximal tibia, bicondylar (disorder)
827 8281003 Injury of uterine artery (disorder)
827 2.09E+08 Closed fracture spine, tibia (disorder)
827 51536009 Injury of hypogastric artery (disorder)
827 2.82E+08 Fracture of tibial spine (disorder)
827 2.09E+08 Closed fracture tubercle, tibia (disorder)
827 2.84E+08 Needle stick injury of foot (disorder)
827 2.84E+08 Needle stick injury of toe (disorder)
827 2.09E+08 Closed fracture fibula, neck (disorder)
827 2.84E+08 Needle stick injury of great toe (disorder)
827 2.82E+08 Fracture of neck of fibula (disorder)
827 2.84E+08 Needle stick injury of dorsum of foot (disorder)
827 2.63E+08 Open fracture of tibial condyles (disorder)
827 2.84E+08 Needle stick injury of sole of foot (disorder)
827 2.63E+08 Open fracture of tibial tuberosity (disorder)
827 2.84E+08 Needle stick injury of heel (disorder)
827 2.09E+08 Open fracture proximal tibia, medial condyle (plateau) (disorder)
827 2.84E+08 Nail wound of lower limb (disorder)
827 2.09E+08 Open fracture proximal tibia, lateral condyle (plateau) (disorder)
827 4.44E+08 Injury of medial collateral ligament of knee (disorder)
827 2.09E+08 Open fracture proximal tibia, bicondylar (disorder)
827 82640004 Stieda's fracture (disorder)
827 2.09E+08 Open fracture spine, tibia (disorder)
827 2.63E+08 Fracture of distal end of femur (disorder)
827 2.09E+08 Open fracture tubercle, tibia (disorder)
827 2.09E+08 Closed fracture of lower epiphysis of femur (disorder)
827 82788007 Supination-internal rotation injury of ankle (disorder)
827 2.84E+08 Nail wound of buttock (disorder)
827 2.84E+08 Nail wound of hip (disorder)
827 2.09E+08 Open fracture fibula, head (disorder)
827 2.84E+08 Nail wound of thigh (disorder)
827 2.09E+08 Open fracture fibula, neck (disorder)
827 2.84E+08 Nail wound of knee (disorder)
827 2.84E+08 Nail wound of lower leg (disorder)
827 2.09E+08 Closed fracture of tibia or fibula, shaft (disorder)
827 2.84E+08 Nail wound of shin (disorder)
827 2.84E+08 Nail wound of calf (disorder)
827 2.84E+08 Nail wound of ankle (disorder)
827 2.84E+08 Nail wound of foot (disorder)
827 8297008 Nonvenomous insect bite of toe without infection (disorder)
827 83401009 Open dislocation of interphalangeal joint of foot (disorder)
827 2.84E+08 Metal nail wound of toe (disorder)
827 2.09E+08 Closed fracture of tibia and fibula, shaft (disorder)
827 2.84E+08 Metal nail wound of great toe (disorder)
827 2.84E+08 Nail wound of dorsum of foot (disorder)
827 2.09E+08 Open fracture of tibia and/or fibula, shaft (disorder)
827 2.84E+08 Nail wound of sole of foot (disorder)
827 2.84E+08 Nail wound of heel (disorder)
827 2.09E+08 Open fracture of tibia and fibula, shaft (disorder)
827 2.09E+08 Closed fracture distal tibia, extra-articular (disorder)
827 85646001 Open dislocation of phalanx of foot (disorder)
827 2.09E+08 Closed fracture distal tibia, intra-articular (disorder)
827 2.09E+08 Open fracture distal tibia, extra-articular (disorder)
827 2.09E+08 Open fracture distal tibia, intra-articular (disorder)
827 1.12E+08 Superficial injury of toe without infection (disorder)
827 2.84E+08 Human bite of groin (disorder)
827 2.11E+08 Insect bite, nonvenomous, of toe (disorder)
827 2.84E+08 Human bite of lower limb (disorder)
827 29757004 Nonvenomous insect bite of foot without infection (disorder)
827 2.84E+08 Human bite of buttock (disorder)
827 2.84E+08 Human bite of hip (disorder)
827 2.84E+08 Human bite of thigh (disorder)
827 83437004 Open wound of multiple sites of one lower limb AND thigh with complication (disorder)
827 2.84E+08 Human bite of knee (disorder)
827 2.1E+08 Sprain, metatarsophalangeal joint (disorder)
827 2.84E+08 Human bite of lower leg (disorder)
827 2.84E+08 Human bite of shin (disorder)
827 84320000 Open fracture of midcervical section of femur (disorder)
827 2.84E+08 Human bite of calf (disorder)
827 2.84E+08 Human bite of ankle (disorder)
827 2.09E+08 Closed fracture ankle, lateral malleolus, low (disorder)
827 2.84E+08 Human bite of foot (disorder)
827 2.09E+08 Closed fracture ankle, lateral malleolus, high (disorder)
827 2.84E+08 Human bite of toe (disorder)
827 8748000 Abrasion AND/OR friction burn of hip with infection (disorder)
827 2.09E+08 Open fracture ankle, lateral malleolus, low (disorder)
827 2.84E+08 Human bite of great toe (disorder)
827 2.84E+08 Human bite of dorsum of foot (disorder)
827 1.26E+08 Injury of hip region (disorder)
827 2.11E+08 Abrasion or friction burn of lower limb, infected (disorder)
827 2.84E+08 Human bite of sole of foot (disorder)
827 2.84E+08 Human bite of heel (disorder)
827 8975004 Nonvenomous insect bite of thigh without infection (disorder)
827 2.09E+08 Open fracture ankle, lateral malleolus, high (disorder)
827 2.11E+08 Insect bite, nonvenomous, of thigh (disorder)
827 2.09E+08 Closed fracture ankle, bimalleolar, low fibular fracture (disorder)
827 2.09E+08 Closed fracture ankle, bimalleolar, high fibular fracture (disorder)
827 9327005 Multiple fractures of lower limb AND ribs (disorder)
827 2.09E+08 Open fracture ankle, bimalleolar, low fibular fracture (disorder)
827 32805004 Fractures of multiple bones of lower limb (disorder)
827 2.09E+08 Open fracture ankle, bimalleolar, high fibular fracture (disorder)
827 84920009 Open dislocation of hip (disorder)
827 2.09E+08 Closed fracture ankle, trimalleolar, low fibular fracture (disorder)
827 2.09E+08 Closed fracture ankle, trimalleolar, high fibular fracture (disorder)
827 2.84E+08 Dog bite of groin (disorder)
827 9344009 Open fracture of upper end of lower leg (disorder)
827 2.09E+08 Open fracture ankle, trimalleolar, low fibular fracture (disorder)
827 2.84E+08 Dog bite of lower limb (disorder)
827 2.09E+08 Open fracture ankle, trimalleolar, high fibular fracture (disorder)
827 69166006 Fracture of upper end of lower leg (disorder)
827 59556008 Open fracture of upper end of fibula (disorder)
827 2.09E+08 Closed fracture calcaneus, extra-articular (disorder)
827 2.84E+08 Dog bite of buttock (disorder)
827 2.09E+08 Closed fracture calcaneus, intra-articular (disorder)
827 2.84E+08 Dog bite of hip (disorder)
827 2.84E+08 Dog bite of thigh (disorder)
827 2.09E+08 Open fractures calcaneus, extra-articular (disorder)
827 2.09E+08 Open fractures calcaneus, intra-articular (disorder)
827 1.26E+08 Traumatic dislocation of hip joint (disorder)
827 85453003 Open dislocation of metatarsophalangeal joint (disorder)
827 2.09E+08 Closed fracture talus, head (disorder)
827 2.84E+08 Dog bite of knee (disorder)
827 2.09E+08 Closed fracture talus, neck (disorder)
827 2.84E+08 Dog bite of lower leg (disorder)
827 2.09E+08 Closed fracture talus, body (disorder)
827 2.84E+08 Dog bite of shin (disorder)
827 2.84E+08 Animal bite of shin (disorder)
827 2.09E+08 Closed fracture metatarsal base (disorder)
827 2.84E+08 Dog bite of calf (disorder)
827 2.09E+08 Closed fracture metatarsal shaft (disorder)
827 2.84E+08 Animal bite of calf (disorder)
827 2.09E+08 Closed fracture metatarsal neck (disorder)
827 2.84E+08 Dog bite of ankle (disorder)
827 2.09E+08 Closed fracture metatarsal head (disorder)
827 2.84E+08 Dog bite of foot (disorder)
827 2.09E+08 Closed fracture metatarsal, multiple (disorder)
827 2.84E+08 Dog bite of toe (disorder)
827 2.09E+08 Multiple fractures of foot (disorder)
827 2.09E+08 Closed tarsal fractures, multiple (disorder)
827 2.84E+08 Dog bite of great toe (disorder)
827 2.09E+08 Open fracture talus, head (disorder)
827 2.84E+08 Dog bite of dorsum of foot (disorder)
827 2.09E+08 Open fracture talus, neck (disorder)
827 2.84E+08 Dog bite of sole of foot (disorder)
827 2.84E+08 Dog bite of heel (disorder)
827 2.09E+08 Open fracture talus, body (disorder)
827 2.84E+08 Crush injury of great toe (disorder)
827 2.02E+08 Recurrent dislocation of knee (disorder)
827 2.84E+08 Crush injury of dorsum of foot (disorder)
827 2.84E+08 Crush injury of sole of foot (disorder)
827 2.12E+08 Deep full thickness burn of the ankle, with loss of body part (disorder)
827 2.09E+08 Open fracture metatarsal base (disorder)
827 2.09E+08 Open fracture metatarsal shaft (disorder)
827 9787009 Closed lateral dislocation of proximal end of tibia (disorder)
827 2.09E+08 Open fracture metatarsal neck (disorder)
827 2.63E+08 Dislocation of toe joint (disorder)
827 2.09E+08 Open fracture metatarsal head (disorder)
827 85739004 Open wound of multiple sites of one lower limb AND thigh with tendon involvement (disorder)
827 2.09E+08 Open fracture metatarsal, multiple (disorder)
827 2.84E+08 Burn of hip (disorder)
827 2.09E+08 Open tarsal fractures, multiple (disorder)
827 35106007 Closed traumatic dislocation of knee joint (disorder)
827 4.29E+08 Injury of tibia (disorder)
827 2.09E+08 Closed fracture proximal phalanx, toe (disorder)
827 9802006 Abrasion AND/OR friction burn of buttock with infection (disorder)
827 2.09E+08 Closed fracture middle phalanx, toe (disorder)
827 42479003 Injury of buttock (disorder)
827 2.09E+08 Closed fracture distal phalanx, toe (disorder)
827 9808005 Closed fracture of cuboid bone of foot (disorder)
827 2.09E+08 Closed fracture multiple phalanges, toe (disorder)
827 2.63E+08 Fracture of cuboid (disorder)
827 3.42E+08 Closed fracture of foot (disorder)
827 2.09E+08 Open fracture proximal phalanx, toe (disorder)
827 2.09E+08 Open fracture middle phalanx, toe (disorder)
827 2.63E+08 Leg sprain (disorder)
827 2.09E+08 Open fracture distal phalanx, toe (disorder)
827 2.09E+08 Open fracture multiple phalanges, toe (disorder)
827 2.09E+08 Fracture of great toe (disorder)
827 2.84E+08 Superficial corrosion of buttock (disorder)
827 3.12E+08 Closed fracture of great toe (disorder)
827 3.12E+08 Open fracture of great toe (disorder)
827 2.09E+08 Multiple fractures of lower leg (disorder)
827 2.84E+08 Superficial burn of great toe (disorder)
827 10155006 Bilateral congenital dislocation of hip (disorder)
827 2.84E+08 Corrosion/unsep degree/hip+lower limb except ankle and foot (disorder)
827 48334007 Congenital dislocation of hip (disorder)
827 10416004 Third degree burn of lower leg (disorder)
827 37696000 Burn of lower leg (disorder)
827 86051001 Deep third degree burn of multiple sites of lower limb with loss of body part (disorder)
827 2.09E+08 Closed traumatic dislocation hip joint, posterior (disorder)
827 2.09E+08 Closed traumatic obturator dislocation of hip (disorder)
827 2.98E+08 Flap laceration of leg (disorder)
827 2.09E+08 Closed traumatic dislocation hip joint, anterior (disorder)
827 2.09E+08 Closed traumatic subluxation hip joint (disorder)
827 2.09E+08 Closed traumatic subluxation hip joint, posterior (disorder)
827 3.01E+08 Episiotomy infection (disorder)
827 2.09E+08 Closed traumatic subluxation hip joint, anterior (disorder)
827 90328000 Deep third degree burn of lower limb with loss of body part (disorder)
827 2.09E+08 Open traumatic subluxation hip joint (disorder)
827 3.01E+08 Subluxation of metatarsal (disorder)
827 2.09E+08 Open traumatic subluxation hip joint, posterior (disorder)
827 86269002 Injury of sciatic nerve (disorder)
827 10905004 Superficial foreign body of groin without major open wound AND without infection (disorder)
827 17536003 Superficial injury of groin without infection (disorder)
827 2.09E+08 Open traumatic subluxation hip joint, anterior (disorder)
827 11254008 Closed fracture of fourth metatarsal bone (disorder)
827 86449009 Nelaton's dislocation (disorder)
827 2.09E+08 Closed traumatic dislocation patellofemoral joint, lateral (disorder)
827 3.02E+08 Central fracture dislocation acetabulum (disorder)
827 87173003 Open fracture of epiphysis of femur (disorder)
827 2.82E+08 Lateral patellofemoral dislocation (disorder)
827 87711004 Superficial foreign body of foot without major open wound AND without infection (disorder)
827 2.09E+08 Closed traumatic dislocation patellofemoral joint, medial (disorder)
827 87905008 Gosselin's fracture (disorder)
827 2.09E+08 Open traumatic dislocation of patellofemoral joint (disorder)
827 3.04E+08 Discharge from suture line (disorder)
827 2.09E+08 Open traumatic dislocation patellofemoral joint, lateral (disorder)
827 2.09E+08 Open traumatic dislocation patellofemoral joint, medial (disorder)
827 36924003 Closed fracture of metatarsal bone (disorder)
827 2.09E+08 Closed traumatic dislocation knee joint, anterior (disorder)
827 26947005 Open wound of lower limb (disorder)
827 11730002 Crushing injury of hip (disorder)
827 2.09E+08 Closed traumatic dislocation knee joint, posterior (disorder)
827 2.79E+08 Fracture of distal end of tibia (disorder)
827 2.09E+08 Closed traumatic dislocation knee joint, medial (disorder)
827 2.09E+08 Closed traumatic dislocation knee joint, lateral (disorder)
827 3.07E+08 Postoperative wound cellulitis (disorder)
827 3.07E+08 Extensive postoperative wound cellulitis (disorder)
827 2.09E+08 Closed traumatic dislocation knee joint, rotatory (disorder)
827 39595001 Crushing injury of lower limb (disorder)
827 88016001 Abrasion AND/OR friction burn of hip without infection (disorder)
827 11980003 Burn of foot (disorder)
827 1.26E+08 Injury of foot (disorder)
827 2.84E+08 Burn of ankle and foot (disorder)
827 2.09E+08 Closed traumatic dislocation, head of fibula (disorder)
827 12746007 Open transcervical fracture of femur (disorder)
827 2.09E+08 Open traumatic dislocation knee joint, rotatory (disorder)
827 2.09E+08 Open traumatic dislocation, head of fibula (disorder)
827 3.61E+08 Open fracture of neck of femur (disorder)
827 13019000 Open posterior dislocation of proximal end of tibia (disorder)
827 2.09E+08 Closed traumatic subluxation patellofemoral joint (disorder)
827 2.09E+08 Closed traumatic subluxation knee joint (disorder)
827 13093003 Bilateral traumatic amputation of legs at any level with complication (disorder)
827 4.45E+08 Bilateral traumatic amputation of lower limbs (disorder)
827 2.09E+08 Closed traumatic subluxation patellofemoral joint, lateral (disorder)
827 95860004 Traumatic amputation of lower extremity (disorder)
827 2.09E+08 Closed traumatic subluxation patellofemoral joint, medial (disorder)
827 13145006 Superficial foreign body of hip without major open wound AND without infection (disorder)
827 58463002 Superficial injury of hip without infection (disorder)
827 2.09E+08 Open traumatic subluxation patellofemoral joint (disorder)
827 2.09E+08 Open traumatic subluxation knee joint (disorder)
827 13553006 Smith's dislocation (disorder)
827 2.09E+08 Open traumatic subluxation patellofemoral joint, lateral (disorder)
827 2.09E+08 Open traumatic subluxation patellofemoral joint, medial (disorder)
827 1.26E+08 Traumatic dislocation of ankle joint (disorder)
827 2.63E+08 Subluxation of knee joint (disorder)
827 1.26E+08 Traumatic dislocation of joint of foot (disorder)
827 2.09E+08 Closed traumatic subluxation knee joint, anterior (disorder)
827 2.09E+08 Closed traumatic subluxation knee joint, posterior (disorder)
827 2.09E+08 Closed traumatic subluxation knee joint, medial (disorder)
827 2.09E+08 Closed traumatic subluxation knee joint, lateral (disorder)
827 3.14E+08 Dislocation of hip joint prosthesis (disorder)
827 2.09E+08 Closed traumatic subluxation knee joint, rotatory (disorder)
827 2.09E+08 Closed traumatic subluxation, head of fibula (disorder)
827 2.63E+08 Subluxation of joint of lower limb (disorder)
827 2.09E+08 Open traumatic subluxation knee joint, anterior (disorder)
827 88524003 Superficial foreign body of toe without major open wound AND without infection (disorder)
827 2.09E+08 Open traumatic subluxation knee joint, posterior (disorder)
827 3.16E+08 Dupuytren's fracture dislocation ankle (disorder)
827 2.09E+08 Open traumatic subluxation knee joint, medial (disorder)
827 2.09E+08 Open traumatic subluxation knee joint, lateral (disorder)
827 2.09E+08 Open traumatic subluxation knee joint, rotatory (disorder)
827 2.09E+08 Open traumatic subluxation, head of fibula (disorder)
827 2.09E+08 Tear of articular cartilage of knee, current (disorder)
827 2.09E+08 Injury to multiple structures of knee (disorder)
827 2.69E+08 Dislocation or subluxation of ankle (disorder)
827 2.09E+08 Closed traumatic subluxation ankle joint (disorder)
827 2.09E+08 Open traumatic subluxation ankle joint (disorder)
827 2.1E+08 Ischiocapsular sprain (disorder)
827 2.09E+08 Closed traumatic dislocation, metatarsophalangeal joint, single (disorder)
827 13915009 Nonvenomous insect bite of buttock without infection (disorder)
827 2.09E+08 Closed traumatic dislocation toe, interphalangeal joint, single (disorder)
827 88906006 Sprain of deltoid ligament of ankle (disorder)
827 2.09E+08 Closed traumatic dislocation, metatarsophalangeal joint, multiple (disorder)
827 2.09E+08 Closed traumatic dislocation toe, interphalangeal joint, multiple (disorder)
827 1.12E+08 Superficial injury of buttock without infection (disorder)
827 3.7E+08 Superficial laceration of toe (disorder)
827 2.11E+08 Insect bite, nonvenomous, of buttock (disorder)
827 3.7E+08 Superficial laceration of foot (disorder)
827 88977003 Open wound of toe with complication (disorder)
827 2.09E+08 Closed traumatic dislocation, pantalar (disorder)
827 2.09E+08 Open traumatic dislocation, metatarsophalangeal joint, single (disorder)
827 89266005 Second degree burn of ankle (disorder)
827 14158003 Superficial injury of toe with infection (disorder)
827 80691007 Superficial injury of foot with infection (disorder)
827 2.74E+08 Superficial injury of toe (disorder)
827 4.04E+08 Non-healing surgical wound (disorder)
827 4.04E+08 Overgranulating secondary intention surgical wound (disorder)
827 2.75E+08 Closed fracture of greater trochanter of femur (disorder)
827 2.12E+08 Superficial burn of multiple sites of leg (disorder)
827 14741001 Closed posterior dislocation of proximal end of tibia (disorder)
827 89581003 Open dislocation of patella (disorder)
827 2.09E+08 Open traumatic dislocation hip joint, anterior (disorder)
827 2.09E+08 Open traumatic obturator dislocation of hip (disorder)
827 2.09E+08 Open traumatic dislocation toe, interphalangeal joint, single (disorder)
827 2.75E+08 Open fracture of lesser trochanter of femur (disorder)
827 2.09E+08 Open traumatic dislocation, metatarsophalangeal joint, multiple (disorder)
827 2.09E+08 Open traumatic dislocation, pantalar (disorder)
827 15060005 Open wound of ankle without complication (disorder)
827 89824004 Bilateral traumatic amputation of feet with complication (disorder)
827 4.1E+08 Pathological fracture of neck of femur (disorder)
827 2.09E+08 Closed traumatic subluxation, foot (disorder)
827 1.26E+08 Open wound of ankle (disorder)
827 90244007 Contusion of heel (disorder)
827 15064001 Superficial foreign body of thigh without major open wound but with infection (disorder)
827 42008001 Superficial injury of thigh with infection (disorder)
827 2.09E+08 Closed fracture distal tibia (disorder)
827 90289008 Closed obturator dislocation of hip (disorder)
827 2.09E+08 Closed traumatic subluxation, midtarsal joint (disorder)
827 2.09E+08 Open traumatic dislocation hip joint, posterior (disorder)
827 2.09E+08 Closed traumatic subluxation of tarsometatarsal joint (disorder)
827 4.1E+08 Pathological fracture of femur (disorder)
827 2.09E+08 Closed traumatic subluxation, metatarsophalangeal joint, single (disorder)
827 2.63E+08 Subluxation of toe joint (disorder)
827 2.82E+08 Fracture of medial malleolus (disorder)
827 2.09E+08 Closed traumatic subluxation toe, interphalangeal joint, single (disorder)
827 2.09E+08 Closed traumatic subluxation, metatarsophalangeal joint, multiple (disorder)
827 2.12E+08 Deep full thickness burn of multiple sites of the leg, with loss of body part (disorder)
827 4.16E+08 Traumatic rupture of patellar tendon (disorder)
827 2.09E+08 Closed traumatic subluxation toe, interphalangeal joint, multiple (disorder)
827 90338005 Open trimalleolar fracture (disorder)
827 2.09E+08 Closed traumatic subluxation, pantalar (disorder)
827 2.09E+08 Closed traumatic subluxation, subtalar joint (disorder)
827 2.09E+08 Open traumatic subluxation, foot (disorder)
827 90654004 Sprain of iliofemoral ligament (disorder)
827 2.09E+08 Open traumatic subluxation, midtarsal joint (disorder)
827 2.63E+08 Dislocation of patellofemoral joint (disorder)
827 15453007 Congenital dislocation of knee with genu recurvatum (disorder)
827 2.09E+08 Open traumatic subluxation of tarsometatarsal joint (disorder)
827 2.09E+08 Open traumatic subluxation, metatarsophalangeal joint, single (disorder)
827 2.09E+08 Open traumatic subluxation toe, interphalangeal joint, single (disorder)
827 4.25E+08 Pathological fracture of foot (disorder)
827 2.09E+08 Open traumatic subluxation, metatarsophalangeal joint, multiple (disorder)
827 2.09E+08 Open traumatic subluxation toe, interphalangeal joint, multiple (disorder)
827 4.25E+08 Closed fracture of base of fifth metatarsal bone (disorder)
827 2.09E+08 Open traumatic subluxation, pantalar (disorder)
827 2.09E+08 Open traumatic subluxation, subtalar joint (disorder)
827 4.25E+08 Open fracture of base of fifth metatarsal (disorder)
827 2.09E+08 Fracture dislocation or subluxation hip (disorder)
827 2.09E+08 Closed fracture dislocation, hip joint (disorder)
827 59068006 Congenital dislocation of knee (disorder)
827 2.63E+08 Fracture dislocation of hip joint (disorder)
827 15531007 Injury of popliteal artery (disorder)
827 2.09E+08 Open fracture dislocation, hip joint (disorder)
827 4.26E+08 Closed avulsion fracture of greater trochanter of femur (disorder)
827 91325009 Open wound of buttock with complication (disorder)
827 4.27E+08 Pathological fracture of patella (disorder)
827 2.09E+08 Closed fracture subluxation, hip joint (disorder)
827 76276001 Injury of popliteal vessels (disorder)
827 15574005 Fracture of foot (disorder)
827 3.02E+08 Fracture subluxation of hip joint (disorder)
827 2.09E+08 Open traumatic dislocation of tarsometatarsal joint (disorder)
827 2.69E+08 Open wound of buttock (disorder)
827 2.09E+08 Open fracture subluxation, hip joint (disorder)
827 91368005 Open wound of foot except toes without complication (disorder)
827 2.09E+08 Fracture dislocation or subluxation knee (disorder)
827 2.63E+08 Fracture dislocation of knee joint (disorder)
827 2.09E+08 Closed fracture dislocation, knee joint (disorder)
827 95853005 Metaphyseal fracture of bone of lower limb (disorder)
827 2.09E+08 Open fracture dislocation, knee joint (disorder)
827 2.09E+08 Closed fracture subluxation, knee joint (disorder)
827 2.63E+08 Fracture subluxation of knee joint (disorder)
827 15971009 Injury of anterior tibial vein (disorder)
827 3.08E+08 Recurrent subluxation of the hip joint (disorder)
827 2.09E+08 Open fracture subluxation, knee joint (disorder)
827 2.09E+08 Closed fracture dislocation, patellofemoral joint (disorder)
827 2.86E+08 Injury of vein of lower limb (disorder)
827 2.63E+08 Fracture dislocation of patellofemoral joint (disorder)
827 1.12E+08 Injury of popliteal vein (disorder)
827 2.11E+08 Popliteal blood vessel injury (disorder)
827 4.27E+08 Closed fracture of acetabulum with dislocation of hip (disorder)
827 2.09E+08 Open fracture dislocation, patellofemoral joint (disorder)
827 16006009 Traumatic injury of deep peroneal nerve (disorder)
827 1.12E+08 Open fracture of patella (disorder)
827 4.28E+08 Closed Salter-Harris type I fracture of lower epiphysis of femur (disorder)
827 2.09E+08 Closed fracture subluxation, patellofemoral joint (disorder)
827 4.28E+08 Closed Salter-Harris type II fracture of lower epiphysis of femur (disorder)
827 2.63E+08 Fracture subluxation of patellofemoral joint (disorder)
827 4.28E+08 Closed avulsion fracture of lesser trochanter of femur (disorder)
827 2.09E+08 Open fracture subluxation, patellofemoral joint (disorder)
827 4.28E+08 Closed Salter-Harris type IV fracture of lower epiphysis of femur (disorder)
827 1.12E+08 Closed fracture of upper end of lower leg (disorder)
827 1.12E+08 Open fracture of upper end of tibia (disorder)
827 4.28E+08 Open tongue-type intra-articular fracture of calcaneus (disorder)
827 1.12E+08 Open fracture of shaft of fibula (disorder)
827 2.09E+08 Fracture dislocation or subluxation ankle (disorder)
827 2.63E+08 Fracture dislocation of ankle joint (disorder)
827 1.12E+08 Closed fracture of third metatarsal bone (disorder)
827 1.12E+08 Closed anterior dislocation of hip (disorder)
827 2.09E+08 Closed fracture dislocation, ankle joint (disorder)
827 1.12E+08 Closed traumatic dislocation of navicular bone of foot (disorder)
827 2.09E+08 Open fracture dislocation, ankle joint (disorder)
827 2.09E+08 Closed traumatic dislocation, midtarsal joint (disorder)
827 2.09E+08 Closed fracture subluxation, ankle joint (disorder)
827 4.28E+08 Closed osteochondral fracture of patella (disorder)
827 2.63E+08 Fracture subluxation of ankle joint (disorder)
827 2.09E+08 Open fracture subluxation, ankle joint (disorder)
827 1.12E+08 Injury of femoral vein (disorder)
827 1.12E+08 Second degree burn of multiple sites of lower limb (disorder)
827 4.28E+08 Traumatic rupture of quadriceps tendon (disorder)
827 2.12E+08 Peroneal nerve injury (disorder)
827 2.09E+08 Fracture dislocation or subluxation foot (disorder)
827 1.26E+08 Injury of lower leg (disorder)
827 2.63E+08 Fracture dislocation of foot joint (disorder)
827 16114001 Fracture of ankle (disorder)
827 2.09E+08 Closed fracture dislocation foot (disorder)
827 1.12E+08 Contusion of multiple sites of lower limb (disorder)
827 1.26E+08 Injury of ankle (disorder)
827 2.09E+08 Closed fracture dislocation, subtalar joint (disorder)
827 2.09E+08 Closed fracture dislocation, midtarsal joint (disorder)
827 4.28E+08 Closed Salter-Harris type V fracture of lower epiphysis of femur (disorder)
827 2.09E+08 Closed fracture dislocation, tarsometatarsal joint (disorder)
827 4.28E+08 Closed Salter-Harris type III fracture of lower epiphysis of femur (disorder)
827 2.09E+08 Closed fracture dislocation, metatarsophalangeal joint, single (disorder)
827 4.29E+08 Postoperative cellulitis of surgical wound (disorder)
827 4.29E+08 Closed osteochondral fracture of proximal tibia (disorder)
827 2.71E+08 Immersion foot (disorder)
827 4.29E+08 Closed fracture of tibial plateau (disorder)
827 3.02E+08 Closed fracture dislocation of metatarsophalangeal joint (disorder)
827 4.29E+08 Callus of heel (disorder)
827 2.34E+08 Trench foot (disorder)
827 16772000 Superficial foreign body of ankle without major open wound AND without infection (disorder)
827 2.09E+08 Closed fracture dislocation, interphalangeal joint, single toe (disorder)
827 3.02E+08 Closed fracture dislocation of interphalangeal joint of toe (disorder)
827 2.09E+08 Closed fracture dislocation, metatarsophalangeal joint, multiple (disorder)
827 2.09E+08 Closed fracture dislocation, interphalangeal joint, multiple toes (disorder)
827 17048005 Contusion of toenail (disorder)
827 2.09E+08 Open fracture dislocation, foot (disorder)
827 2.82E+08 Fracture of posterior malleolus (disorder)
827 2.75E+08 Wound of toenail (disorder)
827 58075000 Contusion of toe (disorder)
827 2.75E+08 Closed subcapital fracture of femur (disorder)
827 1.27E+08 Closed traumatic medial dislocation of subtalar joint (disorder)
827 2.09E+08 Closed traumatic dislocation, subtalar joint (disorder)
827 2.82E+08 Dislocation of subtalar joint (disorder)
827 71620000 Fracture of femur (disorder)
827 4.29E+08 Closed osteochondral fracture of distal femur (disorder)
827 17288006 Puncture wound of foot (disorder)
827 1.27E+08 Closed traumatic lateral dislocation of subtalar joint (disorder)
827 2.09E+08 Open fracture dislocation, subtalar joint (disorder)
827 1.27E+08 Open medial dislocation of subtalar joint (disorder)
827 2.09E+08 Open fracture dislocation, midtarsal joint (disorder)
827 2.09E+08 Open traumatic dislocation, subtalar joint (disorder)
827 1.27E+08 Open lateral dislocation of subtalar joint (disorder)
827 2.09E+08 Open fracture dislocation, tarsometatarsal joint (disorder)
827 2.09E+08 Open fracture dislocation, metatarsophalangeal joint, single (disorder)
827 1.27E+08 Sprain of anterior cruciate ligament of knee (disorder)
827 3.02E+08 Open fracture dislocation of metatarsophalangeal joint (disorder)
827 2.84E+08 Puncture wound of lower limb (disorder)
827 1.26E+08 Open wound of foot (disorder)
827 2.84E+08 Puncture wound of lower leg (disorder)
827 2.09E+08 Open fracture dislocation, interphalangeal joint, single toe (disorder)
827 3.02E+08 Open fracture dislocation of interphalangeal joint of toe (disorder)
827 4.3E+08 Fracture of posterior process of talus (disorder)
827 2.09E+08 Open fracture dislocation, metatarsophalangeal joint, multiple (disorder)
827 4.3E+08 Recurrent dislocation of hip joint prosthesis (disorder)
827 2.09E+08 Open fracture dislocation, interphalangeal joint, multiple toes (disorder)
827 4.44E+08 Injury of anterior cruciate ligament (disorder)
827 1.27E+08 Sprain of posterior cruciate ligament of knee (disorder)
827 4.33E+08 Injury of posterior cruciate ligament (disorder)
827 17367000 Open multiple fractures of upper AND lower limbs (disorder)
827 2.09E+08 Closed fracture subluxation, foot (disorder)
827 2.63E+08 Fracture subluxation of joint of foot (disorder)
827 2.09E+08 Closed fracture subluxation, subtalar joint (disorder)
827 1.36E+08 Hamstring injury (disorder)
827 2.09E+08 Closed fracture subluxation, midtarsal joint (disorder)
827 2.09E+08 Closed fracture subluxation, tarsometatarsal joint (disorder)
827 22225000 Open fracture of multiple bones of lower limb (disorder)
827 50531009 Open fracture of lower limb (disorder)
827 2.09E+08 Closed fracture subluxation, metatarsophalangeal joint, single (disorder)
827 2.09E+08 Closed fracture subluxation, interphalangeal joint, single toe (disorder)
827 2.63E+08 Fracture subluxation of interphalangeal joint of toe (disorder)
827 1.63E+08 On examination - wound infected (disorder)
827 2.09E+08 Closed fracture subluxation, metatarsophalangeal joint, multiple (disorder)
827 2.09E+08 Closed fracture subluxation, interphalangeal joint, multiple toes (disorder)
827 2.09E+08 Open fracture subluxation, foot (disorder)
827 4.3E+08 Strain of flexor muscle of hip (disorder)
827 4.3E+08 Closed fracture of triradiate cartilage and epiphysis of acetabulum (disorder)
827 2.09E+08 Open fracture subluxation, subtalar joint (disorder)
827 2.09E+08 Open fracture subluxation, midtarsal joint (disorder)
827 2.09E+08 Open fracture subluxation, tarsometatarsal joint (disorder)
827 4.3E+08 Laceration of extensor tendon of foot (disorder)
827 2.09E+08 Open fracture subluxation, metatarsophalangeal joint, single (disorder)
827 17384006 Nonvenomous insect bite of toe with infection (disorder)
827 2.09E+08 Open fracture subluxation, interphalangeal joint, single toe (disorder)
827 4.31E+08 Avulsion of toenail (disorder)
827 4.31E+08 Strain of rectus femoris muscle (disorder)
827 2.09E+08 Open fracture subluxation, metatarsophalangeal joint, multiple (disorder)
827 4.31E+08 Pathologic fracture of femur associated with osteoporosis (disorder)
827 2.4E+08 Hip pathological dislocation (disorder)
827 4.31E+08 Pathological fracture of neck of femur associated with osteoporosis (disorder)
827 2.09E+08 Open fracture subluxation, interphalangeal joint, multiple toes (disorder)
827 2.02E+08 Pathological dislocation of knee joint (disorder)
827 2.87E+08 Pathological fracture - lower leg (disorder)
827 2.87E+08 Pathological fracture - ankle and/or foot (disorder)
827 2.72E+08 Fracture of shaft of tibia and fibula (disorder)
827 17610001 Deep third degree burn of toe (disorder)
827 4.33E+08 Penetrating wound of lower limb (disorder)
827 2.63E+08 Strain of tendon of adductor longus (disorder)
827 4.39E+08 Acute injury of anterior cruciate ligament (disorder)
827 2.63E+08 Hamstring sprain (disorder)
827 2.69E+08 Fracture of one or more tarsal and metatarsal bones (disorder)
827 2.1E+08 Iliofemoral sprain (disorder)
827 64359003 Third degree burn of toe (disorder)
827 32294004 Deep third degree burn of lower leg (disorder)
827 17883008 Sprain of hip (disorder)
827 2.1E+08 Strain of quadriceps tendon (disorder)
827 2.82E+08 Sprain of ligament of lower limb (disorder)
827 2.63E+08 March fracture (disorder)
827 18035009 Supination-eversion injury of ankle, stage 2 (disorder)
827 2.1E+08 Strain of patellar tendon (disorder)
827 4.4E+08 Granuloma of surgical wound (disorder)
827 2.1E+08 Strain of hamstring tendon (disorder)
827 2.85E+08 Strain of muscle of lower limb (disorder)
827 2.69E+08 Sprain of knee and leg (disorder)
827 4.41E+08 Stress fracture of navicular bone of foot (disorder)
827 18589000 Superficial foreign body of toe without major open wound but with infection (disorder)
827 4.42E+08 Stress fracture of tarsal bone (disorder)
827 62516008 Superficial foreign body of foot without major open wound but with infection (disorder)
827 4.42E+08 Stress fracture of metatarsal bone (disorder)
827 4.42E+08 Stress fracture of calcaneus (disorder)
827 18724009 Closed fracture of second metatarsal bone (disorder)
827 2.87E+08 Dislocated knee with medial meniscus tear (disorder)
827 4.42E+08 Strain of muscle and/or tendon of lower leg (disorder)
827 4.42E+08 Stress fracture of tibia (disorder)
827 2.87E+08 Dislocated knee with lateral meniscus tear (disorder)
827 4.42E+08 Strain of muscle and/or tendon of thigh (disorder)
827 44801007 Contusion of hip (disorder)
827 84416003 Contusion of thigh (disorder)
827 2.1E+08 Sprain or partial tear, knee, lateral collateral ligament (disorder)
827 2.09E+08 Dislocation or subluxation of foot (disorder)
827 19652000 Open fracture of femoral condyle of femur (disorder)
827 4.43E+08 Stress fracture of fibula (disorder)
827 2.63E+08 Sprain of toe joint (disorder)
827 2.82E+08 Strain of tendon of medial thigh muscle (disorder)
827 4.44E+08 Acute injury of posterior cruciate ligament (disorder)
827 4.44E+08 Injury of collateral ligament of knee (disorder)
827 2.74E+08 Tendon injury - lower limb (disorder)
827 2.11E+08 Injury to blood vessels of leg (disorder)
827 2.1E+08 Sprain, plantaris tendon (disorder)
827 2.69E+08 Strain of gastrocnemius tendon (disorder)
827 2.1E+08 Sprain of ankle and/or foot (disorder)
827 2.1E+08 Sprain, ankle joint, medial (disorder)
827 2.1E+08 Sprain, ankle joint, lateral (disorder)
827 2.63E+08 Fracture of femoral condyle (disorder)
827 2.1E+08 Distal tibiofibular sprain (disorder)
827 4.28E+08 Open fracture of bone of knee joint (disorder)
827 2.63E+08 Open fracture of femur, distal end (disorder)
827 2.1E+08 Sprain, tarsometatarsal joint (disorder)
827 19684007 Burn of knee (disorder)
827 1.26E+08 Injury of knee (disorder)
827 2.1E+08 Sprain of midtarsal joint (disorder)
827 20100009 Closed fracture of intracapsular section of femur (disorder)
827 2.1E+08 Sprain, flexor tendon, foot (disorder)
827 4.45E+08 Laceration of digital nerve in toe (disorder)
827 2.1E+08 Sprain, extensor tendon, foot (disorder)
827 4.46E+08 Pathological fracture of tibia (disorder)
827 4.46E+08 Pathological fracture of fibula (disorder)
827 2.83E+08 Abrasion of lower limb (disorder)
827 20172000 Open wound of multiple sites of one lower limb AND thigh without complication (disorder)
827 21271005 Open wound of multiple sites of one lower limb AND thigh (disorder)
827 2.12E+08 Deep full thickness burn of the thigh, with loss of body part (disorder)
827 2.87E+08 Insect bite to leg - nonvenomous (disorder)
827 2.1E+08 Open division hip ligament (disorder)
827 2.11E+08 Abrasion of foot (disorder)
827 2.1E+08 Open division iliofemoral ligament (disorder)
827 2.12E+08 Contusion, hip and thigh (disorder)
827 2.1E+08 Open division ligament knee (disorder)
827 20252004 Traumatic amputation of toe OR toes with complication (disorder)
827 45017008 Open wound of lower limb with complication (disorder)
827 2.1E+08 Open division lateral collateral ligament knee (disorder)
827 95858001 Traumatic amputation of toe (disorder)
827 20433007 Fracture of upper end of tibia (disorder)
827 2.1E+08 Open division medial collateral ligament knee (disorder)
827 20490007 Burn erythema of lower leg (disorder)
827 2.1E+08 Open division posterior cruciate ligament knee (disorder)
827 70250009 Burn erythema of lower limb (disorder)
827 2.1E+08 Open division anterior cruciate ligament knee (disorder)
827 20593006 Injury of superficial femoral artery (disorder)
827 2.1E+08 Open division, superior tibiofibular ligament (disorder)
827 2.1E+08 Open division ligament ankle and/or foot (disorder)
827 2.12E+08 Contusion, knee and lower leg (disorder)
827 2.1E+08 Open division ankle ligament (disorder)
827 2.69E+08 Post-traumatic wound infection (disorder)
827 2.1E+08 Open division ankle, medial ligament (disorder)
827 2.1E+08 Open division ankle, lateral ligament (disorder)
827 2.1E+08 Open division calcaneofibular ligament (disorder)
827 20594000 Open multiple fractures of lower limb with ribs AND sternum (disorder)
827 2.1E+08 Open division distal tibiofibular ligament (disorder)
827 2.1E+08 Open division foot ligament (disorder)
827 90799002 Multiple fractures of lower limb with ribs AND sternum (disorder)
827 37619006 Open multiple fractures of lower limb AND ribs (disorder)
827 2.1E+08 Open division of midtarsal joint ligament (disorder)
827 20736003 Closed posterior dislocation of distal end of femur (disorder)
827 2.1E+08 Open division tarsometatarsal ligament (disorder)
827 2.1E+08 Open division metatarsophalangeal ligament (disorder)
827 21316006 Supination-eversion injury of ankle, stage 1 (disorder)
827 21351003 Fracture of phalanx of foot (disorder)
827 2.1E+08 Open division interphalangeal (toe) ligament (disorder)
827 2.63E+08 Fracture of bone of forefoot (disorder)
827 21494009 Nonvenomous insect bite of leg with infection (disorder)
827 2.11E+08 Insect bite, nonvenomous, lower leg (disorder)
827 2.1E+08 Degloving injury buttock (disorder)
827 37324003 Superficial injury of leg with infection (disorder)
827 2.84E+08 Degloving injury of lower limb (disorder)
827 2.1E+08 Open wound of inguinal region with complication (disorder)
827 2.83E+08 Laceration of lower limb (disorder)
827 2.11E+08 Open wound of hip and/or thigh (disorder)
827 2.11E+08 Open wound of hip with complication (disorder)
827 21643007 Contusion of groin (disorder)
827 91603007 Contusion of lower limb (disorder)
827 2.75E+08 Open subcapital fracture of femur (disorder)
827 2.11E+08 Open wound of thigh with complication (disorder)
827 2.11E+08 Open wound of hip with tendon involvement (disorder)
827 21867001 Fracture of upper end of fibula (disorder)
827 75591007 Fracture of fibula (disorder)
827 21949009 Closed traumatic dislocation of interphalangeal joint of toe (disorder)
827 2.11E+08 Open wound of thigh with tendon involvement (disorder)
827 86899000 Closed traumatic dislocation of joint of toe (disorder)
827 22234005 Open fracture of shaft of tibia (disorder)
827 2.11E+08 Complete division, quadriceps tendon (disorder)
827 4.15E+08 Open fracture of lower leg (disorder)
827 2.11E+08 Complete division, hamstring tendon (disorder)
827 22682006 Open lateral dislocation of proximal end of tibia (disorder)
827 2.11E+08 Partial division, quadriceps tendon (disorder)
827 2.09E+08 Open traumatic dislocation knee joint, lateral (disorder)
827 2.11E+08 Partial division, hamstring tendon (disorder)
827 22802006 Closed pertrochanteric fracture (disorder)
827 2.11E+08 Degloving injury, hip or thigh (disorder)
827 25415003 Closed fracture of femur (disorder)
827 89820008 Closed intertrochanteric fracture (disorder)
827 2.11E+08 Degloving injury, hip (disorder)
827 2.11E+08 Degloving injury of thigh (disorder)
827 22817005 Strain of Achilles tendon (disorder)
827 2.11E+08 Severe multi tissue damage hip or thigh (disorder)
827 2.82E+08 Strain of tendon of lower limb (disorder)
827 2.11E+08 Massive multi tissue damage hip or thigh (disorder)
827 2.85E+08 Strain of calf muscle (disorder)
827 2.11E+08 Open wound of knee and/or leg and/or ankle (disorder)
827 22878006 Contusion of knee (disorder)
827 2.11E+08 Open wound of knee and/or leg and/or ankle with complication (disorder)
827 2.11E+08 Open wound of lower leg with complication (disorder)
827 23020007 Open fracture of intermediate cuneiform bone of foot (disorder)
827 46020007 Open fracture of cuneiform bone of foot (disorder)
827 2.69E+08 Open wound of knee, leg and ankle with tendon involvement (disorder)
827 2.11E+08 Open wound of lower leg with tendon involvement (disorder)
827 23455003 Nonvenomous insect bite of hip without infection (disorder)
827 2.11E+08 Complete division, patellar tendon (disorder)
827 2.11E+08 Insect bite, nonvenomous, of hip (disorder)
827 2.82E+08 Traumatic division of tendon of lower limb (disorder)
827 2.11E+08 Complete division, tendo calcaneus (Achilles tendon) (disorder)
827 23900009 Closed fracture of upper end of tibia (disorder)
827 2.63E+08 Traumatic division of tendo achilles (disorder)
827 4.14E+08 Closed fracture of lower leg (disorder)
827 2.11E+08 Partial division, patellar tendon (disorder)
827 38128008 Crushing injury of knee (disorder)
827 40874009 Crushing injury of lower leg (disorder)
827 2.11E+08 Partial division, tendo calcaneus (Achilles tendon) (disorder)
827 2.11E+08 Degloving injury, knee or leg or ankle (disorder)
827 24212007 Closed fracture of intermediate cuneiform bone of foot (disorder)
827 2.11E+08 Degloving injury, knee (disorder)
827 42306005 Closed fracture of cuneiform bone of foot (disorder)
827 2.11E+08 Degloving injury of lower leg (disorder)
827 24328004 Abrasion AND/OR friction burn of foot without infection (disorder)
827 2.11E+08 Degloving injury, ankle (disorder)
827 24342007 Infection of cesarean section AND/OR perineal wound (disorder)
827 76844004 Local infection of wound (disorder)
827 2.11E+08 Severe multi tissue damage lower leg (disorder)
827 2.11E+08 Massive multi tissue damage lower leg (disorder)
827 2.1E+08 Open wound of buttock, uncomplicated (disorder)
827 2.11E+08 Multiple injuries of ankle and/or foot (disorder)
827 24730004 Sprain of calcaneofibular ligament (disorder)
827 2.69E+08 Open wound of foot, excluding toe(s) (disorder)
827 2.11E+08 Open wound, heel (disorder)
827 2.11E+08 Open wound foot, plantar (disorder)
827 24864009 Sprain of interphalangeal joint of toe (disorder)
827 2.11E+08 Open wound foot, dorsum (disorder)
827 2.11E+08 Open wound of foot with complication (disorder)
827 49388007 Sprain of foot (disorder)
827 24948002 Open fracture of calcaneus (disorder)
827 2.11E+08 Open wound of foot with tendon involvement (disorder)
827 2.63E+08 Fracture of calcaneus (disorder)
827 2.11E+08 Complete division, flexor tendon, foot (disorder)
827 2.11E+08 Complete division, extensor tendon, foot (disorder)
827 25586009 Open dislocation of distal end of fibula (disorder)
827 2.11E+08 Partial division, flexor tendon of foot (disorder)
827 2.75E+08 Dislocation of fibula, distal end (disorder)
827 54394007 Open dislocation of ankle (disorder)
827 2.11E+08 Partial division, extensor tendon of foot (disorder)
827 25604001 Traumatic injury of common peroneal nerve (disorder)
827 2.11E+08 Degloving injury of foot (disorder)
827 2.11E+08 Degloving injury foot, plantar (disorder)
827 2.11E+08 Degloving injury foot, dorsum (disorder)
827 2.11E+08 Degloving injury heel (disorder)
827 2.11E+08 Severe multi tissue damage foot (disorder)
827 2.11E+08 Massive multi tissue damage foot (disorder)
827 2.76E+08 Open wound of toenail (disorder)
827 2.11E+08 Open wound of toe(s) with complication (disorder)
827 2.11E+08 Open wound of toe(s) with tendon involvement (disorder)
827 2.11E+08 Degloving injury toe (disorder)
827 2.11E+08 Degloving injury, multiple toes (disorder)
827 2.11E+08 Open wound of toe(s) with damage to nail (disorder)
827 2.11E+08 Traumatic amputation, lesser toe (disorder)
827 2.11E+08 Traumatic amputation, greater toe (disorder)
827 2.11E+08 Traumatic amputation, multiple toes (disorder)
827 2.11E+08 Traumatic amputation of toe(s) with complication (disorder)
827 2.11E+08 Traumatic bilateral amputation of foot with complication (disorder)
827 2.11E+08 Traumatic amputation, through ankle (disorder)
827 2.11E+08 Traumatic amputation, through knee (disorder)
827 2.11E+08 Traumatic amputation, through thigh (disorder)
827 25726008 Nonvenomous insect bite of groin with infection (disorder)
827 2.11E+08 Traumatic amputation, through hip (disorder)
827 2.11E+08 Traumatic bilateral amputation of leg with complication (disorder)
827 2.11E+08 Insect bite, nonvenomous, of groin (disorder)
827 2.11E+08 Traumatic amputation at level between hip and knee (disorder)
827 2.11E+08 Multiple open wounds of hip and/or thigh (disorder)
827 4.45E+08 Closed fracture of distal tibia and distal fibula (disorder)
827 2.11E+08 Open wounds involving multiple regions of lower limb(s) (disorder)
827 2.63E+08 Bimalleolar fracture of ankle (disorder)
827 2.11E+08 Closed injury, common femoral artery (disorder)
827 34268009 Closed fracture of lateral malleolus (disorder)
827 26176009 Shepherd's fracture (disorder)
827 2.11E+08 Open injury, common femoral artery (disorder)
827 26442006 Closed fracture of shaft of femur (disorder)
827 26646003 Open fracture of cuboid bone of foot (disorder)
827 2.11E+08 Closed injury, superficial femoral artery (disorder)
827 26908008 Open bimalleolar fracture (disorder)
827 2.11E+08 Open injury, superficial femoral artery (disorder)
827 4.45E+08 Open fracture of distal tibia and distal fibula (disorder)
827 2.11E+08 Closed injury, femoral vein (disorder)
827 26938002 Open intertrochanteric fracture (disorder)
827 2.11E+08 Open injury, femoral vein (disorder)
827 1.27E+08 Intertrochanteric fracture (disorder)
827 3.61E+08 Open fracture of hip (disorder)
827 2.11E+08 Greater saphenous vein injury (disorder)
827 2.11E+08 Lesser saphenous vein injury (disorder)
827 27346001 Burn erythema of ankle (disorder)
827 2.05E+08 Congenital subluxation of hip, bilateral (disorder)
827 2.11E+08 Closed injury, popliteal artery (disorder)
827 27447009 Nonvenomous insect bite of groin without infection (disorder)
827 2.11E+08 Closed injury, popliteal vein (disorder)
827 2.11E+08 Open injury, popliteal artery (disorder)
827 28012007 Closed fracture of shaft of tibia (disorder)
827 28359007 Closed fracture of head of fibula (disorder)
827 2.11E+08 Open injury, popliteal vein (disorder)
827 59639009 Closed fracture of upper end of fibula (disorder)
827 2.82E+08 Fracture of head of fibula (disorder)
827 2.11E+08 Closed injury, anterior tibial artery (disorder)
827 28571002 Second degree burn of toe (disorder)
827 62537000 Second degree burn of foot (disorder)
827 2.11E+08 Closed injury, posterior tibial artery (disorder)
827 88374002 Burn of toe (disorder)
827 2.11E+08 Open injury, anterior tibial artery (disorder)
827 2.11E+08 Open injury, posterior tibial artery (disorder)
827 29096002 Open wound of groin without complication (disorder)
827 2.69E+08 Open wound of inguinal region (disorder)
827 29298007 Bruised sole (disorder)
827 2.11E+08 Closed injury, deep plantar artery (disorder)
827 74814004 Contusion of foot (disorder)
827 2.86E+08 Injury of deep plantar artery (disorder)
827 29440002 Superficial injury of groin with infection (disorder)
827 2.11E+08 Open injury, deep plantar artery (disorder)
827 2.69E+08 Insect bite, nonvenomous, of foot (disorder)
827 76373006 Superficial injury of foot without infection (disorder)
827 30044002 Third degree burn of foot (disorder)
827 2.11E+08 Injury of blood vessels at lower leg level (disorder)
827 30148002 Abrasion AND/OR friction burn of groin without infection (disorder)
827 2.11E+08 Injury of peroneal artery (disorder)
827 30264000 Third degree burn of knee (disorder)
827 2.11E+08 Injury of greater saphenous vein at lower leg level (disorder)
827 30489009 Open fracture of intracapsular section of femur (disorder)
827 2.11E+08 Injury of lesser saphenous vein at lower leg level (disorder)
827 2.11E+08 Injury of multiple blood vessels at lower leg level (disorder)
827 30905007 Closed supracondylar fracture of femur (disorder)
827 2.11E+08 Injury of blood vessels at ankle and foot level (disorder)
827 2.11E+08 Injury of dorsal vein of foot (disorder)
827 2.63E+08 Supracondylar fracture femur (disorder)
827 2.63E+08 Closed fracture of femur, distal end (disorder)
827 2.11E+08 Injury of multiple blood vessels at ankle and foot level (disorder)
827 30997005 Open wound of foot except toes with complication (disorder)
827 2.11E+08 Multiple leg blood vessel injury (disorder)
827 31103006 Open fracture of first metatarsal bone (disorder)
827 2.11E+08 Injury of multiple blood vessels at hip and thigh level (disorder)
827 77551005 Open fracture of metatarsal bone (disorder)
827 2.11E+08 Closed injury, dorsalis pedis artery (disorder)
827 31116006 Superficial injury of ankle with infection (disorder)
827 2.86E+08 Injury of dorsalis pedis artery (disorder)
827 2.11E+08 Open injury, dorsalis pedis artery (disorder)
827 2.11E+08 Abrasion, buttock (disorder)
827 2.11E+08 Abrasion, groin (disorder)
827 31796000 Superficial foreign body of buttock without major open wound AND without infection (disorder)
827 2.11E+08 Abrasion of buttock, infected (disorder)
827 32976001 Open wound of leg with complication (disorder)
827 1.26E+08 Open wound of lower leg (disorder)
827 33118001 Closed fracture of acetabulum (disorder)
827 64455005 Fracture of acetabulum (disorder)
827 2.11E+08 Abrasion of groin, infected (disorder)
827 4.15E+08 Open fracture of tibia AND fibula (disorder)
827 3.08E+08 Closed fracture of distal fibula (disorder)
827 34283004 Abrasion AND/OR friction burn of toe without infection (disorder)
827 2.71E+08 Traumatic blister of buttock (disorder)
827 34432001 Wagstaffe's fracture (disorder)
827 2.74E+08 Superficial injury of lower limb (disorder)
827 34777003 Open wound of knee without complication (disorder)
827 35171003 Open dislocation of talus (disorder)
827 35195001 Frostbite of foot (disorder)
827 2.71E+08 Traumatic blister of groin (disorder)
827 35250003 Crushing injury of hip AND/OR thigh (disorder)
827 2.12E+08 Crush injury, hip and thigh (disorder)
827 35726004 Sprain of lateral collateral ligament of knee (disorder)
827 54888009 Sprain of knee (disorder)
827 4.44E+08 Injury of lateral collateral ligament of knee (disorder)
827 35899005 Pott's fracture (disorder)
827 2.71E+08 Traumatic blister of buttock, infected (disorder)
827 4.14E+08 Fracture of tibia AND fibula (disorder)
827 2.63E+08 Fracture of distal end of fibula (disorder)
827 36172001 Congenital subluxation of hip (disorder)
827 2.71E+08 Traumatic blister of groin, infected (disorder)
827 2.63E+08 Subluxation of hip joint (disorder)
827 2.84E+08 Animal bite of buttock (disorder)
827 36211009 Bilateral traumatic amputation of feet without complication (disorder)
827 2.84E+08 Animal bite of groin (disorder)
827 95859009 Traumatic amputation of foot (disorder)
827 36273000 Open wound of leg without complication (disorder)
827 2.11E+08 Superficial injury of lower limb, excluding foot (disorder)
827 36523002 Injury of posterior tibial artery (disorder)
827 2.11E+08 Abrasion, hip (disorder)
827 2.63E+08 Metatarsal bone fracture (disorder)
827 2.11E+08 Abrasion, thigh (disorder)
827 37325002 Injury of saphenous vein (disorder)
827 2.11E+08 Abrasion, knee (disorder)
827 2.11E+08 Abrasion, lower leg (disorder)
827 37490002 Open multiple fractures of both lower limbs (disorder)
827 2.11E+08 Abrasion, ankle (disorder)
827 38189003 Nonvenomous insect bite of ankle with infection (disorder)
827 2.11E+08 Abrasion of hip, infected (disorder)
827 2.11E+08 Insect bite, nonvenomous, of ankle (disorder)
827 2.11E+08 Abrasion of thigh, infected (disorder)
827 2.11E+08 Abrasion of knee, infected (disorder)
827 38983001 Superficial foreign body of buttock without major open wound but with infection (disorder)
827 39282007 Superficial foreign body of hip without major open wound but with infection (disorder)
827 2.74E+08 Superficial injury of buttock (disorder)
827 2.11E+08 Abrasion of lower leg, infected (disorder)
827 39835005 Abrasion AND/OR friction burn of leg with infection (disorder)
827 2.11E+08 Abrasion of ankle, infected (disorder)
827 4E+08 Traumatic blister of lower limb (disorder)
827 40295005 Superficial foreign body of leg without major open wound AND without infection (disorder)
827 2.71E+08 Traumatic blister of hip (disorder)
827 50381004 Superficial injury of leg without infection (disorder)
827 40986008 Burn erythema of foot (disorder)
827 2.71E+08 Traumatic blister of thigh (disorder)
827 40993007 Burn of ankle (disorder)
827 2.71E+08 Traumatic blister of knee (disorder)
827 41061006 Closed traumatic dislocation of tarsometatarsal joint (disorder)
827 2.71E+08 Traumatic blister of lower leg (disorder)
827 49055005 Closed traumatic dislocation of metatarsal joint (disorder)
827 2.83E+08 Traumatic blister of ankle (disorder)
827 2.71E+08 Traumatic blister of lower limb, infected (disorder)
827 41087006 Open wound of groin with complication (disorder)
827 41191003 Open fracture of head of femur (disorder)
827 2.71E+08 Traumatic blister of hip, infected (disorder)
827 41359009 Closed anterior dislocation of proximal end of tibia (disorder)
827 2.71E+08 Traumatic blister of thigh, infected (disorder)
827 2.71E+08 Traumatic blister of knee, infected (disorder)
827 2.71E+08 Traumatic blister of lower leg, infected (disorder)
827 41392003 Closed multiple fractures of lower limb AND sternum (disorder)
827 2.71E+08 Traumatic blister of ankle, infected (disorder)
827 45665008 Multiple fractures of lower limb AND sternum (disorder)
827 2.83E+08 Insect bite of lower limb (disorder)
827 2.68E+08 Pathological dislocation of the lower leg (disorder)
827 2.84E+08 Animal bite of hip (disorder)
827 41608004 Closed fractures of tarsal AND metatarsal bones (disorder)
827 2.84E+08 Animal bite of thigh (disorder)
827 2.63E+08 Fracture of tarsal bone (disorder)
827 2.11E+08 Insect bite, nonvenomous, of knee (disorder)
827 41772008 Abrasion AND/OR friction burn of ankle without infection (disorder)
827 2.84E+08 Animal bite of knee (disorder)
827 2.83E+08 Superficial injury of knee (disorder)
827 41977005 Closed fracture of lateral cuneiform bone of foot (disorder)
827 2.83E+08 Superficial injury of lower leg (disorder)
827 2.84E+08 Animal bite of lower leg (disorder)
827 2.74E+08 Superficial injury of thigh (disorder)
827 2.84E+08 Animal bite of ankle (disorder)
827 2.11E+08 Insect bite, nonvenomous, of knee, infected (disorder)
827 2.11E+08 Multiple superficial injuries of hip and/or thigh (disorder)
827 2.11E+08 Multiple superficial injuries of lower leg (disorder)
827 2.11E+08 Multiple superficial injuries of ankle and foot (disorder)
827 2.11E+08 Superficial injury of lower limb, infected (disorder)
827 42109006 Closed multiple fractures of lower limb with ribs AND sternum (disorder)
827 2.11E+08 Superficial injury of foot and toe(s) (disorder)
827 42188001 Closed fracture of ankle (disorder)
827 2.82E+08 Fracture of cuneiform (disorder)
827 2.11E+08 Abrasion, toe (disorder)
827 42367004 Second degree burn of lower leg (disorder)
827 52899007 Second degree burn of lower limb (disorder)
827 2.11E+08 Abrasion of foot, infected (disorder)
827 2.11E+08 Abrasion of toe, infected (disorder)
827 42443006 Clostridial wound infection in animal (disorder)
827 2.71E+08 Traumatic blister of toe (disorder)
827 2.1E+08 Sprain of superior tibiofibular ligament (disorder)
827 2.11E+08 Neuropathic foot blister (disorder)
827 2.63E+08 Open fracture of base of neck of femur (disorder)
827 2.71E+08 Traumatic blister of foot, infected (disorder)
827 2.75E+08 Traumatic blister of heel, infected (disorder)
827 44140000 Open wound of knee with complication (disorder)
827 2.71E+08 Traumatic blister of toe, infected (disorder)
827 44333005 Open medial dislocation of proximal end of tibia (disorder)
827 2.84E+08 Animal bite of toe (disorder)
827 2.09E+08 Open traumatic dislocation knee joint, medial (disorder)
827 2.69E+08 Insect bite, nonvenomous, of foot and toe, infected (disorder)
827 2.11E+08 Contusion of toe(s) with damage to nail (disorder)
827 45455009 Multiple open fractures of lower end of femur (disorder)
827 2.09E+08 Multiple fractures of femur (disorder)
827 2.12E+08 Contusion, ankle and foot, excluding toe(s) (disorder)
827 45613006 Contusion of lower leg (disorder)
827 2.12E+08 Closed crush injury, thigh (disorder)
827 2.11E+08 Hypogastric vein injury (disorder)
827 2.12E+08 Open crush injury, thigh (disorder)
827 2.12E+08 Closed crush injury, hip (disorder)
827 2.12E+08 Open crush injury, hip (disorder)
827 45833007 Open dislocation of navicular bone of foot (disorder)
827 2.12E+08 Crush injury, knee and lower leg (disorder)
827 3.68E+08 Open fracture of foot (disorder)
827 2.12E+08 Closed crush injury, lower leg (disorder)
827 2.12E+08 Closed crush injury, knee (disorder)
827 46639003 Supination-adduction injury of ankle (disorder)
827 2.12E+08 Open crush injury, lower leg (disorder)
827 47233002 Open fracture of fifth metatarsal bone (disorder)
827 2.12E+08 Open crush injury, knee (disorder)
827 2.12E+08 Crush injury, ankle and foot, excluding toe(s) (disorder)
827 2.12E+08 Closed crush injury, foot (disorder)
827 2.12E+08 Closed crush injury, ankle (disorder)
827 2.12E+08 Open crush injury, foot (disorder)
827 2.12E+08 Open crush injury, ankle (disorder)
827 2.12E+08 Crush injury, toe(s) (disorder)
827 2.84E+08 Burn of buttock (disorder)
827 2.12E+08 Superficial burn of buttock (disorder)
827 2.12E+08 Superficial partial thickness burn of buttock (disorder)
827 2.84E+08 Partial thickness burn of buttock (disorder)
827 2.12E+08 Deep partial thickness burn of buttock (disorder)
827 47374004 Tarsal tunnel syndrome (disorder)
827 2.12E+08 Full thickness burn of buttock (disorder)
827 2.12E+08 Deep full thickness burn of the buttock without loss of body part (disorder)
827 47848000 Closed fracture of condyle of tibia (disorder)
827 4.28E+08 Closed fracture of bone of knee joint (disorder)
827 4.28E+08 Fracture of condyle of tibia (disorder)
827 1.57E+08 Dislocation of hip joint (disorder)
827 2.75E+08 Open fracture of greater trochanter of femur (disorder)
827 2.12E+08 Deep full thickness burn of the buttock, with loss of body part (disorder)
827 63141004 Closed traumatic dislocation of joint of foot (disorder)
827 2.12E+08 Superficial partial thickness burn of toe(s) (disorder)
827 2.12E+08 Superficial partial thickness burn of foot (disorder)
827 2.12E+08 Superficial partial thickness burn of ankle (disorder)
827 2.12E+08 Superficial partial thickness burn of lower leg (disorder)
827 3.99E+08 Wound botulism (disorder)
827 49277003 Superficial injury of thigh without infection (disorder)
827 2.12E+08 Superficial partial thickness burn of knee (disorder)
827 49435000 Superficial injury of buttock with infection (disorder)
827 2.12E+08 Superficial partial thickness burn of thigh (disorder)
827 2.74E+08 Superficial injury of hip (disorder)
827 49524007 Abrasion AND/OR friction burn of groin with infection (disorder)
827 2.12E+08 Deep partial thickness burn of toe(s) (disorder)
827 2.12E+08 Deep partial thickness burn of foot (disorder)
827 49862000 Third degree burn of thigh (disorder)
827 2.12E+08 Deep partial thickness burn of ankle (disorder)
827 50124004 Nonvenomous insect bite of buttock with infection (disorder)
827 2.12E+08 Deep partial thickness burn of lower leg (disorder)
827 2.12E+08 Deep partial thickness burn of knee (disorder)
827 2.12E+08 Deep full thickness burn of the lower leg, with loss of body part (disorder)
827 2.12E+08 Deep partial thickness burn of thigh (disorder)
827 50952009 Recurrent dislocation of ankle AND/OR foot (disorder)
827 2.63E+08 Dislocation of joint of lower limb (disorder)
827 2.12E+08 Partial thickness burn of multiple sites of leg (disorder)
827 51037009 Fracture of patella (disorder)
827 2.12E+08 Deep full thickness burn of the leg without loss of body part (disorder)
827 2.83E+08 Injury of patella (disorder)
827 2.12E+08 Deep full thickness burn of the toe(s) without loss of body part (disorder)
827 2.12E+08 Deep full thickness burn of the foot without loss of body part (disorder)
827 2.12E+08 Deep full thickness burn of the ankle without loss of body part (disorder)
827 2.12E+08 Deep full thickness burn of the lower leg without loss of body part (disorder)
827 2.12E+08 Deep full thickness burn of the knee without loss of body part (disorder)
827 51155003 Closed multiple fractures of upper AND lower limbs (disorder)
827 2.12E+08 Deep full thickness burn of the thigh without loss of body part (disorder)
827 51639006 Open wound of ankle with complication (disorder)
827 2.12E+08 Deep full thickness burn of multiple sites of the leg without loss of body part (disorder)
827 51879004 Closed medial dislocation of proximal end of tibia (disorder)
827 2.12E+08 Deep full thickness burn of leg, with loss of body part (disorder)
827 2.12E+08 Deep full thickness burn of the toe(s), with loss of body part (disorder)
827 52450003 Closed fracture of midcervical section of femur (disorder)
827 2.12E+08 Burn and corrosion of hip and lower limb, except ankle and foot (disorder)
827 2.63E+08 Midcervical fracture of neck of femur (disorder)
827 2.12E+08 Corrosion of first degree of hip and lower limb,except ankle and foot (disorder)
827 52576001 Injury of anterior tibial artery (disorder)
827 2.12E+08 Corrosion of 2nd degree of hip and lower limb, except ankle and foot (disorder)
827 2.12E+08 Corrosion of third degree of hip and lower limb, except ankle and foot (disorder)
827 52984008 Injury of common femoral artery (disorder)
827 2.12E+08 Corrosion of ankle and foot (disorder)
827 2.12E+08 Corrosion of first degree of ankle and foot (disorder)
827 53441009 Closed multiple fractures of lower limb AND ribs (disorder)
827 2.12E+08 Corrosion of second degree of ankle and foot (disorder)
827 53625001 Abrasion AND/OR friction burn of leg without infection (disorder)
827 2.12E+08 Corrosion of third degree of ankle and foot (disorder)
827 53960009 Friction blisters of the soles (disorder)
827 2.71E+08 Traumatic blister of foot (disorder)
827 3.74E+08 Traumatic blister of sole of foot (disorder)
827 2.83E+08 Superficial traumatic blister of lower limb (disorder)
827 54013005 Closed fracture of first metatarsal bone (disorder)
827 54075005 Open fracture of medial cuneiform bone of foot (disorder)
827 2.12E+08 Iliolumbar nerve injury (disorder)
827 54461005 Open wound of toe without complication (disorder)
827 2.12E+08 Iliohypogastric nerve injury (disorder)
827 1.26E+08 Open wound of toe (disorder)
827 2.12E+08 Closed injury sciatic nerve (disorder)
827 54504003 Nonvenomous insect bite of leg without infection (disorder)
827 54530004 Open fracture of medial malleolus (disorder)
827 2.09E+08 Open fracture distal tibia (disorder)
827 2.12E+08 Open injury sciatic nerve (disorder)
827 4.38E+08 Injury of ligament of knee (disorder)
827 2.12E+08 Closed injury femoral nerve (disorder)
827 55042009 Contusion of ankle (disorder)
827 55126004 Closed traumatic dislocation of tarsal joint (disorder)
827 2.12E+08 Open injury femoral nerve (disorder)
827 55430005 Supination-eversion injury of ankle, stage 4 (disorder)
827 2.12E+08 Closed injury posterior tibial nerve (disorder)
827 56128006 Open fracture of tarsal AND metatarsal bones (disorder)
827 2.12E+08 Open injury posterior tibial nerve (disorder)
827 2.12E+08 Closed injury common peroneal nerve (disorder)
827 2.12E+08 Deep full thickness burn of knee, with loss of body part (disorder)
827 2.12E+08 Closed injury superficial peroneal nerve (disorder)
827 56809002 Abrasion AND/OR friction burn of thigh without infection (disorder)
827 2.12E+08 Closed injury deep peroneal nerve (anterior tibial) (disorder)
827 2.12E+08 Open injury common peroneal nerve (disorder)
827 2.12E+08 Deep full thickness burn of foot, with loss of body part (disorder)
827 2.12E+08 Open injury superficial peroneal nerve (disorder)
827 2.09E+08 Closed traumatic dislocation of patellofemoral joint (disorder)
827 2.12E+08 Open injury deep peroneal nerve (anterior tibial) (disorder)
827 57565008 Deep third degree burn of foot (disorder)
827 2.12E+08 Closed injury cutaneous sensory nerve, leg (disorder)
827 57772006 Open fracture of third metatarsal bone (disorder)
827 2.12E+08 Open injury cutaneous sensory nerve, leg (disorder)
827 57778005 Supination-adduction injury of ankle, stage 1 (disorder)
827 2.12E+08 Closed injury lateral cutaneous nerve thigh (disorder)
827 2.86E+08 Injury of lateral cutaneous nerve of thigh (disorder)
827 58126003 Postoperative wound infection (disorder)
827 4.18E+08 Abnormality of surgical wound (disorder)
827 2.69E+08 Dislocation or subluxation of knee (disorder)
827 2.12E+08 Open injury lateral cutaneous nerve thigh (disorder)
827 58361001 Injury of posterior tibial vein (disorder)
827 2.12E+08 Injury of multiple nerves at hip and thigh level (disorder)
827 2.12E+08 Injury of nerves at lower leg level (disorder)
827 2.12E+08 Injury of multiple nerves at lower leg level (disorder)
827 2.12E+08 Injury of nerves at ankle and foot level (disorder)
827 2.12E+08 Injury of lateral plantar nerve (disorder)
827 2.63E+08 Closed fracture of tibial tuberosity (disorder)
827 59110008 Deep third degree burn of toe with loss of body part (disorder)
827 2.12E+08 Injury of medial plantar nerve (disorder)
827 2.12E+08 Injury of cutaneous sensory nerve at ankle and foot level (disorder)
827 59443003 Nonvenomous insect bite of thigh with infection (disorder)
827 2.12E+08 Injury of multiple nerves at ankle and foot level (disorder)
827 2.12E+08 Closed injury obturator nerve (disorder)
827 59897005 Open wound of leg with tendon involvement (disorder)
827 2.86E+08 Obturator nerve injury (disorder)
827 2.12E+08 Open injury obturator nerve (disorder)
827 60004004 Traumatic amputation of toe OR toes without complication (disorder)
827 2.12E+08 Pelvic girdle and lower limb multiple nerve injuries (disorder)
827 2.83E+08 Calf injury (disorder)
827 2.09E+08 Open traumatic dislocation of midtarsal joint (disorder)
827 60058008 Sprain of cruciate ligament of knee (disorder)
827 4.44E+08 Injury of cruciate ligament of knee (disorder)
827 2.12E+08 Injury of muscle and tendon at hip and thigh level (disorder)
827 60108003 Congenital dislocation of one hip with subluxation of other (disorder)
827 2.12E+08 Injury of adductor muscle and tendon of thigh (disorder)
827 2.12E+08 Injury of multiple muscles and tendons at hip and thigh level (disorder)
827 2.12E+08 Injury of muscle and tendon at lower leg level (disorder)
827 2.12E+08 Injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level (disorder)
827 61317003 Deep third degree burn of ankle (disorder)
827 2.12E+08 Injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level (disorder)
827 85052001 Third degree burn of ankle (disorder)
827 2.12E+08 Injury of multiple muscles and tendons at lower leg level (disorder)
827 61341000 Abrasion AND/OR friction burn of thigh with infection (disorder)
827 2.12E+08 Injury of muscle and tendon at ankle and foot level (disorder)
827 62125005 Closed fracture of epiphysis of femur (disorder)
827 2.12E+08 Injury of muscle and tendon of long flexor muscle of toe at ankle and foot level (disorder)
827 2.12E+08 Injury of muscle and tendon of long extensor muscle of toe at ankle and foot level (disorder)
827 2.12E+08 Multiple open wounds of lower leg (disorder)
827 62908007 Superficial foreign body of thigh without major open wound AND without infection (disorder)
827 62952004 Burn erythema of knee (disorder)
827 63053003 Deep third degree burn of knee (disorder)
827 2.09E+08 Closed traumatic dislocation of hip (disorder)
827 2.13E+08 Superficial frostbite of hip and thigh (disorder)
827 63456003 Open anterior dislocation of proximal end of tibia (disorder)
827 2.09E+08 Open traumatic dislocation knee joint, anterior (disorder)
827 2.13E+08 Superficial frostbite of knee and lower leg (disorder)
827 63540005 Open anterior dislocation of distal end of femur (disorder)
827 2.13E+08 Frostbite with tissue necrosis of hip and thigh (disorder)
827 2.13E+08 Frostbite with tissue necrosis of knee and lower leg (disorder)
827 63975004 Closed posterior dislocation of hip (disorder)
827 2.13E+08 Frostbite with tissue necrosis of ankle and foot (disorder)
827 64042000 Injury of uterine vein (disorder)
827 2.13E+08 Surgical wound necrosis (disorder)
827 2.39E+08 Delayed healing of surgical wound (disorder)
827 2.13E+08 Postoperative wound infection-deep (disorder)
827 2.13E+08 Postoperative wound infection-superficial (disorder)
827 2.09E+08 Closed traumatic dislocation ankle joint (disorder)
827 3.08E+08 Methicillin-resistant Staphylococcus aureus (MRSA) infection of postoperative wound (disorder)
827 3.11E+08 Postoperative wound sinus (disorder)
827 64213003 Closed anterior dislocation of distal end of femur (disorder)
827 64438006 Closed traumatic dislocation of metatarsophalangeal joint (disorder)
827 2.13E+08 Fractures involving multiple regions of one lower limb (disorder)
827 64665009 Closed fracture of calcaneus (disorder)
827 2.13E+08 Fractures involving multiple regions of both lower limbs (disorder)
827 3.12E+08 Closed fractures involving multiple regions of both lower limbs (disorder)
827 65504006 Crushing injury of heel (disorder)
827 3.12E+08 Open fractures involving multiple regions of both lower limbs (disorder)
827 2.83E+08 Heel injury (disorder)
827 66023002 Closed dislocation of talus (disorder)
827 2.75E+08 Dislocation of talus (disorder)
827 66483005 Open pertrochanteric fracture (disorder)
827 2.13E+08 Dislocations, sprains and strains involving multiple regions of lower limb(s) (disorder)
827 66535005 Second degree burn of knee (disorder)
827 2.13E+08 Traumatic amputation of both feet (disorder)
827 66722004 Open wound of knee with tendon involvement (disorder)
827 66885008 Open wound of ankle with tendon involvement (disorder)
827 66926007 Closed fracture of femoral condyle of femur (disorder)
827 66973001 Open fracture of lateral cuneiform bone of foot (disorder)
827 67394003 Fracture of shaft of fibula (disorder)
827 67422008 Closed fracture of medial cuneiform bone of foot (disorder)
827 2.26E+08 Suture line inflamed (disorder)
827 4.14E+08 Fracture of lower leg (disorder)
827 68140000 Second degree burn of thigh (disorder)
827 2.3E+08 Apical callus (disorder)
827 68510005 Closed subtrochanteric fracture (disorder)
827 3.6E+08 Closed fracture of hip (disorder)
827 68628004 Burn erythema of toe (disorder)
827 68765006 Nonvenomous insect bite of ankle without infection (disorder)
827 2.34E+08 Popliteal entrapment syndrome (disorder)
827 68893001 Contusion of buttock (disorder)
827 2.38E+08 Intractable plantar keratoma (disorder)
827 2.38E+08 Prayer nodule (disorder)
827 2.38E+08 Jogger's toe (disorder)
827 2.38E+08 Tennis toe (disorder)
827 2.38E+08 Turf toe (disorder)
827 2.63E+08 Strain of peroneal tendon (disorder)
827 2.82E+08 Strain of tendon of foot and ankle (disorder)
827 2.63E+08 Traumatic division of gastrocnemius tendon (disorder)
827 2.63E+08 Fracture dislocation of joint of lower limb (disorder)
827 2.63E+08 Fracture dislocation of toe joint (disorder)
827 2.63E+08 Fracture subluxation of joint of lower limb (disorder)
827 2.63E+08 Sprain of lateral ligament of ankle joint (disorder)
827 2.63E+08 Subcapital fracture of neck of femur (disorder)
827 2.63E+08 Pilon fracture (disorder)
827 2.63E+08 Tilleau fracture (disorder)
827 2.63E+08 Fracture of base of fifth metatarsal (disorder)
827 2.65E+08 Avulsion of tibial attachment (disorder)
827 2.65E+08 Avulsion of femoral attachment (disorder)
827 2.84E+08 Animal bite of foot (disorder)

Appendix E: OASIS Rosetta Stone Spreadsheet

Toolkit Overview Of OASIS-C Rosetta Stone

The Rosetta Stone spreadsheet was designed for the Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation (ASPE) as a tool to assist long term care providers and clinicians in the transition to using Logical Object Identifiers Names and Codes (LOINC) and SNOMED CT as the terminology of choice for the documentation and conveyance of OASIS-C (based on CMS OASIS-C data specifications v2.00, Revision 3, October 2009) assessment content. The Rosetta Stone is a tool that can be used for various mapping scenarios:

  1. Map from OASIS-C in CMS format to corresponding Model of Use LOINC representation: In this scenario, one uses the Rosetta Stone "Model of Use" tab. For each OASIS-C question and answer, there is a corresponding LOINC question and answer code.

  2. Map from OASIS-C in CMS format to corresponding Model of Meaning representation: In this scenario, one uses the Rosetta Stone "Model of Meaning" tab. For each OASIS-C question and answer, there is a corresponding code from a standard terminology such as SNOMED CT or code set such as CVX. OASIS-C data items were also evaluated against other standard terminologies such as RxNorm. However, these other terminologies were not compatible with the data captured in this CMS standardized assessment instrument.

Rosetta Stone Context*
Tab 1   Overview This tab presents a description of the Rosetta Stone and its content.
Tab 2 Model of Use Using the OASIS-C section and question ID as the primary sort order, this tab presents OASIS-C questions and answers (based on the CMS OASIS-C data specifications v2.00, Revision 3, October 2009) and corresponding LOINC representations and codes (provided by Indiana University of Regenstrief Institute, Inc.).

Content of this tab is listed below.
Note: Due to limitations of the OASIS data specifications, several “question” rows have been added to better represent OASIS question/answer pairs and to facilitate formatting in a CDA-based message. These added rows are identified by the use of italicized text for the description of the question.
  • Columns A - C: OASIS-C question and answer ID numbers and descriptions based on CMS OASIS-C data specifications v2.00, Revision 3, October 2009.
    Column A = CMS Question ID for each OASIS data item (This column is the primary sort order for the tab.)
    Column B = CMS Answer ID for each OASIS data item
    Column C = CMS Description for each OASIS data item
  • Column D: Contains some general guidance related to the data mapping.
  • Columns E - G: Contain LOINC representation of the OASIS data items.
    Column E = LOINC question code for the OASIS data item
    Column F = LOINC answer code for the OASIS data item
    Column G = LOINC answer set object identifier (OID) for the OASIS data item
Tab 3 Model of Meaning Using the OASIS-C section and question ID as the primary sort order, this tab presents OASIS Extract questions and answers (based on the CMS MDS2.0 data specification v1.01.0, December 2010) and corresponding:
  • SNOMED CT (version 20100731) representations and codes for semantically mappable MDS3.0 data items.
  • CVX (September 30, 2010 update) codes for MDS3.0 vaccination data items.
Content of this tab is listed below.
Notes:
  1. CAP SNOMED Terminology Solutions provided the SNOMED CT mapping of MDS3.0 data items. The American Health Information Management Association (AHIMA) provided the ICD-9-CM, ICD-10-CM, and CVX mapping of MDS3.0 data items.
  2. Due to limitations of the OASIS data specifications, several “question” rows have been added to better represent OASIS Extract question/answer pairs and to facilitate formatting in a CDA-based message. These added rows are identified by the use of italicized text for the description of the question.
  • Columns A - C: OASIS-C question and answer ID numbers and descriptions based on CMS data specifications v2.00, Revision 3, October 2009.
    Column A = CMS Question ID for each OASIS data item ( This column is the primary sort order for the tab.)
    Column B = CMS Answer ID for each OASIS data item
    Column C = CMS Description for each OASIS data item
  • Column D: Contains some general guidance related to data mapping.
  • Column E: Contains the pattern used for mapping the SNOMED CT representation of OASIS-C data items. SNOMED mapping was based on either an "assertion pattern" or "question & answer pattern".
  • Columns F - G: Contain SNOMED CT representation of semantically mappable OASIS data items.
    Column F = SNOMED CT code for each mapped OASIS data item
    Column G = SNOMED CT Fully Specified Name (FSN) for each assigned SNOMED code
  • Column H: Contains CDC Race and Ethnicity Codes for the OASIS race/ethnicity data items.
  • Column I: Contains Codes for Vaccines Administered (CVX) for the OASIS vaccination data items.
Tabs correspond to Excel file available at http://aspe.hhs.gov/daltcp/reports/2011/StratEng-E.xlsx.
Rosetta Stone Resources
CMS Outcome & Assessment Information Set (OASIS-C) OASIS-C:
Codes for Vaccine Administered (CVX) CVX codes:
Logical Object Identifiers Names and Codes (LOINC) LOINC codes:
  • Are maintained by Regenstrief Institute, Inc.
  • Are updated as needed
  • Can be accessed through the Regenstrief LOINC Mapping Assistant (RELMA) at http://loinc.org/relma
Standardized Nomenclature of Medicine - Clinical Terms (SNOMED CT) SNOMED CT codes:
  • Are maintained by the International Health Terminology Standards Development Organisation (IHTSDO)
  • Are updated twice a year in January and July
  • Can be accessed through a variety of free browsers listed by the Unified Medical Language System (UMLS) at http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html

OASIS-C Items Mapping -- Model Of Use

CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
PATIENT TRACKING          
M0010_CCN   CMS Certification Number   46456-0    
M0014_BRANCH_STATE   Branch State   46494-1    
M0016_BRANCH_ID   Branch ID (Optional)   46495-8    
M0018_PHYSICIAN_ID   Primary Referring Physician National Provider ID (NPI)   44954-6    
M0018_PHYSICIAN_UK   Primary Referring Physician NPI: Unknown        
M0020_PAT_ID   Patient ID Number   46496-6    
M0030_START_CARE_DT   Start of Care Date   46497-4    
M0032_ROC_DT   Resumption of Care Date   46498-2    
M0032_ROC_DT_NA NA No Resumption of Care Date        
M0040_PAT_FNAME   Patient's First Name   45392-8    
M0040_PAT_MI   Patient's Middle Initial   45393-6    
M0040_PAT_LNAME   Patient's Last Name   45394-4    
M0040_PAT_SUFFIX   Patient's Suffix   45395-1    
M0050_PAT_ST   Patient State of Residence   46499-0    
M0060_PAT_ZIP   Patient Zip Code   45401-7    
M0063_MEDICARE_NUM   Medicare Number, Including Suffix   45397-7    
M0063_MEDICARE_NA NA No Medicare Number        
M0064_SSN   Patient's Social Security Number   45396-9    
M0064_SSN_UK UK No Social Security Number        
M0065_MEDICAID_NUM   Medicaid Number   45400-9    
M0065_MEDICAID_NA NA No Medicaid Number        
M0066_PAT_BIRTH_DT   Date of Birth   21112-8    
M0069_PAT_GENDER   Gender   46607-8    
M0069_PAT_GENDER 1 Male   46607-8 LA2-8 1.3.6.1.4.1.12009.10.1.138
M0069_PAT_GENDER 2 Female   46607-8 LA3-6 1.3.6.1.4.1.12009.10.1.138
M0140_ETHNIC_AI_AN 1 Race/Ethnicity: American Indian or Alaska Native       2.16.840.1.113883.1.11.15836
M0140_ETHNIC_ASIAN 2 Race/Ethnicity: Asian       2.16.840.1.113883.1.11.15836
M0140_ETHNIC_BLACK 3 Race/Ethnicity: Black or African-American       2.16.840.1.113883.1.11.15836
M0140_ETHNIC_HISP 4 Race/Ethnicity: Hispanic or Latino       2.16.840.1.113883.1.11.15836
M0140_ETHNIC_NH_PI 5 Race/Ethnicity: Native Hawaiian or Pacific Islander       2.16.840.1.113883.1.11.15836
M0140_ETHNIC_WHITE 6 Race/Ethnicity: White       2.16.840.1.113883.1.11.15836
M0150   Current payment sources for home care Question row added to facilitate message format. 57199-2    
M0150_CPAY_NONE 0 Current Payment Sources for Home Care: None; no charge for current services   57199-2 LA12090-9 1.3.6.1.4.1.12009.10.1.80
M0150_CPAY_MCARE_FFS 1 Current Payment Sources for Home Care: Medicare Traditional Fee-for-Service   57199-2 LA6259-1 1.3.6.1.4.1.12009.10.1.80
M0150_CPAY_MCARE_HMO 2 Current Payment Sources for Home Care: Medicare HMO/Managed Care   57199-2 LA12092-5 1.3.6.1.4.1.12009.10.1.80
M0150_CPAY_MCAID_FFS 3 Current Payment Sources for Home Care: Medicaid Traditional Fee-for-Service   57199-2 LA6257-5 1.3.6.1.4.1.12009.10.1.80
M0150_CPAY_MCAID_HMO 4 Current Payment Sources for Home Care: Medicaid HMO/Managed Care   57199-2 LA6256-7 1.3.6.1.4.1.12009.10.1.80
M0150_CPAY_WRKCOMP 5 Current Payment Sources for Home Care: Worker's Compensation   57199-2 LA6452-2 1.3.6.1.4.1.12009.10.1.80
M0150_CPAY_TITLEPGMS 6 Current Payment Sources for Home Care: Title Programs   57199-2 LA6398-7 1.3.6.1.4.1.12009.10.1.80
M0150_CPAY_OTH_GOVT 7 Current Payment Sources for Home Care: Other Government   57199-2 LA10049-7 1.3.6.1.4.1.12009.10.1.80
M0150_CPAY_PRIV_INS 8 Current Payment Sources for Home Care: Private Insurance   57199-2 LA6350-8 1.3.6.1.4.1.12009.10.1.80
M0150_CPAY_PRIV_HMO 9 Current Payment Sources for Home Care: Private HMO/Managed Care   57199-2 LA6349-0 1.3.6.1.4.1.12009.10.1.80
M0150_CPAY_SELFPAY 10 Current Payment Sources for Home Care: Self-Pay   57199-2 LA6369-8 1.3.6.1.4.1.12009.10.1.80
M0150_CPAY_OTHER 11 Current Payment Sources for Home Care: Other This is handled in the CDA by making "Other" a null, and including the text response in the <originalText> field 57199-2 LA6310-2 1.3.6.1.4.1.12009.10.1.80
M0150_CPAY_UK UK Current Payment Sources for Home Care: Unknown   57199-2 LA4489-6 1.3.6.1.4.1.12009.10.1.80
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
CLINICAL RECORD ITEMS          
M0080_ASSESSOR_DISCIPLINE   Discipline of Person Completing Assessment   46500-5    
M0080_ASSESSOR_DISCIPLINE 1 RN   46500-5 LA6367-2 1.3.6.1.4.1.12009.10.1.139
M0080_ASSESSOR_DISCIPLINE 2 PT   46500-5 LA6353-2 1.3.6.1.4.1.12009.10.1.139
M0080_ASSESSOR_DISCIPLINE 3 SLP/ST   46500-5 LA6378-9 1.3.6.1.4.1.12009.10.1.139
M0080_ASSESSOR_DISCIPLINE 4 OT   46500-5 LA6309-4 1.3.6.1.4.1.12009.10.1.139
M0090_INFO_COMPLETED_DT   Date Assessment Completed   46501-3    
M0100_ASSMT_REASON   Reason for Assessment   57200-8    
M0100_ASSMT_REASON 1 Start of care - further visits planned   57200-8 LA6390-4 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 3 Resumption of care (after inpatient stay)   57200-8 LA6366-4 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 4 Recertification (follow-up) reassessment   57200-8 LA6355-7 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 5 Other follow-up   57200-8 LA6312-8 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 6 Transferred to an inpatient facility - patient not discharged from agency   57200-8 LA6402-7 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 7 Transferred to an inpatient facility - patient discharged from agency   57200-8 LA6401-9 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 8 Death at home   57200-8 LA6179-1 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 9 Discharge from agency   57200-8 LA6184-1 1.3.6.1.4.1.12009.10.1.78
M0102_PHYSN_ORDRD_SOCROC_DT   Physician Ordered SOC/ROC Date   57201-6    
M0102_PHYSN_ORDRD_SOCROC_DT_NA NA Physician Ordered SOC/ROC Date - NA        
M0104_PHYSN_RFRL_DT   Physician Date Of Referral   57202-4    
M0110_EPISODE_TIMING   Episode Timing   57203-2    
M0110_EPISODE_TIMING 1 Early   1 LA12111-3 1.3.6.1.4.1.12009.10.1.79
M0110_EPISODE_TIMING 2 Later   2 LA12112-1 1.3.6.1.4.1.12009.10.1.79
M0110_EPISODE_TIMING NA Not applicable: No Medicare case mix group to be defined by this assessment.   NA LA12114-7 1.3.6.1.4.1.12009.10.1.79
M0110_EPISODE_TIMING UK Unknown   UK LA4489-6 1.3.6.1.4.1.12009.10.1.79
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
PATIENT HISTORY AND DIAGNOSES          
M1000   Inpatient discharge facility Question row added to facilitate message format. 57204-0    
M1000_DC_LTC_14_DA 1 Past 14 Days: Dschrgd From LTC NH   57204-0 LA12115-4 1.3.6.1.4.1.12009.10.1.81
M1000_DC_SNF_14_DA 2 Past 14 Days: Discharged from Skilled Nursing Facility   57204-0 LA10080-2 1.3.6.1.4.1.12009.10.1.81
M1000_DC_IPPS_14_DA 3 Past 14 Days: Dschrgd From Short Stay Acute Hospital   57204-0 LA12117-0 1.3.6.1.4.1.12009.10.1.81
M1000_DC_LTCH_14_DA 4 Past 14 Days: Dschrgd From Long Term Care Hospital   57204-0 LA10000-0 1.3.6.1.4.1.12009.10.1.81
M1000_DC_IRF_14_DA 5 Past 14 Days: Discharged From Inpatient Rehab Facility   57204-0 LA9986-6 1.3.6.1.4.1.12009.10.1.81
M1000_DC_PSYCH_14_DA 6 Past 14 Days: Dschrgd From Psychiatric Hospital Or Unit   57204-0 LA10065-3 1.3.6.1.4.1.12009.10.1.81
M1000_DC_OTH_14_DA 7 Past 14 Days: Dschrgd From Other This is handled in the CDA by making "Other" a null, and including the text response in the <originalText> field 57204-0 LA6310-2 1.3.6.1.4.1.12009.10.1.81
M1000_DC_NONE_14_DA N/A Past 14 Days: Not Discharged from Inpatient Facility   57204-0 LA6342-5 1.3.6.1.4.1.12009.10.1.81
M1005_INP_DISCHARGE_DT   Most Recent Inpatient Discharge Date   46503-9    
M1005_INP_DSCHG_UNKNOWN UK Inpatient Discharge Date Unknown        
M1010   Inpatient Diagnosis Question row added to facilitate message format.      
M1010_14_DAY_INP1_ICD a Inpatient Stay Within Last 14 Days: ICD Code 1   46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP2_ICD b Inpatient Stay Within Last 14 Days: ICD Code 2   46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP3_ICD c Inpatient Stay Within Last 14 Days: ICD Code 3   46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP4_ICD d Inpatient Stay Within Last 14 Days: ICD Code 4   46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP5_ICD e Inpatient Stay Within Last 14 Days: ICD Code 5   46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP6_ICD f Inpatient Stay Within Last 14 Days: ICD Code 6   46504-7   2.16.840.1.113883.6.103
M1012   Inpatient Procedure Question row added to facilitate message format.      
M1012_INP_PRCDR1_ICD a Inpatient ICD Procedure1 Code   58050-6   2.16.840.1.113883.6.104
M1012_INP_PRCDR2_ICD b Inpatient ICD Procedure2 Code   58050-6   2.16.840.1.113883.6.104
M1012_INP_PRCDR3_ICD c Inpatient ICD Procedure3 Code   58050-6   2.16.840.1.113883.6.104
M1012_INP_PRCDR4_ICD d Inpatient ICD Procedure4 Code   58050-6   2.16.840.1.113883.6.104
M1012_INP_NA_ICD NA Inpatient ICD Procedure Code - NA   58050-6   2.16.840.1.113883.6.104
M1012_INP_UK_ICD UK Inpatient ICD Procedure Code - UK   58050-6   2.16.840.1.113883.6.104
M1016   Diagnosis Requiring Regimen Change Question row added to facilitate message format.      
M1016_CHGREG_ICD1 a Regimen Change in Past 14 Days: ICD Code 1   46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD2 b Regimen Change in Past 14 Days: ICD Code 2   46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD3 c Regimen Change in Past 14 Days: ICD Code 3   46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD4 d Regimen Change in Past 14 Days: ICD Code 4   46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD5 e Regimen Change In Past 14 Days: ICD Code 5   46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD6 f Regimen Change In Past 14 Days: ICD Code 6   46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD_NA NA Regimen Change In Past 14 Days: Not Applicable   46507-0   2.16.840.1.113883.6.103
M1018   Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days Question row added to facilitate message format. 46465-1    
M1018_PRIOR_UR_INCON 1 Prior Condition: Urinary Incontinence   46465-1 LA6436-5 1.3.6.1.4.1.12009.10.1.140
M1018_PRIOR_CATH 2 Prior Condition: Indwelling/Suprapubic Catheter   46465-1 LA6240-1 1.3.6.1.4.1.12009.10.1.140
M1018_PRIOR_INTRACT_PAIN 3 Prior Condition: Intractable Pain   46465-1 LA6243-5 1.3.6.1.4.1.12009.10.1.140
M1018_PRIOR_IMPR_DECSN 4 Prior Condition: Impaired Decision-making   46465-1 LA6227-8 1.3.6.1.4.1.12009.10.1.140
M1018_PRIOR_DISRUPTIVE 5 Prior Condition: Disruptive or Socially Inappropriate Behavior   46465-1 LA6186-6 1.3.6.1.4.1.12009.10.1.140
M1018_PRIOR_MEM_LOSS 6 Prior Condition: Memory Loss, Supervision Required   46465-1 LA6261-7 1.3.6.1.4.1.12009.10.1.140
M1018_PRIOR_NONE 7 Prior Condition: None of the Above   46465-1 LA9-3 1.3.6.1.4.1.12009.10.1.140
M1018_PRIOR_NOCHG_14D NA Prior Condition: No Inpatient Discharge, No Change in Regimen in Past 14 Days   46465-1 LA6282-3 1.3.6.1.4.1.12009.10.1.140
M1018_PRIOR_UNKNOWN UK Prior Condition: Unknown   46465-1 LA4489-6 1.3.6.1.4.1.12009.10.1.140
M1020_PRIMARY_DIAG_ICD a Primary Diagnosis ICD Code   46511-2   2.16.840.1.113883.6.103
M1020_PRIMARY_DIAG_SEVERITY   Primary Diagnosis Severity Rating   46512-0    
M1020_PRIMARY_DIAG_SEVERITY 0 Asymptomatic, no treatment needed   46512-0 LA6111-4 1.3.6.1.4.1.12009.10.1.141
M1020_PRIMARY_DIAG_SEVERITY 1 Symptoms well controlled with current therapy   46512-0 LA6112-2 1.3.6.1.4.1.12009.10.1.141
M1020_PRIMARY_DIAG_SEVERITY 2 Symptoms controlled with difficulty   46512-0 LA6113-0 1.3.6.1.4.1.12009.10.1.141
M1020_PRIMARY_DIAG_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring   46512-0 LA6114-8 1.3.6.1.4.1.12009.10.1.141
M1020_PRIMARY_DIAG_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations   46512-0 LA6115-5 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG1_ICD b Other Diagnosis 1: ICD Code   46513-8   2.16.840.1.113883.6.103
M1022_OTH_DIAG1_SEVERITY   Other Diagnosis 1: Severity Rating   46514-6    
M1022_OTH_DIAG1_SEVERITY 0 Asymptomatic, no treatment needed   46514-6 LA6111-4 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG1_SEVERITY 1 Symptoms well controlled with current therapy   46514-6 LA6112-2 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG1_SEVERITY 2 Symptoms controlled with difficulty   46514-6 LA6113-0 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG1_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring   46514-6 LA6114-8 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG1_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations   46514-6 LA6115-5 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG2_ICD c Other Diagnosis 2: ICD Code   46515-3   2.16.840.1.113883.6.103
M1022_OTH_DIAG2_SEVERITY   Other Diagnosis 2: Severity Rating   46516-1    
M1022_OTH_DIAG2_SEVERITY 0 Asymptomatic, no treatment needed   46516-1 LA6111-4 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG2_SEVERITY 1 Symptoms well controlled with current therapy   46516-1 LA6112-2 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG2_SEVERITY 2 Symptoms controlled with difficulty   46516-1 LA6113-0 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG2_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring   46516-1 LA6114-8 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG2_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations   46516-1 LA6115-5 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG3_ICD d Other Diagnosis 3: ICD Code   46517-9   2.16.840.1.113883.6.103
M1022_OTH_DIAG3_SEVERITY   Other Diagnosis 3: Severity Rating   46518-7    
M1022_OTH_DIAG3_SEVERITY 0 Asymptomatic, no treatment needed   46518-7 LA6111-4 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG3_SEVERITY 1 Symptoms well controlled with current therapy   46518-7 LA6112-2 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG3_SEVERITY 2 Symptoms controlled with difficulty   46518-7 LA6113-0 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG3_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring   46518-7 LA6114-8 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG3_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations   46518-7 LA6115-5 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG4_ICD e Other Diagnosis 4: ICD Code   46519-5   2.16.840.1.113883.6.103
M1022_OTH_DIAG4_SEVERITY   Other Diagnosis 4: Severity Rating   46520-3    
M1022_OTH_DIAG4_SEVERITY 0 Asymptomatic, no treatment needed   46520-3 LA6111-4 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG4_SEVERITY 1 Symptoms well controlled with current therapy   46520-3 LA6112-2 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG4_SEVERITY 2 Symptoms controlled with difficulty   46520-3 LA6113-0 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG4_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring   46520-3 LA6114-8 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG4_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations   46520-3 LA6115-5 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG5_ICD f Other Diagnosis 5: ICD Code   46521-1   2.16.840.1.113883.6.103
M1022_OTH_DIAG5_SEVERITY   Other Diagnosis 5: Severity Rating   46522-9    
M1022_OTH_DIAG5_SEVERITY 0 Asymptomatic, no treatment needed   46522-9 LA6111-4 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG5_SEVERITY 1 Symptoms well controlled with current therapy   46522-9 LA6112-2 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG5_SEVERITY 2 Symptoms controlled with difficulty   46522-9 LA6113-0 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG5_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring   46522-9 LA6114-8 1.3.6.1.4.1.12009.10.1.141
M1022_OTH_DIAG5_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations   46522-9 LA6115-5 1.3.6.1.4.1.12009.10.1.141
M1024_PMT_DIAG_ICD_A3 a Case Mix Diagnosis: Primary, Column 3   49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_B3 b Case Mix Diagnosis: First Secondary, Column 3   49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_C3 c Case Mix Diagnosis: Second Secondary, Column 3   49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_D3 d Case Mix Diagnosis: Third Secondary, Column 3   49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_E3 e Case Mix Diagnosis: Fourth Secondary, Column 3   49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_F3 f Case Mix Diagnosis: Fifth Secondary, Column 3   49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_A4 a Case Mix Diagnosis: Primary, Column 4   49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_B4 b Case Mix Diagnosis: First Secondary, Column 4   49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_C4 c Case Mix Diagnosis: Second Secondary, Column 4   49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_D4 d Case Mix Diagnosis: Third Secondary, Column 4   49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_E4 e Case Mix Diagnosis: Fourth Secondary, Column 4   49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_F4 f Case Mix Diagnosis: Fifth Secondary, Column 4   49561-4   2.16.840.1.113883.6.103
M1030   Therapies the patient receives at home Question row added to facilitate message format. 46466-9    
M1030_THH_IV_INFUSION 1 Therapies Received at Home: Intravenous, Infusion   46466-9 LA6244-3 1.3.6.1.4.1.12009.10.1.142
M1030_THH_PAR_NUTRITION 2 Therapies Received at Home: Parenteral Nutrition   46466-9 LA6321-9 1.3.6.1.4.1.12009.10.1.142
M1030_THH_ENT_NUTRITION 3 Therapies Received at Home: Enteral Nutrition   46466-9 LA6194-0 1.3.6.1.4.1.12009.10.1.142
M1030_THH_NONE_ABOVE 4 Therapies Received at Home: None of the Above   46466-9 LA9-3 1.3.6.1.4.1.12009.10.1.142
M1032   Risk for hospitalization Question row added to facilitate message format. 57319-6    
M1032_HOSP_RISK_RCNT_DCLN 1 Risk For Hospitalization: Recent Decline In Mental, Emotional Or Behavior Status   57319-6 LA12130-3 1.3.6.1.4.1.12009.10.1.83
M1032_HOSP_RISK_MLTPL_HOSPZTN 2 Risk For Hospitalization: Multiple Hospitalizations (2 Or More) In Past 12 Mo   57319-6 LA12131-1 1.3.6.1.4.1.12009.10.1.83
M1032_HOSP_RISK_HSTRY_FALLS 3 Risk For Hospitalization: History Of Falls (2 Or More Falls Or Any Fall With An Injury) In Past Year   57319-6 LA12132-9 1.3.6.1.4.1.12009.10.1.83
M1032_HOSP_RISK_5PLUS_MDCTN 4 Risk For Hospitalization: Taking Five Or More Medications   57319-6 LA12133-7 1.3.6.1.4.1.12009.10.1.83
M1032_HOSP_RISK_FRAILTY 5 Risk For Hospitalization: Frailty Indicators   57319-6 LA12134-5 1.3.6.1.4.1.12009.10.1.83
M1032_HOSP_RISK_OTHR 6 Risk For Hospitalization: Other   57319-6 LA46-8 1.3.6.1.4.1.12009.10.1.83
M1032_HOSP_RISK_NONE_ABOVE 7 Risk For Hospitalization: None Of The Above   57319-6 LA9-3 1.3.6.1.4.1.12009.10.1.83
M1034_PTNT_OVRAL_STUS   Patient's Overall Status   57206-5    
M1034_PTNT_OVRAL_STUS 0 The patient is stable with no heightened risk(s) for serious complications and death (beyond those typical of the patient’s age).   57206-5 LA12137-8 1.3.6.1.4.1.12009.10.1.84
M1034_PTNT_OVRAL_STUS 1 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).   57206-5 LA12138-6 1.3.6.1.4.1.12009.10.1.84
M1034_PTNT_OVRAL_STUS 2 The patient is likely to remain in fragile health and have ongoing high risk(s) of serious complications and death.   57206-5 LA12139-4 1.3.6.1.4.1.12009.10.1.84
M1034_PTNT_OVRAL_STUS 3 The patient has serious progressive conditions that could lead to death within a year.   57206-5 LA10096-8 1.3.6.1.4.1.12009.10.1.84
M1034_PTNT_OVRAL_STUS UK The patient’s situation is unknown or unclear.   57206-5 LA12141-0 1.3.6.1.4.1.12009.10.1.84
M1036   Risk factors, either present or past, likely to affect current health status and/or outcome Question row added to facilitate message format. 57207-3    
M1036_RSK_SMOKING 1 High Risk Factor: Smoking   57207-3 LA8928-9 1.3.6.1.4.1.12009.10.1.85
M1036_RSK_OBESITY 2 High Risk Factor: Obesity   57207-3 LA6301-1 1.3.6.1.4.1.12009.10.1.85
M1036_RSK_ALCOHOLISM 3 High Risk Factor: Alcoholism   57207-3 LA6152-8 1.3.6.1.4.1.12009.10.1.85
M1036_RSK_DRUGS 4 High Risk Factor: Drugs   57207-3 LA6189-0 1.3.6.1.4.1.12009.10.1.85
M1036_RSK_NONE 5 High Risk Factor: None of the Above   57207-3 LA9-3 1.3.6.1.4.1.12009.10.1.85
M1036_RSK_UNKNOWN UK High Risk Factor: Unknown   57207-3 LA4489-6 1.3.6.1.4.1.12009.10.1.85
M1040_INFLNZ_RCVD_AGNCY   Influenza Vaccine: Did Patient Receive The Influenza Vaccine   57208-1    
M1040_INFLNZ_RCVD_AGNCY 0 No   57208-1 LA32-8 1.3.6.1.4.1.12009.10.1.86
M1040_INFLNZ_RCVD_AGNCY 1 Yes   57208-1 LA33-6 1.3.6.1.4.1.12009.10.1.86
M1040_INFLNZ_RCVD_AGNCY NA Does not apply because entire episode of care (SOC/ROC to Transfer/Discharge) is outside this influenza season.   57208-1 LA12150-1 1.3.6.1.4.1.12009.10.1.86
M1045_INFLNZ_RSN_NOT_RCVD   Influenza Vaccine: Reason Not Received In Agency   57209-9    
M1045_INFLNZ_RSN_NOT_RCVD 1 Received from another health care provider (e.g., physician)   57209-9 LA12151-9 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 2 Received from your agency previously during this year's flu season   57209-9 LA12152-7 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 3 Offered and declined   57209-9 LA186-9 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 4 Assessed and determined to have medical contraindication(s)   57209-9 LA12154-3 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 5 Not indicated; patient does not meet age/condition guidelines for influenza vaccine   57209-9 LA12155-0 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 6 Inability to obtain vaccine due to declared shortage   57209-9 LA12156-8 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 7 None of the above   57209-9 LA9-3 1.3.6.1.4.1.12009.10.1.87
M1050_PPV_RCVD_AGNCY   Pneumococcal Vaccine: Did Patient Receive The Influenza Vaccine   57210-7    
M1050_PPV_RCVD_AGNCY 0 No   57210-7 LA32-8 1.3.6.1.4.1.12009.10.1.62
M1050_PPV_RCVD_AGNCY 1 Yes   57210-7 LA33-6 1.3.6.1.4.1.12009.10.1.62
M1055_PPV_RSN_NOT_RCVD_AGNCY   Pneumococcal Vaccine: Reason Not Received In Agency   57211-5    
M1055_PPV_RSN_NOT_RCVD_AGNCY 1 Patient has received PPV in the past   57211-5 LA12158-4 1.3.6.1.4.1.12009.10.1.88
M1055_PPV_RSN_NOT_RCVD_AGNCY 2 Offered and declined   57211-5 LA186-9 1.3.6.1.4.1.12009.10.1.88
M1055_PPV_RSN_NOT_RCVD_AGNCY 3 Assessed and determined to have medical contraindication(s)   57211-5 LA12154-3 1.3.6.1.4.1.12009.10.1.88
M1055_PPV_RSN_NOT_RCVD_AGNCY 4 Not indicated; patient does not meet age/condition guidelines for PPV   57211-5 LA12161-8 1.3.6.1.4.1.12009.10.1.88
M1055_PPV_RSN_NOT_RCVD_AGNCY 5 None of the above   57211-5 LA9-3 1.3.6.1.4.1.12009.10.1.88
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
LIVING ARRANGEMENTS          
M1100_PTNT_LVG_STUTN   Patient Living Situation   57212-3    
M1100_PTNT_LVG_STUTN 1 Patient Lives Alone - Around the clock   57212-3 LA12163-4 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 2 Patient Lives Alone - Regular daytime   57212-3 LA12164-2 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 3 Patient Lives Alone - Regular nighttime   57212-3 LA12165-9 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 4 Patient Lives Alone - Occasional / short-term assistance   57212-3 LA12166-7 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 5 Patient Lives Alone - No assistance available   57212-3 LA12167-5 1.3.6.1.4.1.12009.10.1.89
M1100   Patient lives with other person Question row added to facilitate message format. 57213-1    
M1100_PTNT_LVG_STUTN 6 Patient Lives with Other Person - Around the clock   57213-1 LA12163-4 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 7 Patient Lives with Other Person - Regular daytime   57213-1 LA12164-2 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 8 Patient Lives with Other Person - Regular nighttime   57213-1 LA12165-9 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 9 Patient Lives with Other Person - Occasional / short-term assistance   57213-1 LA12166-7 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 10 Patient Lives with Other Person - No assistance available   57213-1 LA12167-5 1.3.6.1.4.1.12009.10.1.67
M1100   Patient lives in congregated situtation Question row added to facilitate message format. 57214-9    
M1100_PTNT_LVG_STUTN 11 Patient Lives in Congregrate Situation - Around the clock   57214-9 LA12163-4 1.3.6.1.4.1.12009.10.1.68
M1100_PTNT_LVG_STUTN 12 Patient Lives in Congregrate Situation - Regular daytime   57214-9 LA12164-2 1.3.6.1.4.1.12009.10.1.68
M1100_PTNT_LVG_STUTN 13 Patient Lives in Congregrate Situation - Regular nighttime   57214-9 LA12165-9 1.3.6.1.4.1.12009.10.1.68
M1100_PTNT_LVG_STUTN 14 Patient Lives in Congregrate Situation - Occasional / short-term assistance   57214-9 LA12166-7 1.3.6.1.4.1.12009.10.1.68
M1100_PTNT_LVG_STUTN 15 Patient Lives in Congregrate Situation - No assistance available   57214-9 LA12167-5 1.3.6.1.4.1.12009.10.1.68
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
SENSORY STATUS          
M1200_VISION   Sensory Status: Vision   57215-6    
M1200_VISION 0 Normal vision: sees adequately in most situations; can see medication labels, newsprint.   57215-6 LA12168-3 1.3.6.1.4.1.12009.10.1.90
M1200_VISION 1 Partially impaired: cannot see medication labels or newsprint, but can see obstacles in path, and the surrounding layout; can count fingers at arm's length.   57215-6 LA12169-1 1.3.6.1.4.1.12009.10.1.90
M1200_VISION 2 Severely impaired: cannot locate objects without hearing or touching them or patient nonresponsive.   57215-6 LA6375-5 1.3.6.1.4.1.12009.10.1.90
M1210_HEARG_ABLTY   Ability To Hear   57216-4    
M1210_HEARG_ABLTY 0 Adequate: hears normal conversation without difficulty.   57216-4 LA12123-8 1.3.6.1.4.1.12009.10.1.91
M1210_HEARG_ABLTY 1 Mildly to Moderately Impaired: difficulty hearing in some environments or speaker may need to increase volume or speak distinctly.   57216-4 LA12124-6 1.3.6.1.4.1.12009.10.1.91
M1210_HEARG_ABLTY 2 Severely Impaired: absence of useful hearing.   57216-4 LA12125-3 1.3.6.1.4.1.12009.10.1.91
M1210_HEARG_ABLTY UK Unable to assess hearing.   57216-4 LA12174-1 1.3.6.1.4.1.12009.10.1.91
M1220_UNDRSTG_VERBAL_CNTNT   Understanding Of Verbal Content In Patient's Own Language   57217-2    
M1220_UNDRSTG_VERBAL_CNTNT 0 Understands: clear comprehension without cues or repetitions   57217-2 LA12175-8 1.3.6.1.4.1.12009.10.1.92
M1220_UNDRSTG_VERBAL_CNTNT 1 Usually Understands: understands most conversations, but misses some part/intent of message.  Requires cues at times to understand.   57217-2 LA12176-6 1.3.6.1.4.1.12009.10.1.92
M1220_UNDRSTG_VERBAL_CNTNT 2 Sometimes Understands: understands only basic conversations or simple, direct phrases.  Frequently requires cues to understand.   57217-2 LA12177-4 1.3.6.1.4.1.12009.10.1.92
M1220_UNDRSTG_VERBAL_CNTNT 3 Rarely/Never Understands   57217-2 LA81-5 1.3.6.1.4.1.12009.10.1.92
M1220_UNDRSTG_VERBAL_CNTNT UK Unable to assess understanding   57217-2 LA12179-0 1.3.6.1.4.1.12009.10.1.92
M1230_SPEECH   Sensory Status: Speech   57218-0    
M1230_SPEECH 0 Expresses complex ideas, feelings, and needs clearly, completely, and easily in all situations with no observable impairment.   0 LA6197-3 1.3.6.1.4.1.12009.10.1.93
M1230_SPEECH 1 Minimal difficulty in expressing ideas and needs (may take extra time; makes occasional errors in word choice, grammar or speech intelligibility; needs minimal prompting or assistance).   1 LA12181-6 1.3.6.1.4.1.12009.10.1.93
M1230_SPEECH 2 Expresses simple ideas or needs with moderate difficulty (needs prompting or assistance, errors in word choice, organization or speech intelligibility). Speaks in phrases or short sentences.   2 LA12182-4 1.3.6.1.4.1.12009.10.1.93
M1230_SPEECH 3 Has severe difficulty expressing basic ideas or needs and requires maximal assistance or guessing by listener. Speech limited to single words or short phrases.   3 LA12183-2 1.3.6.1.4.1.12009.10.1.93
M1230_SPEECH 4 Unable to express basic needs even with maximal prompting or assistance but is not comatose or unresponsive (e.g., speech is nonsensical or unintelligible).   4 LA12184-0 1.3.6.1.4.1.12009.10.1.93
M1230_SPEECH 5 Patient nonresponsive or unable to speak.   5 LA6336-7 1.3.6.1.4.1.12009.10.1.93
M1240_FRML_PAIN_ASMT   Has Patient Had A Formal Pain Assessment   57219-8    
M1240_FRML_PAIN_ASMT 0 No standardized assessment conducted   57219-8 LA12186-5 1.3.6.1.4.1.12009.10.1.94
M1240_FRML_PAIN_ASMT 1 Yes, and it does not indicate severe pain   57219-8 LA12187-3 1.3.6.1.4.1.12009.10.1.94
M1240_FRML_PAIN_ASMT 2 Yes, and it indicates severe pain   57219-8 LA12188-1 1.3.6.1.4.1.12009.10.1.94
M1242_PAIN_FREQ_ACTVTY_MVMT   Frequency Of Pain Interfering With Patient's Activity Or Movement   57220-6    
M1242_PAIN_FREQ_ACTVTY_MVMT 0 Patient has no pain   57220-6 LA12189-9 1.3.6.1.4.1.12009.10.1.95
M1242_PAIN_FREQ_ACTVTY_MVMT 1 Patient has pain that does not interfere with activity or movement   57220-6 LA12190-7 1.3.6.1.4.1.12009.10.1.95
M1242_PAIN_FREQ_ACTVTY_MVMT 2 Less often than daily   57220-6 LA6249-2 1.3.6.1.4.1.12009.10.1.95
M1242_PAIN_FREQ_ACTVTY_MVMT 3 Daily, but not constantly   57220-6 LA6177-5 1.3.6.1.4.1.12009.10.1.95
M1242_PAIN_FREQ_ACTVTY_MVMT 4 All of the time   57220-6 LA6154-4 1.3.6.1.4.1.12009.10.1.95
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
INTEGUMENTARY STATUS          
M1300_PRSR_ULCR_RISK_ASMT   Was Patient Assessed For Risk Of Developing PUs   57221-4    
M1300_PRSR_ULCR_RISK_ASMT 0 No assessment conducted   57221-4 LA12194-9 1.3.6.1.4.1.12009.10.1.96
M1300_PRSR_ULCR_RISK_ASMT 1 Yes, based on an evaluation of clinical factors, e.g., mobility, incontinence, nutrition, etc., without use of standardized tool   57221-4 LA12195-6 1.3.6.1.4.1.12009.10.1.96
M1300_PRSR_ULCR_RISK_ASMT 2 Yes, using a standardized tool, e.g., Braden, Norton, other   57221-4 LA12196-4 1.3.6.1.4.1.12009.10.1.96
M1302_RISK_OF_PRSR_ULCR   Does This Patient Have A Risk Of Developing PUs   57280-0    
M1302_RISK_OF_PRSR_ULCR 0 No   57280-0 LA32-8 1.3.6.1.4.1.12009.10.1.62
M1302_RISK_OF_PRSR_ULCR 1 Yes   57280-0 LA33-6 1.3.6.1.4.1.12009.10.1.62
M1306_UNHLD_STG2_PRSR_ULCR   Patient Has At Least 1 Unhealed PU At Stage 2 Or Higher   57307-1    
M1306_UNHLD_STG2_PRSR_ULCR 0 No   57307-1 LA32-8 1.3.6.1.4.1.12009.10.1.62
M1306_UNHLD_STG2_PRSR_ULCR 1 Yes   57307-1 LA33-6 1.3.6.1.4.1.12009.10.1.62
M1307_OLDST_STG2_AT_DSCHRG   Status Of Oldest Stage II Pressure Ulcer At Discharge   57222-2    
M1307_OLDST_STG2_AT_DSCHRG 1 Was present at the most recent SOC/ROC assessment   57222-2 LA12403-4 1.3.6.1.4.1.12009.10.1.97
M1307_OLDST_STG2_AT_DSCHRG 2 Developed since the most recent SOC/ROC assessment   57222-2 LA12404-2 1.3.6.1.4.1.12009.10.1.97
M1307_OLDST_STG2_AT_DSCHRG NA No non-epithelialized Stage II pressure ulcers are present at discharge   57222-2 LA12405-9 1.3.6.1.4.1.12009.10.1.97
M1307_OLDST_STG2_ONST_DT   Date Of Onset Of Oldest Stage II Pressure Ulcer        
M1308_NBR_PRSULC_STG2 a No. Pressure Ulcers - Stage 2   55124-2    
M1308_NBR_STG2_AT_SOC_ROC   Number PU Stage 2 At SOC/ROC   54886-7    
M1308_NBR_PRSULC_STG3 b No. Pressure Ulcers - Stage 3   55125-9    
M1308_NBR_STG3_AT_SOC_ROC   Number PU Stage 3 At SOC/ROC   54887-5    
M1308_NBR_PRSULC_STG4 c No. Pressure Ulcers - Stage 4   55126-7    
M1308_NBR_STG4_AT_SOC_ROC   Number PU Stage 4 At SOC/ROC   54890-9    
M1308_NSTG_DRSG d1 Unstageable Due To Non-removable Dressing Or Device   54893-3    
M1308_NSTG_DRSG_SOC_ROC   Unstageable Due To Non-removable Dressing Or Device At SOC/ROC   54894-1    
M1308_NSTG_CVRG d2 Unstageable Due To Coverage By Slough Or Eschar   54946-9    
M1308_NSTG_CVRG_SOC_ROC   Unstageable Due To Coverage By Slough Or Eschar At SOC/ROC   54947-7    
M1308_NSTG_DEEP_TISUE d3 Unstageable Due To Suspected Deep Tissue Injury In Evolution   54950-1    
M1308_NSTG_DEEP_TISUE_SOC_ROC   Unstageable Due To Suspected Deep Tissue Injury In Evolution At SOC/ROC   54951-9    
M1310_PRSR_ULCR_LNGTH   Head To Toe Length Of Stage III Or IV Pu With Largest Area   57226-3    
M1312_PRSR_ULCR_WDTH   Width At Right Angles Of Stage III Or IV Pu With Largest Area   52729-1    
M1314_PRSR_ULCR_DEPTH   Depth Of Stage III Or IV Pu With Largest Area   57228-9    
M1320_STUS_PRBLM_PRSR_ULCR   Status Of Most Problematic Pressure Ulcer   57229-7    
M1320_STUS_PRBLM_PRSR_ULCR 0 Newly epithelialized   57229-7 LA12197-2 1.3.6.1.4.1.12009.10.1.98
M1320_STUS_PRBLM_PRSR_ULCR 1 Fully granulating   57229-7 LA6203-9 1.3.6.1.4.1.12009.10.1.98
M1320_STUS_PRBLM_PRSR_ULCR 2 Early/partial granulation   57229-7 LA6193-2 1.3.6.1.4.1.12009.10.1.98
M1320_STUS_PRBLM_PRSR_ULCR 3 Not healing   57229-7 LA6300-3 1.3.6.1.4.1.12009.10.1.98
M1320_STUS_PRBLM_PRSR_ULCR NA No observable pressure ulcer   57229-7 LA6286-4 1.3.6.1.4.1.12009.10.1.98
M1322_NBR_PRSULC_STG1   No. Pressure Ulcers - Stage 1   46536-9    
M1322_NBR_PRSULC_STG1 0 Zero   46536-9 LA6458-9 1.3.6.1.4.1.12009.10.1.143
M1322_NBR_PRSULC_STG1 1 One   46536-9 LA6306-0 1.3.6.1.4.1.12009.10.1.143
M1322_NBR_PRSULC_STG1 2 Two   46536-9 LA6404-3 1.3.6.1.4.1.12009.10.1.143
M1322_NBR_PRSULC_STG1 3 Three   46536-9 LA6395-3 1.3.6.1.4.1.12009.10.1.143
M1322_NBR_PRSULC_STG1 4 Four or more   46536-9 LA6200-5 1.3.6.1.4.1.12009.10.1.143
M1324_STG_PRBLM_ULCER   Stage of Most Problematic Pressure Ulcer   57231-3    
M1324_STG_PRBLM_ULCER 1 Stage I   57231-3 LA3664-5 1.3.6.1.4.1.12009.10.1.100
M1324_STG_PRBLM_ULCER 2 Stage II   57231-3 LA3661-1 1.3.6.1.4.1.12009.10.1.100
M1324_STG_PRBLM_ULCER 3 Stage III   57231-3 LA3657-9 1.3.6.1.4.1.12009.10.1.100
M1324_STG_PRBLM_ULCER 4 Stage IV   57231-3 LA3651-2 1.3.6.1.4.1.12009.10.1.100
M1324_STG_PRBLM_ULCER NA No observable pressure ulcer or unhealed pressure ulcer   57231-3 LA12211-1 1.3.6.1.4.1.12009.10.1.100
M1330_STAS_ULCR_PRSNT   Does This Patient Have A Stasis Ulcer   57232-1    
M1330_STAS_ULCR_PRSNT 0 No   57232-1 LA32-8 1.3.6.1.4.1.12009.10.1.101
M1330_STAS_ULCR_PRSNT 1 Yes, patient has BOTH observable and unobservable stasis ulcers   57232-1 LA12402-6 1.3.6.1.4.1.12009.10.1.101
M1330_STAS_ULCR_PRSNT 2 Yes, patient has observable stasis ulcers ONLY   57232-1 LA12400-0 1.3.6.1.4.1.12009.10.1.101
M1330_STAS_ULCR_PRSNT 3 Yes, patient has unobservable stasis ulcers ONLY (known but not observable due to non-removable dressing)   57232-1 LA12401-8 1.3.6.1.4.1.12009.10.1.101
M1332_NUM_STAS_ULCR   No. Stasis Ulcers   57233-9    
M1332_NUM_STAS_ULCR 1 One   57233-9 LA6306-0 1.3.6.1.4.1.12009.10.1.102
M1332_NUM_STAS_ULCR 2 Two   57233-9 LA6404-3 1.3.6.1.4.1.12009.10.1.102
M1332_NUM_STAS_ULCR 3 Three   57233-9 LA6395-3 1.3.6.1.4.1.12009.10.1.102
M1332_NUM_STAS_ULCR 4 Four or more   57233-9 LA6200-5 1.3.6.1.4.1.12009.10.1.102
M1334_STUS_PRBLM_STAS_ULCR   Status Of Most Problematic Stasis Ulcer   57234-7    
M1334_STUS_PRBLM_STAS_ULCR 0 Newly epithelialized   57234-7 LA12197-2 1.3.6.1.4.1.12009.10.1.103
M1334_STUS_PRBLM_STAS_ULCR 1 Fully granulating   57234-7 LA6203-9 1.3.6.1.4.1.12009.10.1.103
M1334_STUS_PRBLM_STAS_ULCR 2 Early/partial granulation   57234-7 LA6193-2 1.3.6.1.4.1.12009.10.1.103
M1334_STUS_PRBLM_STAS_ULCR 3 Not healing   57234-7 LA6300-3 1.3.6.1.4.1.12009.10.1.103
M1340_SRGCL_WND_PRSNT   Does This Patient Have A Surgical Wound   57235-4    
M1340_SRGCL_WND_PRSNT 0 No [ Go to M1350 ]   57235-4 LA12632-8 1.3.6.1.4.1.12009.10.1.69
M1340_SRGCL_WND_PRSNT 1 Yes, patient has at least one (observable) surgical wound   57235-4 LA12633-6 1.3.6.1.4.1.12009.10.1.69
M1340_SRGCL_WND_PRSNT 2 Surgical wound known but not observable due to non-removable dressing [ Go to M1350 ]   57235-4 LA12634-4 1.3.6.1.4.1.12009.10.1.69
M1342_STUS_PRBLM_SRGCL_WND   Status Of Most Problematic Surgical Wound   57236-2    
M1342_STUS_PRBLM_SRGCL_WND 0 Newly epithelialized   57236-2 LA12197-2 1.3.6.1.4.1.12009.10.1.103
M1342_STUS_PRBLM_SRGCL_WND 1 Fully granulating   57236-2 LA6203-9 1.3.6.1.4.1.12009.10.1.103
M1342_STUS_PRBLM_SRGCL_WND 2 Early/partial granulation   57236-2 LA6193-2 1.3.6.1.4.1.12009.10.1.103
M1342_STUS_PRBLM_SRGCL_WND 3 Not healing   57236-2 LA6300-3 1.3.6.1.4.1.12009.10.1.103
M1350_LESION_OPEN_WND   Has Skin Lesion Or Open Wound   46534-4    
M1350_LESION_OPEN_WND 0 No   46534-4 LA32-8 1.3.6.1.4.1.12009.10.1.62
M1350_LESION_OPEN_WND 1 Yes   46534-4 LA33-6 1.3.6.1.4.1.12009.10.1.62
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
RESPIRATORY STATUS          
M1400_WHEN_DYSPNEIC   When Dyspneic   57237-0    
M1400_WHEN_DYSPNEIC 0 Patient is not short of breath   57237-0 LA12224-4 1.3.6.1.4.1.12009.10.1.104
M1400_WHEN_DYSPNEIC 1 When walking more than 20 feet, climbing stairs   57237-0 LA6443-1 1.3.6.1.4.1.12009.10.1.104
M1400_WHEN_DYSPNEIC 2 With moderate exertion (e.g., while dressing, using commode or bedpan, walking distances less than 20 feet)   57237-0 LA6446-4 1.3.6.1.4.1.12009.10.1.104
M1400_WHEN_DYSPNEIC 3 With minimal exertion (e.g., while eating, talking, or performing other ADLs) or with agitation   57237-0 LA6445-6 1.3.6.1.4.1.12009.10.1.104
M1400_WHEN_DYSPNEIC 4 At rest (during day or night)   57237-0 LA6158-5 1.3.6.1.4.1.12009.10.1.104
M1410   Respiratory treatments utilized at home: Question row added to facilitate message format. 57238-8    
M1410_RESPTX_OXYGEN 1 Respiratory Treatments: Oxygen   57238-8 LA6319-3 1.3.6.1.4.1.12009.10.1.105
M1410_RESPTX_VENTILATOR 2 Respiratory Treatments: Ventilator   57238-8 LA6438-1 1.3.6.1.4.1.12009.10.1.105
M1410_RESPTX_AIRPRESS 3 Respiratory Treatments: Airway Pressure   57238-8 LA12231-9 1.3.6.1.4.1.12009.10.1.105
M1410_RESPTX_NONE 4 Respiratory Treatments: None of the Above   57238-8 LA9-3 1.3.6.1.4.1.12009.10.1.105
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
CARDIAC STATUS          
M1500_SYMTM_HRT_FAILR_PTNTS   Symptoms In Heart Failure Patients   57239-6    
M1500_SYMTM_HRT_FAILR_PTNTS 0 No   57239-6 LA32-8 1.3.6.1.4.1.12009.10.1.106
M1500_SYMTM_HRT_FAILR_PTNTS 1 Yes   57239-6 LA33-6 1.3.6.1.4.1.12009.10.1.106
M1500_SYMTM_HRT_FAILR_PTNTS 2 Not assessed   57239-6 LA9348-9 1.3.6.1.4.1.12009.10.1.106
M1500_SYMTM_HRT_FAILR_PTNTS NA Patient does not have diagnosis of heart failure   57239-6 LA12236-8 1.3.6.1.4.1.12009.10.1.106
M1510   Heart failure follow-up Question row added to facilitate message format. 57240-4    
M1510_HRT_FAILR_NO_ACTN 0 Heart Failure Follow Up:  No Action   57240-4 LA12237-6 1.3.6.1.4.1.12009.10.1.107
M1510_HRT_FAILR_PHYSN_CNTCT 1 Heart Failure Follow Up:  Physician Contacted   57240-4 LA12238-4 1.3.6.1.4.1.12009.10.1.107
M1510_HRT_FAILR_ER_TRTMT 2 Heart Failure Follow Up:  ER Treatment Advised   57240-4 LA12239-2 1.3.6.1.4.1.12009.10.1.107
M1510_HRT_FAILR_PHYSN_TRTMT 3 Heart Failure Follow Up:  Physician-Ordered Treatment Implemented   57240-4 LA12240-0 1.3.6.1.4.1.12009.10.1.107
M1510_HRT_FAILR_CLNCL_INTRVTN 4 Heart Failure Follow Up:  Patient Education Or Other Clinical Interventions   57240-4 LA12241-8 1.3.6.1.4.1.12009.10.1.107
M1510_HRT_FAILR_CARE_PLAN_CHG 5 Heart Failure Follow Up: Change In Care Plan Orders Obtained   57240-4 LA12242-6 1.3.6.1.4.1.12009.10.1.107
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
ELIMINATION STATUS          
M1600_UTI   Treated for Urinary Tract Infection in Past 14 Days   46552-6    
M1600_UTI 0 No   46552-6 LA32-8 1.3.6.1.4.1.12009.10.1.144
M1600_UTI 1 Yes   46552-6 LA33-6 1.3.6.1.4.1.12009.10.1.144
M1600_UTI NA Patient on prophylactic treatment   46552-6 LA6337-5 1.3.6.1.4.1.12009.10.1.144
M1600_UTI UK Unknown   46552-6 LA4489-6 1.3.6.1.4.1.12009.10.1.144
M1610_UR_INCONT   Urinary Incontinence or Urinary Catheter Present   46553-4    
M1610_UR_INCONT 0 No incontinence or catheter (includes anuria or ostomy for urinary drainage)   46553-4 LA6278-1 1.3.6.1.4.1.12009.10.1.145
M1610_UR_INCONT 1 Patient is incontinent   46553-4 LA6332-6 1.3.6.1.4.1.12009.10.1.145
M1610_UR_INCONT 2 Patient requires a urinary catheter (i.e., external, indwelling, intermittent, suprapubic)   46553-4 LA6339-1 1.3.6.1.4.1.12009.10.1.145
M1615_INCNTNT_TIMING   When Urinary Incontinence Occurs   57241-2    
M1615_INCNTNT_TIMING 0 Timed-voiding defers incontinence   57241-2 LA6397-9 1.3.6.1.4.1.12009.10.1.108
M1615_INCNTNT_TIMING 1 Occasional stress incontinence   57241-2 LA12244-2 1.3.6.1.4.1.12009.10.1.108
M1615_INCNTNT_TIMING 2 During the night only   57241-2 LA6192-4 1.3.6.1.4.1.12009.10.1.108
M1615_INCNTNT_TIMING 3 During the day only   57241-2 LA12246-7 1.3.6.1.4.1.12009.10.1.108
M1615_INCNTNT_TIMING 4 During the day and night   57241-2 LA6191-6 1.3.6.1.4.1.12009.10.1.108
M1620_BWL_INCONT   Bowel Incontinence Frequency   46587-2    
M1620_BWL_INCONT 0 Very rarely or never has bowel incontinence   46587-2 LA6440-7 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 1 Less than once weekly   46587-2 LA6252-6 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 2 One to three times weekly   46587-2 LA6307-8 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 3 Four to six times weekly   46587-2 LA6201-3 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 4 On a daily basis   46587-2 LA6302-9 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 5 More often than once daily   46587-2 LA6263-3 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT NA Patient has ostomy for bowel elimination   46587-2 LA6330-0 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT UK Unknown   46587-2 LA4489-6 1.3.6.1.4.1.12009.10.1.146
M1630_OSTOMY   Ostomy for Bowel Elimination   46588-0    
M1630_OSTOMY 0 Patient does NOT have an ostomy for bowel elimination.   46588-0 LA6328-4 1.3.6.1.4.1.12009.10.1.147
M1630_OSTOMY 1 Patient's ostomy was NOT related to an inpatient stay and did NOT necessitate change in medical or treatment regimen.   46588-0 LA6343-3 1.3.6.1.4.1.12009.10.1.147
M1630_OSTOMY 2 The ostomy WAS related to an inpatient stay or DID necessitate change in medical or treatment regimen.   46588-0 LA6392-0 1.3.6.1.4.1.12009.10.1.147
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
NEURO/EMOTIONAL/ BEHAVIORAL STATUS          
M1700_COG_FUNCTION   Cognitive Functioning   46589-8    
M1700_COG_FUNCTION 0 Alert/oriented, able to focus and shift attention, comprehends and recalls task directions independently.   46589-8 LA6153-6 1.3.6.1.4.1.12009.10.1.148
M1700_COG_FUNCTION 1 Requires prompting (cueing, repetition, reminders) only under stressful or unfamiliar conditions.   46589-8 LA6362-3 1.3.6.1.4.1.12009.10.1.148
M1700_COG_FUNCTION 2 Requires assistance/direction in specific situations (e.g., all tasks involving shifting of attention) or consistently requires low stimulus environmnt due to distractibility.   46589-8 LA6359-9 1.3.6.1.4.1.12009.10.1.148
M1700_COG_FUNCTION 3 Requires considerable assist in routine situations. Is not alert and oriented or is unable to shift attention and recall directions more than half the time.   46589-8 LA6360-7 1.3.6.1.4.1.12009.10.1.148
M1700_COG_FUNCTION 4 Totally dependent due to disturbances such as constant disorientation, coma, persistent vegetative state, or delirium.   46589-8 LA6399-5 1.3.6.1.4.1.12009.10.1.148
M1710_WHEN_CONFUSED   When Confused (Reported or Observed)   58104-1    
M1710_WHEN_CONFUSED 0 Never   58104-1 LA6270-8 1.3.6.1.4.1.12009.10.1.137
M1710_WHEN_CONFUSED 1 In new or complex situations only   58104-1 LA6231-0 1.3.6.1.4.1.12009.10.1.137
M1710_WHEN_CONFUSED 2 On awakening or at night only   58104-1 LA6303-7 1.3.6.1.4.1.12009.10.1.137
M1710_WHEN_CONFUSED 3 During the day and evening, but not constantly   58104-1 LA6190-8 1.3.6.1.4.1.12009.10.1.137
M1710_WHEN_CONFUSED 4 Constantly   58104-1 LA6174-2 1.3.6.1.4.1.12009.10.1.137
M1710_WHEN_CONFUSED NA Patient nonresponsive   58104-1 LA6335-9 1.3.6.1.4.1.12009.10.1.137
M1720_WHEN_ANXIOUS   When Anxious (Reported or Observed)   46591-4    
M1720_WHEN_ANXIOUS 0 None of the time   46591-4 LA6297-1 1.3.6.1.4.1.12009.10.1.149
M1720_WHEN_ANXIOUS 1 Less often than daily   46591-4 LA6249-2 1.3.6.1.4.1.12009.10.1.149
M1720_WHEN_ANXIOUS 2 Daily, but not constantly   46591-4 LA6177-5 1.3.6.1.4.1.12009.10.1.149
M1720_WHEN_ANXIOUS 3 All of the time   46591-4 LA6154-4 1.3.6.1.4.1.12009.10.1.149
M1720_WHEN_ANXIOUS NA Patient nonresponsive   46591-4 LA6335-9 1.3.6.1.4.1.12009.10.1.149
M1730_STDZ_DPRSN_SCRNG   Has The Patient Been Screened For Depression Using Stdzed Screen Tool   57242-0    
M1730_STDZ_DPRSN_SCRNG 0 No   57242-0 LA32-8 1.3.6.1.4.1.12009.10.1.110
M1730_STDZ_DPRSN_SCRNG 1 Yes, patient was screened using the PHQ-2©* scale. (Instructions for this two-question tool: Ask patient: “Over the last two weeks, how often have you been bothered by any of the following problems”)   57242-0 LA12254-1 1.3.6.1.4.1.12009.10.1.110
M1730_PHQ2_LACK_INTRST 1a PHQ2 Pfizer Little Interest Or Pleasure In Doing Things   44250-9    
M1730_PHQ2_LACK_INTRST 1a-0 Not at all (0 - 1 days)   44250-9 LA6568-5 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_LACK_INTRST 1a-1 Several days (2-6 days)   44250-9 LA6569-3 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_LACK_INTRST 1a-2 More than half of the days (7-11 days)   44250-9 LA6570-1 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_LACK_INTRST 1a-3 Nearly every day (12-14 days)   44250-9 LA6571-9 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_LACK_INTRST 1a-NA Unable to respond        
M1730_PHQ2_DPRSN 1b PHQ2 Pfizer Feeling Down, Depressed Or Hopeless   44255-8    
M1730_PHQ2_DPRSN 1b-0 Not at all (0 - 1 days)   44255-8 LA6568-5 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_DPRSN 1b-1 Several days (2-6 days)   44255-8 LA6569-3 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_DPRSN 1b-2 More than half of the days (7-11 days)   44255-8 LA6570-1 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_DPRSN 1b-3 Nearly every day (12-14 days)   44255-8 LA6571-9 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_DPRSN 1b-NA Unable to respond        
M1730_STDZ_DPRSN_SCRNG 2 Yes, with a different standardized assessment-and the patient meets criteria for further evaluation for depression.   57242-0 LA12255-8 1.3.6.1.4.1.12009.10.1.110
M1730_STDZ_DPRSN_SCRNG 3 Yes, patient was screened with a different standardized assessment-and the patient does not meet criteria for further evaluation for depression.   57242-0 LA12256-6 1.3.6.1.4.1.12009.10.1.110
M1740   Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): Question row added to facilitate message format. 46473-5    
M1740_BD_MEM_DEFICIT 1 Behavior Demonstrated: Memory Deficit   46473-5 LA6260-9 1.3.6.1.4.1.12009.10.1.150
M1740_BD_IMP_DECISN 2 Behavior Demonstrated: Impaired Decision-making   46473-5 LA6228-6 1.3.6.1.4.1.12009.10.1.150
M1740_BD_VERBAL 3 Behavior Demonstrated: Verbal Disruption   46473-5 LA6439-9 1.3.6.1.4.1.12009.10.1.150
M1740_BD_PHYSICAL 4 Behavior Demonstrated: Physical Aggression   46473-5 LA6347-4 1.3.6.1.4.1.12009.10.1.150
M1740_BD_SOC_INAPPRO 5 Behavior Demonstrated: Socially Inappropriate   46473-5 LA6187-4 1.3.6.1.4.1.12009.10.1.150
M1740_BD_DELUSIONS 6 Behavior Demonstrated: Delusions   46473-5 LA6181-7 1.3.6.1.4.1.12009.10.1.150
M1740_BD_NONE 7 Behavior Demonstrated: None of the Above   46473-5 LA6294-8 1.3.6.1.4.1.12009.10.1.150
M1745_BEH_PROB_FREQ   Frequency of Behavior Problems   46592-2    
M1745_BEH_PROB_FREQ 0 Never   46592-2 LA6270-8 1.3.6.1.4.1.12009.10.1.151
M1745_BEH_PROB_FREQ 1 Less than once a month   46592-2 LA6251-8 1.3.6.1.4.1.12009.10.1.151
M1745_BEH_PROB_FREQ 2 Once a month   46592-2 LA6304-5 1.3.6.1.4.1.12009.10.1.151
M1745_BEH_PROB_FREQ 3 Several times each month   46592-2 LA6374-8 1.3.6.1.4.1.12009.10.1.151
M1745_BEH_PROB_FREQ 4 Several times a week   46592-2 LA6371-4 1.3.6.1.4.1.12009.10.1.151
M1745_BEH_PROB_FREQ 5 At least daily   46592-2 LA6157-7 1.3.6.1.4.1.12009.10.1.151
M1750_REC_PSYCH_NURS   Receives Psychiatric Nursing   46593-0    
M1750_REC_PSYCH_NURS 0 No   46593-0 LA32-8 1.3.6.1.4.1.12009.10.1.62
M1750_REC_PSYCH_NURS 1 Yes   46593-0 LA33-6 1.3.6.1.4.1.12009.10.1.62
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
ADL/IADLs          
M1800_CUR_GROOMING   Current: Grooming   46595-5    
M1800_CUR_GROOMING 0 Able to groom self unaided, with or without the use of assistive devices or adapted methods.   46595-5 LA6131-2 1.3.6.1.4.1.12009.10.1.152
M1800_CUR_GROOMING 1 Grooming utensils must be placed within reach before able to complete grooming activities.   46595-5 LA6207-0 1.3.6.1.4.1.12009.10.1.152
M1800_CUR_GROOMING 2 Someone must assist the patient to groom self.   46595-5 LA6379-7 1.3.6.1.4.1.12009.10.1.152
M1800_CUR_GROOMING 3 Patient depends entirely upon someone else for grooming needs.   46595-5 LA6326-8 1.3.6.1.4.1.12009.10.1.152
M1810_CUR_DRESS_UPPER   Current: Dress Upper Body   46597-1    
M1810_CUR_DRESS_UPPER 0 Able to get clothes out of closets and drawers, put them on and remove them from the upper body without assistance.   46597-1 LA6129-6 1.3.6.1.4.1.12009.10.1.153
M1810_CUR_DRESS_UPPER 1 Able to dress upper body without assistance if clothing is laid out or handed to the patient.   46597-1 LA6127-0 1.3.6.1.4.1.12009.10.1.153
M1810_CUR_DRESS_UPPER 2 Someone must help the patient put on upper body clothing.   46597-1 LA6381-3 1.3.6.1.4.1.12009.10.1.153
M1810_CUR_DRESS_UPPER 3 Patient depends entirely upon another person to dress the upper body.   46597-1 LA6325-0 1.3.6.1.4.1.12009.10.1.153
M1820_CUR_DRESS_LOWER   Current: Dress Lower Body   46599-7    
M1820_CUR_DRESS_LOWER 0 Able to obtain, put on, and remove clothing and shoes without assistance.   46599-7 LA6138-7 1.3.6.1.4.1.12009.10.1.154
M1820_CUR_DRESS_LOWER 1 Able to dress lower body without assistance if clothing and shoes are laid out or handed to the patient.   46599-7 LA6126-2 1.3.6.1.4.1.12009.10.1.154
M1820_CUR_DRESS_LOWER 2 Someone must help the patient put on undergarments, slacks, socks or nylons, and shoes.   46599-7 LA6380-5 1.3.6.1.4.1.12009.10.1.154
M1820_CUR_DRESS_LOWER 3 Patient depends entirely upon another person to dress lower body.   46599-7 LA6324-3 1.3.6.1.4.1.12009.10.1.154
M1830_CRNT_BATHG   Current: Bathing   57243-8    
M1830_CRNT_BATHG 0 Able to bathe self in shower or tub independently, including getting in and out of tub/shower.   57243-8 LA12264-0 1.3.6.1.4.1.12009.10.1.112
M1830_CRNT_BATHG 1 With the use of devices, is able to bathe self in shower or tub independently, including getting in and out of the tub/shower.   57243-8 LA12265-7 1.3.6.1.4.1.12009.10.1.112
M1830_CRNT_BATHG 2 Able to bathe in shower or tub with the intermittent assistance of another person: (a) for intermittent supervision or encouragement or reminders, OR (b) to get in and out of the shower or tub, OR (c) for washing difficult to reach areas.   57243-8 LA12266-5 1.3.6.1.4.1.12009.10.1.112
M1830_CRNT_BATHG 3 Able to participate in bathing self in shower or tub, but requires presence of another person throughout the bath for assistance or supervision.   57243-8 LA12267-3 1.3.6.1.4.1.12009.10.1.112
M1830_CRNT_BATHG 4 Unable to use the shower or tub, but able to bathe self independently with or without the use of devices at the sink, in chair, or on commode.   57243-8 LA12268-1 1.3.6.1.4.1.12009.10.1.112
M1830_CRNT_BATHG 5 Unable to use the shower or tub, but able to participate in bathing self in bed, at the sink, in bedside chair, or on commode, with the assistance or supervision of another person throughout the bath.   57243-8 LA12269-9 1.3.6.1.4.1.12009.10.1.112
M1830_CRNT_BATHG 6 Unable to participate effectively in bathing and is bathed totally by another person.   57243-8 LA12270-7 1.3.6.1.4.1.12009.10.1.112
M1840_CUR_TOILTG   Current: Toileting   57244-6    
M1840_CUR_TOILTG 0 Able to get to and from the toilet and transfer independently with or without a device.   57244-6 LA12271-5 1.3.6.1.4.1.12009.10.1.113
M1840_CUR_TOILTG 1 When reminded, assisted, or supervised by another person, able to get to and from the toilet and transfer.   57244-6 LA12272-3 1.3.6.1.4.1.12009.10.1.113
M1840_CUR_TOILTG 2 Unable to get to and from the toilet but is able to use a bedside commode (with or without assistance).   57244-6 LA6415-9 1.3.6.1.4.1.12009.10.1.113
M1840_CUR_TOILTG 3 Unable to get to and from the toilet or bedside commode but is able to use a bedpan/urinal independently.   57244-6 LA6416-7 1.3.6.1.4.1.12009.10.1.113
M1840_CUR_TOILTG 4 Is totally dependent in toileting.   57244-6 LA6245-0 1.3.6.1.4.1.12009.10.1.113
M1845_CUR_TOILTG_HYGN   Current: Toileting Hygiene   57245-3    
M1845_CUR_TOILTG_HYGN 0 Able to manage toileting hygiene and clothing management without assistance.   57245-3 LA12276-4 1.3.6.1.4.1.12009.10.1.114
M1845_CUR_TOILTG_HYGN 1 Able to manage toileting hygiene and clothing management without assistance if supplies/implements are laid out for the patient.   57245-3 LA12277-2 1.3.6.1.4.1.12009.10.1.114
M1845_CUR_TOILTG_HYGN 2 Someone must help the patient to maintain toileting hygiene and/or adjust clothing.   57245-3 LA12278-0 1.3.6.1.4.1.12009.10.1.114
M1845_CUR_TOILTG_HYGN 3 Patient depends entirely upon another person to maintain toileting hygiene.   57245-3 LA12279-8 1.3.6.1.4.1.12009.10.1.114
M1850_CUR_TRNSFRNG   Current: Transferring   57246-1    
M1850_CUR_TRNSFRNG 0 Able to independently transfer.   57246-1 LA6136-1 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 1 Able to transfer with minimal human assistance or with use of an assistive device.   57246-1 LA12281-4 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 2 Able to bear weight and pivot during the transfer process but unable to transfer self.   57246-1 LA12282-2 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 3 Unable to transfer self and is unable to bear weight or pivot when transferred by another person.   57246-1 LA6426-6 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 4 Bedfast, unable to transfer but is able to turn and position self in bed.   57246-1 LA6161-9 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 5 Bedfast, unable to transfer and is unable to turn and position self.   57246-1 LA6160-1 1.3.6.1.4.1.12009.10.1.115
M1860_CRNT_AMBLTN   Current: Ambulation   57247-9    
M1860_CRNT_AMBLTN 0 Able to independently walk on even and uneven surfaces and negotiate stairs with or without railings (i.e., needs no human assistance or assistive device).   57247-9 LA12286-3 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 1 With the use of a one-handed device (e.g. cane, single crutch, hemi-walker), able to independently walk on even and uneven surfaces and negotiate stairs with or without railings.   57247-9 LA12287-1 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 2 Requires use of a two-handed device (e.g., walker or crutches) to walk alone on a level surface and/or requires human supervision or assistance to negotiate stairs or steps or uneven surfaces.   57247-9 LA12288-9 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 3 Able to walk only with the supervision or assistance of another person at all times.   57247-9 LA6147-8 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 4 Chairfast, unable to ambulate but is able to wheel self independently.   57247-9 LA6171-8 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 5 Chairfast, unable to ambulate and is unable to wheel self.   57247-9 LA6170-0 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 6 Bedfast, unable to ambulate or be up in a chair.   57247-9 LA6159-3 1.3.6.1.4.1.12009.10.1.116
M1870_CUR_FEEDING   Current: Feeding   57248-7    
M1870_CUR_FEEDING 0 Able to independently feed self.   57248-7 LA6133-8 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 1 Able to feed self independently but requires: (a) meal set-up; OR (b) intermittent assistance or supervision from another person; OR (c) a liquid, pureed or ground meat diet.   57248-7 LA12294-7 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 2 Unable to feed self and must be assisted or supervised throughout the meal/snack.   57248-7 LA6414-2 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 3 Able to take in nutrients orally and receives supplemental nutrients through a nasogastric tube or gastrostomy.   57248-7 LA6142-9 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 4 Unable to take in nutrients orally and is fed nutrients through a nasogastric tube or gastrostomy.   57248-7 LA6422-5 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 5 Unable to take in nutrients orally or by tube feeding.   57248-7 LA6423-3 1.3.6.1.4.1.12009.10.1.117
M1880_CUR_PREP_LT_MEALS   Current: Prepare Light Meals   57249-5    
M1880_CUR_PREP_LT_MEALS 0 (a) Able to independently plan and prepare all light meals for self or reheat delivered meals; OR (b) Is physically, cognitively, and mentally able to prepare light meals on a regular basis but has not routinely performed light meal preparation in the pas   57249-5 LA12299-6 1.3.6.1.4.1.12009.10.1.118
M1880_CUR_PREP_LT_MEALS 1 Unable to prepare light meals on a regular basis due to physical, cognitive, or mental limitations.   57249-5 LA6420-9 1.3.6.1.4.1.12009.10.1.118
M1880_CUR_PREP_LT_MEALS 2 Unable to prepare any light meals or reheat any delivered meals.   57249-5 LA6419-1 1.3.6.1.4.1.12009.10.1.118
M1890_CUR_PHONE_USE   Current: Telephone Use   46569-0    
M1890_CUR_PHONE_USE 0 Able to dial numbers and answer calls appropriately and as desired.   46569-0 LA6124-7 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE 1 Able to use a specially adapted telephone (i.e., large numbers on the dial, teletype phone for the deaf) and call essential numbers.   46569-0 LA6146-0 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE 2 Able to answer the telephone and carry on a normal conversation but has difficulty with placing calls.   46569-0 LA6121-3 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE 3 Able to answer the telephone only some of the time or is able to carry on only a limited conversation.   46569-0 LA6122-1 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE 4 UNABLE to answer the telephone at all but can listen if assisted with equipment.   46569-0 LA6409-2 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE 5 Totally unable to use the telephone.   46569-0 LA6400-1 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE NA Patient does not have a telephone.   46569-0 LA6327-6 1.3.6.1.4.1.12009.10.1.155
M1900_PRIOR_ADLIADL_SELF a Prior Functioning ADL/IADL: Self-care (grooming, Bathing, Dressing)   57250-3    
M1900_PRIOR_ADLIADL_SELF a-0 Independent   57250-3 LA12302-8 1.3.6.1.4.1.12009.10.1.119
M1900_PRIOR_ADLIADL_SELF a-1 Needed Some Help   57250-3 LA12303-6 1.3.6.1.4.1.12009.10.1.119
M1900_PRIOR_ADLIADL_SELF a-2 Dependent   57250-3 LA12304-4 1.3.6.1.4.1.12009.10.1.119
M1900_PRIOR_ADLIADL_AMBLTN b Prior Functioning ADL/IADL: Ambulation   57251-1    
M1900_PRIOR_ADLIADL_AMBLTN b-0 Independent   57251-1 LA12302-8 1.3.6.1.4.1.12009.10.1.119
M1900_PRIOR_ADLIADL_AMBLTN b-1 Needed Some Help   57251-1 LA12303-6 1.3.6.1.4.1.12009.10.1.119
M1900_PRIOR_ADLIADL_AMBLTN b-2 Dependent   57251-1 LA12304-4 1.3.6.1.4.1.12009.10.1.119
M1900_PRIOR_ADLIADL_TRNSFR c Prior Functioning ADL/IADL: Transfer   57252-9    
M1900_PRIOR_ADLIADL_TRNSFR c-0 Independent   57252-9 LA12302-8 1.3.6.1.4.1.12009.10.1.119
M1900_PRIOR_ADLIADL_TRNSFR c-1 Needed Some Help   57252-9 LA12303-6 1.3.6.1.4.1.12009.10.1.119
M1900_PRIOR_ADLIADL_TRNSFR c-2 Dependent   57252-9 LA12304-4 1.3.6.1.4.1.12009.10.1.119
M1900_PRIOR_ADLIADL_HSEHOLD d Prior Functioning ADL/IADL: Household Tasks   57253-7    
M1900_PRIOR_ADLIADL_HSEHOLD d-0 Independent   57253-7 LA12302-8 1.3.6.1.4.1.12009.10.1.119
M1900_PRIOR_ADLIADL_HSEHOLD d-1 Needed Some Help   57253-7 LA12303-6 1.3.6.1.4.1.12009.10.1.119
M1900_PRIOR_ADLIADL_HSEHOLD d-2 Dependent   57253-7 LA12304-4 1.3.6.1.4.1.12009.10.1.119
M1910_MLT_FCTR_FALL_RISK_ASMT   Has Patient Had A Multi-factor Fall Risk Assessment?   57254-5    
M1910_MLT_FCTR_FALL_RISK_ASMT 0 No multi-factor falls risk assessment conducted.   57254-5 LA12305-1 1.3.6.1.4.1.12009.10.1.120
M1910_MLT_FCTR_FALL_RISK_ASMT 1 Yes, and it does not indicate a risk for falls.   57254-5 LA12306-9 1.3.6.1.4.1.12009.10.1.120
M1910_MLT_FCTR_FALL_RISK_ASMT 2 Yes, and it indicates a risk for falls.   57254-5 LA12307-7 1.3.6.1.4.1.12009.10.1.120
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
MEDICATIONS          
M2000_DRUG_RGMN_RVW   Drug Regimen Review   57255-2    
M2000_DRUG_RGMN_RVW 0 Not assessed/reviewed   57255-2 LA12308-5 1.3.6.1.4.1.12009.10.1.121
M2000_DRUG_RGMN_RVW 1 No problems found during review   57255-2 LA12309-3 1.3.6.1.4.1.12009.10.1.121
M2000_DRUG_RGMN_RVW 2 Problems found during review   57255-2 LA12310-1 1.3.6.1.4.1.12009.10.1.121
M2000_DRUG_RGMN_RVW NA Patient is not taking any medications   57255-2 LA12311-9 1.3.6.1.4.1.12009.10.1.121
M2002_MDCTN_FLWP   Medication Follow-up   57281-8    
M2002_MDCTN_FLWP 0 No   57281-8 LA32-8 1.3.6.1.4.1.12009.10.1.62
M2002_MDCTN_FLWP 1 Yes   57281-8 LA33-6 1.3.6.1.4.1.12009.10.1.62
M2004_MDCTN_INTRVTN   Medication Intervention   57256-0    
M2004_MDCTN_INTRVTN 0 No   57256-0 LA32-8 1.3.6.1.4.1.12009.10.1.122
M2004_MDCTN_INTRVTN 1 Yes   57256-0 LA33-6 1.3.6.1.4.1.12009.10.1.122
M2004_MDCTN_INTRVTN NA No clinically significant medication issues identified since the previous OASIS assessment   57256-0 LA12314-3 1.3.6.1.4.1.12009.10.1.122
M2010_HIGH_RISK_DRUG_EDCTN   Patient/Caregiver High Risk Drug Education   57257-8    
M2010_HIGH_RISK_DRUG_EDCTN 0 No   57257-8 LA32-8 1.3.6.1.4.1.12009.10.1.123
M2010_HIGH_RISK_DRUG_EDCTN 1 Yes   57257-8 LA33-6 1.3.6.1.4.1.12009.10.1.123
M2010_HIGH_RISK_DRUG_EDCTN NA Patient not taking any high risk drugs OR patient/caregiver fully knowledgeable about special precautions associated with all high-risk medications   57257-8 LA12317-6 1.3.6.1.4.1.12009.10.1.123
M2015_DRUG_EDCTN_INTRVTN   Patient/Caregiver Drug Education Intervention   57195-0    
M2015_DRUG_EDCTN_INTRVTN 0 No   57195-0 LA32-8 1.3.6.1.4.1.12009.10.1.124
M2015_DRUG_EDCTN_INTRVTN 1 Yes   57195-0 LA33-6 1.3.6.1.4.1.12009.10.1.124
M2015_DRUG_EDCTN_INTRVTN NA Patient not taking any drugs   57195-0 LA12320-0 1.3.6.1.4.1.12009.10.1.124
M2020_CRNT_MGMT_ORAL_MDCTN   Current: Management Of Oral Medications   57285-9    
M2020_CRNT_MGMT_ORAL_MDCTN 0 Able to independently take the correct oral medication(s) and proper dosage(s) at the correct times.   57285-9 LA6135-3 1.3.6.1.4.1.12009.10.1.125
M2020_CRNT_MGMT_ORAL_MDCTN 1 Able to take medication(s) at the correct times if: (a) individual dosages are prepared in advance by another person; OR (b) another person develops a drug diary or chart.   57285-9 LA12322-6 1.3.6.1.4.1.12009.10.1.125
M2020_CRNT_MGMT_ORAL_MDCTN 2 Able to take medication(s) at the correct times if given reminders by another person at the appropriate times   57285-9 LA12323-4 1.3.6.1.4.1.12009.10.1.125
M2020_CRNT_MGMT_ORAL_MDCTN 3 Unable to take medication unless administered by another person.   57285-9 LA12324-2 1.3.6.1.4.1.12009.10.1.125
M2020_CRNT_MGMT_ORAL_MDCTN NA No oral medications prescribed.   57285-9 LA6290-6 1.3.6.1.4.1.12009.10.1.125
M2030_CRNT_MGMT_INJCTN_MDCTN   Current: Management Of Injectable Medications   57284-2    
M2030_CRNT_MGMT_INJCTN_MDCTN 0 Able to independently take the correct medication(s) and proper dosage(s) at the correct times.   57284-2 LA12326-7 1.3.6.1.4.1.12009.10.1.126
M2030_CRNT_MGMT_INJCTN_MDCTN 1 Able to take injectable medication(s) at the correct times if: (a) individual syringes are prepared in advance by another person; OR (b) another person develops a drug diary or chart.   57284-2 LA12327-5 1.3.6.1.4.1.12009.10.1.126
M2030_CRNT_MGMT_INJCTN_MDCTN 2 Able to take medication(s) at the correct times if given reminders by another person based on the frequency of the injection   57284-2 LA12328-3 1.3.6.1.4.1.12009.10.1.126
M2030_CRNT_MGMT_INJCTN_MDCTN 3 Unable to take injectable medication unless administered by another person.   57284-2 LA12329-1 1.3.6.1.4.1.12009.10.1.126
M2030_CRNT_MGMT_INJCTN_MDCTN NA No injectable medications prescribed.   57284-2 LA6280-7 1.3.6.1.4.1.12009.10.1.126
M2040_PRIOR_MGMT_ORAL_MDCTN a Prior Med Mgmt: Oral Medications   57258-6    
M2040_PRIOR_MGMT_ORAL_MDCTN a-0 Independent   57258-6 LA12302-8 1.3.6.1.4.1.12009.10.1.127
M2040_PRIOR_MGMT_ORAL_MDCTN a-1 Needed Some Help   57258-6 LA12303-6 1.3.6.1.4.1.12009.10.1.127
M2040_PRIOR_MGMT_ORAL_MDCTN a-2 Dependent   57258-6 LA12304-4 1.3.6.1.4.1.12009.10.1.127
M2040_PRIOR_MGMT_ORAL_MDCTN a-NA Not Applicable   57258-6 LA4720-4 1.3.6.1.4.1.12009.10.1.127
M2040_PRIOR_MGMT_INJCTN_MDCTN b Prior Med Mgmt: Injectable Medications   57259-4    
M2040_PRIOR_MGMT_INJCTN_MDCTN b-0 Independent   57259-4 LA12302-8 1.3.6.1.4.1.12009.10.1.127
M2040_PRIOR_MGMT_INJCTN_MDCTN b-1 Needed Some Help   57259-4 LA12303-6 1.3.6.1.4.1.12009.10.1.127
M2040_PRIOR_MGMT_INJCTN_MDCTN b-2 Dependent   57259-4 LA12304-4 1.3.6.1.4.1.12009.10.1.127
M2040_PRIOR_MGMT_INJCTN_MDCTN b-NA Not Applicable   57259-4 LA4720-4 1.3.6.1.4.1.12009.10.1.127
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
CARE MANAGEMENT          
M2100_CARE_TYPE_SRC_ADL a Care Mgmt, Types And Sources Of Assist: ADL   57260-2    
M2100_CARE_TYPE_SRC_ADL a-0 No assistance needed in this area   57260-2 LA12335-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADL a-1 Caregiver(s) currently provide assistance   57260-2 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADL a-2 Caregiver(s) need training/ supportive services to provide assistance   57260-2 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADL a-3 Caregiver(s) not likely to provide assistance   57260-2 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADL a-4 Unclear if Caregiver(s) will provide assistance   57260-2 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADL a-5 Assistance needed, but no Caregiver(s) available   57260-2 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b Care Mgmt, Types And Sources Of Assist: IADL   57261-0    
M2100_CARE_TYPE_SRC_IADL b-0 No assistance needed in this area   57261-0 LA12335-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b-1 Caregiver(s) currently provide assistance   57261-0 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b-2 Caregiver(s) need training/ supportive services to provide assistance   57261-0 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b-3 Caregiver(s) not likely to provide assistance   57261-0 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b-4 Unclear if Caregiver(s) will provide assistance   57261-0 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b-5 Assistance needed, but no Caregiver(s) available   57261-0 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c Care Mgmt, Types And Sources Of Assist: Medication Admin   57262-8    
M2100_CARE_TYPE_SRC_MDCTN c-0 No assistance needed in this area   57262-8 LA12335-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c-1 Caregiver(s) currently provide assistance   57262-8 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c-2 Caregiver(s) need training/ supportive services to provide assistance   57262-8 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c-3 Caregiver(s) not likely to provide assistance   57262-8 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c-4 Unclear if Caregiver(s) will provide assistance   57262-8 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c-5 Assistance needed, but no Caregiver(s) available   57262-8 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d Care Mgmt, Types And Sources Of Assist: Med Procs Tx   57263-6    
M2100_CARE_TYPE_SRC_PRCDR d-0 No assistance needed in this area   57263-6 LA12335-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d-1 Caregiver(s) currently provide assistance   57263-6 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d-2 Caregiver(s) need training/ supportive services to provide assistance   57263-6 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d-3 Caregiver(s) not likely to provide assistance   57263-6 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d-4 Unclear if Caregiver(s) will provide assistance   57263-6 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d-5 Assistance needed, but no Caregiver(s) available   57263-6 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e Care Mgmt, Types And Sources Of Assist: Equipment   57264-4    
M2100_CARE_TYPE_SRC_EQUIP e-0 No assistance needed in this area   57264-4 LA12335-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e-1 Caregiver(s) currently provide assistance   57264-4 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e-2 Caregiver(s) need training/ supportive services to provide assistance   57264-4 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e-3 Caregiver(s) not likely to provide assistance   57264-4 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e-4 Unclear if Caregiver(s) will provide assistance   57264-4 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e-5 Assistance needed, but no Caregiver(s) available   57264-4 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f Care Mgmt, Types And Sources Of Assist: Supervision And Safety   57265-1    
M2100_CARE_TYPE_SRC_SPRVSN f-0 No assistance needed in this area   57265-1 LA12335-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f-1 Caregiver(s) currently provide assistance   57265-1 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f-2 Caregiver(s) need training/ supportive services to provide assistance   57265-1 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f-3 Caregiver(s) not likely to provide assistance   57265-1 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f-4 Unclear if Caregiver(s) will provide assistance   57265-1 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f-5 Assistance needed, but no Caregiver(s) available   57265-1 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g Care Mgmt, Types And Sources Of Assist: Advocacy Or Facilitation   57266-9    
M2100_CARE_TYPE_SRC_ADVCY g-0 No assistance needed in this area   57266-9 LA12335-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g-1 Caregiver(s) currently provide assistance   57266-9 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g-2 Caregiver(s) need training/ supportive services to provide assistance   57266-9 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g-3 Caregiver(s) not likely to provide assistance   57266-9 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g-4 Unclear if Caregiver(s) will provide assistance   57266-9 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g-5 Assistance needed, but no Caregiver(s) available   57266-9 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2110_ADL_IADL_ASTNC_FREQ   How Often Recv ADL Or IADL Assistance From Any   57267-7    
M2110_ADL_IADL_ASTNC_FREQ 1 At least daily   57267-7 LA6157-7 1.3.6.1.4.1.12009.10.1.129
M2110_ADL_IADL_ASTNC_FREQ 2 Three or more times per week   57267-7 LA6396-1 1.3.6.1.4.1.12009.10.1.129
M2110_ADL_IADL_ASTNC_FREQ 3 One to two times per week   57267-7 LA6308-6 1.3.6.1.4.1.12009.10.1.129
M2110_ADL_IADL_ASTNC_FREQ 4 Received, but less often than weekly   57267-7 LA12344-0 1.3.6.1.4.1.12009.10.1.129
M2110_ADL_IADL_ASTNC_FREQ 5 No assistance received   57267-7 LA12345-7 1.3.6.1.4.1.12009.10.1.129
M2110_ADL_IADL_ASTNC_FREQ UK Unknown   57267-7 LA4489-6 1.3.6.1.4.1.12009.10.1.129
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
THERAPY NEED AND PLAN OF CARE          
M2200_THER_NEED_NUM   Therapy Need: Number of Visits   57268-5    
M2200_THER_NEED_NA   Therapy Need: Not Applicable        
M2250_PLAN_SMRY_PTNT_SPECF a Plan Of Care Synopsis: Patient Specific Parameters   57269-3    
M2250_PLAN_SMRY_PTNT_SPECF a-0 No   57269-3 LA32-8 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PTNT_SPECF a-1 Yes   57269-3 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PTNT_SPECF a-NA Physician has chosen not to establish patient -specific parameters for this patient. Agency will use standardized clinical guidelines accessible for all care providers to reference.   57269-3 LA4720-4 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_DBTS_FT_CARE b Plan Of Care Synopsis: Diabetic Foot Care   57270-1    
M2250_PLAN_SMRY_DBTS_FT_CARE b-0 No   57270-1 LA32-8 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_DBTS_FT_CARE b-1 Yes   57270-1 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_DBTS_FT_CARE b-NA Patient is not diabetic or is bilateral amputee.   57270-1 LA4720-4 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_FALL_PRVNT c Plan Of Care Synopsis: Falls Prevention Interventions   57271-9    
M2250_PLAN_SMRY_FALL_PRVNT c-0 No   57271-9 LA32-8 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_FALL_PRVNT c-1 Yes   57271-9 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_FALL_PRVNT c-NA Patient is not assessed to be at risk for falls.   57271-9 LA4720-4 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_DPRSN_INTRVTN d Plan Of Care Synopsis: Depression Interventions   57272-7    
M2250_PLAN_SMRY_DPRSN_INTRVTN d-0 No   57272-7 LA32-8 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_DPRSN_INTRVTN d-1 Yes   57272-7 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_DPRSN_INTRVTN d-NA Patient has not diagnosis or symptoms of depression.   57272-7 LA4720-4 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PAIN_INTRVTN e Plan Of Care Synopsis: Pain Interventions   57273-5    
M2250_PLAN_SMRY_PAIN_INTRVTN e-0 No   57273-5 LA32-8 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PAIN_INTRVTN e-1 Yes   57273-5 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PAIN_INTRVTN e-NA No pain identified   57273-5 LA4720-4 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PRSULC_PRVNT f Plan Of Care Synopsis: PU Prevention   57274-3    
M2250_PLAN_SMRY_PRSULC_PRVNT f-0 No   57274-3 LA32-8 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PRSULC_PRVNT f-1 Yes   57274-3 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PRSULC_PRVNT f-NA Patient is not assessed to be at risk for pressure ulcers.   57274-3 LA4720-4 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PRSULC_TRTMT g Plan Of Care Synopsis: PU Moist Treatment   57275-0    
M2250_PLAN_SMRY_PRSULC_TRTMT g-0 No   57275-0 LA32-8 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PRSULC_TRTMT g-1 Yes   57275-0 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PRSULC_TRTMT g-NA Patient has no pressure ulcers with need for moist wound healing.   57275-0 LA4720-4 1.3.6.1.4.1.12009.10.1.130
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
EMERGENT CARE          
M2300_EMER_USE_AFTR_LAST_ASMT   Emergent Care: Use Since Last Oasis Data Collection   57276-8    
M2300_EMER_USE_AFTR_LAST_ASMT 0 No   0 LA32-8 1.3.6.1.4.1.12009.10.1.131
M2300_EMER_USE_AFTR_LAST_ASMT 1 Yes, used hospital emergency department WITHOUT hospital admission   1 LA12351-5 1.3.6.1.4.1.12009.10.1.131
M2300_EMER_USE_AFTR_LAST_ASMT 2 Yes, used hospital emergency department WITH hospital admission   2 LA12352-3 1.3.6.1.4.1.12009.10.1.131
M2300_EMER_USE_AFTR_LAST_ASMT UK Unknown   UK LA4489-6 1.3.6.1.4.1.12009.10.1.131
M2310   Reason for emergent care Question row added to facilitate message format. 57277-6    
M2310_ECR_MEDICATION 1 Emergent Care Reason: Medication   57277-6 LA6229-4 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_INJRY_BY_FALL 2 Emergent Care Reason: Injury Caused By Fall   57277-6 LA12355-6 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_RSPRTRY_INFCTN 3 Emergent Care Reason: Respiratory Infection   57277-6 LA12356-4 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_RSPRTRY_OTHR 4 Emergent Care Reason: Respiratory Other   57277-6 LA12357-2 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_HRT_FAILR 5 Emergent Care Reason: Heart Failure   57277-6 LA12358-0 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_CRDC_DSRTHM 6 Emergent Care Reason: Cardiac Dysrhythmia   57277-6 LA12359-8 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_MI_CHST_PAIN 7 Emergent Care Reason: Myocardial Infarction Or Chest Pain   57277-6 LA12360-6 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_OTHR_HRT_DEASE 8 Emergent Care Reason: Other Heart Disease   57277-6 LA12361-4 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_STROKE_TIA 9 Emergent Care Reason: Stroke (CVA) Or TIA   57277-6 LA12362-2 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_HYPOGLYC 10 Emergent Care Reason: Hypoglycemia   57277-6 LA6223-7 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_GI_PRBLM 11 Emergent Care: GI Bleeding, Obstruction, Constipation, Impaction   57277-6 LA12364-8 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_DHYDRTN_MALNTR 12 Emergent Care Reason: Dehydration, Malnutrition   57277-6 LA12365-5 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_UTI 13 Emergent Care Reason: Urinary Track Infection   57277-6 LA6437-3 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_CTHTR_CMPLCTN 14 Emergent Care Reason: IV Catheter-related Infection Or Complication   57277-6 LA12367-1 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_WND_INFCTN_DTRORTN 15 Emergent Care Reason: Wound Infection Or Deterioration   57277-6 LA12368-9 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_UNCNTLD_PAIN 16 Emergent Care Reason: Uncontrolled Pain   57277-6 LA6430-8 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_MENTL_BHVRL_PRBLM 17 Emergent Care Reason: Acute Mental/Behavioral Health Problem   57277-6 LA12370-5 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_DVT_PULMNRY 18 Emergent Care Reason: Deep Vein Thrombosis, Pulmonary Embolus   57277-6 LA6180-9 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_OTHER 19 Emergent Care Reason: Other Than Above   57277-6 LA6315-1 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_UNKNOWN UK Emergent Care Reason: Unknown   57277-6 LA4394-8 1.3.6.1.4.1.12009.10.1.132
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY          
M2400_INTRVTN_SMRY_DBTS_FT a Intervention Synopsis: Diabetic Foot Care   57270-1    
M2400_INTRVTN_SMRY_DBTS_FT a-0 No   57270-1 LA32-8 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_DBTS_FT a-1 Yes   57270-1 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_DBTS_FT a-NA Patient is not diabetic or is bilateral amputee   57270-1 LA4720-4 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_FALL_PRVNT b Intervention Synopsis: Falls Prevention Intervention   57271-9    
M2400_INTRVTN_SMRY_FALL_PRVNT b-0 No   57271-9 LA32-8 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_FALL_PRVNT b-1 Yes   57271-9 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_FALL_PRVNT b-NA Formal multi-factor Fall Risk Assessment indicates the patient was not at risk for falls since the last OASIS assessment   57271-9 LA4720-4 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_DPRSN c Intervention Synopsis: Depression Intervention   57272-7    
M2400_INTRVTN_SMRY_DPRSN c-0 No   57272-7 LA32-8 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_DPRSN c-1 Yes   57272-7 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_DPRSN c-NA Formal assessment indicates patient did not meet criteria for depression AND patient did not have diagnosis of depression since the last OASIS assessment   57272-7 LA4720-4 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PAIN_MNTR d Intervention Synopsis: Intervention To Monitor And Mitigate Pain   57273-5    
M2400_INTRVTN_SMRY_PAIN_MNTR d-0 No   57273-5 LA32-8 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PAIN_MNTR d-1 Yes   57273-5 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PAIN_MNTR d-NA Formal assessment did not indicate pain since the last OASIS asessment   57273-5 LA4720-4 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PRSULC_PRVN e Intervention Synopsis: Intervention To Prevent Pressure Ulcers   57274-3    
M2400_INTRVTN_SMRY_PRSULC_PRVN e-0 No   57274-3 LA32-8 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PRSULC_PRVN e-1 Yes   57274-3 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PRSULC_PRVN e-NA Formal assessment indicates the patient was not at risk of pressure ulcers since the last OASIS assessment   57274-3 LA4720-4 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PRSULC_WET f Intervention Synopsis: Pressure Ulcer Treatment Based On Moist Wound Treatment   57275-0    
M2400_INTRVTN_SMRY_PRSULC_WET f-0 No   57275-0 LA32-8 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PRSULC_WET f-1 Yes   57275-0 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PRSULC_WET f-NA Dressings that support the principles of moist wound healing not indicated for this patient's pressure ulcers OR patient has no pressure ulcers with need for moist would healing   57275-0 LA4720-4 1.3.6.1.4.1.12009.10.1.130
M2410_INPAT_FACILITY   Inpatient Facility   46578-1    
M2410_INPAT_FACILITY 1 Hospital   46578-1 LA6218-7 1.3.6.1.4.1.12009.10.1.156
M2410_INPAT_FACILITY 2 Rehabilitation facility   46578-1 LA6357-3 1.3.6.1.4.1.12009.10.1.156
M2410_INPAT_FACILITY 3 Nursing home   46578-1 LA27-8 1.3.6.1.4.1.12009.10.1.156
M2410_INPAT_FACILITY 4 Hospice   46578-1 LA6216-1 1.3.6.1.4.1.12009.10.1.156
M2410_INPAT_FACILITY NA No inpatient facility admission   46578-1 LA6281-5 1.3.6.1.4.1.12009.10.1.156
M2420_DSCHRG_DISP   Discharge Disposition   57278-4    
M2420_DSCHRG_DISP 1 Patient remained in the community (without formal assistive services)   57278-4 LA12374-7 1.3.6.1.4.1.12009.10.1.133
M2420_DSCHRG_DISP 2 Patient remained in the community (with formal assistive services)   57278-4 LA12375-4 1.3.6.1.4.1.12009.10.1.133
M2420_DSCHRG_DISP 3 Patient transferred to a non-institutional hospice   57278-4 LA12376-2 1.3.6.1.4.1.12009.10.1.133
M2420_DSCHRG_DISP 4 Unknown because patient moved to a geographic location not served by this agency   57278-4 LA6431-6 1.3.6.1.4.1.12009.10.1.133
M2420_DSCHRG_DISP UK Other unknown   57278-4 LA6316-9 1.3.6.1.4.1.12009.10.1.133
M2430   Reason for hospitalization Question row added to facilitate message format. 57279-2    
M2430_HOSP_MED 1 Hospitalized: Medication   57279-2 LA6229-4 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_INJRY_BY_FALL 2 Hospitalized: Injury Caused By Fall   57279-2 LA12355-6 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_RSPRTRY_INFCTN 3 Hospitalized: Respiratory   57279-2 LA12356-4 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_RSPRTRY_OTHR 4 Hospitalized: Other Respiratory   57279-2 LA12357-2 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_HRT_FAILR 5 Hospitalized: Heart Failure   57279-2 LA12358-0 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_CRDC_DSRTHM 6 Hospitalized: Cardiac Dysrhythmia   57279-2 LA12359-8 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_MI_CHST_PAIN 7 Hospitalized: Myocardial Infarction Or Chest Pain   57279-2 LA12360-6 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_OTHR_HRT_DEASE 8 Hospitalized: Other Heart Disease   57279-2 LA12361-4 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_STROKE_TIA 9 Hospitalized: Stroke (CVA) Or TIA   57279-2 LA12362-2 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_HYPOGLYC 10 Hospitalized: Hypoglycemia   57279-2 LA6223-7 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_GI_PRBLM 11 Hospitalized: GI Bleeding, Obstruction, Constipation, Impaction   57279-2 LA12364-8 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_DHYDRTN_MALNTR 12 Hospitalized: Dehydration, Malnutrition   57279-2 LA12365-5 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_UR_TRACT 13 Hospitalized: Urinary Tract   57279-2 LA6437-3 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_CTHTR_CMPLCTN 14 Hospitalized: IV Catheter Related Infection Or Complication   57279-2 LA12367-1 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_WND_INFCTN 15 Hospitalized: Wound Infection Or Deterioration   57279-2 LA12368-9 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_PAIN 16 Hospitalized: Pain   57279-2 LA6430-8 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_MENTL_BHVRL_PRBLM 17 Hospitalized: Acute Mental/Behavior Health Problem   57279-2 LA12370-5 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_DVT_PULMNRY 18 Hospitalized: Deep vein thrombosis, Pulmonary embolus   57279-2 LA6180-9 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_SCHLD_TRTMT 19 Hospitalized: Scheduled Treatment Or Procedure   57279-2 LA12397-8 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_OTHER 20 Hospitalized: Other   57279-2 LA6315-1 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_UK UK Hospitalized: UK        
M2440   Reason for nursing home admission Question row added to facilitate message format. 46477-6    
M2440_NH_THERAPY 1 Admitted to Nursing Home: Therapy   46477-6 LA6393-8 1.3.6.1.4.1.12009.10.1.157
M2440_NH_RESPITE 2 Admitted to Nursing Home: Respite   46477-6 LA6365-6 1.3.6.1.4.1.12009.10.1.157
M2440_NH_HOSPICE 3 Admitted to Nursing Home: Hospice   46477-6 LA6217-9 1.3.6.1.4.1.12009.10.1.157
M2440_NH_PERMANENT 4 Admitted to Nursing Home: Permanent Placement   46477-6 LA6345-8 1.3.6.1.4.1.12009.10.1.157
M2440_NH_UNSAFE_HOME 5 Admitted to Nursing Home: Unsafe at Home   46477-6 LA6434-0 1.3.6.1.4.1.12009.10.1.157
M2440_NH_OTHER 6 Admitted to Nursing Home: Other   46477-6 LA46-8 1.3.6.1.4.1.12009.10.1.157
M2440_NH_UNKNOWN UK Admitted to Nursing Home: Unknown   46477-6 LA4489-6 1.3.6.1.4.1.12009.10.1.157
M0903_LAST_HOME_VISIT   Date of Last Home Visit   46581-5    
M0906_DC_TRAN_DTH_DT   Discharge, Transfer, Death Date   46582-3    

OASIS-C Items Mapping -- Model Of Meaning

CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
PATIENT TRACKING              
M0010_CCN   CMS Certification Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0014_BRANCH_STATE   Branch State     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0016_BRANCH_ID   Branch ID (Optional)     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0018_PHYSICIAN_ID   Primary Referring Physician National Provider ID (NPI)     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0018_PHYSICIAN_UK   Primary Referring Physician NPI: Unknown     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0020_PAT_ID   Patient ID Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0030_START_CARE_DT   Start of Care Date     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0032_ROC_DT   Resumption of Care Date     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0032_ROC_DT_NA NA No Resumption of Care Date     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0040_PAT_FNAME   Patient's First Name     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0040_PAT_MI   Patient's Middle Initial     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0040_PAT_LNAME   Patient's Last Name     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0040_PAT_SUFFIX   Patient's Suffix     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0050_PAT_ST   Patient State of Residence     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0060_PAT_ZIP   Patient Zip Code     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0063_MEDICARE_NUM   Medicare Number, Including Suffix     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0063_MEDICARE_NA NA No Medicare Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0064_SSN   Patient's Social Security Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0064_SSN_UK UK No Social Security Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0065_MEDICAID_NUM   Medicaid Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0065_MEDICAID_NA NA No Medicaid Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0066_PAT_BIRTH_DT   Date of Birth     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0069_PAT_GENDER   Gender     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0069_PAT_GENDER 1 Male     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0069_PAT_GENDER 2 Female     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0140_ETHNIC_AI_AN 1 Race/Ethnicity: American Indian or Alaska Native *ONC Final Rule (7/28/2010) requires use of the Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, October 30, 1997.  This is not a vocabulary.
*HITSP Component C-32 ( HITSP Summary Documents Using HL7 Continuity of Care Document (CCD)) requires use of the CDC Race and Ethnicity vocabulary for reporting race and ethnicity (see Column Q).
*See DSTU for detailis on representation of Race/Ethnicity data.
ETHNICITY PATTERN     1002-5  
M0140_ETHNIC_ASIAN 2 Race/Ethnicity: Asian   Ethnicity Pattern     2028-9  
M0140_ETHNIC_BLACK 3 Race/Ethnicity: Black or African-American   Ethnicity Pattern     2054-5  
M0140_ETHNIC_HISP 4 Race/Ethnicity: Hispanic or Latino   Ethnicity Pattern     2135-2  
M0140_ETHNIC_NH_PI 5 Race/Ethnicity: Native Hawaiian or Pacific Islander   Ethnicity Pattern     2076-8  
M0140_ETHNIC_WHITE 6 Race/Ethnicity: White   Ethnicity Pattern     2106-3  
M0150   Current payment sources for home care Question row/description added to facilitate message format.   Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_NONE 0 Current Payment Sources for Home Care: None; no charge for current services     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_MCARE_FFS 1 Current Payment Sources for Home Care: Medicare Traditional Fee-for-Service     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_MCARE_HMO 2 Current Payment Sources for Home Care: Medicare HMO/Managed Care     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_MCAID_FFS 3 Current Payment Sources for Home Care: Medicaid Traditional Fee-for-Service     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_MCAID_HMO 4 Current Payment Sources for Home Care: Medicaid HMO/Managed Care     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_WRKCOMP 5 Current Payment Sources for Home Care: Worker's Compensation     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_TITLEPGMS 6 Current Payment Sources for Home Care: Title Programs     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_OTH_GOVT 7 Current Payment Sources for Home Care: Other Government     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_PRIV_INS 8 Current Payment Sources for Home Care: Private Insurance     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_PRIV_HMO 9 Current Payment Sources for Home Care: Private HMO/Managed Care     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_SELFPAY 10 Current Payment Sources for Home Care: Self-Pay     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_OTHER 11 Current Payment Sources for Home Care: Other     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_UK UK Current Payment Sources for Home Care: Unknown     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
CLINICAL RECORD ITEMS              
M0080_ASSESSOR_DISCIPLINE   Discipline of Person Completing Assessment   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M0080_ASSESSOR_DISCIPLINE 1 RN   Question/Answer pattern 224535009 registered nurse (occupation)    
M0080_ASSESSOR_DISCIPLINE 2 PT   Question/Answer pattern 36682004 physiotherapist (occupation)    
M0080_ASSESSOR_DISCIPLINE 3 SLP/ST   Question/Answer pattern 159026005 speech/language therapist (occupation)    
M0080_ASSESSOR_DISCIPLINE 4 OT   Question/Answer pattern 80546007 occupational therapist (occupation)    
M0090_INFO_COMPLETED_DT   Date Assessment Completed     406543005 date of visit (observable entity)    
M0100_ASSMT_REASON   Reason for Assessment     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 1 Start of care - further visits planned     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 3 Resumption of care (after inpatient stay)     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 4 Recertification (follow-up) reassessment     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 5 Other follow-up     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 6 Transferred to an inpatient facility - patient not discharged from agency     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 7 Transferred to an inpatient facility - patient discharged from agency     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 8 Death at home     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 9 Discharge from agency     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0102_PHYSN_ORDRD_SOCROC_DT   Physician Ordered SOC/ROC Date     Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M0102_PHYSN_ORDRD_SOCROC_DT_NA NA Physician Ordered SOC/ROC Date - NA     Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M0104_PHYSN_RFRL_DT   Physician Date Of Referral     Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M0110_EPISODE_TIMING   Episode Timing     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0110_EPISODE_TIMING 1 Early     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0110_EPISODE_TIMING 2 Later     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0110_EPISODE_TIMING NA Not applicable: No Medicare case mix group to be defined by this assessment.     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0110_EPISODE_TIMING UK Unknown     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
PATIENT HISTORY AND DIAGNOSES              
M1000   Inpatient discharge facility Question row/description added to facilitate message format.          
M1000_DC_LTC_14_DA 1 Past 14 Days: Dschrgd From LTC NH   Assertion pattern 306561002 discharge from establishment (procedure)    
M1000_DC_SNF_14_DA 2 Past 14 Days: Discharged from Skilled Nursing Facility   Assertion pattern 306561002 discharge from establishment (procedure)    
M1000_DC_IPPS_14_DA 3 Past 14 Days: Dschrgd From Short Stay Acute Hospital   Assertion pattern 308283009 discharge from hospital (procedure)    
M1000_DC_LTCH_14_DA 4 Past 14 Days: Dschrgd From Long Term Care Hospital   Assertion pattern 306561002 discharge from establishment (procedure)    
M1000_DC_IRF_14_DA 5 Past 14 Days: Discharged From Inpatient Rehab Facility   Assertion pattern 308018004 discharge from rehabilitation service (procedure)    
M1000_DC_PSYCH_14_DA 6 Past 14 Days: Dschrgd From Psychiatric Hospital Or Unit   Assertion pattern 306607005 discharge from psychiatry service (procedure)    
M1000_DC_OTH_14_DA 7 Past 14 Days: Dschrgd From Other   Assertion pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1000_DC_NONE_14_DA N/A Past 14 Days: Not Discharged from Inpatient Facility   Assertion pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1005_INP_DISCHARGE_DT   Most Recent Inpatient Discharge Date     442864001 date of discharge (observable entity)    
M1005_INP_DSCHG_UNKNOWN UK Inpatient Discharge Date Unknown     Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1010   Inpatient Diagnosis Question row/description added to facilitate message format.          
M1010_14_DAY_INP1_ICD a Inpatient Stay Within Last 14 Days: ICD Code 1     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1010_14_DAY_INP2_ICD b Inpatient Stay Within Last 14 Days: ICD Code 2     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1010_14_DAY_INP3_ICD c Inpatient Stay Within Last 14 Days: ICD Code 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1010_14_DAY_INP4_ICD d Inpatient Stay Within Last 14 Days: ICD Code 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1010_14_DAY_INP5_ICD e Inpatient Stay Within Last 14 Days: ICD Code 5     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1010_14_DAY_INP6_ICD f Inpatient Stay Within Last 14 Days: ICD Code 6     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1012   Inpatient Procedure Question row/description added to facilitate message format.          
M1012_INP_PRCDR1_ICD a Inpatient ICD Procedure1 Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1012_INP_PRCDR2_ICD b Inpatient ICD Procedure2 Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1012_INP_PRCDR3_ICD c Inpatient ICD Procedure3 Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1012_INP_PRCDR4_ICD d Inpatient ICD Procedure4 Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1012_INP_NA_ICD NA Inpatient ICD Procedure Code - NA     Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1012_INP_UK_ICD UK Inpatient ICD Procedure Code - UK     Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1016   Diagnosis Requiring Regimen Change Question row/description added to facilitate message format.          
M1016_CHGREG_ICD1 a Regimen Change in Past 14 Days: ICD Code 1     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1016_CHGREG_ICD2 b Regimen Change in Past 14 Days: ICD Code 2     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1016_CHGREG_ICD3 c Regimen Change in Past 14 Days: ICD Code 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1016_CHGREG_ICD4 d Regimen Change in Past 14 Days: ICD Code 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1016_CHGREG_ICD5 e Regimen Change In Past 14 Days: ICD Code 5     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1016_CHGREG_ICD6 f Regimen Change In Past 14 Days: ICD Code 6     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1016_CHGREG_ICD_NA NA Regimen Change In Past 14 Days: Not Applicable     Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1018   Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days Question row/description added to facilitate message format.          
M1018_PRIOR_UR_INCON 1 Prior Condition: Urinary Incontinence   Assertion pattern 267002001 history of - urinary disease (situation)    
M1018_PRIOR_CATH 2 Prior Condition: Indwelling/Suprapubic Catheter   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1018_PRIOR_INTRACT_PAIN 3 Prior Condition: Intractable Pain   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1018_PRIOR_IMPR_DECSN 4 Prior Condition: Impaired Decision-making   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1018_PRIOR_DISRUPTIVE 5 Prior Condition: Disruptive or Socially Inappropriate Behavior   Assertion pattern 161473006 history of - behavior problem (situation)    
M1018_PRIOR_MEM_LOSS 6 Prior Condition: Memory Loss, Supervision Required   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1018_PRIOR_NONE 7 Prior Condition: None of the Above   Assertion pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1018_PRIOR_NOCHG_14D NA Prior Condition: No Inpatient Discharge, No Change in Regimen in Past 14 Days   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1018_PRIOR_UNKNOWN UK Prior Condition: Unknown   Assertion pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1020_PRIMARY_DIAG_ICD a Primary Diagnosis ICD Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1020_PRIMARY_DIAG_SEVERITY   Primary Diagnosis Severity Rating            
M1020_PRIMARY_DIAG_SEVERITY 0 Asymptomatic, no treatment needed            
M1020_PRIMARY_DIAG_SEVERITY 1 Symptoms well controlled with current therapy            
M1020_PRIMARY_DIAG_SEVERITY 2 Symptoms controlled with difficulty            
M1020_PRIMARY_DIAG_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring            
M1020_PRIMARY_DIAG_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations            
M1022_OTH_DIAG1_ICD b Other Diagnosis 1: ICD Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1022_OTH_DIAG1_SEVERITY   Other Diagnosis 1: Severity Rating            
M1022_OTH_DIAG1_SEVERITY 0 Asymptomatic, no treatment needed            
M1022_OTH_DIAG1_SEVERITY 1 Symptoms well controlled with current therapy            
M1022_OTH_DIAG1_SEVERITY 2 Symptoms controlled with difficulty            
M1022_OTH_DIAG1_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring            
M1022_OTH_DIAG1_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations            
M1022_OTH_DIAG2_ICD c Other Diagnosis 2: ICD Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1022_OTH_DIAG2_SEVERITY   Other Diagnosis 2: Severity Rating            
M1022_OTH_DIAG2_SEVERITY 0 Asymptomatic, no treatment needed            
M1022_OTH_DIAG2_SEVERITY 1 Symptoms well controlled with current therapy            
M1022_OTH_DIAG2_SEVERITY 2 Symptoms controlled with difficulty            
M1022_OTH_DIAG2_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring            
M1022_OTH_DIAG2_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations            
M1022_OTH_DIAG3_ICD d Other Diagnosis 3: ICD Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1022_OTH_DIAG3_SEVERITY   Other Diagnosis 3: Severity Rating            
M1022_OTH_DIAG3_SEVERITY 0 Asymptomatic, no treatment needed            
M1022_OTH_DIAG3_SEVERITY 1 Symptoms well controlled with current therapy            
M1022_OTH_DIAG3_SEVERITY 2 Symptoms controlled with difficulty            
M1022_OTH_DIAG3_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring            
M1022_OTH_DIAG3_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations            
M1022_OTH_DIAG4_ICD e Other Diagnosis 4: ICD Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1022_OTH_DIAG4_SEVERITY   Other Diagnosis 4: Severity Rating            
M1022_OTH_DIAG4_SEVERITY 0 Asymptomatic, no treatment needed            
M1022_OTH_DIAG4_SEVERITY 1 Symptoms well controlled with current therapy            
M1022_OTH_DIAG4_SEVERITY 2 Symptoms controlled with difficulty            
M1022_OTH_DIAG4_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring            
M1022_OTH_DIAG4_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations            
M1022_OTH_DIAG5_ICD f Other Diagnosis 5: ICD Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1022_OTH_DIAG5_SEVERITY   Other Diagnosis 5: Severity Rating            
M1022_OTH_DIAG5_SEVERITY 0 Asymptomatic, no treatment needed            
M1022_OTH_DIAG5_SEVERITY 1 Symptoms well controlled with current therapy            
M1022_OTH_DIAG5_SEVERITY 2 Symptoms controlled with difficulty            
M1022_OTH_DIAG5_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring            
M1022_OTH_DIAG5_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations            
M1024_PMT_DIAG_ICD_A3 a Case Mix Diagnosis: Primary, Column 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_B3 b Case Mix Diagnosis: First Secondary, Column 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_C3 c Case Mix Diagnosis: Second Secondary, Column 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_D3 d Case Mix Diagnosis: Third Secondary, Column 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_E3 e Case Mix Diagnosis: Fourth Secondary, Column 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_F3 f Case Mix Diagnosis: Fifth Secondary, Column 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_A4 a Case Mix Diagnosis: Primary, Column 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_B4 b Case Mix Diagnosis: First Secondary, Column 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_C4 c Case Mix Diagnosis: Second Secondary, Column 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_D4 d Case Mix Diagnosis: Third Secondary, Column 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_E4 e Case Mix Diagnosis: Fourth Secondary, Column 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_F4 f Case Mix Diagnosis: Fifth Secondary, Column 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1030   Therapies the patient receives at home Question row/description added to facilitate message format.          
M1030_THH_IV_INFUSION 1 Therapies Received at Home: Intravenous, Infusion   Assertion pattern 14152002 intravenous infusion (procedure)    
M1030_THH_PAR_NUTRITION 2 Therapies Received at Home: Parenteral Nutrition   Assertion pattern 25156005 intravenous feeding of patient (regime/therapy)    
M1030_THH_ENT_NUTRITION 3 Therapies Received at Home: Enteral Nutrition   Assertion pattern 229912004 enteral feeding (regime/therapy)    
M1030_THH_NONE_ABOVE 4 Therapies Received at Home: None of the Above   Assertion pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1032   Risk for hospitalization Question row/description added to facilitate message format. QUESTION/ANSWER PATTERN 102485007 personal risk factor (observable entity)    
M1032_HOSP_RISK_RCNT_DCLN 1 Risk For Hospitalization: Recent Decline In Mental, Emotional Or Behavior Status   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1032_HOSP_RISK_MLTPL_HOSPZTN 2 Risk For Hospitalization: Multiple Hospitalizations (2 Or More) In Past 12 Mo   Question/Answer pattern 310537006 previous multiple hospital admissions (finding)    
M1032_HOSP_RISK_HSTRY_FALLS 3 Risk For Hospitalization: History Of Falls (2 Or More Falls Or Any Fall With An Injury) In Past Year   Question/Answer pattern 428942009 history of fall (situation)    
M1032_HOSP_RISK_5PLUS_MDCTN 4 Risk For Hospitalization: Taking Five Or More Medications   Question/Answer pattern 182848008 patient on numerous drugs (finding)    
M1032_HOSP_RISK_FRAILTY 5 Risk For Hospitalization: Frailty Indicators   Question/Answer pattern 248279007 frailty (finding)    
M1032_HOSP_RISK_OTHR 6 Risk For Hospitalization: Other   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1032_HOSP_RISK_NONE_ABOVE 7 Risk For Hospitalization: None Of The Above   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1034_PTNT_OVRAL_STUS   Patient's Overall Status   QUESTION/ANSWER PATTERN 406221003 health status (observable entity)    
M1034_PTNT_OVRAL_STUS 0 The patient is stable with no heightened risk(s) for serious complications and death (beyond those typical of the patient’s age).   Question/Answer pattern 359746009 patient's condition stable (finding)    
M1034_PTNT_OVRAL_STUS 1 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).   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1034_PTNT_OVRAL_STUS 2 The patient is likely to remain in fragile health and have ongoing high risk(s) of serious complications and death.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1034_PTNT_OVRAL_STUS 3 The patient has serious progressive conditions that could lead to death within a year.   Question/Answer pattern 300936002 terminal illness (clinical finding)    
M1034_PTNT_OVRAL_STUS UK The patient’s situation is unknown or unclear.   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1036   Risk factors, either present or past, likely to affect current health status and/or outcome Question row/description added to facilitate message format.          
M1036_RSK_SMOKING 1 High Risk Factor: Smoking   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1036_RSK_OBESITY 2 High Risk Factor: Obesity   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1036_RSK_ALCOHOLISM 3 High Risk Factor: Alcoholism   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1036_RSK_DRUGS 4 High Risk Factor: Drugs   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1036_RSK_NONE 5 High Risk Factor: None of the Above   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1036_RSK_UNKNOWN UK High Risk Factor: Unknown   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1040_INFLNZ_RCVD_AGNCY   Influenza Vaccine: Did Patient Receive The Influenza Vaccine   ASSERTION PATTERN        
M1040_INFLNZ_RCVD_AGNCY 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD     Concept Not Mapped - No comparable CVX concept is available.
M1040_INFLNZ_RCVD_AGNCY 1 Yes   Assertion pattern 86198006 influenza vaccination (procedure)   141
M1040_INFLNZ_RCVD_AGNCY NA Does not apply because entire episode of care (SOC/ROC to Transfer/Discharge) is outside this influenza season.   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination     Concept Not Mapped - No comparable CVX concept is available.
M1045_INFLNZ_RSN_NOT_RCVD   Influenza Vaccine: Reason Not Received In Agency   QUESTION/ANSWER PATTERN 429684009 reason for nonvaccination (observable entity)   Concept Not Mapped - No comparable CVX concept is available.
M1045_INFLNZ_RSN_NOT_RCVD 1 Received from another health care provider (e.g., physician)   Question/Answer pattern 425457005 history of vaccination (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 2 Received from your agency previously during this year's flu season   Question/Answer pattern 425457005 history of vaccination (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 3 Offered and declined   Question/Answer pattern 315640000 influenza vaccination declined (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 4 Assessed and determined to have medical contraindication(s)   Question/Answer pattern 390796006 influenza vaccination contraindicated (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 5 Not indicated; patient does not meet age/condition guidelines for influenza vaccine   Question/Answer pattern 407573008 influenza vaccination not indicated (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 6 Inability to obtain vaccine due to declared shortage   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1045_INFLNZ_RSN_NOT_RCVD 7 None of the above   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1050_PPV_RCVD_AGNCY   Pneumococcal Vaccine: Did Patient Receive The Pneumococcal Vaccine   ASSERTION PATTERN        
M1050_PPV_RCVD_AGNCY 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD     Concept Not Mapped - No comparable CVX concept is available.
M1050_PPV_RCVD_AGNCY 1 Yes   Assertion pattern 12866006 pneumococcal vaccination (procedure)   Concept Not Mapped - CVX cod 109 (pneumococcal vaccine, unspecified formulation) was inactivated 9/30/2010.  The three active codes for pneumococcal vaccine specify the valent (13, 7 or 23).  Information on the valent is not available in the OASIS questionnaire.
M1055_PPV_RSN_NOT_RCVD_AGNCY   Pneumococcal Vaccine: Reason Not Received In Agency   QUESTION/ANSWER PATTERN 429684009 reason for nonvaccination (observable entity)   Concept Not Mapped - No comparable CVX concept is available.
M1055_PPV_RSN_NOT_RCVD_AGNCY 1 Patient has received PPV in the past   Question/Answer pattern 425457005 history of vaccination (situation)    
M1055_PPV_RSN_NOT_RCVD_AGNCY 2 Offered and declined   Question/Answer pattern 401086001 pneumococcal vaccination declined (situation)    
M1055_PPV_RSN_NOT_RCVD_AGNCY 3 Assessed and determined to have medical contraindication(s)   Question/Answer pattern 390795005 pneumococcal vaccination contraindicated (situation)    
M1055_PPV_RSN_NOT_RCVD_AGNCY 4 Not indicated; patient does not meet age/condition guidelines for PPV   Question/Answer pattern 415119001 pneumococcal vaccination not indicated (situation)    
M1055_PPV_RSN_NOT_RCVD_AGNCY 5 None of the above   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
LIVING ARRANGEMENTS              
M1100_PTNT_LVG_STUTN   Patient Living Situation   QUESTION/ANSWER PATTERN 224209007 residence and accommodation circumstances (observable entity)    
M1100_PTNT_LVG_STUTN 1 Patient Lives Alone - Around the clock   Question/Answer pattern 105529008 lives alone (finding)    
M1100_PTNT_LVG_STUTN 2 Patient Lives Alone - Regular daytime   Question/Answer pattern 105529008 lives alone (finding)    
M1100_PTNT_LVG_STUTN 3 Patient Lives Alone - Regular nighttime   Question/Answer pattern 105529008 lives alone (finding)    
M1100_PTNT_LVG_STUTN 4 Patient Lives Alone - Occasional / short-term assistance   Question/Answer pattern 105529008 lives alone (finding)    
M1100_PTNT_LVG_STUTN 5 Patient Lives Alone - No assistance available   Question/Answer pattern 105529008 lives alone (finding)    
M1100   Patient lives with other person Question row/description added to facilitate message format.          
M1100_PTNT_LVG_STUTN 6 Patient Lives with Other Person - Around the clock   Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100_PTNT_LVG_STUTN 7 Patient Lives with Other Person - Regular daytime   Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100_PTNT_LVG_STUTN 8 Patient Lives with Other Person - Regular nighttime   Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100_PTNT_LVG_STUTN 9 Patient Lives with Other Person - Occasional / short-term assistance   Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100_PTNT_LVG_STUTN 10 Patient Lives with Other Person - No assistance available   Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100   Patient lives in congregated situtation Question row/description added to facilitate message format.          
M1100_PTNT_LVG_STUTN 11 Patient Lives in Congregrate Situation - Around the clock   Question/Answer pattern 105530003 living in residential institution (finding)    
M1100_PTNT_LVG_STUTN 12 Patient Lives in Congregrate Situation - Regular daytime   Question/Answer pattern 105530003 living in residential institution (finding)    
M1100_PTNT_LVG_STUTN 13 Patient Lives in Congregrate Situation - Regular nighttime   Question/Answer pattern 105530003 living in residential institution (finding)    
M1100_PTNT_LVG_STUTN 14 Patient Lives in Congregrate Situation - Occasional / short-term assistance   Question/Answer pattern 105530003 living in residential institution (finding)    
M1100_PTNT_LVG_STUTN 15 Patient Lives in Congregrate Situation - No assistance available   Question/Answer pattern 105530003 living in residential institution (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
SENSORY STATUS              
M1200_VISION   Sensory Status: Vision   QUESTION/ANSWER PATTERN 405183003 sensory function status: vision (observable entity)    
M1200_VISION 0 Normal vision: sees adequately in most situations; can see medication labels, newsprint.   Question/Answer pattern 45089002 normal vision (finding)    
M1200_VISION 1 Partially impaired: cannot see medication labels or newsprint, but can see obstacles in path, and the surrounding layout; can count fingers at arm's length.   Question/Answer pattern 424883003 Difficulty seeing small print (finding)    
M1200_VISION 2 Severely impaired: cannot locate objects without hearing or touching them or patient nonresponsive.   Question/Answer pattern 267727004 blind or low vision - both eyes (disorder)    
M1210_HEARG_ABLTY   Ability To Hear   QUESTION/ANSWER PATTERN 364019009 ability to hear (observable entity)    
M1210_HEARG_ABLTY 0 Adequate: hears normal conversation without difficulty.   Question/Answer pattern 16233902 Hearing Normal (finding)    
M1210_HEARG_ABLTY 1 Mildly to Moderately Impaired: difficulty hearing in some environments or speaker may need to increase volume or speak distinctly.   Question/Answer pattern 162340000 Hearing difficulty (finding)    
M1210_HEARG_ABLTY 2 Severely Impaired: absence of useful hearing.   Question/Answer pattern 15188001 hearing loss (disorder)    
M1210_HEARG_ABLTY UK Unable to assess hearing.   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1220_UNDRSTG_VERBAL_CNTNT   Understanding Of Verbal Content In Patient's Own Language   QUESTION/ANSWER PATTERN 395660004 ability to comprehend concepts (observable entity)    
M1220_UNDRSTG_VERBAL_CNTNT 0 Understands: clear comprehension without cues or repetitions   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1220_UNDRSTG_VERBAL_CNTNT 1 Usually Understands: understands most conversations, but misses some part/intent of message.  Requires cues at times to understand.   Question/Answer pattern 64270008 disturbance of understanding (finding)    
M1220_UNDRSTG_VERBAL_CNTNT 2 Sometimes Understands: understands only basic conversations or simple, direct phrases.  Frequently requires cues to understand.   Question/Answer pattern 422501005 abnormal ability to understand (finding)    
M1220_UNDRSTG_VERBAL_CNTNT 3 Rarely/Never Understands   Question/Answer pattern 53314000 akatamathesia (finding)    
M1220_UNDRSTG_VERBAL_CNTNT UK Unable to assess understanding   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1230_SPEECH   Sensory Status: Speech   QUESTION/ANSWER PATTERN 288598006 ability to use verbal communication (observable entity)    
M1230_SPEECH 0 Expresses complex ideas, feelings, and needs clearly, completely, and easily in all situations with no observable impairment.   Question/Answer pattern 286657001 able to express self (finding)    
M1230_SPEECH 1 Minimal difficulty in expressing ideas and needs (may take extra time; makes occasional errors in word choice, grammar or speech intelligibility; needs minimal prompting or assistance).   Question/Answer pattern 286659003 difficulty expressing self (finding)    
M1230_SPEECH 2 Expresses simple ideas or needs with moderate difficulty (needs prompting or assistance, errors in word choice, organization or speech intelligibility). Speaks in phrases or short sentences.   Question/Answer pattern 286410009 difficulty speaking intelligibly (finding)    
M1230_SPEECH 3 Has severe difficulty expressing basic ideas or needs and requires maximal assistance or guessing by listener. Speech limited to single words or short phrases.   Question/Answer pattern 288614000 difficulty using words (finding)    
M1230_SPEECH 4 Unable to express basic needs even with maximal prompting or assistance but is not comatose or unresponsive (e.g., speech is nonsensical or unintelligible).   Question/Answer pattern 286409004 does not speak intelligibly (finding)    
M1230_SPEECH 5 Patient nonresponsive or unable to speak.   Question/Answer pattern 286369003 unable to speak (finding)    
M1240_FRML_PAIN_ASMT   Has Patient Had A Formal Pain Assessment   QUESTION/ANSWER PATTERN 225399009 pain assessment (procedure)    
M1240_FRML_PAIN_ASMT 0 No standardized assessment conducted   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1240_FRML_PAIN_ASMT 1 Yes, and it does not indicate severe pain   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1240_FRML_PAIN_ASMT 2 Yes, and it indicates severe pain   Question/Answer pattern 76948002 severe pain (finding)    
M1242_PAIN_FREQ_ACTVTY_MVMT   Frequency Of Pain Interfering With Patient's Activity Or Movement   QUESTION/ANSWER PATTERN 405160001 pain level: disruptive effects (observable entity)    
M1242_PAIN_FREQ_ACTVTY_MVMT 0 Patient has no pain   Question/Answer pattern 81765008 no pain (situation)    
M1242_PAIN_FREQ_ACTVTY_MVMT 1 Patient has pain that does not interfere with activity or movement   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1242_PAIN_FREQ_ACTVTY_MVMT 2 Less often than daily   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1242_PAIN_FREQ_ACTVTY_MVMT 3 Daily, but not constantly   Question/Answer pattern 162455005 has the symptom daily (finding)    
M1242_PAIN_FREQ_ACTVTY_MVMT 4 All of the time   Question/Answer pattern 162449000 symptom is continuous (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
INTEGUMENTARY STATUS              
M1300_PRSR_ULCR_RISK_ASMT   Was Patient Assessed For Risk Of Developing PUs   QUESTION/ANSWER PATTERN 225392000 pressure sore risk assessment (procedure)    
M1300_PRSR_ULCR_RISK_ASMT 0 No assessment conducted   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1300_PRSR_ULCR_RISK_ASMT 1 Yes, based on an evaluation of clinical factors, e.g., mobility, incontinence, nutrition, etc., without use of standardized tool   Question/Answer pattern 398214005 patient condition assessed (procedure)    
M1300_PRSR_ULCR_RISK_ASMT 2 Yes, using a standardized tool, e.g., Braden, Norton, other   Question/Answer pattern 445536008 assessment using assessment scale (procedure)    
M1302_RISK_OF_PRSR_ULCR   Does This Patient Have A Risk Of Developing PUs   ASSERTION PATTERN        
M1302_RISK_OF_PRSR_ULCR 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1302_RISK_OF_PRSR_ULCR 1 Yes   Assertion pattern 285304000 at risk of pressure sore (finding)    
M1306_UNHLD_STG2_PRSR_ULCR   Patient Has At Least 1 Unhealed PU At Stage 2 Or Higher   ASSERTION PATTERN        
M1306_UNHLD_STG2_PRSR_ULCR 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1306_UNHLD_STG2_PRSR_ULCR 1 Yes   Assertion pattern 399912005 pressure sore (disorder)    
M1307_OLDST_STG2_AT_DSCHRG   Status Of Oldest Stage II Pressure Ulcer At Discharge   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1307_OLDST_STG2_AT_DSCHRG 1 Was present at the most recent SOC/ROC assessment   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1307_OLDST_STG2_AT_DSCHRG 2 Developed since the most recent SOC/ROC assessment   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1307_OLDST_STG2_AT_DSCHRG NA No non-epithelialized Stage II pressure ulcers are present at discharge   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1307_OLDST_STG2_ONST_DT   Date Of Onset Of Oldest Stage II Pressure Ulcer     298059007 date of onset (observable entity)    
M1308_NBR_PRSULC_STG2 a No. Pressure Ulcers - Stage 2     264892003 number of pressure sores (observable entity)    
M1308_NBR_STG2_AT_SOC_ROC   Number PU Stage 2 At SOC/ROC     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1308_NBR_PRSULC_STG3 b No. Pressure Ulcers - Stage 3     264892003 number of pressure sores (observable entity)    
M1308_NBR_STG3_AT_SOC_ROC   Number PU Stage 3 At SOC/ROC     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1308_NBR_PRSULC_STG4 c No. Pressure Ulcers - Stage 4     264892003 number of pressure sores (observable entity)    
M1308_NBR_STG4_AT_SOC_ROC   Number PU Stage 4 At SOC/ROC     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1308_NSTG_DRSG d1 Unstageable Due To Non-removable Dressing Or Device     264892003 number of pressure sores (observable entity)    
M1308_NSTG_DRSG_SOC_ROC   Unstageable Due To Non-removable Dressing Or Device At SOC/ROC     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1308_NSTG_CVRG d2 Unstageable Due To Coverage By Slough Or Eschar     264892003 number of pressure sores (observable entity)    
M1308_NSTG_CVRG_SOC_ROC   Unstageable Due To Coverage By Slough Or Eschar At SOC/ROC     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1308_NSTG_DEEP_TISUE d3 Unstageable Due To Suspected Deep Tissue Injury In Evolution     264892003 number of pressure sores (observable entity)    
M1308_NSTG_DEEP_TISUE_SOC_ROC   Unstageable Due To Suspected Deep Tissue Injury In Evolution At SOC/ROC     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1310_PRSR_ULCR_LNGTH   Head To Toe Length Of Stage III Or IV Pu With Largest Area     401238003 length of wound (observable entity)    
M1312_PRSR_ULCR_WDTH   Width At Right Angles Of Stage III Or IV Pu With Largest Area     401239006 width of wound (observable entity)    
M1314_PRSR_ULCR_DEPTH   Depth Of Stage III Or IV Pu With Largest Area     425094009 depth of wound (observable entity)    
M1320_STUS_PRBLM_PRSR_ULCR   Status Of Most Problematic Pressure Ulcer   QUESTION/ANSWER PATTERN 406214003 wound healing status (observable entity)    
M1320_STUS_PRBLM_PRSR_ULCR 0 Newly epithelialized   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1320_STUS_PRBLM_PRSR_ULCR 1 Fully granulating   Question/Answer pattern 225541009 granulation of tissue (finding)    
M1320_STUS_PRBLM_PRSR_ULCR 2 Early/partial granulation   Question/Answer pattern 225541009 granulation of tissue (finding)    
M1320_STUS_PRBLM_PRSR_ULCR 3 Not healing   Question/Answer pattern 271618001 impaired wound healing (finding)    
M1320_STUS_PRBLM_PRSR_ULCR NA No observable pressure ulcer   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1322_NBR_PRSULC_STG1   No. Pressure Ulcers - Stage 1   QUESTION/ANSWER PATTERN 264892003 number of pressure sores (observable entity)    
M1322_NBR_PRSULC_STG1 0 Zero   Question/Answer pattern 260413007 none (qualifier value)    
M1322_NBR_PRSULC_STG1 1 One   Question/Answer pattern 38112003 one (qualifier value)    
M1322_NBR_PRSULC_STG1 2 Two   Question/Answer pattern 19338005 two (qualifier value)    
M1322_NBR_PRSULC_STG1 3 Three   Question/Answer pattern 79605009 three (qualifier value)    
M1322_NBR_PRSULC_STG1 4 Four or more   Question/Answer pattern 9362000 four (qualifier value)    
M1324_STG_PRBLM_ULCER   Stage of Most Problematic Pressure Ulcer   QUESTION/ANSWER PATTERN 420592002 pressure ulcer stage (observable entity)    
M1324_STG_PRBLM_ULCER 1 Stage I   Question/Answer pattern 421076008 pressure ulcer stage 1 (disorder)    
M1324_STG_PRBLM_ULCER 2 Stage II   Question/Answer pattern 420324007 pressure ulcer stage 2 (disorder)    
M1324_STG_PRBLM_ULCER 3 Stage III   Question/Answer pattern 421927004 pressure ulcer stage 3 (disorder)    
M1324_STG_PRBLM_ULCER 4 Stage IV   Question/Answer pattern 420597008 pressure ulcer stage 4 (disorder)    
M1324_STG_PRBLM_ULCER NA No observable pressure ulcer or unhealed pressure ulcer   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1330_STAS_ULCR_PRSNT   Does This Patient Have A Stasis Ulcer   ASSERTION PATTERN        
M1330_STAS_ULCR_PRSNT 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1330_STAS_ULCR_PRSNT 1 Yes, patient has BOTH observable and unobservable stasis ulcers   Assertion pattern 371032004 stasis ulcer (disorder)    
M1330_STAS_ULCR_PRSNT 2 Yes, patient has observable stasis ulcers ONLY   Assertion pattern 371032004 stasis ulcer (disorder)    
M1330_STAS_ULCR_PRSNT 3 Yes, patient has unobservable stasis ulcers ONLY (known but not observable due to non-removable dressing)   Assertion pattern 371032004 stasis ulcer (disorder)    
M1332_NUM_STAS_ULCR   No. Stasis Ulcers   QUESTION/ANSWER PATTERN 264893008 number of ulcers (observable entity)    
M1332_NUM_STAS_ULCR 1 One   Question/Answer pattern 38112003 one (qualifier value)    
M1332_NUM_STAS_ULCR 2 Two   Question/Answer pattern 19338005 two (qualifier value)    
M1332_NUM_STAS_ULCR 3 Three   Question/Answer pattern 79605009 three (qualifier value)    
M1332_NUM_STAS_ULCR 4 Four or more   Question/Answer pattern 9362000 four (qualifier value)    
M1334_STUS_PRBLM_STAS_ULCR   Status Of Most Problematic Stasis Ulcer   QUESTION/ANSWER PATTERN 406214003 wound healing status (observable entity)    
M1334_STUS_PRBLM_STAS_ULCR 0 Newly epithelialized   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1334_STUS_PRBLM_STAS_ULCR 1 Fully granulating   Question/Answer pattern 225541009 granulation of tissue (finding)    
M1334_STUS_PRBLM_STAS_ULCR 2 Early/partial granulation   Question/Answer pattern 225541009 granulation of tissue (finding)    
M1334_STUS_PRBLM_STAS_ULCR 3 Not healing   Question/Answer pattern 271618001 impaired wound healing (finding)    
M1340_SRGCL_WND_PRSNT   Does This Patient Have A Surgical Wound   ASSERTION PATTERN        
M1340_SRGCL_WND_PRSNT 0 No [ Go to M1350 ]   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1340_SRGCL_WND_PRSNT 1 Yes, patient has at least one (observable) surgical wound   Assertion pattern 419635000 surgical wound finding (finding)    
M1340_SRGCL_WND_PRSNT 2 Surgical wound known but not observable due to non-removable dressing [ Go to M1350 ]   Assertion pattern 419635000 surgical wound finding (finding)    
M1342_STUS_PRBLM_SRGCL_WND   Status Of Most Problematic Surgical Wound   QUESTION/ANSWER PATTERN 406214003 wound healing status (observable entity)    
M1342_STUS_PRBLM_SRGCL_WND 0 Newly epithelialized   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1342_STUS_PRBLM_SRGCL_WND 1 Fully granulating   Question/Answer pattern 225541009 granulation of tissue (finding)    
M1342_STUS_PRBLM_SRGCL_WND 2 Early/partial granulation   Question/Answer pattern 225541009 granulation of tissue (finding)    
M1342_STUS_PRBLM_SRGCL_WND 3 Not healing   Question/Answer pattern 271618001 impaired wound healing (finding)    
M1350_LESION_OPEN_WND   Has Skin Lesion Or Open Wound   ASSERTION PATTERN        
M1350_LESION_OPEN_WND 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1350_LESION_OPEN_WND 1 Yes   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
RESPIRATORY STATUS              
M1400_WHEN_DYSPNEIC   When Dyspneic   QUESTION/ANSWER PATTERN 248546008 ease of respiration (observable entity)    
M1400_WHEN_DYSPNEIC 0 Patient is not short of breath   Question/Answer pattern 276362002 breathing easily (finding)    
M1400_WHEN_DYSPNEIC 1 When walking more than 20 feet, climbing stairs   Question/Answer pattern 390871002 breathless - strenuous exertion (finding)    
M1400_WHEN_DYSPNEIC 2 With moderate exertion (e.g., while dressing, using commode or bedpan, walking distances less than 20 feet)   Question/Answer pattern 161939006 breathless - moderate exertion (finding)    
M1400_WHEN_DYSPNEIC 3 With minimal exertion (e.g., while eating, talking, or performing other ADLs) or with agitation   Question/Answer pattern 161940008 breathless - mild exertion (finding)    
M1400_WHEN_DYSPNEIC 4 At rest (during day or night)   Question/Answer pattern 161941007 dyspnea at rest (finding)    
M1410   Respiratory treatments utilized at home: Question row/description added to facilitate message format.          
M1410_RESPTX_OXYGEN 1 Respiratory Treatments: Oxygen   Assertion Pattern 57485005 oxygen therapy (procedure)    
M1410_RESPTX_VENTILATOR 2 Respiratory Treatments: Ventilator   Assertion Pattern 40617009 artificial respiration (procedure)    
M1410_RESPTX_AIRPRESS 3 Respiratory Treatments: Airway Pressure   Assertion Pattern 243141005 mechanically assisted spontaneous ventilation (procedure)    
M1410_RESPTX_NONE 4 Respiratory Treatments: None of the Above   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
CARDIAC STATUS              
M1500_SYMTM_HRT_FAILR_PTNTS   Symptoms In Heart Failure Patients   ASSERTION PATTERN        
M1500_SYMTM_HRT_FAILR_PTNTS 0 No   Assertion Pattern 84114007 heart failure (disorder)    
M1500_SYMTM_HRT_FAILR_PTNTS 1 Yes   Assertion Pattern 84114007 heart failure (disorder)    
M1500_SYMTM_HRT_FAILR_PTNTS 2 Not assessed   Assertion Pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1500_SYMTM_HRT_FAILR_PTNTS NA Patient does not have diagnosis of heart failure   Assertion Pattern 103330002 no Dx - Qualifier    
M1510   Heart failure follow-up Question row/description added to facilitate message format.          
M1510_HRT_FAILR_NO_ACTN 0 Heart Failure Follow Up:  No Action   Assertion Pattern 390884006 heart failure follow-up (finding)    
M1510_HRT_FAILR_PHYSN_CNTCT 1 Heart Failure Follow Up:  Physician Contacted   Assertion Pattern 390884006 heart failure follow-up (finding)    
M1510_HRT_FAILR_ER_TRTMT 2 Heart Failure Follow Up:  ER Treatment Advised   Assertion Pattern 390884006 heart failure follow-up (finding)    
M1510_HRT_FAILR_PHYSN_TRTMT 3 Heart Failure Follow Up: Physician-Ordered Treatment Implemented   Assertion Pattern 390884006 heart failure follow-up (finding)    
M1510_HRT_FAILR_CLNCL_INTRVTN 4 Heart Failure Follow Up:  Patient Education Or Other Clinical Interventions   Assertion Pattern 390884006 heart failure follow-up (finding)    
M1510_HRT_FAILR_CARE_PLAN_CHG 5 Heart Failure Follow Up: Change In Care Plan Orders Obtained   Assertion Pattern 390884006 heart failure follow-up (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
ELIMINATION STATUS              
M1600_UTI   Treated for Urinary Tract Infection in Past 14 Days   ASSERTION PATTERN        
M1600_UTI 0 No   Assertion Pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1600_UTI 1 Yes   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1600_UTI NA Patient on prophylactic treatment   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1600_UTI UK Unknown   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1610_UR_INCONT   Urinary Incontinence or Urinary Catheter Present   QUESTION/ANSWER PATTERN 406218000 urinary continence status (observable entity)    
M1610_UR_INCONT 0 No incontinence or catheter (includes anuria or ostomy for urinary drainage)   Question/Answer pattern 45850009 continent of urine (finding)    
M1610_UR_INCONT 1 Patient is incontinent   Question/Answer pattern 165232002 urinary incontinence (finding)    
M1610_UR_INCONT 2 Patient requires a urinary catheter (i.e., external, indwelling, intermittent, suprapubic)   Question/Answer pattern 410024004 catheterization of urinary bladder (procedure)    
M1615_INCNTNT_TIMING   When Urinary Incontinence Occurs   QUESTION/ANSWER PATTERN 422058003 number of urinary incontinence episodes (observable entity)    
M1615_INCNTNT_TIMING 0 Timed-voiding defers incontinence   Question/Answer pattern 386401000 prompted voiding (procedure)    
M1615_INCNTNT_TIMING 1 Occasional stress incontinence   Question/Answer pattern 22220005 genuine stress incontinence (finding)    
M1615_INCNTNT_TIMING 2 During the night only   Question/Answer pattern 8009008 nocturnal enuresis (finding)    
M1615_INCNTNT_TIMING 3 During the day only   Question/Answer pattern 307143006 during day (qualifier value)    
M1615_INCNTNT_TIMING 4 During the day and night   Question/Answer pattern 224943009 night and day (qualifier value)    
M1620_BWL_INCONT   Bowel Incontinence Frequency   QUESTION/ANSWER PATTERN 422291001 number of bowel incontinence episodes (observable entity)    
M1620_BWL_INCONT 0 Very rarely or never has bowel incontinence   Question/Answer pattern 24029004 bowels: fully continent (finding)    
M1620_BWL_INCONT 1 Less than once weekly   Question/Answer pattern 165230005 bowels: occasional accident (finding)    
M1620_BWL_INCONT 2 One to three times weekly   Question/Answer pattern 70232002 frequent (qualifier value)    
M1620_BWL_INCONT 3 Four to six times weekly   Question/Answer pattern 27732004 high frequency (qualifier value)    
M1620_BWL_INCONT 4 On a daily basis   Question/Answer pattern 69620002 daily (qualifier value)    
M1620_BWL_INCONT 5 More often than once daily   Question/Answer pattern 69620002 daily (qualifier value)    
M1620_BWL_INCONT NA Patient has ostomy for bowel elimination   Question/Answer pattern 225577002 stoma finding (finding)    
M1620_BWL_INCONT UK Unknown   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1630_OSTOMY   Ostomy for Bowel Elimination   QUESTION/ANSWER PATTERN 405001001 bowel elimination status (observable entity)    
M1630_OSTOMY 0 Patient does NOT have an ostomy for bowel elimination.   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1630_OSTOMY 1 Patient's ostomy was NOT related to an inpatient stay and did NOT necessitate change in medical or treatment regimen.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1630_OSTOMY 2 The ostomy WAS related to an inpatient stay or DID necessitate change in medical or treatment regimen.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
NEURO/EMOTIONAL/BEHAVIORAL  STATUS              
M1700_COG_FUNCTION   Cognitive Functioning   QUESTION/ANSWER PATTERN 311465003 cognitive functions (observable entity)    
M1700_COG_FUNCTION 0 Alert/oriented, able to focus and shift attention, comprehends and recalls task directions independently.   Question/Answer pattern 248234008 mentally alert (finding)    
M1700_COG_FUNCTION 1 Requires prompting (cueing, repetition, reminders) only under stressful or unfamiliar conditions.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1700_COG_FUNCTION 2 Requires assistance/direction in specific situations (e.g., all tasks involving shifting of attention) or consistently requires low stimulus environmnt due to distractibility.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1700_COG_FUNCTION 3 Requires considerable assist in routine situations. Is not alert and oriented or is unable to shift attention and recall directions more than half the time.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1700_COG_FUNCTION 4 Totally dependent due to disturbances such as constant disorientation, coma, persistent vegetative state, or delirium.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1710_WHEN_CONFUSED   When Confused (Reported or Observed)   QUESTION/ANSWER PATTERN 363871006 mental state (observable entity)    
M1710_WHEN_CONFUSED 0 Never   Question/Answer pattern 225439006 not confused (finding)    
M1710_WHEN_CONFUSED 1 In new or complex situations only   Question/Answer pattern 281793005 intermittent confusion (finding)    
M1710_WHEN_CONFUSED 2 On awakening or at night only   Question/Answer pattern 281793005 intermittent confusion (finding)    
M1710_WHEN_CONFUSED 3 During the day and evening, but not constantly   Question/Answer pattern 281793005 intermittent confusion (finding)    
M1710_WHEN_CONFUSED 4 Constantly   Question/Answer pattern 40917007 clouded consciousness (finding)    
M1710_WHEN_CONFUSED NA Patient nonresponsive   Question/Answer pattern 422768004 unresponsive (finding)    
M1720_WHEN_ANXIOUS   When Anxious (Reported or Observed)   QUESTION/ANSWER PATTERN 405051006 level of anxiety (observable entity)    
M1720_WHEN_ANXIOUS 0 None of the time   Question/Answer pattern 260413007 none (qualifier value)    
M1720_WHEN_ANXIOUS 1 Less often than daily   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1720_WHEN_ANXIOUS 2 Daily, but not constantly   Question/Answer pattern 69620002 daily (qualifier value)    
M1720_WHEN_ANXIOUS 3 All of the time   Question/Answer pattern 255238004 continuous (qualifier value)    
M1720_WHEN_ANXIOUS NA Patient nonresponsive   Question/Answer pattern 422768004 unresponsive (finding)    
M1730_STDZ_DPRSN_SCRNG   Has The Patient Been Screened For Depression Using Stdzed Screen Tool   ASSERTION PATTERN        
M1730_STDZ_DPRSN_SCRNG 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1730_STDZ_DPRSN_SCRNG 1 Yes, patient was screened using the PHQ-2©* scale. (Instructions for this two-question tool: Ask patient: “Over the last two weeks, how often have you been bothered by any of the following problems”)   Assertion pattern 171207006 depression screening (procedure)    
M1730_PHQ2_LACK_INTRST 1a PHQ2 Pfizer Little Interest Or Pleasure In Doing Things   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1730_PHQ2_LACK_INTRST 1a-0 Not at all (0 - 1 days)   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_PHQ2_LACK_INTRST 1a-1 Several days (2-6 days)   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_PHQ2_LACK_INTRST 1a-2 More than half of the days (7-11 days)   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_PHQ2_LACK_INTRST 1a-3 Nearly every day (12-14 days)   Question/Answer pattern 69620002 daily (qualifier value)    
M1730_PHQ2_LACK_INTRST 1a-NA Unable to respond   Question/Answer pattern 422768004 unresponsive (finding)    
M1730_PHQ2_DPRSN 1b PHQ2 Pfizer Feeling Down, Depressed Or Hopeless   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1730_PHQ2_DPRSN 1b-0 Not at all (0 - 1 days)   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_PHQ2_DPRSN 1b-1 Several days (2-6 days)   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_PHQ2_DPRSN 1b-2 More than half of the days (7-11 days)   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_PHQ2_DPRSN 1b-3 Nearly every day (12-14 days)   Question/Answer pattern 69620002 daily (qualifier value)    
M1730_PHQ2_DPRSN 1b-NA Unable to respond   Question/Answer pattern 422768004 unresponsive (finding)    
M1730_STDZ_DPRSN_SCRNG 2 Yes, with a different standardized assessment-and the patient meets criteria for further evaluation for depression.   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_STDZ_DPRSN_SCRNG 3 Yes, patient was screened with a different standardized assessment-and the patient does not meet criteria for further evaluation for depression.   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1740   Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): Question row/description added to facilitate message format.          
M1740_BD_MEM_DEFICIT 1 Behavior Demonstrated: Memory Deficit   Assertion Pattern 386807006 memory impairment (finding)    
M1740_BD_IMP_DECISN 2 Behavior Demonstrated: Impaired Decision-making   Assertion Pattern 247585004 difficulty making decisions (finding)    
M1740_BD_VERBAL 3 Behavior Demonstrated: Verbal Disruption   Assertion Pattern 284616006 verbally threatening behavior (finding)    
M1740_BD_PHYSICAL 4 Behavior Demonstrated: Physical Aggression   Assertion Pattern 284615005 physically threatening behavior (finding)    
M1740_BD_SOC_INAPPRO 5 Behavior Demonstrated: Socially Inappropriate   Assertion Pattern 112082005 inappropriate behavior (finding)    
M1740_BD_DELUSIONS 6 Behavior Demonstrated: Delusions   Assertion Pattern 2073000 delusions (finding)    
M1740_BD_NONE 7 Behavior Demonstrated: None of the Above   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1745_BEH_PROB_FREQ   Frequency of Behavior Problems   QUESTION/ANSWER PATTERN 162458007 / 54319003 symptom frequency (observable entity) & disruptive behavior disorder (disorder)    
M1745_BEH_PROB_FREQ 0 Never   Question/Answer pattern 51746009 normal behavior (finding)    
M1745_BEH_PROB_FREQ 1 Less than once a month   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1745_BEH_PROB_FREQ 2 Once a month   Question/Answer pattern 162458007 has the symptom monthly (finding)    
M1745_BEH_PROB_FREQ 3 Several times each month   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1745_BEH_PROB_FREQ 4 Several times a week   Question/Answer pattern 162457002 has the symptom weekly (finding)    
M1745_BEH_PROB_FREQ 5 At least daily   Question/Answer pattern 162455005 has the symptom daily (finding)    
M1750_REC_PSYCH_NURS   Receives Psychiatric Nursing   ASSERTION PATTERN        
M1750_REC_PSYCH_NURS 0 No   Assertion Pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1750_REC_PSYCH_NURS 1 Yes   Assertion Pattern 305570008 under care of psychiatric nurse (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
ADL/IADLs              
M1800_CUR_GROOMING   Current: Grooming   QUESTION/ANSWER PATTERN 165225006 ability to perform grooming activity (observable entity)    
M1800_CUR_GROOMING 0 Able to groom self unaided, with or without the use of assistive devices or adapted methods.   Question/Answer pattern 284856006 able to perform grooming activity (finding)    
M1800_CUR_GROOMING 1 Grooming utensils must be placed within reach before able to complete grooming activities.   Question/Answer pattern 225964003 assisting with personal hygiene (procedure)    
M1800_CUR_GROOMING 2 Someone must assist the patient to groom self.   Question/Answer pattern 284857002 unable to perform grooming activity (finding)    
M1800_CUR_GROOMING 3 Patient depends entirely upon someone else for grooming needs.   Question/Answer pattern 165226007 dependent for grooming (finding)    
M1810_CUR_DRESS_UPPER   Current: Dress Upper Body   QUESTION/ANSWER PATTERN 284967006 ability to perform dressing activity (observable entity)    
M1810_CUR_DRESS_UPPER 0 Able to get clothes out of closets and drawers, put them on and remove them from the upper body without assistance.   Question/Answer pattern 129035000 independent with dressing (finding)    
M1810_CUR_DRESS_UPPER 1 Able to dress upper body without assistance if clothing is laid out or handed to the patient.   Question/Answer pattern 129039006 needs help with dressing (finding)    
M1810_CUR_DRESS_UPPER 2 Someone must help the patient put on upper body clothing.   Question/Answer pattern 424445006 difficulty with dressing upper body (finding)    
M1810_CUR_DRESS_UPPER 3 Patient depends entirely upon another person to dress the upper body.   Question/Answer pattern 284969009 unable to perform dressing activity (finding)    
M1820_CUR_DRESS_LOWER   Current: Dress Lower Body   QUESTION/ANSWER PATTERN 284967006 ability to perform dressing activity (observable entity)    
M1820_CUR_DRESS_LOWER 0 Able to obtain, put on, and remove clothing and shoes without assistance.   Question/Answer pattern 129035000 independent with dressing (finding)    
M1820_CUR_DRESS_LOWER 1 Able to dress lower body without assistance if clothing and shoes are laid out or handed to the patient.   Question/Answer pattern 129039006 needs help with dressing (finding)    
M1820_CUR_DRESS_LOWER 2 Someone must help the patient put on undergarments, slacks, socks or nylons, and shoes.   Question/Answer pattern 425353005 difficulty with dressing lower body (finding)    
M1820_CUR_DRESS_LOWER 3 Patient depends entirely upon another person to dress lower body.   Question/Answer pattern 284969009 unable to perform dressing activity (finding)    
M1830_CRNT_BATHG   Current: Bathing   QUESTION/ANSWER PATTERN 284797005 ability to perform bathing activity (observable entity)    
M1830_CRNT_BATHG 0 Able to bathe self in shower or tub independently, including getting in and out of tub/shower.   Question/Answer pattern 129041007 independent bathing (finding)    
M1830_CRNT_BATHG 1 With the use of devices, is able to bathe self in shower or tub independently, including getting in and out of the tub/shower.   Question/Answer pattern 284798000 able to perform bathing activity (finding)    
M1830_CRNT_BATHG 2 Able to bathe in shower or tub with the intermittent assistance of another person:  (a) for intermittent supervision or encouragement or reminders, OR (b) to get in and out of the shower or tub, OR (c) for washing difficult to reach areas.   Question/Answer pattern 129040008 bathing assisted (finding)    
M1830_CRNT_BATHG 3 Able to participate in bathing self in shower or tub, but requires presence of another person throughout the bath for assistance or supervision.   Question/Answer pattern 129040008 bathing assisted (finding)    
M1830_CRNT_BATHG 4 Unable to use the shower or tub, but able to bathe self independently with or without the use of devices at the sink, in chair, or on commode.   Question/Answer pattern 129040008 bathing assisted (finding)    
M1830_CRNT_BATHG 5 Unable to use the shower or tub, but able to participate in bathing self in bed, at the sink, in bedside chair, or on commode, with the assistance or supervision of another person throughout the bath.   Question/Answer pattern 129040008 bathing assisted (finding)    
M1830_CRNT_BATHG 6 Unable to participate effectively in bathing and is bathed totally by another person.   Question/Answer pattern 129043005 dependent for bathing (finding)    
M1840_CUR_TOILTG   Current: Toileting   QUESTION/ANSWER PATTERN 301537008 ability to get on and off toilet (observable entity)    
M1840_CUR_TOILTG 0 Able to get to and from the toilet and transfer independently with or without a device.   Question/Answer pattern 301538003 able to get on and off toilet (finding)    
M1840_CUR_TOILTG 1 When reminded, assisted, or supervised by another person, able to get to and from the toilet and transfer.   Question/Answer pattern 301538003 able to get on and off toilet (finding)    
M1840_CUR_TOILTG 2 Unable to get to and from the toilet but is able to use a bedside commode (with or without assistance).   Question/Answer pattern 301539006 unable to get on and off toilet (finding)    
M1840_CUR_TOILTG 3 Unable to get to and from the toilet or bedside commode but is able to use a bedpan/urinal independently.   Question/Answer pattern 301539006 unable to get on and off toilet (finding)    
M1840_CUR_TOILTG 4 Is totally dependent in toileting.   Question/Answer pattern 129078005 dependent in toilet (finding)    
M1845_CUR_TOILTG_HYGN   Current: Toileting Hygiene   QUESTION/ANSWER PATTERN 284899001 ability to perform toileting activities (observable entity)    
M1845_CUR_TOILTG_HYGN 0 Able to manage toileting hygiene and clothing management without assistance.   Question/Answer pattern 284900006 able to perform toileting activities (finding)    
M1845_CUR_TOILTG_HYGN 1 Able to manage toileting hygiene and clothing management without assistance if supplies/implements are laid out for the patient.   Question/Answer pattern 284900006 able to perform toileting activities (finding)    
M1845_CUR_TOILTG_HYGN 2 Someone must help the patient to maintain toileting hygiene and/or adjust clothing.   Question/Answer pattern 284905001 difficulty performing toileting activities (finding)    
M1845_CUR_TOILTG_HYGN 3 Patient depends entirely upon another person to maintain toileting hygiene.   Question/Answer pattern 284901005 unable to perform toileting activities (finding)    
M1850_CUR_TRNSFRNG   Current: Transferring   QUESTION/ANSWER PATTERN 364666007 ability to transfer location (observable entity)    
M1850_CUR_TRNSFRNG 0 Able to independently transfer.   Question/Answer pattern 129079002 transfer independent (finding)    
M1850_CUR_TRNSFRNG 1 Able to transfer with minimal human assistance or with use of an assistive device.   Question/Answer pattern 129047006 transfer assisted (finding)    
M1850_CUR_TRNSFRNG 2 Able to bear weight and pivot during the transfer process but unable to transfer self.   Question/Answer pattern 302264008 transfer assisted (finding)    
M1850_CUR_TRNSFRNG 3 Unable to transfer self and is unable to bear weight or pivot when transferred by another person.   Question/Answer pattern 302264008 unable to transfer (finding)    
M1850_CUR_TRNSFRNG 4 Bedfast, unable to transfer but is able to turn and position self in bed.   Question/Answer pattern 301681008 able to move in bed (finding)    
M1850_CUR_TRNSFRNG 5 Bedfast, unable to transfer and is unable to turn and position self.   Question/Answer pattern 301682001 unable to move in bed (finding)    
M1860_CRNT_AMBLTN   Current: Ambulation   QUESTION/ANSWER PATTERN 282097004 ability to walk (observable entity)    
M1860_CRNT_AMBLTN 0 Able to independently walk on even and uneven surfaces and negotiate stairs with or without railings (i.e., needs no human assistance or assistive device).   Question/Answer pattern 165245003 independent walking (finding)    
M1860_CRNT_AMBLTN 1 With the use of a one-handed device (e.g. cane, single crutch, hemi-walker), able to independently walk on even and uneven surfaces and negotiate stairs with or without railings.   Question/Answer pattern 371157007 has difficulty doing (qualifier value)    
M1860_CRNT_AMBLTN 2 Requires use of a two-handed device (e.g., walker or crutches) to walk alone on a level surface and/or requires human supervision or assistance to negotiate stairs or steps or uneven surfaces.   Question/Answer pattern 371157007 has difficulty doing (qualifier value)    
M1860_CRNT_AMBLTN 3 Able to walk only with the supervision or assistance of another person at all times.   Question/Answer pattern 371152001 assisted (qualifier value)    
M1860_CRNT_AMBLTN 4 Chairfast, unable to ambulate but is able to wheel self independently.   Question/Answer pattern 165243005 independent in wheelchair (finding)    
M1860_CRNT_AMBLTN 5 Chairfast, unable to ambulate and is unable to wheel self.   Question/Answer pattern 413121008 dependent on helper pushing wheelchair (finding)    
M1860_CRNT_AMBLTN 6 Bedfast, unable to ambulate or be up in a chair.   Question/Answer pattern 160685001 bed-ridden (finding)    
M1870_CUR_FEEDING   Current: Feeding   QUESTION/ANSWER PATTERN 165221002 feeding ability (observable entity)    
M1870_CUR_FEEDING 0 Able to independently feed self.   Question/Answer pattern 165224005 independent feeding (finding)    
M1870_CUR_FEEDING 1 Able to feed self independently but requires: (a) meal set-up; OR (b) intermittent assistance or supervision from another person; OR (c) a liquid, pureed or ground meat diet.   Question/Answer pattern 371157007 has difficulty doing (qualifier value)    
M1870_CUR_FEEDING 2 Unable to feed self and must be assisted or supervised throughout the meal/snack.   Question/Answer pattern 371152001 assisted (qualifier value)    
M1870_CUR_FEEDING 3 Able to take in nutrients orally and receives supplemental nutrients through a nasogastric tube or gastrostomy.   Question/Answer pattern 83813007 tube feeding diet (finding)    
M1870_CUR_FEEDING 4 Unable to take in nutrients orally and is fed nutrients through a nasogastric tube or gastrostomy.   Question/Answer pattern 83813007 tube feeding diet (finding)    
M1870_CUR_FEEDING 5 Unable to take in nutrients orally or by tube feeding.   Question/Answer pattern 288885009 unable to eat (finding)    
M1880_CUR_PREP_LT_MEALS   Current: Prepare Light Meals   QUESTION/ANSWER PATTERN 286488009 ability to prepare meal (observable entity)    
M1880_CUR_PREP_LT_MEALS 0 (a) Able to independently plan and prepare all light meals for self or reheat delivered meals; OR (b) Is physically, cognitively, and mentally able to prepare light meals on a regular basis but has not routinely performed light meal preparation in the pas   Question/Answer pattern 286489001 able to prepare meal (finding)    
M1880_CUR_PREP_LT_MEALS 1 Unable to prepare light meals on a regular basis due to physical, cognitive, or mental limitations.   Question/Answer pattern 286490005 unable to prepare meal (finding)    
M1880_CUR_PREP_LT_MEALS 2 Unable to prepare any light meals or reheat any delivered meals.   Question/Answer pattern 286490005 unable to prepare meal (finding)    
M1890_CUR_PHONE_USE   Current: Telephone Use   QUESTION/ANSWER PATTERN 300730001 ability to use telephone (observable entity)    
M1890_CUR_PHONE_USE 0 Able to dial numbers and answer calls appropriately and as desired.   Question/Answer pattern 129048001 telephone independent (finding)    
M1890_CUR_PHONE_USE 1 Able to use a specially adapted telephone (i.e., large numbers on the dial, teletype phone for the deaf) and call essential numbers.   Question/Answer pattern 300731002 able to use telephone (finding)    
M1890_CUR_PHONE_USE 2 Able to answer the telephone and carry on a normal conversation but has difficulty with placing calls.   Question/Answer pattern 300736007 difficulty using telephone (finding)    
M1890_CUR_PHONE_USE 3 Able to answer the telephone only some of the time or is able to carry on only a limited conversation.   Question/Answer pattern 300736007 difficulty using telephone (finding)    
M1890_CUR_PHONE_USE 4 UNABLE to answer the telephone at all but can listen if assisted with equipment.   Question/Answer pattern 129071004 telephone dependent (finding)    
M1890_CUR_PHONE_USE 5 Totally unable to use the telephone.   Question/Answer pattern 300733004 unable to use telephone (finding)    
M1890_CUR_PHONE_USE NA Patient does not have a telephone.   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1900_PRIOR_ADLIADL_SELF a Prior Functioning ADL/IADL: Self-care (grooming, Bathing, Dressing)   QUESTION/ANSWER PATTERN 284779002 ability to perform personal hygiene activity (observable entity)    
M1900_PRIOR_ADLIADL_SELF a-0 Independent   Question/Answer pattern 371153006 independently able (qualifier value)    
M1900_PRIOR_ADLIADL_SELF a-1 Needed Some Help   Question/Answer pattern 371152001 assisted (qualifier value)    
M1900_PRIOR_ADLIADL_SELF a-2 Dependent   Question/Answer pattern 371154000 dependent (qualifier value)    
M1900_PRIOR_ADLIADL_AMBLTN b Prior Functioning ADL/IADL: Ambulation   QUESTION/ANSWER PATTERN 282097004 ability to walk (observable entity)    
M1900_PRIOR_ADLIADL_AMBLTN b-0 Independent   Question/Answer pattern 165245003 independently able (qualifier value)    
M1900_PRIOR_ADLIADL_AMBLTN b-1 Needed Some Help   Question/Answer pattern 427512004 assisted (qualifier value)    
M1900_PRIOR_ADLIADL_AMBLTN b-2 Dependent   Question/Answer pattern 282145008 dependent (qualifier value)    
M1900_PRIOR_ADLIADL_TRNSFR c Prior Functioning ADL/IADL: Transfer   QUESTION/ANSWER PATTERN 364666007 ability to transfer location (observable entity)    
M1900_PRIOR_ADLIADL_TRNSFR c-0 Independent   Question/Answer pattern 129079002 independently able (qualifier value)    
M1900_PRIOR_ADLIADL_TRNSFR c-1 Needed Some Help   Question/Answer pattern 129047006 assisted (qualifier value)    
M1900_PRIOR_ADLIADL_TRNSFR c-2 Dependent   Question/Answer pattern 129059005 dependent (qualifier value)    
M1900_PRIOR_ADLIADL_HSEHOLD d Prior Functioning ADL/IADL: Household Tasks   QUESTION/ANSWER PATTERN 285809000 ability to perform domestic activities (observable entity)    
M1900_PRIOR_ADLIADL_HSEHOLD d-0 Independent   Question/Answer pattern 129072006 independently able (qualifier value)    
M1900_PRIOR_ADLIADL_HSEHOLD d-1 Needed Some Help   Question/Answer pattern 129051008 assisted (qualifier value)    
M1900_PRIOR_ADLIADL_HSEHOLD d-2 Dependent   Question/Answer pattern 129031009 dependent (qualifier value)    
M1910_MLT_FCTR_FALL_RISK_ASMT   Has Patient Had A Multi-factor Fall Risk Assessment?   QUESTION/ANSWER PATTERN 414191008 fall risk assessment (procedure)    
M1910_MLT_FCTR_FALL_RISK_ASMT 0 No multi-factor falls risk assessment conducted.   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1910_MLT_FCTR_FALL_RISK_ASMT 1 Yes, and it does not indicate a risk for falls.   Question/Answer pattern 298345007 does not fall (finding)    
M1910_MLT_FCTR_FALL_RISK_ASMT 2 Yes, and it indicates a risk for falls.   Question/Answer pattern 129839007 at risk for falls (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
MEDICATIONS              
M2000_DRUG_RGMN_RVW   Drug Regimen Review   QUESTION/ANSWER PATTERN 182836005 review of medication (procedure)    
M2000_DRUG_RGMN_RVW 0 Not assessed/reviewed   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2000_DRUG_RGMN_RVW 1 No problems found during review   Question/Answer pattern 408358005 no significant drug interactions (finding)    
M2000_DRUG_RGMN_RVW 2 Problems found during review   Question/Answer pattern 309298003 drug therapy finding (finding)    
M2000_DRUG_RGMN_RVW NA Patient is not taking any medications   Question/Answer pattern 182849000 no drug therapy prescribed (situation)    
M2002_MDCTN_FLWP   Medication Follow-up   ASSERTION PATTERN        
M2002_MDCTN_FLWP 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2002_MDCTN_FLWP 1 Yes   Assertion pattern 304561000 informing health care professional (procedure)    
M2004_MDCTN_INTRVTN   Medication Intervention   ASSERTION PATTERN        
M2004_MDCTN_INTRVTN 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2004_MDCTN_INTRVTN 1 Yes   Assertion pattern 182836005 review of medication (procedure)    
M2004_MDCTN_INTRVTN NA No clinically significant medication issues identified since the previous OASIS assessment   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2010_HIGH_RISK_DRUG_EDCTN   Patient/Caregiver High Risk Drug Education   ASSERTION PATTERN        
M2010_HIGH_RISK_DRUG_EDCTN 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2010_HIGH_RISK_DRUG_EDCTN 1 Yes   Assertion pattern 967006 medication education (procedure)    
M2010_HIGH_RISK_DRUG_EDCTN NA Patient not taking any high risk drugs OR patient/caregiver fully knowledgeable about special precautions associated with all high-risk medications   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2015_DRUG_EDCTN_INTRVTN   Patient/Caregiver Drug Education Intervention   ASSERTION PATTERN        
M2015_DRUG_EDCTN_INTRVTN 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2015_DRUG_EDCTN_INTRVTN 1 Yes   Assertion pattern 396074002 medication administration education (procedure)    
M2015_DRUG_EDCTN_INTRVTN NA Patient not taking any drugs   Assertion pattern 182849000 no drug therapy prescribed (situation)    
M2020_CRNT_MGMT_ORAL_MDCTN   Current: Management Of Oral Medications   QUESTION/ANSWER PATTERN 404982001 ability to self-administer non-parenteral medication (observable entity)    
M2020_CRNT_MGMT_ORAL_MDCTN 0 Able to independently take the correct oral medication(s) and proper dosage(s) at the correct times.   Question/Answer pattern 285034004 able to manage medication (finding)    
M2020_CRNT_MGMT_ORAL_MDCTN 1 Able to take medication(s) at the correct times if: (a) individual dosages are prepared in advance by another person; OR (b) another person develops a drug diary or chart.   Question/Answer pattern 285038001 difficulty managing medication (finding)    
M2020_CRNT_MGMT_ORAL_MDCTN 2 Able to take medication(s) at the correct times if given reminders by another person at the appropriate times   Question/Answer pattern 285038001 difficulty managing medication (finding)    
M2020_CRNT_MGMT_ORAL_MDCTN 3 Unable to take medication unless administered by another person.   Question/Answer pattern 408366001 unable to use medication (finding)    
M2020_CRNT_MGMT_ORAL_MDCTN NA No oral medications prescribed.   Question/Answer pattern 182849000 no drug therapy prescribed (situation)    
M2030_CRNT_MGMT_INJCTN_MDCTN   Current: Management Of Injectable Medications   QUESTION/ANSWER PATTERN 404983006 ability to self-administer parenteral medication (observable entity)    
M2030_CRNT_MGMT_INJCTN_MDCTN 0 Able to independently take the correct medication(s) and proper dosage(s) at the correct times.   Question/Answer pattern 285034004 able to manage medication (finding)    
M2030_CRNT_MGMT_INJCTN_MDCTN 1 Able to take injectable medication(s) at the correct times if: (a) individual syringes are prepared in advance by another person; OR (b) another person develops a drug diary or chart.   Question/Answer pattern 285038001 difficulty managing medication (finding)    
M2030_CRNT_MGMT_INJCTN_MDCTN 2 Able to take medication(s) at the correct times if given reminders by another person based on the frequency of the injection   Question/Answer pattern 285038001 difficulty managing medication (finding)    
M2030_CRNT_MGMT_INJCTN_MDCTN 3 Unable to take injectable medication unless administered by another person.   Question/Answer pattern 408366001 unable to use medication (finding)    
M2030_CRNT_MGMT_INJCTN_MDCTN NA No injectable medications prescribed.   Question/Answer pattern 182849000 no drug therapy prescribed (situation)    
M2040_PRIOR_MGMT_ORAL_MDCTN a Prior Med Mgmt: Oral Medications   QUESTION/ANSWER PATTERN 404982001 ability to self-administer non-parenteral medication (observable entity)    
M2040_PRIOR_MGMT_ORAL_MDCTN a-0 Independent   Question/Answer pattern 371153006 independently able (qualifier value)    
M2040_PRIOR_MGMT_ORAL_MDCTN a-1 Needed Some Help   Question/Answer pattern 371152001 assisted (qualifier value)    
M2040_PRIOR_MGMT_ORAL_MDCTN a-2 Dependent   Question/Answer pattern 371154000 dependent (qualifier value)    
M2040_PRIOR_MGMT_ORAL_MDCTN a-NA Not Applicable   Question/Answer pattern 385432009 not applicable (qualifier value)    
M2040_PRIOR_MGMT_INJCTN_MDCTN b Prior Med Mgmt: Injectable Medications   QUESTION/ANSWER PATTERN 404983006 ability to self-administer parenteral medication (observable entity)    
M2040_PRIOR_MGMT_INJCTN_MDCTN b-0 Independent   Question/Answer pattern 371153006 independently able (qualifier value)    
M2040_PRIOR_MGMT_INJCTN_MDCTN b-1 Needed Some Help   Question/Answer pattern 371152001 assisted (qualifier value)    
M2040_PRIOR_MGMT_INJCTN_MDCTN b-2 Dependent   Question/Answer pattern 371154000 dependent (qualifier value)    
M2040_PRIOR_MGMT_INJCTN_MDCTN b-NA Not Applicable   Question/Answer pattern 385432009 not applicable (qualifier value)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
CARE MANAGEMENT              
M2100_CARE_TYPE_SRC_ADL a Care Mgmt, Types And Sources Of Assist: ADL   QUESTION/ANSWER PATTERN 413634008 basic activity of daily living (observable entity)    
M2100_CARE_TYPE_SRC_ADL a-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_ADL a-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_ADL a-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_ADL a-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_ADL a-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_ADL a-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_IADL b Care Mgmt, Types And Sources Of Assist: IADL   QUESTION/ANSWER PATTERN 414514009 instrumental activity of daily living (observable entity)    
M2100_CARE_TYPE_SRC_IADL b-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_IADL b-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_IADL b-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_IADL b-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_IADL b-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_IADL b-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_MDCTN c Care Mgmt, Types And Sources Of Assist: Medication Admin   QUESTION/ANSWER PATTERN 285033005 ability to manage medication (observable entity)    
M2100_CARE_TYPE_SRC_MDCTN c-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_MDCTN c-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_MDCTN c-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_MDCTN c-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_MDCTN c-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_MDCTN c-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_PRCDR d Care Mgmt, Types And Sources Of Assist: Med Procs Tx   QUESTION/ANSWER PATTERN 304897000 ability to comply with treatment (observable entity)    
M2100_CARE_TYPE_SRC_PRCDR d-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_PRCDR d-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_PRCDR d-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_PRCDR d-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_PRCDR d-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_PRCDR d-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_EQUIP e Care Mgmt, Types And Sources Of Assist: Equipment   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_EQUIP e-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_EQUIP e-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_EQUIP e-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_EQUIP e-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_EQUIP e-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_EQUIP e-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_SPRVSN f Care Mgmt, Types And Sources Of Assist: Supervision And Safety   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_SPRVSN f-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_SPRVSN f-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_SPRVSN f-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_SPRVSN f-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_SPRVSN f-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_SPRVSN f-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_ADVCY g Care Mgmt, Types And Sources Of Assist: Advocacy Or Facilitation   QUESTION/ANSWER PATTERN 372038002 advocacy (regime/therapy)    
M2100_CARE_TYPE_SRC_ADVCY g-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_ADVCY g-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_ADVCY g-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_ADVCY g-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_ADVCY g-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_ADVCY g-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2110_ADL_IADL_ASTNC_FREQ   How Often Recv ADL Or IADL Assistance From Any   QUESTION/ANSWER PATTERN 105389006 personal care assistance at home (procedure)    
M2110_ADL_IADL_ASTNC_FREQ 1 At least daily   Question/Answer pattern 69620002 daily (qualifier value)    
M2110_ADL_IADL_ASTNC_FREQ 2 Three or more times per week   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2110_ADL_IADL_ASTNC_FREQ 3 One to two times per week   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2110_ADL_IADL_ASTNC_FREQ 4 Received, but less often than weekly   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2110_ADL_IADL_ASTNC_FREQ 5 No assistance received   Question/Answer pattern 260413007 none (qualifier value)    
M2110_ADL_IADL_ASTNC_FREQ UK Unknown   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
THERAPY NEED AND PLAN OF CARE              
M2200_THER_NEED_NUM   Therapy Need: Number of Visits     409023009 professional / ancillary services care (regime/therapy)    
M2200_THER_NEED_NA   Therapy Need: Not Applicable   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_PTNT_SPECF a Plan Of Care Synopsis: Patient Specific Parameters   ASSERTION PATTERN        
M2250_PLAN_SMRY_PTNT_SPECF a-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_PTNT_SPECF a-1 Yes   Assertion pattern 370836008 monitoring physiological parameters (regime/therapy)    
M2250_PLAN_SMRY_PTNT_SPECF a-NA Physician has chosen not to establish patient -specific parameters for this patient. Agency will use standardized clinical guidelines accessible for all care providers to reference.   Assertion pattern 372921003 providing care according to standard (regime/therapy)    
M2250_PLAN_SMRY_DBTS_FT_CARE b Plan Of Care Synopsis: Diabetic Foot Care   ASSERTION PATTERN        
M2250_PLAN_SMRY_DBTS_FT_CARE b-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_DBTS_FT_CARE b-1 Yes   Assertion pattern 385957006 foot care management (procedure)    
M2250_PLAN_SMRY_DBTS_FT_CARE b-NA Patient is not diabetic or is bilateral amputee.   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2250_PLAN_SMRY_FALL_PRVNT c Plan Of Care Synopsis: Falls Prevention Interventions   ASSERTION PATTERN        
M2250_PLAN_SMRY_FALL_PRVNT c-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_FALL_PRVNT c-1 Yes   Assertion pattern 386296001 fall prevention (procedure)    
M2250_PLAN_SMRY_FALL_PRVNT c-NA Patient is not assessed to be at risk for falls.   Assertion pattern 298345007 does not fall (finding)    
M2250_PLAN_SMRY_DPRSN_INTRVTN d Plan Of Care Synopsis: Depression Interventions   ASSERTION PATTERN        
M2250_PLAN_SMRY_DPRSN_INTRVTN d-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_DPRSN_INTRVTN d-1 Yes   Assertion pattern 401174001 depression management program (regime/therapy)    
M2250_PLAN_SMRY_DPRSN_INTRVTN d-NA Patient has not diagnosis or symptoms of depression.   Assertion pattern 134417007 level of mood - normal (finding)    
M2250_PLAN_SMRY_PAIN_INTRVTN e Plan Of Care Synopsis: Pain Interventions   ASSERTION PATTERN        
M2250_PLAN_SMRY_PAIN_INTRVTN e-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_PAIN_INTRVTN e-1 Yes   Assertion pattern 278414003 pain management (procedure)    
M2250_PLAN_SMRY_PAIN_INTRVTN e-NA No pain identified   Assertion pattern 301379001 no present pain (finding)    
M2250_PLAN_SMRY_PRSULC_PRVNT f Plan Of Care Synopsis: PU Prevention   ASSERTION PATTERN        
M2250_PLAN_SMRY_PRSULC_PRVNT f-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_PRSULC_PRVNT f-1 Yes   Assertion pattern 225996006 pressure sore prevention (procedure)    
M2250_PLAN_SMRY_PRSULC_PRVNT f-NA Patient is not assessed to be at risk for pressure ulcers.   Assertion pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2250_PLAN_SMRY_PRSULC_TRTMT g Plan Of Care Synopsis: PU Moist Treatment   ASSERTION PATTERN        
M2250_PLAN_SMRY_PRSULC_TRTMT g-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_PRSULC_TRTMT g-1 Yes   Assertion pattern 225357008 pressure sore care (regime/therapy)    
M2250_PLAN_SMRY_PRSULC_TRTMT g-NA Patient has no pressure ulcers with need for moist wound healing.   Assertion pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
EMERGENT CARE              
M2300_EMER_USE_AFTR_LAST_ASMT   Emergent Care: Use Since Last Oasis Data Collection   ASSERTION PATTERN        
M2300_EMER_USE_AFTR_LAST_ASMT 0 No   Assertion Pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2300_EMER_USE_AFTR_LAST_ASMT 1 Yes, used hospital emergency department WITHOUT hospital admission   Assertion Pattern 50331008 emergency room admission, followed by release (procedure)    
M2300_EMER_USE_AFTR_LAST_ASMT 2 Yes, used hospital emergency department WITH hospital admission   Assertion Pattern 183452005 emergency hospital admission (procedure)    
M2300_EMER_USE_AFTR_LAST_ASMT UK Unknown   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2310   Reason for emergent care Question row/description added to facilitate message format. ASSERTION PATTERN        
M2310_ECR_MEDICATION 1 Emergent Care Reason: Medication   Assertion Pattern 62014003 adverse reaction to drug (disorder)    
M2310_ECR_INJRY_BY_FALL 2 Emergent Care Reason: Injury Caused By Fall   Assertion Pattern 398117008 falling injury (disorder)    
M2310_ECR_RSPRTRY_INFCTN 3 Emergent Care Reason: Respiratory Infection   Assertion Pattern 275498002 respiratory tract infection (disorder)    
M2310_ECR_RSPRTRY_OTHR 4 Emergent Care Reason: Respiratory Other   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2310_ECR_HRT_FAILR 5 Emergent Care Reason: Heart Failure   Assertion Pattern 84114007 heart failure (disorder)    
M2310_ECR_CRDC_DSRTHM 6 Emergent Care Reason: Cardiac Dysrhythmia   Assertion Pattern 44808001 conduction disorder of the heart (disorder)    
M2310_ECR_MI_CHST_PAIN 7 Emergent Care Reason: Myocardial Infarction Or Chest Pain   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2310_ECR_OTHR_HRT_DEASE 8 Emergent Care Reason: Other Heart Disease   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2310_ECR_STROKE_TIA 9 Emergent Care Reason: Stroke (CVA) Or TIA   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2310_ECR_HYPOGLYC 10 Emergent Care Reason: Hypoglycemia   Assertion Pattern 302866003 hypoglycemia (disorder)    
M2310_ECR_GI_PRBLM 11 Emergent Care: GI Bleeding, Obstruction, Constipation, Impaction   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2310_ECR_DHYDRTN_MALNTR 12 Emergent Care Reason: Dehydration, Malnutrition   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2310_ECR_UTI 13 Emergent Care Reason: Urinary Track Infection   Assertion Pattern 68566005 urinary tract infectious disease (disorder)    
M2310_ECR_CTHTR_CMPLCTN 14 Emergent Care Reason: IV Catheter-related Infection Or Complication   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2310_ECR_WND_INFCTN_DTRORTN 15 Emergent Care Reason: Wound Infection Or Deterioration   Assertion Pattern 271618001 impaired wound healing (finding)    
M2310_ECR_UNCNTLD_PAIN 16 Emergent Care Reason: Uncontrolled Pain   Assertion Pattern 39565009 pain crisis (finding)    
M2310_ECR_MENTL_BHVRL_PRBLM 17 Emergent Care Reason: Acute Mental/Behavioral Health Problem   Assertion Pattern 413307004 mental health problem (finding)    
M2310_ECR_DVT_PULMNRY 18 Emergent Care Reason: Deep Vein Thrombosis, Pulmonary Embolus   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2310_ECR_OTHER 19 Emergent Care Reason: Other Than Above   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2310_ECR_UNKNOWN UK Emergent Care Reason: Unknown   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY              
M2400_INTRVTN_SMRY_DBTS_FT a Intervention Synopsis: Diabetic Foot Care   ASSERTION PATTERN        
M2400_INTRVTN_SMRY_DBTS_FT a-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2400_INTRVTN_SMRY_DBTS_FT a-1 Yes   Assertion pattern 385957006 foot care management (procedure)    
M2400_INTRVTN_SMRY_DBTS_FT a-NA Patient is not diabetic or is bilateral amputee   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2400_INTRVTN_SMRY_FALL_PRVNT b Intervention Synopsis: Falls Prevention Intervention   ASSERTION PATTERN        
M2400_INTRVTN_SMRY_FALL_PRVNT b-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2400_INTRVTN_SMRY_FALL_PRVNT b-1 Yes   Assertion pattern 386296001 fall prevention (procedure)    
M2400_INTRVTN_SMRY_FALL_PRVNT b-NA Formal multi-factor Fall Risk Assessment indicates the patient was not at risk for falls since the last OASIS assessment   Assertion pattern 298345007 does not fall (finding)    
M2400_INTRVTN_SMRY_DPRSN c Intervention Synopsis: Depression Intervention   ASSERTION PATTERN        
M2400_INTRVTN_SMRY_DPRSN c-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2400_INTRVTN_SMRY_DPRSN c-1 Yes   Assertion pattern 401174001 depression management program (regime/therapy)    
M2400_INTRVTN_SMRY_DPRSN c-NA Formal assessment indicates patient did not meet criteria for depression AND patient did not have diagnosis of depression since the last OASIS assessment   Assertion pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2400_INTRVTN_SMRY_PAIN_MNTR d Intervention Synopsis: Intervention To Monitor And Mitigate Pain   ASSERTION PATTERN        
M2400_INTRVTN_SMRY_PAIN_MNTR d-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2400_INTRVTN_SMRY_PAIN_MNTR d-1 Yes   Assertion pattern 278414003 pain management (procedure)    
M2400_INTRVTN_SMRY_PAIN_MNTR d-NA Formal assessment did not indicate pain since the last OASIS asessment   Assertion pattern 301379001 no present pain (finding)    
M2400_INTRVTN_SMRY_PRSULC_PRVN e Intervention Synopsis: Intervention To Prevent Pressure Ulcers   ASSERTION PATTERN        
M2400_INTRVTN_SMRY_PRSULC_PRVN e-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2400_INTRVTN_SMRY_PRSULC_PRVN e-1 Yes   Assertion pattern 225996006 pressure sore prevention (procedure)    
M2400_INTRVTN_SMRY_PRSULC_PRVN e-NA Formal assessment indicates the patient was not at risk of pressure ulcers since the last OASIS assessment   Assertion pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2400_INTRVTN_SMRY_PRSULC_WET f Intervention Synopsis: Pressure Ulcer Treatment Based On Moist Wound Treatment   ASSERTION PATTERN        
M2400_INTRVTN_SMRY_PRSULC_WET f-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2400_INTRVTN_SMRY_PRSULC_WET f-1 Yes   Assertion pattern 225357008 pressure sore care (regime/therapy)    
M2400_INTRVTN_SMRY_PRSULC_WET f-NA Dressings that support the principles of moist wound healing not indicated for this patient's pressure ulcers OR patient has no pressure ulcers with need for moist would healing   Assertion pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2410_INPAT_FACILITY   Inpatient Facility   QUESTION/ANSWER PATTERN 306101007 referral to establishment (procedure)    
M2410_INPAT_FACILITY 1 Hospital   Question/Answer pattern 32485007 hospital admission (procedure)    
M2410_INPAT_FACILITY 2 Rehabilitation facility   Question/Answer pattern 305382000 admission to rehabilitation department (procedure)    
M2410_INPAT_FACILITY 3 Nursing home   Question/Answer pattern 304567001 admission for long-term care (procedure)    
M2410_INPAT_FACILITY 4 Hospice   Question/Answer pattern 305336008 admission to hospice (procedure)    
M2410_INPAT_FACILITY NA No inpatient facility admission   Question/Answer pattern 385432009 not applicable (qualifier value)    
M2420_DSCHRG_DISP   Discharge Disposition   QUESTION/ANSWER PATTERN 107726003 patient disposition (procedure)    
M2420_DSCHRG_DISP 1 Patient remained in the community (without formal assistive services)   Question/Answer pattern 31879006 lives in a community (finding)    
M2420_DSCHRG_DISP 2 Patient remained in the community (with formal assistive services)   Question/Answer pattern 160725005 lives alone - help available (finding)    
M2420_DSCHRG_DISP 3 Patient transferred to a non-institutional hospice   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2420_DSCHRG_DISP 4 Unknown because patient moved to a geographic location not served by this agency   Question/Answer pattern 413328008 transfer out of area (finding)    
M2420_DSCHRG_DISP UK Other unknown   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2430   Reason for hospitalization            
M2430_HOSP_MED 1 Hospitalized: Medication   Assertion Pattern 62014003 adverse reaction to drug (disorder)    
M2430_HOSP_INJRY_BY_FALL 2 Hospitalized: Injury Caused By Fall   Assertion Pattern 398117008 falling injury (disorder)    
M2430_HOSP_RSPRTRY_INFCTN 3 Hospitalized: Respiratory   Assertion Pattern 275498002 respiratory tract infection (disorder)    
M2430_HOSP_RSPRTRY_OTHR 4 Hospitalized: Other Respiratory   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2430_HOSP_HRT_FAILR 5 Hospitalized: Heart Failure   Assertion Pattern 84114007 heart failure (disorder)    
M2430_HOSP_CRDC_DSRTHM 6 Hospitalized: Cardiac Dysrhythmia   Assertion Pattern 44808001 conduction disorder of the heart (disorder)    
M2430_HOSP_MI_CHST_PAIN 7 Hospitalized: Myocardial Infarction Or Chest Pain   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2430_HOSP_OTHR_HRT_DEASE 8 Hospitalized: Other Heart Disease   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2430_HOSP_STROKE_TIA 9 Hospitalized: Stroke (CVA) Or TIA   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2430_HOSP_HYPOGLYC 10 Hospitalized: Hypoglycemia   Assertion Pattern 302866003 hypoglycemia (disorder)    
M2430_HOSP_GI_PRBLM 11 Hospitalized: GI Bleeding, Obstruction, Constipation, Impaction   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2430_HOSP_DHYDRTN_MALNTR 12 Hospitalized: Dehydration, Malnutrition   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2430_HOSP_UR_TRACT 13 Hospitalized: Urinary Tract   Assertion Pattern 68566005 urinary tract infectious disease (disorder)    
M2430_HOSP_CTHTR_CMPLCTN 14 Hospitalized: IV Catheter Related Infection Or Complication   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2430_HOSP_WND_INFCTN 15 Hospitalized: Wound Infection Or Deterioration   Assertion Pattern 271618001 impaired wound healing (finding)    
M2430_HOSP_PAIN 16 Hospitalized: Pain   Assertion Pattern 39565009 pain crisis (finding)    
M2430_HOSP_MENTL_BHVRL_PRBLM 17 Hospitalized: Acute Mental/Behavior Health Problem   Assertion Pattern 413307004 mental health problem (finding)    
M2430_HOSP_DVT_PULMNRY 18 Hospitalized: Deep vein thrombosis, Pulmonary embolus   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2430_HOSP_SCHLD_TRTMT 19 Hospitalized: Scheduled Treatment Or Procedure   Assertion Pattern 304566005 admission for treatment (procedure)    
M2430_HOSP_OTHER 20 Hospitalized: Other   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2430_HOSP_UK UK Hospitalized: UK   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2440   Reason for nursing home admission Question row/description added to facilitate message format. QUESTION/ANSWER PATTERN 25675004 patient transfer to skilled nursing facility (SNF) (procedure)    
M2440_NH_THERAPY 1 Admitted to Nursing Home: Therapy   Question/Answer pattern 276239002 therapy (regime/therapy)    
M2440_NH_RESPITE 2 Admitted to Nursing Home: Respite   Question/Answer pattern 105386004 respite care of patient (regime/therapy)    
M2440_NH_HOSPICE 3 Admitted to Nursing Home: Hospice   Question/Answer pattern 385763009 hospice care (regime/therapy)    
M2440_NH_PERMANENT 4 Admitted to Nursing Home: Permanent Placement   Question/Answer pattern 304567001 admission for long-term care (procedure)    
M2440_NH_UNSAFE_HOME 5 Admitted to Nursing Home: Unsafe at Home   Question/Answer pattern 225861007 unsafe to be left alone (finding)    
M2440_NH_OTHER 6 Admitted to Nursing Home: Other   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2440_NH_UNKNOWN UK Admitted to Nursing Home: Unknown   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M0903_LAST_HOME_VISIT   Date of Last Home Visit     406543005 date of visit (observable entity)    
M0906_DC_TRAN_DTH_DT   Discharge, Transfer, Death Date     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      

Appendix F: Current Standards Landscape

Overview

The leveraging of federally required assessment instruments for data reuse requires the implementation of specified standards. This appendix outlines the current standards landscape to describe the standards that are currently in use, available and applicable to the LTPAC sector. Appendix G identifies a roadmap for leveraging the reuse of content from the assessment instruments, specifies tools to support implementation, and makes recommendations for advancing and accelerating adoption of health IT standards.

HL7 Clinical Document Architecture (CDA)

Health Level Seven (HL7) Clinical Document Architecture (CDA) Release 2, or CDA R2, is a document markup standard that specifies the structure and semantics of clinical documents for the purpose of electronic health information exchange. CDA has been an ANSI standard since 2000.

CDA documents are encoded in Extensible Markup Language (XML). The CDA model is derived from HL7's central Reference Information Model (RIM), thereby enabling data reusability. CDA is similar in format to traditional clinical documents with a header setting the context of the document type (e.g., "History and Physical") and containing administrative data such as the patient's name, the providers involved in the patient's care, the date of creation. The body of the document typically holds clinical information such as problems, medications and allergies. This body can be highly structured with computer parsable information or can be unstructured information for human reading only. This flexibility provides a mechanism for incremental semantic interoperability, providing a gentle on-ramp to information exchange. The CDA standard by itself it does not define sections -- rather it defines the standard (architecture) to be used to define CDA Sections. CDA Implementation Guides describe how to assemble CDA sections in order to satisfy a specific use case (e.g., discharge summary, operation note, referral, etc.).

Consolidated CDA:

The Consolidated CDA sought to eliminate confusion, conflicts, and redundancy by balloting and publishing new single definitions for each of 58 existing CDA sections. From here on out, HL7 will maintain a list of CDA sections in a single publication.

Green CDA:

The CDA is a complex standard and HL7 is working on ways to simplify it -- simplifying the CDA is known as the Green CDA Project. The project was launched to developed methodology for creating simplified schemas that can be transformed directly to or from normative CDA.1 It is a lighter version of the CDA standard that just includes the data and metadata.2

Relevant CDA Implementation Guides

The following CDA Implementation guides are most relevant to the LTPAC setting.

HL7 Continuity of Care Document (CCD)

The purpose of the Continuity of Care Document (CCD) is to describe constraints on the CDA R2 specification based on the requirements defined in the American Society for Testing and Materials (ASTM) E2369-05 Standard Specification for Continuity of Care Record (CCR). The CCD lets data exchangers choose from among 17 standard CDA sections. The combination of sections one chooses to use depends on the business case -- essentially, the sender's intent. The 17 Sections available for use in CCD are a subset of the total number of CDA Sections which have so far been defined.

The CCR is a core dataset of the most relevant administrative, demographic, and clinical information facts about a patient's health care covering one or more health care encounters. It provides a means for one health care practitioner, system, or setting to aggregate patient data and forward it to another practitioner, system, or setting to support continuity of care. The primary use case for the CCR is to provide a snapshot of the pertinent clinical, demographic, and administrative data for a specific patient.

The resulting specification, the CCD, is developed as a collaborative effort between ASTM and HL7.3

CCD was the first CDA implementation guide (IG) to define templates for representation of data elements and important concepts in the health care arena. Many IGs and conformance profiles in HL7 as well as in other standards organizations have reused CCD templates by further constraining them for specific business use cases.

HITSP/C32

The Healthcare Information Technology Standards Panel (HITSP)4 developed a specification (component) for summary documents using CCD. This component defines the minimum critical or pertinent patient summary information to communicate between healthcare providers in the United States.

HITSP/C32 is a brief document that selects HITSP CDA templates for use in summary documents in the United States. These selected templates are defined in the HITSP/C83 CDA Content Modules document that houses all of HITSP-constrained CDA templates. The clinical terminology referenced by C32 and other HITSP components is contained in the HITSP Clinical Document and Message Terminology component called C80. The U.S. Office of the National Coordinator for Health Information Technology (ONC) has adopted the HITSP C32 Summary Document as one of the standards for summary documents for Meaningful Use of certified EHR technology. The HITSP/C83 CDA templates used in C32 are used in many standardized HL7, HITSP, and IHE clinical document conformance profiles. For these reasons, we expect CDA use to increase significantly in the next five years.

Work has been undertaken to represent patient assessment summary documents (as well as other document types) in the HITSP C32/CCD. As described elsewhere in this report (Appendix X), issues have been identified in using this specification to represent and for the interoperable exchange of these document types. The S&I Framework Transition of Care Initiative is expected to undertake work to address these issues.

HL7 Questionnaire Assessments and CDA Representation of the MDS

The HL7 CDA Implementation Guide (IG) specifies a standard for electronic submission of CDA questionnaire assessments that allows health care facilities to communicate case reports in an interoperable, industry-standard format.

Section 1 of the IG describes constraints on CDA R2 that provide a framework for patient questionnaire assessments that can be used internationally. The questionnaire assessments contain multiple questions with specific answers and may include scales to quantify the responses. The questions typically assess a variety of clinical domains, including the patient's functional and disability status. Frequently, these types of assessments are used in LTPAC settings and other settings that specialize in chronic physical and mental health conditions.

Section 2 of the IG further pinpoints and applies the CDA constraints identified in Section 1 to meet the requirements for a specific example in the US Realm -- the MDSv3 (v1.00.1), describing how to communicate an MDSv3 as a conformant CDA document.5

HL7 Quality Reporting Document Architecture (QRDA)

The HL7 Quality Reporting Document Architecture (QRDA) is an XML document format that defines constraints on CDA R2 Header and Body elements for quality reporting. It provides a standard structure with which to report endorsed quality measure data to organizations that will analyze and interpret it.

Whereas the PQRI XML format called out in the Meaningful Use Final Rule provides a means of communicating aggregate numerator and denominator data, the QRDA Draft Standard for Trial Use (DSTU) focuses on an individual patient-level quality report. Each report contains quality data for one patient for one or more quality measures, where the data elements in the report are defined by the measure(s) being reported on. A QRDA report contains raw applicable patient data. When this data is pooled and analyzed, each report contributes the quality data necessary to calculate population metrics.6

HL7 Personal Healthcare Monitoring Report (PHMR)

The HL7 Personal Healthcare Monitoring Report (PHMR) is an XML document format that defines constraints on the CDA Header and Body elements for PHMR documents. The information may have multiple characteristics such as representation of measurements captured by devices, representation of narrative information that may be added by caregivers or by the patient's who use the devices in their homes. Representation of graphs may be added by intermediary devices that represent trends in home care patient's health.

This CDA conformance profile is relevant to the LTPAC industry because it allows for standardized collection of critical information in the home environment for communication to all health care providers, regardless of their EHR systems.

HL7 Hospital Discharge Summary CDA Implementation Guide

The HL7 Discharge Summary CDA IG describes constraints on the Clinical Document Architecture (CDA) header and body elements for hospital discharge summary documents. This hospital discharge summary IG is designed to capture a synopsis of a patient's admission to a hospital and provides pertinent information for the continuation of care following discharge. The hospital discharge summary is a required document often dictated by a physician and transcribed. This implementation guide provides a standardized structure for exchange. This specification is not the same as a Continuity of Care Document (CCD). Though not designed for the needs of a discharge summary from an LTPAC setting the LTPAC setting could be a recipient of a hospital discharge summary CDA and thus could make use of the pertinent information.7

HL7 Health Quality Measures Format (HQMF)

The Health Quality Measures Format (HQMF) is a standard for representing a health-quality measure as an electronic document. A quality measure is a quantitative tool that measures an action, process, or outcome of clinical care to indicate an individual's or organization's performance in relation to a specified process or outcome.

The HQMF allows for consistency and unambiguous interpretation of quality measures by standardizing a measure's structure, metadata, definitions, and logic. A health quality measure encoded in the HQMF format is known as an "eMeasure".

Standardization of document structure (e.g., sections), metadata (e.g., author, verifier), and definitions (e.g., "numerator", "initial patient population") achieves a minimal level of consistency and readability across measures in a variety of formats, even if not fully machine-processable. Based on this standardization, formal representation of the clinical, financial, and/or administrative concepts and logic within an eMeasure supports unambiguous interpretation and consistent reporting.8 The Center for Medicare and Medicaid Services' (CMS) final rule states that CMS required quality measures will be available in an electronic format. Though not specifically stated in their final rule, this electronic format is the HQMF eMeasure format.9

Standards And Interoperability Framework

ONC has launched a program to coordinate and harmonize health IT standards and resources to support specific high priority initiatives and outcomes such as the Meaningful Use, the Nationwide Health Information Network, population health, cost efficiency, and more. The goal of the Standards and Interoperability Framework (S&I Framework) is to, develop reusable tools, content and technical specifications.10

There are multiple initiatives underway including one addressing the technical infrastructure and standards harmonization for transition of care. The strategy and tools identified in this report can be specifically leveraged by the S&I Framework Transition of Care Initiative to engage LTPAC providers in nursing homes and home care to share patient summary information.

Nationwide Health Information Technology Infrastructure

HITECH requires the development of a nationwide health information technology infrastructure that allows for the electronic use and exchange of information. The Federal Health IT Strategic Plan recently released by the Office of the National Coordinator describes several challenges to creating a national infrastructure that will enable healthcare providers and others to efficiently connect with one another in a cost-effective manner. To address some of these challenges federal and state governments and the private sector are working to develop the Nationwide Health Information Network standards, services, and policies including the Nationwide Health Information Exchange and Direct protocols to support health information exchange across organizational and geographic boundaries.

ONC anticipates that the use of the Direct Project protocols will make it easier, faster, more secure, and less expensive to transport health information. The Direct project at ONC enables a simple, secure, scalable, standards-based way to send authenticated, encrypted information directly to known, trusted recipients over the Internet. Direct helps some providers satisfy the stage one meaningful use requirements by allowing a secure method of pushing content from a sender to a receiver (for example, sending a secure email with a clinical summary of a patient to a referring specialist). Direct is a national solution to health information exchange that can rapidly lower the cost and complexity of local interfaces between providers, laboratories, hospitals, pharmacies, and patients, in turn substantially lowering the cost of providing information exchange services.11

At the 2011 LTPAC Health IT Summit, the Director of Standards & Interoperability in the Office of the National Coordinator described the work underway in the S&I Framework Transitions of Care Initiative. The Transition of Care Initiative includes:

  • Standards:

    • "Building blocks" of information related to transitions of care
    • Shows union of how all information works
  • Implementation Guide

    • Long-term care is a key consideration
  • Crosswalk between Patient Assessment Summary Document and C3212

Notes

  1. HL7 Green CDA Project Wiki. http://wiki.hl7.org/index.php?title=GreenCDA_Project.

  2. HL7 Blog. http://www.hl7standards.com/blog/2010/03/09/green-cda-equals-simplifying-cda/.

  3. HL7 Implementation Guide: CDA R2 -- Continuity of Care Document (CCD) (http://www.hl7.org/library/General/HL7_CCD_final.zip).

  4. The Healthcare Information Technology Standards Panel (HITSP) was a cooperative partnership between the public and private sectors. The Panel was formed for the purpose of harmonizing and integrating standards that met clinical and business needs for sharing information among organizations and systems within the United States. HITSP's contract with the Department of Health and Human Services (HHS) concluded on April 30, 2010.

  5. HL7 Implementation Guide for CDA-R2: CDA Framework for Questionnaire Assessments, Release 1.

  6. Implementation Guide For CDA R2 -- Quality Reporting Document Architecture (QRDA) (http://www.hl7.org/documentcenter/ballots/2008sep/downloads/CDAR2_QRDA_R1_DSTU_2009APR.zip).

  7. Implementation Guide for CDA R2: Care Record Summary, Release 2; Discharge Summary, Release 1.

  8. HL7 Version 3 Standard: Representation of the Health Quality Measures Format (eMeasure), Release 1.

  9. Personal communication with NQF and CMS.

  10. Standards & Interoperability Framework Overview (http://wiki.siframework.org/Introduction+and+Overview).

  11. 2011-2015 Federal Health IT Strategic Plan. http://web.mediacdt.com/onc-emerg/FINAL-Federal-Health-IT-Strategic-Plan-0911.pdf.

  12. Fridsma, Doug. "Policy and Technology Priorities to Support Transitions and Shared Care." Presentation at 2011 LTPAC HIT Summit, June 13, 2011.

Appendix G: Ltpac Interoperability Toolkit and Tools, CDA Assessment Implementation Guide for MDS and Tools, MDS Transform Tools and Validator, and MDS CCD Design Guide

Overview: LTPAC Interoperability Toolkit

The Office of the Assistant Secretary for Planning and Evaluation (ASPE) has been facilitating the further automation and interoperability capabilities of the long-term and post-acute care (LTPAC) community in part through the development of a LTPAC Interoperability Toolkit to support re-use of standards-enabled, semantically interoperable assessment content from the minimum data set (MDS) and Outcome and Assessment Information Set (OASIS) for patient care summaries (and other documents) that can be exchanged with physicians and other providers. These tools are needed to support the re-use of assessment content.

The LTPAC Interoperability Tool Kit provides a suite of tools that takes into account the current and widely varied electronic capabilities across LTPAC settings to make it as easy as possible for LTPAC systems to exchange interoperable information with health information technology (HIT)/electronic health record (EHR) systems used by other health care providers (e.g., physicians, hospitals, other LTPAC settings). In brief, the Toolkit links HIT content standards to the MDS and OASIS assessment and guides the creation of patient assessment summary documents that re-uses data from the LTPAC provider and can be exchanged with physicians and other providers.

FIGURE G-1: Current State: Data/Document Creation and Exchange in Most LTPAC Providers
Flow Chart: Non-interoperable Data in LTPAC EHRs & Medical Records (Demographics, Problem, Allergies, Medications, Immunization, Lab orders and results, Functional and Cognitive Status Assessments, Advance Directives, MDS data, OASIS data, Other). Leads to Exchange: LTPAC to CMS (Tools: Electronic Transmission to CMS using CMS MDS/OASIS data transmission specifications in EHR application), or Exchange: LTPAC to Other Providers (Tools: Mail, fax, image, email; Vendor and application specific software and tools to create various documents and reports). Exchange: LTPAC to CMS leads to Non-interoperable Electronic Assessments (MDS (CMS); OASIS (CMS)). Exchange: LTPAC to Other Providers leads to Paper-based or Non-interoperable Documents (MDS/OASIS; Face Sheet; Problem Lists; Allergy List; Physician Order (Medications and Treatment); Lab Reports; Progress Notes; Other documents and reports).

Implementation of the Health Information Technology for Economic and Clinical Health legislation, including requirements for the meaningful use of certified EHRs, and the Patient Protection and Affordable Care Act are creating opportunities for LTPAC providers to electronically exchange and re-use health information to support quality, improve coordination and continuity of care, and increase efficiencies.

Figure G-1 illustrates some of the data in records maintained by LTPAC providers that is used to create and exchange certain documents. As discussed more fully bellow, at present, this data often not digitized and is seldom linked to HIT content standards.

Figure G-2 highlights how data in LTPAC records can be linked with HIT vocabulary standards and re-used to create standardized documents for purposes of interoperable health information exchange (HIE) by LTPAC providers and other health care providers, HIE entities, caregivers, or other authorized entities. Use of HIT standards is expected to lower the cost and complexity of HIE activities. In some cases, the LTPAC provider may wish to directly exchange health information with other providers. Alternatively, HIE Organizations may wish to facilitate the exchange of information between LTPAC providers, other providers, and other entities. Whether the HIE is direct between providers or via HIE Organizations the tools highlighted in Figure G-2 could be used by the exchanging organization to support the exchange of this health information.

FIGURE G-2: Transforming and Exchanging Interoperable LTPAC Provider Data
Flow Chart: Non-interoperable Data in LTPAC EHRs & Medical Records (Demographics, Problem, Allergies, Medications, Immunization, Lab orders and results, Functional and Cognitive Status Assessments, Advance Directives, MDS data, OASIS data, Other). Leads to Exchange: LTPAC to CMS (Tools: Electronic Transmission to CMS using CMS MDS/OASIS data transmission specifications in EHR application), or Exchange: LTPAC to Other Providers (Tools for Transforming LTPAC Data into Interoperable Content: Rosetta Stone for MDS and OASIS; HL7 CDA Patient Assessment Questionnaire IG and Conversion/Validation Tools; Patient Assessment Summary Documents Rosetta Stone for MDS and OASIS; CCD Implementation Guide; Under Development: CDA/CCD Specifications that reuse assessment content and other EHR data for Patient Assessment Summary Documents, Transfer/Discharge Documents, Care Plans). Exchange: LTPAC to CMS leads to Non-interoperable Electronic Assessments (MDS (CMS); OASIS (CMS)). Exchange: LTPAC to Other Providers leads to Paper-based or Non-interoperable Documents (MDS/OASIS; MDS/OASIS Patient Assessment Summary; Discharge/Transfer Documents; Care Plans; Advanced Directives).

LTPAC EHR systems vary widely in existing capabilities. While most LTPAC settings have electronic means of capturing and communicating the MDS or OASIS assessment instruments, many do not have electronic problem lists, electronic allergy lists, electronic medication lists, etc. Many settings are entirely paper based while some a have full EHR implementations.1 Plans for implementation of electronic systems variesacross providers. Some centers have placed priority on digitizing order entry, problem lists, or allergies and some have implemented electronic nursing documentation. While some provider’s HIT system may include standardized vocabularies, those providers that do have electronic patient data, this data is more often supported by local codes.2

A transfer-of-care situation requires an optimal level of information to continue to provide quality care. Too little or missing information could lead to dangerous or life-threatening events, while too much information creates “information overload” that may cause the receiving provider to miss critical quality and safety concerns. In a patient population where recovery and progress is often slow and difficult, even minor delays in the exchange of needed health information can result missed medications, and continuing therapies and treatments that can cause costly weeks of rehabilitation and patient regression.

The stakeholder interviews (Appendix A) repeatedly stated that problem lists, current medications, allergies and recent vital signs were the most important elements in information exchange between settings. In addition, stakeholders felt that functional and cognitive status history would be valuable in continuing uninterrupted care.

LTPAC Interoperability Toolkit

To support LTPAC providers participation in HIE activities an Interoperability Toolkit was created. The Toolkit is expected to lower the costs that LTPAC vendors and implementers would otherwise incur with creating and reusing semantically interoperable assessment content:

  • MDS Rosetta Stone: A resource for the MDS 3.0 which links assessment items to applicable terminologies and code sets including Logical Observation Identifiers Names and Codes (LOINC), Systematized Nomenclature of Medicine (SNOMED), International Classification of Diseases (ICD-9-CM and ICD-10). (Appendix D)

  • OASIS Rosetta Stone: A resource for the OASIS-C which links assessment items to applicable terminologies and code sets including LOINC, SNOMED, ICD-9-CM, and ICD-10. (Appendix E)

  • Clinical Document Architecture (CDA) Patient Assessment Questionnaire Implementation Guide (IG): Describes how to represent a patient assessment questionnaire that includes functional status content as a standardized CDA compliant document. This IG was developed and balloted as a draft standard and includes the MDS as an example of how to format patient assessment questionnaires in a CDA-Extensible Markup Language (XML) compliant format. Health Level 7 is expected to finalize this standard in late 2011/early 2012. (Appendix G)

  • MDS Conversion/Validation Utilities: Various tools for transforming the MDS from the Centers for Medicare and Medicaid Services (CMS)-required and the CDA-XML format, validating that a MDS in CDA format is conformant, etc. (Appendix G)

  • Continuity of Care Document (CCD) Implementation Guide: Provides general guidelines on how to construct a valid CCD document. (Appendix G)

  • Patient Assessment Summary Rosetta Stone for MDS: A resource which identifies a subset of assessment content from the MDS 3.0 to provide a clinical summary or snapshot of the patient for the point in time that the assessment was completed. The Rosetta Stonelinks the subset of assessment items from the MDS 3.0 to applicable terminologies and code sets including LOINC, SNOMED, ICD-9-CM, and ICD-10. (Appendix K)

  • Patient Assessment Summary Rosetta Stone for OASIS: A resource which identifies a subset of assessment content from the OASIS to provide a clinical summary or snapshot of the patient for the point in time that the assessment was completed. The Rosetta Stonelinks the subset of assessment items from the OASIS-C to applicable terminologies and code sets including LOINC, SNOMED, ICD-9-CM, and ICD-10. (Appendix L)

LTPAC Interoperability Toolkit Details

This section provides additional details on some of the LTPAC Interoperability Toolkit items, introduced above.

Implementation Guide for CDA Release 2 CDA Framework for Questionnaire Assessments (Universal Realm) and CDA Representation of the Minimum Data Set Questionnaire Assessment (US Realm)

The Implementation Guide for Questionnaire Assessments provides a framework for any patient questionnaire assessments to be represented in a CDA Release 2 format. The IG provides an example of how to represent questionnaire assessments in a CDA using the MDS as an example. The MDS CDA IG specifies a standard for electronic submission for CDA questionnaire assessments that allows health care facilities to communicate case reports in an interoperable, industry-standard format. The questionnaire assessments contain multiple questions with specific answers.

The MDS CDA IG defines both a required Model of Use representation (described below) and an optional Model of Meaning representation for each entry in the CDA Body. These models support both a faithful representation of the exact questions and answers on an assessment questionnaire and a semantically interoperable and re-usable representation that encodes their meaning. The EHR system may have data needed to determine the answer to a particular form's question.

MDS Conversion/Validation Utilities

These include various tools for transforming the MDS between CDA and CMS-expected format, validating that a MDS in CDA format is conformant, etc.

MDS CDA Narrative Generator

A CDA document contains a Header and a Body. The Header identifies and classifies the document and provides information on authentication, the encounter, the patient, and the involved providers, etc., while the Body contains the clinical report. For the MDS report, the Body is comprised of structured markup that is further divided into recursively nestable document sections. Each section can contain a single CDA narrative block and any number of CDA entries.

The CDA narrative block contains the human-readable content to be rendered, while the CDA entries contain coded data for machine computation. A proven approach is used to generate narrative block from CDA entries to reduce narrative errors introduced by human editing and maintain a consistent narrative style (i.e., the narrative is derived from the CDA-coded entries).

MDS CDA Rendering Style Sheet

The CDA narrative content is generally in XML format. A rendering style sheet is essential to transform the CDA-XML instance into a human-readable format that can be displayed in a web browser.

MDS CDA Validation Utility

Syntactically, a CDA document must be valid to the XML Schema Document. Semantically, it must be valid by conforming to all pertinent implementation constraints, including (but not limited to) vocabulary, data type, mandatory/optional, cardinality, and value constraints.

The CDA document must always be validated before transmission to a trading partner. The validation utility will be responsible for accurately and effectively performing batch CDA instance validations. A proven CDA validation technology is the Schematron-based CDA template.

Notes

  1. C. Manning, Stakeholder Interviews -- HIE Interviews conducted by Jennie Harvell, Sue Mitchell, Gay Giannone -- May 2010.

  2. C. Chute, Stakeholder Interviews -- FACA Interviews conducted by Jennie Harvell, Sue Mitchell, Gay Giannone -- May 2010. P. Magistro, Stakeholder Interviews -- HIE Interviews conducted by Jennie Harvell, Sue Mitchell, Robert Dolin, Gay Giannone -- May 2010.

Attachments

Implementation Guide for CDA Release 2 CDA Framework for Questionnaire Assessments (Universal Realm) and CDA Representation of the Minimum Data Set Questionnaire Assessment (US Realm)

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G1/CDAR2_QA_DSTUR2_20100421.doc

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G1/CDAR2_QA_DSTUR2_20100421.pdf

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G1/README.txt


MDS Conversion/Validation Utilities

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G2/cda2html.xsl

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G2/cda2mds.xsl

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G2/entries2cda.xsl

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G2/mds_as_entries.xml

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G2/mds_cda.xml

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G2/mds_cda_process_flow.gif

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G2/mds_html_from_cda.html

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G2/mds_voc.xml

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G2/mds_xml_from_cda.xml

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G2/README.txt

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G2/schematron.xsl


CCD Implementation Guide

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G3/cda.xsl

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G3/MDS CCD Design Document July2010.docx

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G3/MDS_CCD_Sample.xml


MDS CDA Narrative Generator

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G4/cda2html.xsl

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G4/cda2mds.xsl

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G4/entries2cda.xsl


MDS CDA Rendering Style Sheet

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G5/mds_as_entries.xml

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G5/mds_cda.xml


MDS CDA Validation Utility

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G6/mds_html_from_cda.html

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G6/mds_schematron.xsl

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G6/mds_voc.xml

   http://aspe.hhs.gov/daltcp/reports/2011/SE-G6/mds_xml_from_cda.xml

MDS Conversion/Validation Utilities
Patient Adam Everyman, Jr
Date of birth September 24, 1932 Sex Male
Contact info address not available
Telecom information not available
Patient IDs 444-33-3333 2.16.840.1.113883.4.1
9999999999 2.16.840.1.113883.4.290
1234567 2.16.840.1.113883.4.6.9999999999
Document Id 7c2ff8c0-bf15-11dd-ad8b-0800200c9a66
Document Created: March 1, 2008, 16:30
Author Nancy Nightingale, RN

Table of Contents


Section A - Identification Information

Section Author: Clarence Barton, NA
 
  • A0100A (Facility National Provider Identifier (NPI)): 9999999999.
  • A0100B (Facility CMS Certification Number (CCN)): .
  • A0100C (State facility provider number): .
  • A0200 (Type of provider): 1 (Nursing home (SNF/NF)).
  • A0300A (Type of assessment: OBRA): 1 (Admission assessment (required by day 14)).
  • A0300B (Type of assessment: PPS): 1 (5-day scheduled assessment).
  • A0300C (Type of assessment: OMRA): 0 (No).
  • A0300D (Type of assessment: state required): 0 (No).
  • A0300E (First assessment since most recent entry): 1 (Yes).
  • A0400 (Submission requirement): 1 (Federal required submission).
  • A0500A (Resident first name): Adam.
  • A0500B (Resident middle initial): A.
  • A0500C (Resident last name): Everyman.
  • A0500D (Resident name suffix): Jr.
  • A0600A (Social Security Number): 444-33-3333.
  • A0600B (Resident Medicare/railroad insurance number): .
  • A0700 (Resident Medicaid number): 9999999999.
  • A0800 (Gender): male.
  • A0900 (Birthdate): September 24, 1932 .
  • A1000A (Ethnicity: American Indian or Alaska Native): unknown.
  • A1000B (Ethnicity: Asian): unknown.
  • A1000C (Ethnicity: Black or African American): false.
  • A1000D (Ethnicity: Hispanic or Latino): unknown.
  • A1000E (Ethnicity: Native Hawaiian/Pacific Islander): unknown.
  • A1000F (Ethnicity: White): true.
  • A1000Z (Ethnicity: unable to determine/unknown): false.
  • A1100A (Does the resident need or want an interpreter): 0 (No).
  • A1100B (Preferred language): .
  • A1200 (Marital status): widowed.
  • A1300A (Medical record number): 1234567 2.16.840.1.113883.4.6.9999999999.
  • A1300B (Room number): Room 222.
  • A1300C (Name by which resident prefers to be addressed): Addy.
  • A1300D (Lifetime occupation(s)): Truck Driver/Veteran.
  • A1500 (Resident evaluated by PASRR): 1 (Yes).
  • A1550A (MR/DD status: Down's syndrome): falsetrue.
  • A1550B (MR/DD status: Autism): false.
  • A1550C (MR/DD status: Epilepsy): false.
  • A1550D (MR/DD status: other organic MR/DD condition): false.
  • A1550E (MR/DD status: MR/DD with no organic condition): false.
  • A1550Z (MR/DD status: none of the above): false.
  • A1600 (Entry date (date of admission/reentry in facility)): .
  • A1700 (Type of entry): 1 (Admission).
  • A1800 (Entered from): 3 (Acute hospital).
  • A2000 (Discharge date): .
  • A2100 (Discharge status): .
  • A2400B (Start date of most recent Medicare stay): November 25, 2007 .
  • A2400C (End date of most recent Medicare stay): November 28, 2007 .

Section B - Hearing, Speech and Vision

  • B0100 (Comatose): 0 (No).
  • B0200 (Hearing): 0 (Adequate - no difficulty in normal conversation, social interaction, listening to TV).
  • B0300 (Hearing aid): 0 (No).
  • B0600 (Speech clarity): 0 (Clear speech - distinct intelligible words).
  • B0700 (Makes self understood): 1 (Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time).
  • B0800 (Ability to understand others): 1 (Usually understands - misses some part/intent of message but comprehends most conversation).
  • B1000 (Vision): 0 (Adequate - sees fine detail, including regular print in newspapers/books).
  • B1200 (Corrective lenses): 0 (No).

Section C - Cognitive Pattern

  • C0100 (BIMS: should resident interview be conducted): 1 (Yes).
  • C0200 (BIMS res interview: repetition of three words): 2 (Two).
  • C0300A (BIMS res interview: able to report correct year): 2 (Missed by 1 year).
  • C0300B (BIMS res interview: able to report correct month): 2 (Accurate within 5 days).
  • C0300C (BIMS res interview: can report correct day of week): 0 (Incorrect or no answer).
  • C0400A (BIMS res interview: able to recall "sock"): 1 (Yes, after cueing ("something to wear")).
  • C0400B (BIMS res interview: able to recall "blue"): 2 (Yes, no cue required).
  • C0400C (BIMS res interview: able to recall "bed"): 0 (No - could not recall ).
  • C0500 (BIMS res interview: summary score): 9.
  • C0600 (Staff asmt mental status: conduct asmt): 1 (Yes (resident was unable to complete interview)).
  • C0700 (Staff asmt mental status: short-term memory OK): 1 (Memory problem).
  • C0800 (Staff asmt mental status: long-term memory OK): 0 (Memory OK).
  • C0900A (Staff asmt mental status: recall current season): true.
  • C0900B (Staff asmt mental status: recall location of room): true.
  • C0900C (Staff asmt mental status: recall staff names/faces): false.
  • C0900D (Staff asmt mental status: recall in nursing home): true.
  • C0900Z (Staff asmt mental status: none of above recalled): false.
  • C1000 (Cognitive skills for daily decision making): 1 (Modified independence - some difficulty in new situations only).
  • C1100 (Procedural memory): 1 (Memory problem).
  • C1300A (Signs of delirium: inattention): 2 (Behavior present, fluctuates (comes and goes, changes in severity)).
  • C1300B (Signs of delirium: disorganized thinking): 2 (Behavior present, fluctuates (comes and goes, changes in severity)).
  • C1300C (Signs of delirium: altered level of consciousness): 0 (Behavior not present).
  • C1300D (Signs of delirium: psychomotor retardation): 0 (Behavior not present).
  • C1600 (Acute onset mental status change): 1 (Yes).

Section D - Mood

  • D0100 (PHQ: should resident mood interview be conducted): 1 (Yes).
  • D0200A1 (PHQ res: little interest or pleasure - presence): 1 (Yes).
  • D0200A2 (PHQ res: little interest or pleasure - frequency): 1 (2-6 Days (Several days)).
  • D0200B1 (PHQ res: feeling down, depressed - presence): 1 (Yes).
  • D0200B2 (PHQ res: feeling down, depressed - frequency): 1 (2-6 Days (Several days)).
  • D0200C1 (PHQ res: trouble with sleep - presence): 0 (No).
  • D0200D1 (PHQ res: feeling tired/little energy - presence): 0 (No).
  • D0200E1 (PHQ res: poor appetite or overeating - presence): 0 (No).
  • D0200F1 (PHQ res: feeling bad about self - presence): 0 (No).
  • D0200G1 (PHQ res: trouble concentrating - presence): 1 (Yes).
  • D0200G2 (PHQ res: trouble concentrating - frequency): 2 (7-11 Days (Half or more of the days)).
  • D0200H1 (PHQ res: slow, fidgety, restless - presence): 0 (No).
  • D0200I1 (PHQ res: thoughts better off dead - presence): 0 (No).
  • D0300 (PHQ res: total mood severity score): 4.
  • D0500A1 (PHQ staff: little interest or pleasure - presence): 1 (Yes).
  • D0500A2 (PHQ staff: little interest or pleasure - frequency): 2 (7-11 Days (Half or more of the days)).
  • D0500B1 (PHQ staff: feeling down, depressed - presence): 1 (Yes).
  • D0500B2 (PHQ staff: feeling down, depressed - frequency): 1 (2-6 Days (Several days)).
  • D0500C1 (PHQ staff: trouble with sleep - presence): 0 (No).
  • D0500D1 (PHQ staff: feeling tired/little energy - presence): 0 (No).
  • D0500E1 (PHQ staff: poor appetite or overeating - presence): 0 (No).
  • D0500F1 (PHQ staff: feeling bad about self - presence): 0 (No).
  • D0500G1 (PHQ staff: trouble concentrating - presence): 0 (No).
  • D0500H1 (PHQ staff: slow, fidgety, restless - presence): 1 (Yes).
  • D0500H2 (PHQ staff: slow, fidgety, restless - frequency): 3 (12-14 Days (Nearly every day)).
  • D0500I1 (PHQ staff: thoughts better off dead - presence): 0 (No).
  • D0500J1 (PHQ staff: short-tempered - presence): 0 (No).
  • D0600 (PHQ staff: total mood score): 6.

Section E - Behavior

  • E0100A (Psychosis: hallucinations): false.
  • E0100B (Psychosis: illusions): false.
  • E0100C (Psychosis: delusions): false.
  • E0100Z (Psychosis: none of the above): true.
  • E0200A (Physical behav symptoms directed toward others): 0 (Behavior not exhibited in last 7 days).
  • E0200B (Verbal behavioral symptoms directed toward others): 0 (Behavior not exhibited in last 7 days).
  • E0200C (Other behav symptoms not directed toward others): 0 (Behavior not exhibited in last 7 days).
  • E0300 (Overall presence of behavioral symptoms): 0 (No).
  • E0800 (Rejection of care: presence and frequency): 0 (Behavior not exhibited ).
  • E0900 (Wandering: presence and frequency): 0 (Behavior not exhibited ).
  • E1100 (Change in behavioral or other symptoms): 0 (Same).

Section F - Preferences for Customary Routine and Activities

  • F0300 (Conduct res interview for daily/activity prefs): 1 (Yes).
  • F0400A (Res interview: choose clothes to wear): 1 (Very important).
  • F0400B (Res interview: take care of personal belongings): 2 (Somewhat important).
  • F0400C (Res interview: choose tub, bath, shower, sponge): 2 (Somewhat important).
  • F0400D (Res interview: have snacks between meals): 3 (Not very important).
  • F0400E (Res interview: choose own bedtime): 1 (Very important).
  • F0400F (Res interview: discuss care with family/friend): 1 (Very important).
  • F0400G (Res interview: use phone in private): 1 (Very important).
  • F0400H (Res interview: lock things to keep them safe): 1 (Very important).
  • F0500A (Res interview: have books, newspaper, mags to read): 2 (Somewhat important).
  • F0500B (Res interview: listen to music): 3 (Not very important).
  • F0500C (Res interview: be around animals/pets): 3 (Not very important).
  • F0500D (Res interview: keep up with news): 2 (Somewhat important).
  • F0500E (Res interview: do things with groups of people): 3 (Not very important).
  • F0500F (Res interview: do favorite activities): 1 (Very important).
  • F0500G (Res interview: go outside when good weather): 1 (Very important).
  • F0500H (Res interview: participate in religious practices): 2 (Somewhat important).
  • F0600 (Primary respondent: daily/activities prefs): 1 (Resident).
  • F0700 (Conduct staff assessment for daily/activity prefs): 0 (No (because Interview for Daily and Activity Preferences (F0400 and F0500) was completed by resident or family/significant other)).

Section G - Functional Status

  • G0100A (ADL: bed mobility assistance): 0 (Independent - resident completes activity with no help or oversight).
  • G0100B (ADL: transfer assistance): 1 (Set up assistance).
  • G0100C (ADL: toilet transfer assistance): 1 (Set up assistance).
  • G0100D (ADL: toileting assistance): 1 (Set up assistance).
  • G0100E (ADL: walk in room assistance): 1 (Set up assistance).
  • G0100F (ADL: walk in facility assistance): 1 (Set up assistance).
  • G0100G (ADL: locomotion assistance): 3 (Limited assistance - guided maneuvering of limbs or other non-weight bearing assistance provided at least once).
  • G0100H (ADL: dressing upper body assistance): 3 (Limited assistance - guided maneuvering of limbs or other non-weight bearing assistance provided at least once).
  • G0100I (ADL: dressing lower body assistance): 3 (Limited assistance - guided maneuvering of limbs or other non-weight bearing assistance provided at least once).
  • G0100J (ADL: eating assistance): 1 (Set up assistance).
  • G0100K (ADL: grooming/personal hygiene assistance): 3 (Limited assistance - guided maneuvering of limbs or other non-weight bearing assistance provided at least once).
  • G0100L (ADL: bathing assistance): unknown.
  • G0300A (Balance: moving from seated to standing position): 1 (Not steady, but able to stabilize without human assistance).
  • G0300B (Balance: walking (with assistive device if used)): 2 (Not steady, only able to stabilize with human assistance).
  • G0300C (Balance: turning around while walking): 2 (Not steady, only able to stabilize with human assistance).
  • G0300D (Balance: moving on and off toilet): 1 (Not steady, but able to stabilize without human assistance).
  • G0300E (Balance: surface-to-surface transfer): 1 (Not steady, but able to stabilize without human assistance).
  • G0400A (ROM limitation: upper extremity): 0 (No impairment).
  • G0400B (ROM limitation: lower extremity): 1 (Impairment on one side).
  • G0600A (Mobility devices: cane/crutch used): unknown.
  • G0600B (Mobility devices: walker used): 1 (Yes).
  • G0600C (Mobility devices: wheelchair (manual or electric)): 1 (Yes).
  • G0600D (Mobility devices: lower extremity limb prosthesis): 0 (No).
  • G0800 (Bedfast): 0 (No).
  • G0900A (Resident believes capable of increased independ): 1 (Yes).
  • G0900B (Staff believes res capable of increased independ): 1 (Yes).

Section H - Bladder and Bowel

  • H0100A (Applicances: indwelling bladder catheter): false.
  • H0100B (Appliances: external (condom) catheter): false.
  • H0100C (Appliances: ostomy): false.
  • H0100D (Applicances: intermittent catheterization): false.
  • H0100Z (Appliances: none of the above): true.
  • H0200A (Urinary toileting program: has been attempted): 0 (No).
  • H0300 (Urinary continence): 0 (Always continent).
  • H0400 (Bowel continence): 0 (0).
  • H0500 (Bowel toileting program being used): 0 (No).
  • H0600 (Constipation): 0 (No).

Section I - Active Disease Diagnosis

  • I0100 (Cancer (with or without metastasis)): false.
  • I0200 (Anemia): false.
  • I0300 (Atrial fibrillation and other dysrhythmias): false.
  • I0400 (Coronary artery disease (CAD)): false.
  • I0500 (Deep venous thrombosis/pulmonary embolus): false.
  • I0600 (Heart failure): false.
  • I0700 (Hypertension): true.
  • I0900 (Peripheral vascular/arterial disease): true.
  • I1100 (Cirrhosis): false.
  • I1200 (GERD/ulcer): false.
  • I1300 (Ulcerative colitis/Chrohn's/inflam bowel disease): false.
  • I1400 (Benign prostatic hyperplasia (BPH)): unknown.
  • I1500 (Renal insufficiency or renal failure/ESRD): false.
  • I1600 (HIV (includes AIDS)): false.
  • I1700 (MRSA/VRE/clostridium diff. infection/colonization): false.
  • I2000 (Pneumonia): false.
  • I2100 (Septicemia): false.
  • I2200 (Tuberculosis): false.
  • I2300 (Urinary tract infection (UTI)): false.
  • I2400 (Viral hepatitis (includes type A, B, C, D, and E)): false.
  • I2900 (Diabetes mellitus (DM)): true.
  • I3100 (Hyponatremia): unknown.
  • I3200 (Hyperkalemia): unknown.
  • I3300 (Hyperlipidemia (includes hypercholesterolemia)): false.
  • I3400 (Thyroid disorder): false.
  • I3700 (Arthritis): unknown.
  • I3800 (Osteoporosis): false.
  • I3900 (Hip fracture): false.
  • I4000 (Other fracture): unknown.
  • I4200 (Alzheimer's disease): false.
  • I4300 (Aphasia): false.
  • I4400 (Cerebral palsy): false.
  • I4500 (CVA/TIA/stroke): false.
  • I4800 (Dementia): true.
  • I4900 (Hemiplegia/hemiparesis): false.
  • I5000 (Paraplegia): false.
  • I5100 (Quadriplegia): false.
  • I5200 (Multiple sclerosis): false.
  • I5300 (Parkinson's disease): false.
  • I5400 (Seizure disorder): false.
  • I5500 (Traumatic brain injury): false.
  • I5600 (Malnutrition (protein, calorie)/risk for malnutrit): unknown.
  • I5700 (Anxiety disorder): false.
  • I5800 (Depression (other than bipolar)): false.
  • I5900 (Manic depression (bipolar disease)): false.
  • I6000 (Schizophrenia): false.
  • I6100 (Post-traumatic stress disorder): false.
  • I6200 (Asthma/COPD or chronic lung disease): false.
  • I6500 (Cataracts, glaucoma, or macular degeneration): false.
  • I7900 (None of the above active diseases): false.
  • I8000A (Additional ICD diagnosis 1): No value (No display text).

Section J - Health Conditions

  • J0100A (Pain: been on scheduled pain med regimen): 0 (No).
  • J0100B (Pain: received PRN pain medications): 1 (Yes).
  • J0100C (Pain: received non-medication intervention): 0 (No).
  • J0200 (Should pain assessment interview be conducted): 1 (Yes).
  • J0300 (Res pain interview: presence): 1 (Yes).
  • J0400 (Res pain interview: frequency): 3 (Occasionally).
  • J0500A (Res pain interview: made it hard to sleep): 0 (No).
  • J0500B (Res pain interview: limited daily activities): 1 (Yes).
  • J0600A (Res pain interview: intensity rating scale): 4.
  • J0600B (Res pain interview: verbal descriptor scale): 2 (Moderate).
  • J0800A (Staff pain asmt: non-verbal sounds): false.
  • J0800B (Staff pain asmt: vocal complaints of pain): true.
  • J0800C (Staff pain asmt: facial expressions): true.
  • J0800D (Staff pain asmt: protective movements/postures): false.
  • J0800Z (Staff pain asmt: none of these signs observed): false.
  • J0900 (Adequacy of current pain control): 2 (Controlled adequately by therapeutic regimen).
  • J1100A (Short breath/trouble breathing: with exertion): true.
  • J1100B (Short breath/trouble breathing: sitting at rest): false.
  • J1100C (Short breath/trouble breathing: lying flat): false.
  • J1100Z (Short breath/trouble breathing: none of above): false.
  • J1300 (Current tobacco use): 0 (No).
  • J1400 (Prognosis: life expectancy of less than 6 months): 0 (No).
  • J1500A (Problem conditions: fever): false.
  • J1500B (Problem conditions: vomiting): false.
  • J1500D (Problem conditions: dehydrated): false.
  • J1500H (Problem conditions: internal bleeding): false.
  • J1500Z (Problem conditions: none of the above): true.
  • J1700A (Fall history: fall during month before entry): 0 (No).
  • J1700B (Fall history: fall during 6 months before entry): 0 (No).
  • J1700C (Fall history: fracture from fall 6 month pre entry): 0 (No).
  • J1800 (Falls since admit/prior asmt: any falls): 0 (No).
  • J1900A (Falls since admit/prior asmt: no injury): 0 (None ).
  • J1900B (Falls since admit/prior asmt: injury (not major)): 0 (None ).
  • J1900C (Falls since admit/prior asmt: major injury): 0 (None ).

Section K - Swallowing/Nutritional Status

  • K0100A (Swallow disorder: loss liquids/solids from mouth): false.
  • K0100B (Swallow disorder: holds food in mouth/cheeks): false.
  • K0100C (Swallow disorder: cough/choke with meals/meds): false.
  • K0100D (Swallow disorder: difficulty or pain swallowing): false.
  • K0100Z (Swallow disorder: none of the above): true.
  • K0200A (Height (in inches)): 71[in_i].
  • K0200B (Weight (in pounds)): 175[lb_av].
  • K0200C (Body Mass Index (BMI)): 24.4.
  • K0300 (Weight loss): 0 (No, or unknown).
  • K0500A (Nutritional approaches: parenteral /IV feeding): false.
  • K0500B (Nutritional approaches: feeding tube): false.
  • K0500C (Nutritional approaches: mechanically altered diet): false.
  • K0500D (Nutritional approaches: therapeutic diet): false.
  • K0500Z (Nutritional approaches: none of the above): true.
  • K0700A (Proportion total calories via parenteral/tube feed): unknown.
  • K0700B (Average fluid intake per day by parenteral or tube): unknown.

Section L - Oral/Dental Status

  • L0200A (Dental: broken or loosely fitting denture): false.
  • L0200B (Dental: no natural teeth or tooth fragment(s)): false.
  • L0200C (Dental: abnormal mouth tissue): false.
  • L0200D (Dental: cavity or broken natural teeth): false.
  • L0200E (Dental: inflamed/bleeding gums or loose teeth): false.
  • L0200F (Dental: pain, discomfort, difficulty chewing): false.
  • L0200Z (Dental: none of the above): true.

Section M - Skin Conditions

  • M0100A (Risk determination: has ulcer, scar, or dressing): false.
  • M0100B (Risk determination: formal assessment): false.
  • M0100C (Risk determination: clinical judgment): false.
  • M0100Z (Risk determination: none of the above): true.
  • M0150 (Is resident at risk of developing pressure ulcer): 0 (No).
  • M0200A (Date of most recent pressure ulcer assessment): November 29, 2007 .
  • M0200B (Number of Stage 1 pressure ulcers): 0.
  • M0200C (Presence of Stage 2 or higher or of unstageable): 0 (No).
  • M0900A (Pressure ulcers on prior assessment): 0 (No).
  • M1020A (Other skin probs: venous or arterial ulcer(s)): false.
  • M1020B (Other skin probs: diabetic foot ulcer(s)): false.
  • M1020C (Other skin probs: other foot/lower extremity): false.
  • M1020D (Other skin probs: wound infect not foot/low extrem): false.
  • M1020E (Other skin probs: surgical wound(s)): false.
  • M1020F (Other skin probs: open lesion(s)): true.
  • M1020G (Other skin probs: burn(s) (second or third degree)): false.
  • M1020Z (Other skin probs: none of the above): false.
  • M1100 (Number of venous and arterial ulcers): 0.
  • M1200A (Skin/ulcer treat: pressure reduce device for chair): false.
  • M1200B (Skin/ulcer treat: pressure reducing device for bed): true.
  • M1200C (Skin/ulcer treat: turning/repositioning): false.
  • M1200D (Skin/ulcer treat: nutrition/hydration): false.
  • M1200E (Skin/ulcer treat: ulcer care): false.
  • M1200F (Skin/ulcer treat: surgical wound care): true.
  • M1200G (Skin/ulcer treat: application of dressings): true.
  • M1200H (Skin/ulcer treat: apply ointments/medications): false.
  • M1200I (Skin/ulcer treat: apply dressings to feet): false.
  • M1200Z (Skin/ulcer treat: none of the above): false.

Section N - Medications

  • N0300 (Number of days injectable medications received): 1d.
  • N0400A (Medications: antipsychotic): false.
  • N0400B (Medications: antianxiety): false.
  • N0400C (Medications: antidepressant): false.
  • N0400D (Medications: hypnotic): false.
  • N0400E (Medications: anticoagulant): false.
  • N0400Z (Medications: none of the above): true.

Section O - Special Treatments and Procedures

  • O0100A1 (Treatment: chemotherapy - while not resident): 0 (No).
  • O0100A2 (Treatment: chemotherapy - while resident): 0 (No).
  • O0100B1 (Treatment: radiation - while not resident): 0 (No).
  • O0100B2 (Treatment: radiation - while resident): 0 (No).
  • O0100C1 (Treatment: oxygen therapy - while not resident): 1 (Yes).
  • O0100C2 (Treatment: oxygen therapy - while resident): 1 (Yes).
  • O0100D1 (Treatment: suctioning - while not resident): 0 (No).
  • O0100D2 (Treatment: suctioning - while resident): 0 (No).
  • O0100E1 (Treatment: tracheostomy care - while not resident): 0 (No).
  • O0100E2 (Treatment: tracheostomy care - while resident): 0 (No).
  • O0100F1 (Treatment: vent/respirator - while not resident): 0 (No).
  • O0100G1 (Treatment: BIPAP/CPAP machine - while not resident): 0 (No).
  • O0100G2 (Treatment: BIPAP/CPAP machine - while resident): 0 (No).
  • O0100H1 (Treatment: IV medications - while not resident): 1 (Yes).
  • O0100H2 (Treatment: IV medications - while resident): 0 (No).
  • O0100I1 (Treatment: transfusions - while not resident): 0 (No).
  • O0100I2 (Treatment: transfusions - while resident): 0 (No).
  • O0100J1 (Treatment: dialysis - while not resident): 0 (No).
  • O0100J2 (Treatment: dialysis - while resident): 0 (No).
  • O0100K1 (Treatment: hospice care - while not resident): 0 (No).
  • O0100K2 (Treatment: hospice care - while resident): 0 (No).
  • O0100L1 (Treatment: respite care - while not resident): 0 (No).
  • O0100L2 (Treatment: respite care - while resident): 0 (No).
  • O0100M1 (Treatment: isolate/quarantine - while not resident): 0 (No).
  • O0100M2 (Treatment: isolate/quarantine - while resident): 0 (No).
  • O0200A (Was influenza vaccine received): 0 (No).
  • O0200B (If influenza vaccine not received, state reason): 2 (Received outside of this facility).
  • O0300A (Is pneumococcal vaccination up to date): 1 (Yes).
  • O0400B1 (Occupational therapy: number of minutes): 225min.
  • O0400B2 (Occupational therapy: number of days): 5d.
  • O0400B3 (Occupational therapy: start date): November 25, 2007 .
  • O0400B4 (Occupational therapy: end date): November 28, 2007, 09:19:14 .
  • O0400C1 (Physical therapy: number of minutes): 315min.
  • O0400C2 (Physical therapy: number of days): 7d.
  • O0400C3 (Physical therapy: start date): November 25, 2007 .
  • O0400C4 (Physical therapy: end date): November 28, 2007, 14:04:02 .
  • O0500A (Range of motion (passive): number of days): 0d.
  • O0500B (Range of motion (active): number of days): 7d.
  • O0500C (Splint or brace assistance: number of days): 0d.
  • O0500D (Bed mobility training: number of days): 0d.
  • O0500E (Transfer training: number of days): 7d.
  • O0500F (Walking training: number of days): 7d.
  • O0500G (Dressing or grooming training: number of days): 0d.
  • O0500H (Eating or swallowing training: number of days): 0d.
  • O0500I (Amputation/prosthesis training: number of days): 7d.
  • O0500J (Communication training: number of days): 0d.
  • O0600 (Physician examinations: number of days): 1d.
  • O0700 (Physician orders: number of days): 1d.

Section P - Restraints

  • P0100A (Restraints used in bed: bed rail (any type)): 1 (Used less than daily).
  • P0100B (Restraints used in bed: trunk restraint): 0 (Not used).
  • P0100C (Restraints used in bed: limb restraint): 0 (Not used).
  • P0100D (Restraints used in bed: other): 0 (Not used).
  • P0100E (Restraints in chair/out of bed: trunk restraint): 0 (Not used).
  • P0100F (Restraints in chair/out of bed: limb restraint): 0 (Not used).
  • P0100G (Restraints in chair/out of bed: chair stops rising): 0 (Not used).
  • P0100H (Restraints in chair/out of bed: other): 0 (Not used).

Section Q - Participation in Assessment and Goal Setting

  • Q0100A (Resident participated in assessment): 1 (Yes).
  • Q0100B (Family/signif other participated in assessment): 1 (Yes).
  • Q0200 (Wants to return to community): 1 (Yes).
  • Q0300A (Resident's goals: established during assessment): 1 (Post acute care - expects to return to live in community).
  • Q0300B (Resident's goals: source for information): 1 (Resident).

Section S - State-Specific Questions

 

Section T - Therapy Supplement for Medicare PPS

  • T0100A (Has the physician ordered rehabilitation therapies): 1 (Yes).
  • T0100B (Have therapy evaluations been completed): 1 (Yes).
  • T0100C (Estimated number of days of therapy): 15d.
  • T0100D (Estimated number of minutes of therapy): 1080min.

Section Z - Assessment Administration

  • Z0500A (Signature of RN Assessment Coordinator Verifying Assessment Completion): Nancy Nightingale, RN (33333333 2.16.840.1.113883.4.6.9999999999) signed.
  • Z0500B (Date RN signed assessment as complete): March 1, 2008, 08:30 .

CMS Control Elements

  • FAC_ID (State assigned facility submission ID): 1234512345123451.
  • ITM_SBST_CD (Item subset code): NCN (Nursing home comprehensive assessment ).
  • PROD_NAME (Software product name): MyProduct.
  • PROD_VRSN_CD (Software product version code): 2.0.1.3.
  • PRODN_TEST_CD (Production/test indicator): P (Product submission).
  • SPEC_VRSN_CD (Specifications version code): 1.00.
  • TRANS_CD (Transaction code): A (Addition).
  • VNDR_EMAIL_ADR (Software vendor email address): MyProductVendor@MyEmailAddress.com.
  • VNDR_EMPLR_ID (Software vendor federal employer tax ID): 11-1111111.
  • VNDR_NAME (Software vendor company name): MyProductVendor.

Encounter Location Room 222
Document maintained by Green Acres Retirement Home
Contact info 4444 Nursinghome Drive
Ann Arbor, MI 99999
Telecom information not available
Legal authenticator Nancy Nightingale, RN signed at March 1, 2008, 08:30
MDS CDA Validation Utility
Patient Adam Everyman, Jr
Date of birth September 24, 1932 Sex Male
Contact info address not available
Telecom information not available
Patient IDs 444-33-3333 2.16.840.1.113883.4.1
9999999999 2.16.840.1.113883.4.290
1234567 2.16.840.1.113883.4.6.9999999999
Document Id 7c2ff8c0-bf15-11dd-ad8b-0800200c9a66
Document Created: March 1, 2008, 16:30
Author Nancy Nightingale, RN

Table of Contents


Section A - Identification Information

Section Author: Clarence Barton, NA

 
  • A0100A (Facility National Provider Identifier (NPI)): 9999999999.
  • A0100B (Facility CMS Certification Number (CCN)): .
  • A0100C (State provider number): .
  • A0200 (Type of provider): 1 (Nursing home (SNF/NF)).
  • A0310A (Type of assessment: OBRA): 1 (Admission assessment (required by day 14)).
  • A0310B (Type of assessment: PPS): 1 (5-day scheduled assessment).
  • A0310C (Type of assessment: OMRA): 0 (No).
  • A0310D (Swing bed clinical change assessment): 0 (No).
  • A0310E (First assessment since most recent entry): 1 (Yes).
  • A0310F (Entry/discharge reporting): 10 (10).
  • A0410 (Submission requirement): 1 (Federal required submission).
  • A0500A (Resident first name): Adam.
  • A0500B (Resident middle initial): A.
  • A0500C (Resident last name): Everyman.
  • A0500D (Resident name suffix): Jr.
  • A0600A (Social Security Number): 444-33-3333.
  • A0600B (Resident Medicare/railroad insurance number): .
  • A0700 (Resident Medicaid number): 9999999999.
  • A0800 (Gender): male.
  • A0900 (Birthdate): September 24, 1932 .
  • A1000A (Ethnicity: American Indian or Alaska Native): unknown.
  • A1000B (Ethnicity: Asian): unknown.
  • A1000C (Ethnicity: Black or African American): false.
  • A1000D (Ethnicity: Hispanic or Latino): unknown.
  • A1000E (Ethnicity: Native Hawaiian/Pacific Islander): unknown.
  • A1000F (Ethnicity: White): unknown.
  • A1000Z (Ethnicity: unable to determine/unknown): false.
  • A1100A (Does the resident need or want an interpreter): 0 (No).
  • A1100B (Preferred language): .
  • A1200 (Marital status): widowed.
  • A1300A (Medical record number): 1234567 2.16.840.1.113883.4.6.9999999999.
  • A1300B (Room number): Room 222.
  • A1300C (Name by which resident prefers to be addressed): Addy.
  • A1300D (Lifetime occupation(s)): Truck Driver/Veteran.
  • A1500 (Resident evaluated by PASRR): 1 (Yes).
  • A1550A (MR/DD status: Down syndrome): yes.
  • A1550B (MR/DD status: Autism): no.
  • A1550C (MR/DD status: Epilepsy): no.
  • A1550D (MR/DD status: other organic MR/DD condition): no.
  • A1550E (MR/DD status: MR/DD with no organic condition): no.
  • A1550Z (MR/DD status: none of the above): no.
  • A1600 (Entry date (date of admission/reentry in facility)): March 1, 2008 .
  • A1700 (Type of entry): 1 (Admission).
  • A1800 (Entered from): 3 (Acute hospital).
  • A2000 (Discharge date): .
  • A2100 (Discharge status): .
  • A2400B (Start date of most recent Medicare stay): November 25, 2007 .
  • A2400C (End date of most recent Medicare stay): November 28, 2007 .

Section B - Hearing, Speech and Vision

  • B0100 (Comatose): 0 (No).
  • B0200 (Hearing): 0 (Adequate - no difficulty in normal conversation, social interaction, listening to TV).
  • B0300 (Hearing aid): 0 (No).
  • B0600 (Speech clarity): 0 (Clear speech - distinct intelligible words).
  • B0700 (Makes self understood): 1 (Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time).
  • B0800 (Ability to understand others): 1 (Usually understands - misses some part/intent of message but comprehends most conversation).
  • B1000 (Vision): 0 (Adequate - sees fine detail, including regular print in newspapers/books).
  • B1200 (Corrective lenses): 0 (No).

Section C - Cognitive Pattern

  • C0100 (BIMS: should resident interview be conducted): 1 (Yes).
  • C0200 (BIMS res interview: repetition of three words): 2 (Two).
  • C0300A (BIMS res interview: able to report correct year): 2 (Missed by 1 year).
  • C0300B (BIMS res interview: able to report correct month): 2 (Accurate within 5 days).
  • C0300C (BIMS res interview: can report correct day of week): 0 (Incorrect or no answer).
  • C0400A (BIMS res interview: able to recall sock): 1 (Yes, after cueing (something to wear)).
  • C0400B (BIMS res interview: able to recall blue): 2 (Yes, no cue required).
  • C0400C (BIMS res interview: able to recall bed): 0 (No - could not recall ).
  • C0500 (BIMS res interview: summary score): 9.
  • C0600 (Staff asmt mental status: conduct asmt): 1 (Yes (resident was unable to complete interview)).
  • C0700 (Staff asmt mental status: short-term memory OK): 1 (Memory problem).
  • C0800 (Staff asmt mental status: long-term memory OK): 0 (Memory OK).
  • C0900A (Staff asmt mental status: recall current season): yes.
  • C0900B (Staff asmt mental status: recall location of room): yes.
  • C0900C (Staff asmt mental status: recall staff names/faces): no.
  • C0900D (Staff asmt mental status: recall in nursing home): yes.
  • C0900Z (Staff asmt mental status: none of above recalled): no.
  • C1000 (Cognitive skills for daily decision making): 1 (Modified independence - some difficulty in new situations only).
  • C1300A (Signs of delirium: inattention): 2 (Behavior present, fluctuates (comes and goes, changes in severity)).
  • C1300B (Signs of delirium: disorganized thinking): 2 (Behavior present, fluctuates (comes and goes, changes in severity)).
  • C1300C (Signs of delirium: altered level of consciousness): 0 (Behavior not present).
  • C1300D (Signs of delirium: psychomotor retardation): 0 (Behavior not present).
  • C1600 (Acute onset mental status change): 1 (Yes).

Section D - Mood

  • D0100 (PHQ: should resident mood interview be conducted): 1 (Yes).
  • D0200A1 (PHQ res: little interest or pleasure - presence): 1 (Yes).
  • D0200A2 (PHQ res: little interest or pleasure - frequency): 1 (2-6 Days (Several days)).
  • D0200B1 (PHQ res: feeling down, depressed - presence): 1 (Yes).
  • D0200B2 (PHQ res: feeling down, depressed - frequency): 1 (2-6 Days (Several days)).
  • D0200C1 (PHQ res: trouble with sleep - presence): 0 (No).
  • D0200D1 (PHQ res: feeling tired/little energy - presence): 0 (No).
  • D0200E1 (PHQ res: poor appetite or overeating - presence): 0 (No).
  • D0200F1 (PHQ res: feeling bad about self - presence): 0 (No).
  • D0200G1 (PHQ res: trouble concentrating - presence): 1 (Yes).
  • D0200G2 (PHQ res: trouble concentrating - frequency): 2 (7-11 Days (Half or more of the days)).
  • D0200H1 (PHQ res: slow, fidgety, restless - presence): 0 (No).
  • D0200I1 (PHQ res: thoughts better off dead - presence): 0 (No).
  • D0300 (PHQ res: total mood severity score): 4.
  • D0500A1 (PHQ staff: little interest or pleasure - presence): 1 (Yes).
  • D0500A2 (PHQ staff: little interest or pleasure - frequency): 2 (7-11 Days (Half or more of the days)).
  • D0500B1 (PHQ staff: feeling down, depressed - presence): 1 (Yes).
  • D0500B2 (PHQ staff: feeling down, depressed - frequency): 1 (2-6 Days (Several days)).
  • D0500C1 (PHQ staff: trouble with sleep - presence): 0 (No).
  • D0500D1 (PHQ staff: feeling tired/little energy - presence): 0 (No).
  • D0500E1 (PHQ staff: poor appetite or overeating - presence): 0 (No).
  • D0500F1 (PHQ staff: feeling bad about self - presence): 0 (No).
  • D0500G1 (PHQ staff: trouble concentrating - presence): 0 (No).
  • D0500H1 (PHQ staff: slow, fidgety, restless - presence): 1 (Yes).
  • D0500H2 (PHQ staff: slow, fidgety, restless - frequency): 3 (12-14 Days (Nearly every day)).
  • D0500I1 (PHQ staff: thoughts better off dead - presence): 0 (No).
  • D0500J1 (PHQ staff: short-tempered - presence): 0 (No).
  • D0600 (PHQ staff: total mood score): 6.

Section E - Behavior

  • E0100A (Psychosis: hallucinations): no.
  • E0100B (Psychosis: delusions): no.
  • E0100Z (Psychosis: none of the above): yes.
  • E0200A (Physical behav symptoms directed toward others): 0 (Behavior not exhibited ).
  • E0200B (Verbal behav symptoms directed toward others): 0 (Behavior not exhibited ).
  • E0200C (Other behav symptoms not directed toward others): 0 (Behavior not exhibited ).
  • E0300 (Overall presence of behavioral symptoms): 0 (No).
  • E0800 (Rejection of care: presence and frequency): 0 (Behavior not exhibited ).
  • E0900 (Wandering: presence and frequency): 0 (Behavior not exhibited ).
  • E1100 (Change in behavioral or other symptoms): 0 (Same).

Section F - Preferences for Customary Routine and Activities

  • F0300 (Conduct res interview for daily/activity prefs): 1 (Yes).
  • F0400A (Res interview: choose clothes to wear): 1 (Very important).
  • F0400B (Res interview: take care of personal belongings): 2 (Somewhat important).
  • F0400C (Res interview: choose tub, bath, shower, sponge): 2 (Somewhat important).
  • F0400D (Res interview: have snacks between meals): 3 (Not very important).
  • F0400E (Res interview: choose own bedtime): 1 (Very important).
  • F0400F (Res interview: discuss care with family/friend): 1 (Very important).
  • F0400G (Res interview: use phone in private): 1 (Very important).
  • F0400H (Res interview: lock things to keep them safe): 1 (Very important).
  • F0500A (Res interview: have books, newspaper, mags to read): 2 (Somewhat important).
  • F0500B (Res interview: listen to music): 3 (Not very important).
  • F0500C (Res interview: be around animals/pets): 3 (Not very important).
  • F0500D (Res interview: keep up with news): 2 (Somewhat important).
  • F0500E (Res interview: do things with groups of people): 3 (Not very important).
  • F0500F (Res interview: do favorite activities): 1 (Very important).
  • F0500G (Res interview: go outside when good weather): 1 (Very important).
  • F0500H (Res interview: participate in religious practices): 2 (Somewhat important).
  • F0600 (Primary respondent: daily/activities prefs): 1 (Resident).
  • F0700 (Conduct staff assessment for daily/activity prefs): 0 (No (because Interview for Daily and Activity Preferences (F0400 and F0500) was completed by resident or family/significant other)).

Section G - Functional Status

  • G0110A1 (Bed mobility: self-performance): 0 (No--determination has been made by the resident and the care planning team that contact is not required).
  • G0110A2 (Bed mobility: support provided): 0 (0).
  • G0110B1 (Transfer: self-performance): 1 (No--referral not made).
  • G0110B2 (Transfer: support provided): 2 (2).
  • G0110C1 (Walk in room: self-performance): 0 (No--determination has been made by the resident and the care planning team that contact is not required).
  • G0110C2 (Walk in room: support provided): 0 (0).
  • G0110D1 (Walk in corridor: self-performance): 0 (No--determination has been made by the resident and the care planning team that contact is not required).
  • G0110D2 (Walk in corridor: support provided): 0 (0).
  • G0110E1 (Locomotion on unit: self-performance): 0 (No--determination has been made by the resident and the care planning team that contact is not required).
  • G0110E2 (Locomotion on unit: support provided): 0 (0).
  • G0110F1 (Locomotion off unit: self-performance): 0 (No--determination has been made by the resident and the care planning team that contact is not required).
  • G0110F2 (Locomotion off unit: support provided): 1 (1).
  • G0110G1 (Dressing: self-performance): 8 (8).
  • G0110G2 (Dressing: support provided): 0 (0).
  • G0110H1 (Eating: self-performance): 0 (No--determination has been made by the resident and the care planning team that contact is not required).
  • G0110H2 (Eating: support provided): 0 (0).
  • G0110I1 (Toilet use: self-performance): 0 (No--determination has been made by the resident and the care planning team that contact is not required).
  • G0110I2 (Toilet use: support provided): 0 (0).
  • G0110J1 (Personal hygiene: self-performance): 4 (4).
  • G0110J2 (Personal hygiene: support provided): 3 (3).
  • G0300A (Balance: moving from seated to standing position): 1 (Not steady, but able to stabilize without human assistance).
  • G0300B (Balance: walking (with assistive device if used)): 2 (Not steady, only able to stabilize with human assistance).
  • G0300C (Balance: turning around while walking): 2 (Not steady, only able to stabilize with human assistance).
  • G0300D (Balance: moving on and off toilet): 1 (Not steady, but able to stabilize without human assistance).
  • G0300E (Balance: surface-to-surface transfer): 1 (Not steady, but able to stabilize without human assistance).
  • G0400A (ROM limitation: upper extremity): 0 (No impairment).
  • G0400B (ROM limitation: lower extremity): 1 (Impairment on one side).
  • G0600A (Mobility devices: cane/crutch): unknown.
  • G0600B (Mobility devices: walker): 1 (Yes).
  • G0600C (Mobility devices: wheelchair (manual or electric)): 1 (Yes).
  • G0600D (Mobility devices: limb prosthesis): 0 (No).
  • G0900A (Resident believes capable of increased independ): 1 (Yes).
  • G0900B (Staff believes res capable of increased independ): 1 (Yes).

Section H - Bladder and Bowel

  • H0100A (Appliances: indwelling catheter): no.
  • H0100B (Appliances: external catheter): no.
  • H0100C (Appliances: ostomy): no.
  • H0100D (Appliances: intermittent catheterization): no.
  • H0100Z (Appliances: none of the above): yes.
  • H0200A (Urinary toileting program: has been attempted): 0 (No).
  • H0300 (Urinary continence): 0 (Always continent).
  • H0400 (Bowel continence): 0 (Always continent).
  • H0500 (Bowel toileting program being used): 0 (No).
  • H0600 (Constipation): 0 (No).

Section I - Active Disease Diagnosis

  • I0100 (Cancer (with or without metastasis)): no.
  • I0200 (Anemia): no.
  • I0300 (Atrial fibrillation and other dysrhythmias): no.
  • I0400 (Coronary artery disease (CAD)): no.
  • I0500 (Deep venous thrombosis (DVT), PE, or PTE): no.
  • I0600 (Heart failure): no.
  • I0700 (Hypertension): yes.
  • I0900 (Peripheral vascular disease (PVD) or PAD): yes.
  • I1100 (Cirrhosis): no.
  • I1200 (Gastroesophageal reflux disease (GERD) or ulcer): no.
  • I1300 (Ulcerative colitis, Chrohn's, inflam bowel disease): no.
  • I1400 (Benign prostatic hyperplasia (BPH)): unknown.
  • I1500 (Renal insufficiency, renal failure, ESRD): no.
  • I1550 (Neurogenic bladder): no.
  • I1650 (Obstructive uropathy): yes.
  • I1700 (Multidrug resistant organism (MDRO)): no.
  • I2000 (Pneumonia): no.
  • I2100 (Septicemia): no.
  • I2200 (Tuberculosis): no.
  • I2300 (Urinary tract infection (UTI) (LAST 30 DAYS)): no.
  • I2400 (Viral hepatitis (includes type A, B, C, D, and E)): no.
  • I2500 (Wound infection (other than foot)): yes.
  • I2900 (Diabetes mellitus (DM)): yes.
  • I3100 (Hyponatremia): unknown.
  • I3200 (Hyperkalemia): unknown.
  • I3300 (Hyperlipidemia (e.g., hypercholesterolemia)): no.
  • I3400 (Thyroid disorder): no.
  • I3700 (Arthritis): unknown.
  • I3800 (Osteoporosis): no.
  • I3900 (Hip fracture): no.
  • I4000 (Other fracture): unknown.
  • I4200 (Alzheimer's disease): no.
  • I4300 (Aphasia): no.
  • I4400 (Cerebral palsy): no.
  • I4500 (Cerebrovascular accident (CVA), TIA, or stroke): no.
  • I4800 (Dementia): yes.
  • I4900 (Hemiplegia or hemiparesis): no.
  • I5000 (Paraplegia): no.
  • I5100 (Quadriplegia): no.
  • I5200 (Multiple sclerosis): no.
  • I5250 (Huntington's disease): no.
  • I5300 (Parkinson's disease): no.
  • I5350 (Tourette's syndrome): no.
  • I5400 (Seizure disorder or epilepsy): no.
  • I5500 (Traumatic brain injury (TBI)): no.
  • I5600 (Malnutrition (protein, calorie), risk of malnutrit): unknown.
  • I5700 (Anxiety disorder): no.
  • I5800 (Depression (other than bipolar)): no.
  • I5900 (Manic depression (bipolar disease)): no.
  • I5950 (Psychotic disorder (other than schizophrenia)): no.
  • I6000 (Schizophrenia): no.
  • I6100 (Post-traumatic stress disorder (PTSD)): no.
  • I6200 (Asthma (COPD) or chronic lung disease): no.
  • I6300 (Respiratory failure): yes.
  • I6500 (Cataracts, glaucoma, or macular degeneration): no.
  • I7900 (None of above active diseases within last 7 days): no.
  • I8000A (Additional active ICD diagnosis 1): No value (No display text).

Section J - Health Conditions

  • J0100A (Pain: been on scheduled pain med regimen): 0 (No).
  • J0100B (Pain: received PRN pain medications): 1 (Yes).
  • J0100C (Pain: received non-medication intervention): 0 (No).
  • J0200 (Should pain assessment interview be conducted): 1 (Yes).
  • J0300 (Res pain interview: presence): 1 (Yes).
  • J0400 (Res pain interview: frequency): 3 (Occasionally).
  • J0500A (Res pain interview: made it hard to sleep): 0 (No).
  • J0500B (Res pain interview: limited daily activities): 1 (Yes).
  • J0600A (Res pain interview: intensity rating scale): 4.
  • J0600B (Res pain interview: verbal descriptor scale): 2 (Moderate).
  • J0700 (Should staff assessment for pain be conducted): no.
  • J0800A (Staff pain asmt: non-verbal sounds): no.
  • J0800B (Staff pain asmt: vocal complaints of pain): yes.
  • J0800C (Staff pain asmt: facial expressions): yes.
  • J0800D (Staff pain asmt: protective movements/postures): no.
  • J0800Z (Staff pain asmt: none of these signs observed): no.
  • J0850 (Staff pain asmt: frequency of pain): 2 (Quarterly review assessment).
  • J1100A (Short breath/trouble breathing: with exertion): yes.
  • J1100B (Short breath/trouble breathing: sitting at rest): no.
  • J1100C (Short breath/trouble breathing: lying flat): no.
  • J1100Z (Short breath/trouble breathing: none of above): no.
  • J1300 (Current tobacco use): 0 (No).
  • J1400 (Prognosis: life expectancy of less than 6 months): 0 (No).
  • J1550A (Problem conditions: fever): no.
  • J1550B (Problem conditions: vomiting): no.
  • J1550C (Problem conditions: dehydrated): no.
  • J1550D (Problem conditions: internal bleeding): no.
  • J1550Z (Problem conditions: none of the above): yes.
  • J1700A (Fall history: fall during month before admission): 0 (No).
  • J1700B (Fall history: fall 2-6 months before admission): 0 (No).
  • J1700C (Fall history: fracture from fall 6 month pre admit): 0 (No).
  • J1800 (Falls since admit/prior asmt: any falls): 0 (No).
  • J1900A (Falls since admit/prior asmt: no injury): 0 (None ).
  • J1900B (Falls since admit/prior asmt: injury (not major)): 0 (None ).
  • J1900C (Falls since admit/prior asmt: major injury): 0 (None ).

Section K - Swallowing/Nutritional Status

  • K0100A (Swallow disorder: loss liquids/solids from mouth): no.
  • K0100B (Swallow disorder: holds food in mouth/cheeks): no.
  • K0100C (Swallow disorder: cough/choke with meals/meds): no.
  • K0100D (Swallow disorder: difficulty or pain swallowing): no.
  • K0100Z (Swallow disorder: none of the above): yes.
  • K0200A (Height (in inches)): 71[in_i].
  • K0200B (Weight (in pounds)): 175[lb_av].
  • K0300 (Weight loss): 0 (No, or unknown).
  • K0500A (Nutritional approaches: parenteral /IV feeding): no.
  • K0500B (Nutritional approaches: feeding tube): no.
  • K0500C (Nutritional approaches: mechanically altered diet): no.
  • K0500D (Nutritional approaches: therapeutic diet): no.
  • K0500Z (Nutritional approaches: none of the above): yes.
  • K0700A (Proportion total calories via parenteral/tube feed): unknown.
  • K0700B (Average fluid intake per day by IV or tube): unknown.

Section L - Oral/Dental Status

  • L0200A (Dental: broken or loosely fitting denture): no.
  • L0200B (Dental: no natural teeth or tooth fragment(s)): no.
  • L0200C (Dental: abnormal mouth tissue): no.
  • L0200D (Dental: cavity or broken natural teeth): no.
  • L0200E (Dental: inflamed/bleeding gums or loose teeth): no.
  • L0200F (Dental: pain, discomfort, difficulty chewing): no.
  • L0200G (Dental: unable to examine): yes.
  • L0200Z (Dental: none of the above): yes.

Section M - Skin Conditions

  • M0100A (Risk determination: has ulcer, scar, or dressing): no.
  • M0100B (Risk determination: formal assessment): no.
  • M0100C (Risk determination: clinical assessment): no.
  • M0100Z (Risk determination: none of the above): yes.
  • M0150 (Is resident at risk of developing pressure ulcer): 0 (No).
  • M0210 (Resident has Stage 1 or higher pressure ulcers): 0 (No).
  • M0300A (Stage 1 pressure ulcers: number present): 0.
  • M0300B1 (Stage 2 pressure ulcers: number present): 1.
  • M0300B2 (Stage 2 pressure ulcers: number at admit/reentry): 2.
  • M0300B3 (Stage 2 pressure ulcers: date of oldest): October 15, 2009 .
  • M0300C1 (Stage 3 pressure ulcers: number present): 0.
  • M0300C2 (Stage 3 pressure ulcers: number at admit/reentry): 0.
  • M0300D1 (Stage 4 pressure ulcers: number present): 0.
  • M0300D2 (Stage 4 pressure ulcers: number at admit/reentry): 0.
  • M0300E1 (Unstaged due to dressing: number present): 0.
  • M0300E2 (Unstaged due to dressing: number at admit/reentry): 0.
  • M0300F1 (Unstaged slough/eschar: number present): 0.
  • M0300F2 (Unstaged slough/eschar: number at admit/reentry): 0.
  • M0300G1 (Unstageable - deep tissue: number present): 0.
  • M0300G2 (Unstageable - deep tissue: number at admit/reentry): 0.
  • M0610A (Stage 3 or 4 pressure ulcer longest length): 3cm.
  • M0610B (Stage 3 or 4 pressure ulcer width (same ulcer)): 2cm.
  • M0610C (Stage 3 or 4 pressure ulcer depth (same ulcer)): 1cm.
  • M0700 (Tissue type for ulcer at most advanced stage): 2 (Granulation Tissue - pink or red tissue with shiny, moist, granular appearance).
  • M0900A (Pressure ulcers on prior assessment): 0 (No).
  • M1030 (Number of venous and arterial ulcers): 0.
  • M1040A (Other skin probs: infection of the foot): no.
  • M1040B (Other skin probs: diabetic foot ulcer(s)): no.
  • M1040C (Other skin probs: other open lesion(s) on the foot): yes.
  • M1040D (Other skin probs: lesions not ulcers, rashes, cuts): no.
  • M1040E (Other skin probs: surgical wound(s)): no.
  • M1040F (Other skin probs: burn(s) (second or third degree)): no.
  • M1040Z (Other skin probs: none of the above): no.
  • M1200A (Skin/ulcer treat: pressure reduce device for chair): no.
  • M1200B (Skin/ulcer treat: pressure reducing device for bed): yes.
  • M1200C (Skin/ulcer treat: turning/repositioning): no.
  • M1200D (Skin/ulcer treat: nutrition/hydration): no.
  • M1200E (Skin/ulcer treat: ulcer care): no.
  • M1200F (Skin/ulcer treat: surgical wound care): yes.
  • M1200G (Skin/ulcer treat: application of dressings): yes.
  • M1200H (Skin/ulcer treat: apply ointments/medications): no.
  • M1200I (Skin/ulcer treat: apply dressings to feet): no.
  • M1200Z (Skin/ulcer treat: none of the above): no.

Section N - Medications

  • N0300 (Number of days injectable medications received): 1d.
  • N0350A (Insulin: insulin injections): 1d.
  • N0350B (Insulin: orders for insulin): 1d.
  • N0400A (Medications: antipsychotic): no.
  • N0400B (Medications: antianxiety): no.
  • N0400C (Medications: antidepressant): no.
  • N0400D (Medications: hypnotic): no.
  • N0400E (Medications: anticoagulant): no.
  • N0400F (Medications: antibiotic): no.
  • N0400G (Medications: diuretic): no.
  • N0400Z (Medications: none of the above): yes.

Section O - Special Treatments and Procedures

  • O0100A1 (Treatment: chemotherapy - while not resident): 0 (No).
  • O0100A2 (Treatment: chemotherapy - while resident): 0 (No).
  • O0100B1 (Treatment: radiation - while not resident): 0 (No).
  • O0100B2 (Treatment: radiation - while resident): 0 (No).
  • O0100C1 (Treatment: oxygen therapy - while not resident): 1 (Yes).
  • O0100C2 (Treatment: oxygen therapy - while resident): 1 (Yes).
  • O0100D1 (Treatment: suctioning - while not resident): 0 (No).
  • O0100D2 (Treatment: suctioning - while resident): 0 (No).
  • O0100E1 (Treatment: tracheostomy care - while not resident): 0 (No).
  • O0100E2 (Treatment: tracheostomy care - while resident): 0 (No).
  • O0100F1 (Treatment: vent/respirator - while not resident): 0 (No).
  • O0100G1 (Treatment: BiPAP/CPAP - while not resident): 0 (No).
  • O0100G2 (Treatment: BIPAP/CPAP - while resident): 0 (No).
  • O0100H1 (Treatment: IV medications - while not resident): 1 (Yes).
  • O0100H2 (Treatment: IV medications - while resident): 0 (No).
  • O0100I1 (Treatment: transfusions - while not resident): 0 (No).
  • O0100I2 (Treatment: transfusions - while resident): 0 (No).
  • O0100J1 (Treatment: dialysis - while not resident): 0 (No).
  • O0100J2 (Treatment: dialysis - while resident): 0 (No).
  • O0100K1 (Treatment: hospice care - while not resident): 0 (No).
  • O0100K2 (Treatment: hospice care - while resident): 0 (No).
  • O0100L2 (Treatment: respite care - while resident): 0 (No).
  • O0100M1 (Treatment: isolate/quarantine - while not resident): 0 (No).
  • O0100M2 (Treatment: isolate/quarantine - while resident): 0 (No).
  • O0100Z1 (Treatment: none of above - while not resident): 0 (No).
  • O0100Z2 (Treatment: none of above - while resident): 0 (No).
  • O0250A (Was influenza vaccine received): 0 (No).
  • O0250B (Date influenza vaccine received.): October 25, 2008 .
  • O0250C (If influenza vaccine not received, state reason): 2 (Received outside of this facility).
  • O0300A (Is pneumococcal vaccination up to date): 1 (Yes).
  • O0400B1 (Occupational therapy: individ minutes): 225min.
  • O0400B4 (Occupational therapy: number of days): 5d.
  • O0400B5 (Occupational therapy: start date): November 25, 2007 .
  • O0400B6 (Occupational therapy: end date): November 28, 2007, 09:19:14 .
  • O0400C1 (Physical therapy: individ minutes): 315min.
  • O0400C4 (Physical therapy: number of days): 7d.
  • O0400C5 (Physical therapy: start date): November 25, 2007 .
  • O0400C6 (Physical therapy: end date): November 28, 2007, 14:04:02 .
  • O0500A (Range of motion (passive): number of days): 0d.
  • O0500B (Range of motion (active): number of days): 7d.
  • O0500C (Splint or brace assistance: number of days): 0d.
  • O0500D (Bed mobility training: number of days): 0d.
  • O0500E (Transfer training: number of days): 7d.
  • O0500F (Walking training: number of days): 7d.
  • O0500G (Dressing and/or grooming training: number of days): 0d.
  • O0500H (Eating and/or swallowing training: number of days): 0d.
  • O0500I (Amputation/prosthesis training: number of days): 7d.
  • O0500J (Communication training: number of days): 0d.
  • O0600 (Physician examinations: number of days): 1d.
  • O0700 (Physician orders: number of days): 1d.

Section P - Restraints

  • P0100A (Restraints used in bed: bed rail): 1 (Used less than daily).
  • P0100B (Restraints used in bed: trunk restraint): 0 (Not used).
  • P0100C (Restraints used in bed: limb restraint): 0 (Not used).
  • P0100D (Restraints used in bed: other): 0 (Not used).
  • P0100E (Restraints in chair/out of bed: trunk restraint): 0 (Not used).
  • P0100F (Restraints in chair/out of bed: limb restraint): 0 (Not used).
  • P0100G (Restraints in chair/out of bed: chair stops rising): 0 (Not used).
  • P0100H (Restraints in chair/out of bed: other): 0 (Not used).

Section Q - Participation in Assessment and Goal Setting

  • Q0100A (Resident participated in assessment): 1 (Yes).
  • Q0100B (Family/signif other participated in assessment): 1 (Yes).
  • Q0100C (Guardian/legal rep participated in assessment): 9 (9).
  • Q0300A (Resident's overall goal): 1 (5-day scheduled assessment).
  • Q0300B (Information source for resident's goal): 1 (Add new record).
  • Q0400A (Active discharge plan for return to community): 0 (No).
  • Q0400B (Determination regarding discharge to community): 1 (1).
  • Q0500A (Resident been asked about return to community): 1 (1).
  • Q0500B (Do you want to talk about returning to community): 0 (No).
  • Q0600 (Referral been made to local contact agency): 0 (0).

Section S - State-Specific Questions

 

Section V - Care Area Assessment Summary

Section Author: Nancy Nightingale, RN
Patty Provider, RN

 
  • V0100A (Prior OBRA reason for assessment): 1 (Admission assessment (required by day 14)).
  • V0100B (Prior PPS reason for assessment): 1 (5-day scheduled assessment).
  • V0100C (Prior assessment reference date): November 25, 2007 .
  • V0100D (Prior assessment BIMS summary score): 2.
  • V0100E (Prior asmt PHQ res: total mood severity score): 3.
  • V0100F (Prior asmt PHQ staff: total mood score): 4.
  • V0200A01A (CAA-Delirium: triggered): yes.
  • V0200A01B (CAA-Delirium: plan): yes.
  • V0200A02A (CAA-Cognitive loss/dementia: triggered): yes.
  • V0200A02B (CAA-Cognitive loss/dementia: plan): yes.
  • V0200A03A (CAA-Visual function: triggered): yes.
  • V0200A03B (CAA-Visual function: plan): yes.
  • V0200A04A (CAA-Communication: triggered): yes.
  • V0200A04B (CAA-Communication: plan): yes.
  • V0200A05A (CAA-ADL functional/rehab potential: triggered): yes.
  • V0200A05B (CAA-ADL functional/rehab potential: plan): yes.
  • V0200A06A (CAA-Urinary incont/indwell catheter: triggered): yes.
  • V0200A06B (CAA-Urinary incont/indwell catheter: plan): yes.
  • V0200A07A (CAA-Psychosocial well-being: triggered): yes.
  • V0200A07B (CAA-Psychosocial well-being: plan): yes.
  • V0200A08A (CAA-Mood state: triggered): yes.
  • V0200A08B (CAA-Mood state: plan): yes.
  • V0200A09A (CAA-Behavioral symptoms: triggered): yes.
  • V0200A09B (CAA-Behavioral symptoms: plan): yes.
  • V0200A10A (CAA-Activities: triggered): yes.
  • V0200A10B (CAA-Activities: plan): yes.
  • V0200A11A (CAA-Falls: triggered): yes.
  • V0200A11B (CAA-Falls: plan): yes.
  • V0200A12A (CAA-Nutritional status: triggered): yes.
  • V0200A12B (CAA-Nutritional status: plan): yes.
  • V0200A13A (CAA-Feeding tubes: triggered): yes.
  • V0200A13B (CAA-Feeding tubes: plan): yes.
  • V0200A14A (CAA-Dehydration/fluid maintenance: triggered): yes.
  • V0200A14B (CAA-Dehydration/fluid maintenance: plan): yes.
  • V0200A15A (CAA-Dental care: triggered): yes.
  • V0200A15B (CAA-Dental care: plan): yes.
  • V0200A16A (CAA-Pressure ulcer: triggered): yes.
  • V0200A16B (CAA-Pressure ulcer: plan): yes.
  • V0200A17A (CAA-Psychotropic drug use: triggered): yes.
  • V0200A17B (CAA-Psychotropic drug use: plan): yes.
  • V0200A18A (CAA-Physical restraints: triggered): yes.
  • V0200A18B (CAA-Physical restraints: plan): yes.
  • V0200A19A (CAA-Pain: triggered): yes.
  • V0200A19B (CAA-Pain: plan): yes.
  • V0200A20A (CAA-Return to community referral: triggered): yes.
  • V0200A20B (CAA-Return to community referral: plan): yes.

Section X - Correction Request

Section Author: Clarence Barton, RN

 
  • X0100 (Correction: type of transaction): 2 (2).
  • X0150 (Correction: type of provider): 1 (Nursing home (SNF/NF)).
  • X0200A (Correction: resident first name): Adam.
  • X0200C (Correction: resident last name): Everyman.
  • X0400 (Correction: resident birth date): November 28, 1945 .
  • X0500 (Correction: resident social security number): 999-99-9999.
  • X0600A (Correction: OBRA reason for assessment): 11 (Discharge transaction - return anticipated).

Section Z - Assessment Administration

  • Z0100C (Medicare Part A: Medicare short stay asmt): 0 (No).
  • Z0500A (Signature of RN Assessment Coordinator Verifying Assessment Completion): Nancy Nightingale, RN (33333333 2.16.840.1.113883.4.6.9999999999) signed.
  • Z0500B (Date RN signed assessment as complete): March 1, 2008, 08:30 .

CMS Control Elements

  • FAC_ID (Assigned facility/provider submission ID): 1234512345123451.
  • ITM_SBST_CD (Item subset code): NCN (Nursing home comprehensive assessment ).
  • PRODN_TEST_CD (Production/test indicator): P (Product submission).
  • SFTWR_PROD_NAME (Software product name): MyProduct.
  • SFTWR_PROD_VRSN_CD (Software product version code): 2.0.1.3.
  • SFTWR_VNDR_EMAIL_ADR (Software vendor email address): MyProductVendor@MyEmailAddress.com.
  • SFTWR_VNDR_ID (Software vendor federal employer tax ID): 11-1111111.
  • SFTWR_VNDR_NAME (Software vendor company name): MyProductVendor.
  • SPEC_VRSN_CD (Specifications version code): 1.00.

Encounter Location Room 222
Document maintained by Green Acres Retirement Home
Contact info 4444 Nursinghome Drive
Ann Arbor, MI 99999
Telecom information not available
Legal authenticator Nancy Nightingale, RN signed at March 1, 2008, 08:30

Appendix H: Standards Development and Adoption Recommendations

Overview

This appendix provides recommendations for advancing and accelerating the use of health IT and EHRs in the LTPAC industry based on interviews with expert informants (Appendix A: Stakeholder Interview), and on existing standards and known gaps. This section also discusses the relationship of existing and potential national policy strategies in relation to the recommendations.

Recommendations For Standards Development

The expert informant interviews identified several standards gaps in need of strengthening and refinement: functional status, cognitive status, and advance directives.

Functional Status and Cognitive Status

CCD has a section for representation of a patient’s functional status and cognitive status. This section provides high-level guidance but there is no detailed modeling of functional or cognitive status represented in CCD. Without detailed modeling standardized there will be considerable variability in the way different modelers represent the concepts in CDA. What is needed is to further constrain and ballot the representations of pertinent functional and cognitive status concepts in CCD.

Using existing CCD templates, SDOs need to work with domain experts to develop granular templates that adequately express functional and cognitive status in the elderly population. Policy makers will need to be made aware of these templates as they are developed so that they can be reviewed and their use encouraged. These templates should be able to be used in any type of CDA document. Their design should be consistent with HITSP C32/C83 template requirements that have been cited in the meaningful use final rule. If there are conflicts with HITSP C32/C83 templates, they should be addressed through a formal process such as the S&I Framework to establish an updated national standard.

Advance Directives

The need to communicate a patient’s or family’s desires and a clinician’s orders for a patient’s end-of-life choice is especially critical in the age group represented in LTPAC settings. CCD has a section for defining a patient’s advance directives and for referencing supporting documentation such as legal documents containing these directives. CCD defines in this section how to represent data at a high level such as CPR and resuscitation status, and the existence of living wills and health care proxies. Referenced documents, if available, can be included in the CCD exchange package.

The CCD Advance Directive section is not a complete advance directive document. An advance directive CDA document conformance specification has not been created, although any type of document (e.g., a PDF file) may be referenced from a CCD. What is needed is to further constrain and ballot the representation of advanced directive concepts both as a separate document for communication and to represent the key concepts in a CCD.

The Meaningful Use Final Rule criteria 170.306 require that a complete certified EHR be capable of recording that a patient has an advanced directive document.

OASIS CDA Implementation Guide Evaluation

Currently a Questionnaire Assessment CDA Implementation Guide (IG) exists with an example specified for the MDS. HL7 Structured Documents committee should evaluate the IG and determine whether it can be applied to OASIS or should be updated to reflect guidance on developing a CDA representation of the OASIS-C Assessment form.

CCD for Patient Assessment Summary

As LTPAC organizations exchange MDS and OASIS data, the need to extract a subset of assessment items into a clinically relevant summary (Patient Assessment Summary) will make the content more consumable to physicians and other clinicians. A single standard for the content of a Patient Assessment Summary of the MDS and a Patient Assessment Summary of the OASIS is needed. If it is not developed, different LTPAC providers, vendors, health information exchange organizations and others will develop their own requirements making standardized implementation difficult.

Recommendations For Standards Adoption

The following figure lays out a roadmap for the LTPAC vendor or implementer to adopt HIT standards. While no Meaningful Use criteria today apply to LTPAC, it is reasonable to assume that future stages of meaningful use will extend health information exchange activities to LTPAC providers. For interoperable exchange to happen, many standards defined for the meaningful use program will ultimately be applied to LTPAC providers and vendors. The recommendations in Figure H-1 parallel the type of strategy one would implement if working to achieve EHR certification. Therefore, we recommend a strategy beginning with the most broadly applicable standard that not only addresses today's requirements, but also positions the LTPAC setting for new criteria in the coming years.

FIGURE H-1: Transforming and Exchanging Interoperable LTPAC Provider Data
Line Chart: First, HL7 CDA R2. Second, HL7 CCD (for Problems, Medications, Allergies, Labs, Immunizations, Procedures). Third, Other CDA Implementation Guides (e.g. Diagnostic Imaging, Discharge Summary, Quality Reporting). Fourth, MDS/OASIS [right pointing arrow] CCD Transformation. Fifth, HL7 CCD (for Functional/Cognitive Status, other domains). Sixth, Other LTPAC Interoperability Tools. Last, Advance Directives.

Recommended standard adoption roadmap includes:

  1. HL7 CDA R2: As the base standard for a growing number of interoperability solutions, including HL7 CCD, the HL7 CDA R2 provides a base foundation. Simple, minimally conformant CDA documents include key demographic data, and rich clinical narrative, which will become progressively more structured as one progresses along the roadmap.

  2. MDS/OASIS CCD Transformation: Harvesting data from MDS and OASIS and including that data in the CCD will enrich the CCD, making it more valuable in several scenarios, such as a transfer of care. The MDS often has clinically relevant data elements not otherwise captured -- such as regarding functional and cognitive status.

  3. HL7 CCD (for select domains): Problems, medications, allergies, labs, immunizations, and procedures are key data elements needed for a wide variety of use cases -- transfer of care, quality reporting, decision support, and more. Structured representation for some of these domains is already required for ambulatory and hospital-based meaningful use certification. A patient assessment summary for MDS and OASIS should be prioritized to support immediate use of assessment content in a health information exchange environment.

  4. Other CDA Implementation Guides: A basis in CDA R2, along with adoption of key CCD data elements, eases the ability to adopt other CDA Implementation Guides, which often reuse the CCD templates. Diagnostic imaging, discharge summary, and quality reporting documents are just a few of the many common clinical documents that can be implemented in a CDA R2 format.

  5. HL7 CCD (for other domains): Other domains such as functional and cognitive status are called out above as significant gaps from a LTPAC perspective. As these gaps are standardized, corresponding CCD recommendations will emerge.

  6. Other LTPAC Interoperability Tools: Other tools enable a broad array of functionalities, ranging from transformation between CDA and CMS XML format for MDS and OASIS, semi-automated construction of the CDA representation of the MDS and OASIS, etc.

  7. Advance Directives: Other domains such as Advance Directives are called out above as significant gaps from a LTPAC perspective. Advance Directives are shown at the end of the roadmap only because of the time that will be required to fully standardize the representation.

Appendix I: Recommendations for Functional Status

Overview

Timely and complete health information exchange is widely recognized as necessary to support quality and continuity of care. The meaningful use electronic health record (EHR) incentive program requires the exchange of a variety of types of health information including patient summary documents. As the meaningful use program evolves, the requirements are expected to become more rigorous. To advance health information exchange, critical gaps will need to be addressed including:

  • Functional status observations;
  • Patient assessment instruments;
  • Patient summary documents including assessment summary and transfer summary documents;
  • Care Plans.

Identifying the Gaps

This study has applied standards for the exchange of patient assessment instruments and summary documents. In undertaking this work, key gaps have been identified. The HL7 Clinical Document Architecture (CDA) release 2 standard has been adopted as one of the underlying health information exchange standards for the EHR meaningful use incentive program. The meaningful use program leverages CDA release 2 in its use of the Continuity of Care Document (CCD) standard for the exchange of patient summary documents. This study has: (1) applied the CDA as the standard for the exchange of patient assessment documents; and (2) applied the CCD for the exchange of patient assessment summary documents (in collaboration with Keystone Health Information Exchange, Danville, Pennsylvania). In so doing, the study has identified the following gaps:

  • CDA, CCD and Health Information Technology Standards Panel (HITSP) C32 Summary Document Using HL7 CCD Components that will not support the interoperable exchange of these document types;
  • Functional Status.

Addressing the Gaps

The Federal Health IT Strategic Plan indicates that the Office of the National Coordinator is putting in place policies to support the nationwide health information technology infrastructure (NwHIN). It is recommended that the process established by the Office of the National Coordinator to identify standards, implementation specifications, and certification criteria be leveraged to address the gaps.

  • The health IT policy and standards committees address the gaps in standards, implementation specifications and certification criteria needed for the representation and exchange of functional status information.

  • The S&I Framework commission the Transition of Care Initiative to focus on patient assessment and summary documents that includes functional status content identifying:

    • Specific CDA sections to support the interoperable exchange of these document types.
    • Content and vocabulary standards needed to support the exchange of functional status information.

Health information exchange is a key component for the meaningful use of the EHRs, and essential in providing services and supporting the continuity of care for persons with chronic illnesses and disabilities. There are several critical gaps that need to be addressed for health information exchange on behalf of LTPAC individuals. These gaps include the need for standards, implementation specifications, and certification criteria related to the exchange of functional status content, various patient summary documents (such as the patient assessment documents and patient assessment summary documents), and care plans.

This project has focused on the standards needed for some of the gap areas -- mainly standards needed for assessment instruments that include functional status content as well as patient assessment summary documents that include functional status. The Office of the National Coordinator has implemented a process for the endorsement of interoperable health IT content and messaging standards. As described below, this process should be used for the endorsement of health IT standards needed for the interoperable exchange of functional status content and assessment information:

  • The health IT policy and standards committees should consider gaps in standards, implementation specifications and certification criteria needed for the representation and exchange of functional status information.

  • The S&I Framework should undertake work to a standardized approach that can represent functional status assessments, assessment results, and assessment summary documents.

Background

There is no uniform definition, assessment method or scale for functional status to be communicated consistently across care settings. This creates challenges for representing functional status in a standardized vocabulary to support continuity of care, information exchange and reuse. Functional status information is important to assessing an individual’s level of functioning and providing appropriate and needed health and supportive services. Functional status impacts the individual’s quality of life, wellness, and ability to care for oneself, and is often a factor in public and private payment methodologies as well as in quality management and clinical outcome measurement.

Providers and care settings have adopted a variety of instruments and data sets to assess functional status. While there is often some general consistency in the functional status categories covered by many of these instruments and data sets, there is often variation in specific content. This lack of consistency makes sharing and reusing functional status information difficult, including sharing information across care providers as individuals move across the continuum and measuring progress and decline across the continuum.

Several provisions in the Patient Protection and Affordable Care Act (ACA) identify functional status as a key area for which assessment, reporting or information sharing will be needed, including the following sections:

  • Section 2401 Community First Choice Option: Requires providers to use (when feasible) health IT to report on quality measures in the provision of health home services.

  • Section 3013 Quality Measurement Development: Prioritize quality measures that allow assessment of health outcomes and functional status of patients.

  • Section 3023 National Pilot Program on Payment Bundling: Quality measures of process, outcome and structure including measures of functional status related to participants of the pilot program.

  • Section 3024 Independence at Home Demonstration Program: For individuals with two or more functional dependencies requiring assistance of another person.

  • Section 3501 Health Care Delivery System Research; Quality: Potential impact of processes and systems on health status and function of patients including vulnerable populations and children.

  • Section 2503 Medication Management Services in Treatment of Chronic Disease: Performing or obtaining necessary assessments of the health and functional status of each patient receiving such MTM services.

  • Section 4106 Improving Access to Preventive Services for Eligible Adults in Medicaid: Any medical or remedial services (provided in a facility, a home, or other setting) recommended by a physician or other licensed practitioner of the healing arts within the scope of their practice under state law, for the maximum reduction of physical or mental disability and restoration of an individual to the best possible functional level.

  • Section 10202: Incentives for States to Offer Home and Community-Based Services as a Long-Term Care Alternative to Nursing Homes: Apply for such services, referral services for services and supports otherwise available in the community, and determinations of financial and functional eligibility for such services and supports, or assistance with assessment processes for financial and functional eligibility. Outcome measures for achieving desired outcomes appropriate to a specific beneficiary, including employment, participation in community life, health stability, and prevention of loss in function.

  • Section 10331 Public Reporting of Performance Information: Scientifically sound measures that shall include an assessment of patient health outcomes and the functional status of patients.

Further, as new payment models like Accountable Care Organizations emerge, the ability to exchange and re-use functional status information of individuals who are transitioning across care settings and between providers will become critical. This paper provides a brief background on functional status and recommendations on representing functional status in the absence of a standard framework.

What is Functional Status?

A search for definitions indicates some level of consistency in the broad categories included in concept of “functional status.” The HL7 standard for CDA provides a comprehensive summary of the type of information that falls under functional status:

  • Ambulatory ability;
  • Mental status or competency;
  • Activities of Daily Living (ADLs), including bathing, dressing, feeding, grooming;
  • Home/living situation having an effect on the health status of the patient;
  • Ability to care for self;
  • Social activity, including issues with social cognition, participation with friends and acquaintances other than family members;
  • Occupation activity, including activities partly or directly related to working, housework or volunteering, family and home responsibilities or activities related to home and family;
  • Communication ability, including issues with speech, writing or cognition required for communication;
  • Perception, including sight, hearing, taste, skin sensation, kinesthetic sense, proprioception, or balance.

How Functional Status is Assessed by Health Care Provider

The challenge for applying health IT standards occurs with the assessment questions, scales and data used to collect and measure the multiple categories embedded in the concept of functional status. At present, the Federal Government has identified three different assessment instruments for use in nursing homes, home care agencies and rehabilitation units/hospitals -- each collects and measures functional status information differently. In addition to the federally required assessment instruments, a multitude of other instruments are used with no level of consistency. To illustrate the challenge of standardization, the CAST Continuity of Care Workgroup identified 47 different assessment instruments used in the long-term and post-acute care sector for functional status (See Table I-1).

TABLE I-1: CAST Continuity of Care Workgroup: Functional Status Assessment Instruments Used in LTPC
Aggressive Behaviour Scale
http://continuityofcaretaskgroup.pbworks.com/Aggressive%20Behaviour%20Scale
 
AM-PAC
http://continuityofcaretaskgroup.pbworks.com/AM-PAC
 
Berg Balance Scale (BBS)
http://continuityofcaretaskgroup.pbworks.com/Berg%20Balance%20Scale
 
Confusion Assessment Method (CAM)
http://continuityofcaretaskgroup.pbworks.com/CAM
 
Center for Epidemiologic Studies Depression Scale (CES-D)
http://continuityofcaretaskgroup.pbworks.com/CES-D
 
CHESS Scale
Changes in Health, End-stage disease, and Signs and Symptoms
http://continuityofcaretaskgroup.pbworks.com/CHESS%20Scale
 
Cohen-Mansfield Agitation Inventory (CMAI)
http://continuityofcaretaskgroup.pbworks.com/Cohen-Mansfield%20Agitation%20Inventory
 
Depression Rating Scale (DRS)
http://continuityofcaretaskgroup.pbworks.com/Depression%20Rating%20Scale%20(DRS)
 
DSM-I Assessment Long Term and Managed Care Program
http://continuityofcaretaskgroup.pbworks.com/DSM-I%20Assessment
 
Elderly Life Satisfaction Index A and B
http://continuityofcaretaskgroup.pbworks.com/Elderly%20Life%20Satisfaction%20Index%20A%20and%20B
 
Established Populations for Epidemiologic Studies of the Elderly (EPESE) Battery
http://continuityofcaretaskgroup.pbworks.com/EPESE%20Battery
 
Functional Independence Measure (FIM)
http://continuityofcaretaskgroup.pbworks.com/FIM
 
Frailty Assessment
http://continuityofcaretaskgroup.pbworks.com/Frailty%20Assessment
 
Functional Status Questionnaire
http://continuityofcaretaskgroup.pbworks.com/Functional%20Status%20Questionnaire
 
Gait Speed
http://continuityofcaretaskgroup.pbworks.com/Gait%20Speed
 
Geriatric Depression Scale
http://continuityofcaretaskgroup.pbworks.com/Geriatric%20Depression%20Scale
 
Goldberg Anxiety Scale
http://continuityofcaretaskgroup.pbworks.com/Goldberg%20Anxiety%20Scale
 
Hearing Screen
http://continuityofcaretaskgroup.pbworks.com/Hearing%20Screen
 
Katz ADL
Index of independence of activities in daily living
http://continuityofcaretaskgroup.pbworks.com/Katz%20ADL
 
interRAI Assessment Instruments
http://continuityofcaretaskgroup.pbworks.com/interRai
 
interRAI Post Acute Care
http://continuityofcaretaskgroup.pbworks.com/interRAI%20Post%20Acute%20Care
 
interRAI for Mental Health
http://continuityofcaretaskgroup.pbworks.com/interRAI%20for%20Mental%20Health
 
interRAI Acute Care
http://continuityofcaretaskgroup.pbworks.com/interRAI%20Acute%20Care
 
interRAI Home Care
http://continuityofcaretaskgroup.pbworks.com/interRAI%20Home%20Care
 
interRAI Community Health Assessment
http://continuityofcaretaskgroup.pbworks.com/interRAI%20Community%20Health%20Assessment
 
IRF-PAI
Rehab Assessment (Required by CMS)
http://continuityofcaretaskgroup.pbworks.com/IRF-PAI
 
Lawton's Morale Scale
http://continuityofcaretaskgroup.pbworks.com/Lawton's%20Morale%20Scale
 
Major ICD-10 Depression Inventory
http://continuityofcaretaskgroup.pbworks.com/Major%20ICD-10%20Depression%20Inventory
 
MDS Long Term Care
MDS Minimum Data Set (Required by CMS)
http://continuityofcaretaskgroup.pbworks.com/MDS%20Long%20Term%20Care
 
Medicare Health Outcomes Survey (HOS)
http://continuityofcaretaskgroup.pbworks.com/Medicare%20Health%20Outcomes%20Survey
 
Mood Disorder Questionnaire (MDQ)
http://continuityofcaretaskgroup.pbworks.com/Mood%20Disorder%20Questionnaire
 
Nursing Home Behavior Problem Scale
http://continuityofcaretaskgroup.pbworks.com/Nursing%20Home%20Behavior%20Problem%20Scale
 
OASIS Home Health
OASIS-C (Required by CMS)
http://continuityofcaretaskgroup.pbworks.com/OASIS%20Home%20Health
 
Pain Subscale
http://continuityofcaretaskgroup.pbworks.com/Pain%20Subscale
 
PRIME-MD PHQ
For evaluation of mental disorders
http://continuityofcaretaskgroup.pbworks.com/PRIME-MD%20PHQ
 
Rockwood Assessment
http://continuityofcaretaskgroup.pbworks.com/Rockwood%20Assessment
 
Semi-Annual Assessment of Members (SAAM)
Used for managed long-term care -- adapted from OASIS
http://continuityofcaretaskgroup.pbworks.com/SAAM
 
SCL-90
http://continuityofcaretaskgroup.pbworks.com/SCL-90
 
SF-36
Self-reported health status
http://continuityofcaretaskgroup.pbworks.com/SF-36
 
Six Minute Walk Test (6MWT)
http://continuityofcaretaskgroup.pbworks.com/Six%20Minute%20Walk%20Test
 
Timed Up And Go
http://continuityofcaretaskgroup.pbworks.com/Timed%20Up%20And%20Go
 
Timed Walk Tests
http://continuityofcaretaskgroup.pbworks.com/Timed%20Walk%20Tests
 
Tinetti Balance Assessment Tool
http://continuityofcaretaskgroup.pbworks.com/Tinetti%20Balance%20Assessment%20Tool
 
Tinettis Performance Oriented Mobility Assessment (POMA)
http://continuityofcaretaskgroup.pbworks.com/Tinettis%20Performance%20Oriented%20Mobility%20Assessment
 
VA Geriatrics and Extended Care (VA GEC)
http://continuityofcaretaskgroup.pbworks.com/VA%20GEC
 
Visual Acuity
http://continuityofcaretaskgroup.pbworks.com/Visual%20Acuity
 
Vulnerable Elders Survey (VES-13)
http://continuityofcaretaskgroup.pbworks.com/Vulnerable%20Elders%20Survey
 
 

Overview Of Existing Standard/specification For Functional Status

Table I-2 lists the current standards/specifications related to functional status definition and presentation. The key problems to be resolved include:

  • Standardizing the HL7 CDA Functional Status representation to reflect question/answer pattern and assertion patterns. This standardization includes making proposed changes to the new Consolidated CDA Functional Status Section as needed.

  • Standardizing the functional status concept value set master file.

  • Standardizing the mapping methodology between multiple standard terminologies (for example, the mapping between LOINC functional status answer codeto the corresponding SNOMED CT code).

TABLE I-2: Current Standards/Specifications related to Functional Status
Existing
Standard
Selected
Terminology
CDA
Template
Representation
Pattern
HL7 CCD LOINC and SNOMED   CCD problem observation template and CCD result observation template Question/Answer pattern  

Assertion pattern
HITSP C32 LOINC and SNOMED Constraint CCD result observation template Question/Answer pattern

Assertion pattern
HL7 CDA R2 LOINC and SNOMED Functional Status Question/Answer pattern

Assertion pattern
MDS LOINC and SNOMED Same as CCD result observation template Question/Answer pattern
IHE Functional Status Assessment Profile (2008)   LOINC and SNOMED CCD problem observation template and CCD result observation template   Question/Answer pattern

Assertion pattern

Differentiate Between Functional Status And Assessment Scale

Patient assessment instruments often include assessment scale and functional status content. When transmitted in a CCD, assessment scale information is nice to have, but not required. The primary functional status scope for CCD based communication is the functional status observations of interest rather than assessment scale information. Differentiation is needed between the functional status and assessment scale. If the primary objective is to communicate a complete report of an assessment instrument, the MDS report (transmitted using the CDA) may be preferred over the CCD functional status section.

Psychometric Underpinnings Of Various Assessment Instruments And Potential Conflict With Hitech Goal Of Reuse

In 2006, Tom White and others reviewed the HL7 CCD Ballot and submitted a white paper to the HL7 Structured Document Technical Committee (SDTC) describing a conflict between the CCD Ballot proposal for Functional Status, and psychometric theory and recommendations made by the National Committee for Vital and Health Statistics (NCVHS). The paper describes how the vast number of assessment instruments, particularly those for which psychometric properties were considered in their design, and the dozens of functional status domains across these instruments creates challenges for developing a unique list of functional status values within each of these domains (as was included in the HL7 SDTC CCD Ballot). White states that psychometric and survey theories “dictate that even minor changes to the wording of questions or the allowable response options can significantly change the meaning” of the concept being measured in the assessment form. In his paper, he suggested "supporting the creation of unique codes for all elements of each standard assessment instrument, while at the same time facilitating the creation and use of semantic links -- mappings -- between instrument concepts and external terminology standards-such as SNOMED CT". The paper then describes a process for linking LOINC codes to assessment instruments and the questions and answers embedded in such instruments; and linking these LOINC coded instruments and question/answer pairs to other clinical vocabularies (e.g., SNOMED).

Precedent Terminology Standardization Works For Ccd Functional Status To Support Assessment Instrument Content

HL7 representatives, persons with expertise in the federally-required MDS and OASIS instruments, and others have established precedence1, 2, 3 by outlining the following terminology integration steps that support the assessment instrument content exchanged in the functional status section of CCD:

  • Step 1: Encode to a standard coding system: encode assessment instruments' functional status and assessment items into LOINC.

  • Step 2: Concept matching to a standard medical terminology: where possible match LOINC codes of the assessment instruments' items with one or more equivalent terms from a standard medical terminology. The suggested medical terminology is often SNOMED.

  • Step 3: Insert the LOINC codes of the assessment instrument items (e.g., items from the MDS) (and their SNOMED equivalents) into the functional status section of the CCD.

  • Step 4 (Messaging): the CCD is an HL7 CDA document that is sent as a sequence of HL7 messages.

The Process Leading To Meaningful Use Includes The Development, Adoption, And Maintenance Of Appropriate Standards

The exchange of functional status content is critically important in providing services and supporting the continuity of care for persons with chronic illnesses and disabilities. The standards development community has identified two approaches for exchange of content related to functional status -- one approach applies to the exchange of question and answer pairs that could include functional content and supports the exchange of functional status observations. The second approach is to exchange functional status assertion pattern -- that is exchange only the assertion of a functional status impairment (See below for XML Examples for Question/Answer Pattern and Assertion Pattern). Additional consideration is needed to determine whether additional messaging specifications are needed for the exchange of functional status content.

Recommendations and Process

  • The S&I Framework should undertake work to identify whether approaches to exchange functional status information observations using HL7 -- assertion patterns or question/answer pairs (or whether other approaches could be used). Specifically, the S&I Framework will look at the current CDA Functional Status section and suggest refinements/improvements, and may also suggest potential new CDA sections as needed.

  • Meaningful use across the health care continuum will require more complete specifications health IT content and messaging standards. Developing a standard approach to representing functional status is a key step to enable the inclusion of functional status in meaningful use. The following process is recommended:

    • Develop use cases for the exchange of key documents that include functional status content (e.g., exchange of: assessment instruments, assessment summary documents, discharge/transfer documents, and care plans).
    • Engage stakeholders -- CMS, quality measure developers, instrument developers, providers, vendors, health information exchange organizations.
    • Establish participant roles and responsibilities.
    • Ensure that Regenstrief and IHTSDO are participants, so that we can determine how these terminologies overlap, complement one another or conflict with one another.
    • Ensure involvement of HL7 (i.e., Structured Documents and Patient Care committees).
    • If needed, conduct a precedent analysis.
    • Evaluate terminology work related to SNOMED, LOINC and others as appropriate.
    • Conduct a content analysis on some or all of the 47 instruments listed in Table I-1.
    • Complete CDA (and CCD and C32 mappings) work on functional status observations.
    • Develop and ballot the standard.
    • Request that the NLM explore the need to and options for maintaining linkages between LOINC, SNOMED and other vocabularies used in standardizing functional assessment content represented in standardized assessment instruments.

XML Examples for Question/Answer Pattern and Assertion Pattern

Question/Answer pattern:

<observation classCode="OBS" moodCode="EVN">
     <!-- represent functional status deficit question -->  
     <code code="54598-8"
          codeSystem="2.16.840.1.113883.6.1"
          displayName=”Hearing”/>
     </code>
     ...
     <!-- represent functional status deficit's answer -->
     <value xsi:type="CD" code="LA10941-5"
          codeSystem="2.16.840.1.113883.6.1"
          displayName=”Adequate – no difficulty...”>
     </value>
</observation>

Assertion pattern:

<observation classCode="OBS" moodCode="EVN">
     <!-- assert whether the functional status finding present -->  
     <code code="ASSERTION"
          codeSystem="2.16.840.1.113883.5.4"/>
     ...
     <!-- the functional status finding to assess -->
     <value xsi:type="CD" code="105504002"
          codeSystem="2.16.840.1.113883.6.96"
          displayName="Dependence on cane"/>
</observation>

References

CDA Tools: http://cdatools.org/infocenter/index.jsp?topic=/org.openhealthtools.mdht.uml.cda.ccd.doc/classes/FunctionalStatusSection.html.

CAST Continuity of Care Workgroup: http://continuityofcaretaskgroup.pbworks.com/w/page/16430172/FrontPage.

IHE Profile Wiki 2008: http://wiki.ihe.net/index.php?title=Functional_Status_Assessments_Profile.

HITSP C32 Continuity of Care Document Components: http://www.hitsp.org/ConstructSet_Details.aspx?&PrefixAlpha=4&PrefixNumeric=32.

Patient Protection and Affordable Care Act. Public Law 111-148 and Public Law 111-152. http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_public_laws&docid=f:publ148.111.pdf.

Notes

  1. See http://continuityofcaretaskgroup.pbworks.com/f/gap_oaisis.doc.

  2. See http://continuityofcaretaskgroup.pbworks.com/f/MDSGapAnalysis.txt.

  3. See http://aspe.hhs.gov/daltcp/reports/2006/MDS-HITes.htm.

Appendix J: Patient Assessment Summary for Health Information Exchange

Background

National policy promotes the use of health information technology (IT) to advance health care delivery, payment and outcomes. Post-acute and long-term care (LTPAC) providers are a vital part of the healthcare system, but have not been included in federal incentives to promote adoption of health information technology and electronic exchange of health information.

Nationally, there are approximately:

  • 16,000 nursing homes providing services to over 2 million individuals on an annual basis; and
  • 9,000 home health agencies providing services to over 3 million individuals on an annual basis.

Persons receiving services from LTPAC providers have numerous encounters and contacts with acute care and ambulatory providers.

  • In 2006, more than one-third of Medicare beneficiaries discharged from acute care hospitals were transferred to PAC settings.1
  • In 2006, over half of the Medicare beneficiaries discharged from hospitals to PAC settings had episodes of care that involved multiple PAC placements and/or multiple hospital admissions.2
  • In 2005, persons living in nursing homes made approximately 2.2 million visits to Emergency Departments.3
  • In 2008, almost 23.8 million Part B Medicare claims were allowed for nursing home physician visits.4

The Centers for Medicare and Medicaid Services (CMS) requires Medicare and/or Medicaid participating providers to complete and electronically submit on a routine schedule the:

  • Minimum Data Set 3.0 (MDS3.0) assessment instrument for each resident of a nursing home participating in Medicare and/or Medicaid; and
  • Outcome and Assessment Information Set (OASIS-C) for each Medicare or Medicaid client of a home health agency over the age of 18 receiving skilled services.

The MDS and OASIS offer feasible entrance points for nursing home and home health agency providers to participate in health information exchange activities and develop awareness of the need for full interoperability. For example, in the third quarter 2010, the CMS MDS Reason for Assessment Count Report showed a total of 4.5 million MDS2.0 assessment documents being received by the National MDS Repository.5 Two benefits of this approach are that it uses existing information technology capabilities and would engage the majority of LTPAC providers. Once engaged, LTPAC stakeholders can then focus on building and using the technical infrastructure to support more sophisticated types of information exchange and sharing.

The Office of the Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health and Human Services has contracted with the American Health Information Management Association (AHIMA) Foundation seeking to advance the interoperable use of health IT and EHRs by LTPAC providers by leveraging federal requirements for the electronic submission of patient assessment instruments. The project was tasked with:

  • identifying and applying health IT standards such as LOINC, HL7 Clinical Document Architecture (CDA) Release 2, and SNOMED CT to the MDS and OASIS assessment instruments;
  • identifying issues to consider to support the wide spread use of interoperable patient assessment instruments; and
  • supporting the reuse and exchange of standardized assessment content in patient assessment summary documents.

This document describes project efforts in support of the task on reuse and exchange of standardized assessment content in patient assessment summary documents.

Creating The Patient Assessment Summary Document

The MDS3.0 and OASIS-C assessment instruments offer a rich repository of patient information designed to present the nursing home and home health professional with a holistic picture of patient strengths and needs, gathering information germane to both quality of care and quality of life. While this wealth of information is invaluable to the LTPAC provider, it can be cumbersome to the acute care clinician. This wealth of information far exceeds the needs -- and capacity for rapid consumption -- of the hospital/ER/physician office clinician. With the increased focus on the exchange of information crucial to transitions of care, the value of creating an electronic summary of MDS and OASIS assessment data for use in health information exchange activities is evident. To this end, this project has worked with expert panels to identify the subset MDS3.0 and OASIS-C data elements that could be clinically usefully to include in a Patient Assessment Summary Document at times of transitions in care (e.g., when a home health patient is being treated in an emergency room or admitted to acute care hospital).

Identifying Content for the Patient Assessment Summary

A two-phased approach was used in identifying the subset of MDS3.0 and OASIS-C data elements for a Patient Assessment Summary Document.

  • Phase 1 -- Identification of an initial subset of MDS3.0 and OASIS-C data elements for the Patient Assessment Summary by clinical expert from the Keystone Beacon Community.

  • Phase 2 -- Validation of the initial MDS3.0 and OASIS-C subset of data elements and determination of a final Patient Assessment Summary data set by a panel of national experts.

Phase 1 -- Identification of an Initial Subset of MDS3.0 and OASIS-C Data Elements

The Keystone Health Information Exchange (KeyHIE), and its’ affiliated Keystone Beacon Community, was identified as a volunteer partner for the Phase 1 activities to tap the synergy of this ASPE project and the grants awarded by the Office of the National Coordinator (ONC) and the Agency for Healthcare Research and Quality (AHRQ) to KeyHIE that includes expansion of HIE activities to additional healthcare providers such as nursing homes and home health agencies.

A series of Webex-supported conference calls were conducted during fourth quarter 2010 with clinical experts convened by the Keystone Beacon Community. These calls were used to identify an initial subset of data items from the MDS3.0 and OASIS-C that would be clinically relevant to include in Patient Assessment Summary documents. Each MDS3.0 and OASIS-C data item was reviewed and discussed to determine clinical relevance to the patient assessment summary. Decisions on the applicability of the MDS3.0 and OASIS-C data elements for a Patient Assessment Summary document were documented in spreadsheets for use in the Phase 2 review process.

Keystone Beacon Community

Geisinger Health System, an integrated delivery network recognized for its innovative use of healthcare IT-supported care coordination and a founding participant in KeyHIE, recently received a $16 million Beacon Community award from ONC. As part of that award, the Keystone Beacon Community will use KeyHIE to extend patient-focused care coordination across a community of more than 250,000 residents.

The AHRQ also awarded Geisinger a $2.3M grant to extend the KeyHIE connected community to additional regional hospitals, long-term care facilities, home health organizations, and physician practices. In addition to expanding participation across the community, KeyHIE will use the five-year AHRQ grant to make new clinical applications and document types available within the HIE.6

Phase 2 -- Validation of the Initial MDS3.0 and OASIS-C Subset of Data Elements

Step #1 -- Identify participants for MDS3.0 and OASIS-C Expert Panels

With the assistance of the ONC LTPAC/HIE Affinity Group and the LTPAC HIT Collaborative, and approval by the ASPE Project Officer, expert panels were identified to validate the appropriateness of data elements identified in Phase 1 for inclusion in MDS3.0 and OASIS-C Patient Assessment Summary documents.

LTPAC/HIE Affinity Group -- ONC has established Affinity Groups (i.e., groups of HIE stakeholders among the ONC grantees that share similar interests). One such Affinity Group is the LTPAC/HIE Affinity Group.

LTPAC HIT Collaborative -- The Long-Term and Post-Acute Care (L TPAC) HIT Collaborative, formed in 2005, is a group of LTPAC provider and vendor associations, researchers, and other public and private sector stakeholders who recognized their common interests and vision for health information technology. The collaborative was formed to advance HIT issues for providers of long-term and post-acute care through coordinated efforts.

Participants in the MDS3.0 and OASIS-C expert panels are identified in Table J-1 and Table J-2.

Step #2 -- Capture Panelists Agreement/Disagreement with Phase 1 Recommendations

Members of the MDS3.0 and OASIS-C expert panels were provided with an orientation to the project and to the spreadsheet that had been designed for their use in validating the Phase 1 recommendations for MDS3.0 and OASIS-C Patient Assessment Summary data elements. The spreadsheet contained:

  • MDS3.0 IDs and descriptions for all sections, questions and answers as identified in the CMS data specifications v1.01.0, December 2010.

  • OASIS-C IDs and descriptions for all questions and answers as identified in the CMS data specifications v2.00, Revision 3, October 2009.

  • Recommendations of the Phase 1 expert panel regarding the inclusion or exclusion of each data element in the MDS3.0 Patient Assessment Summary and the OASIS-C Patient Assessment Summary.

  • Cells to capture the panelist’s agreement or disagreement with the recommendations of the Phase 1 panel for the inclusion or exclusion of each data element.

Panelists were given several weeks to review the data elements and return their completed spreadsheets to the project team.

Step #3 -- Identify Final Slate of MDS3.0 and OASIS-C Data Elements for Patient Assessment Summary Documents

To identify the final slate of MDS3.0 and OASIS-C data elements recommended as clinically useful for Patient Assessment Summary documents, panelist’s spreadsheets were amalgamated to determine points of consensus and points of disagreement. Data elements were flagged for group discussion if two or more panelists disagreed with the Phase 1 recommendation. A series of Webex-supported conference calls were held for the MDS3.0 and the OASIS-C expert panels to discuss their respective data elements flagged for reconciliation. Consensus recommendations were reached through group discussion and documented in the amalgamated MDS3.0 and OASIS-C spreadsheets.

In finalizing the slate of MDS3.0 and OASIS-C questions/check-list data elements for inclusion in the Patient Assessment Summary, the expert panels identified two important considerations for conveyance of the selected data elements in a manner readily consumable to the receiving clinician:

  1. Clinicians consuming MDS/OASIS Patient Assessment Summary documents in acute care settings (hospitals/ERs/physician offices) would be more interested in “problem” conditions than “normal” conditions. To that end, MDS3.0 and OASIS-C questions/responses selected for the Assessment Summary would NOT include items that indicated a "normal" status except for basic cognitive and functional status items (e.g. hearing, vision, memory, ADLs).

    Example of excluded question/response:

    MDS question B0100 (Comatose) was selected for inclusion in the MDS3.0 Patient Assessment Summary. Available responses to this question are:

    • 0 = No
    • 1 = Yes

    A "0" for MDS question B0100 would indicate the resident is not comatose and therefore the question/response would not be displayed in the Patient Assessment Summary. However, a response of “1” for MDS question B0100 would indicate the resident was comatose and the question/ response would be displayed on the Summary.

  2. There are several clinical assessment scales used in the MDS3.0 and OASIS-C such as the Brief Interview for Mental Status (BIMS) and the PHQ-9 (nine item depression scale). The expert panels identified the summary scores for these scales as the salient information to include in the Patient Assessment Summary, however there was concern that the receiving clinician may not be aware of the scale associated with the score. To address this issue, the expert panels recommended that the implementation guide for the Patient Assessment Summary stipulate that, whenever summary scores are conveyed, corresponding scales be displayed in the Assessment Summary to allow interpretation of the score.

Final Slate of Patient Assessment Summary Data Elements

From the 502 questions and checklist items found in Sections A-Q of the MDS3.0, 263 questions/checklist data elements were selected by the Phase 2 expert panel for inclusion in the MDS3.0 Patient Assessment Summary. The final slate of MDS3.0 data elements selected for the Summary document is listed in Table J-3.

From the 180 questions and checklist items found in the Oasis-C, 141 questions/checklist data elements were selected by the Phase 2 expert panel for inclusion in the OASIS-C Patient Assessment Summary. The final slate of OASIS-C data elements selected for the Summary document is listed in Table J-4.

HIT Standards and Patient Assessment Summary Documents

The final step in the Patient Assessment Summary project was the application of HIT standards in support of the interoperable exchange of Assessment Summary content across providers. “Toolkits” for the MDS3.0 and OASIS-C Patient Assessment Summary documents were compiled to assist in the transition to conveyance of Assessment Summary content using:

  • Logical Object Identifiers Names and Codes (LOINC) and SNOMED CT as the primary terminologies of choice (other vocabularies were used as appropriate).

  • HL7 Continuity of Care Document (CCD)/HITSP C32 standards for patient summaries as identified in the July 28, 2010 ONC Final Rule: HIT -- Initial Set of Standards, Implementation Specifications, and Certification Criteria for EHR Technology.

Building on the MDS3.0 and OASIS-C Rosetta Stones described in Appendix A, the “Toolkit: OASIS-C Extract for Health Information Exchange” and the “Toolkit: MDS3.0 Extract for Health Information Exchange” each contain mappings of the Assessment Summary data elements to:

  • Logical Object Identifiers Names and Codes (LOINC) codes expressing MDS/OASIS concepts in a one-to-one exact representation using a standardized, computable terminology.

  • SNOMED CT codes expressing MDS/OASIS concepts in a "best available" representation using a standardized, computable terminology.

  • Other vocabularies and code sets as appropriate (i.e., ICD-9-CM, ICD-10-CM, CDC Race & Ethnicity Codes, CVX).

In addition, an analysis was undertaken of the compatibility of the MDS3.0 and OASIS-C Patient Assessment Summary data elements with the ONC named standards for patient summaries (i.e., the HL7 Continuity of Care Document (CCD) standard and the HITSP C32 component specification). Compatibility, to the extent possible, with the ONC named standards is important for supporting efficient and cost-effective interoperable health information exchange across health care providers. Each MDS3.0 and OASIS-C Assessment Summary data element was matched to:

  • HITSP C32 identified C83 component modules;
  • HITSP C83 identified C154 data elements;
  • HL7 CCD header or body section.

The requirements identified for each Assessment Summary data element, and any issues or discrepancies discovered, are captured in the MDS3.0 Extract Toolkit and the OASIS-C Extract Toolkit. In general though, the issues identified in the mapping to HL7 CCD and HITSP C32 requirements fell into the following categories:

Issue Example
1. HITSP specifications require a data element that is not supported by MDS/OASIS HITSP C83 requires the data element “Encounter ID” for an “Encounter Event Entry”. Neither the MDS3.0 nor the OASIS-C has an “Encounter ID”.
2. HITSP data element specifications do not support MDS/OASIS item The format of the MDS3.0 pneumococcal vaccination data item does not lend itself to parameters of the C83 Immunization Content module data elements.
3. HITSP specifications are not completed HITSP has not defined a Content Module nor Data Elements for Functional Status items.
4. The HITSP Value set does not fully support MDS/OASIS response options The HITSP value set for "No Immunization Reason" detailed in C80 Table 2-90 does not fully support the MDS3.0 responses for this question (i.e., "Resident not in facility during this year's flu season", "Received outside of this facility", "Not offered").

Future work will be required to ensure that MDS3.0 and OASIS-C Patient Assessment Summary data can be appropriately conveyed in accordance with ONC named standards for patient summaries.

TABLE J-1: Participants in the MDS3.0 Expert Panel
Sponsoring Organization Panelists
Nursing Facility Experts
Kindred Healthcare Larry Wolf Health IT Strategist
Tami Johnson Kindred Healthcare -- Health Services Division
Vermont Healthcare Association Laura Pelosi Executive Director
Vermont Healthcare Association
Deborah Badger MDS Coordinator
Woodridge Nursing Home
Paula Ducharme Director of Nursing Services & MDS Coordinator
Derby Green Nursing Home
Kristina Laychak MDS Coordinator
The Manor Nursing Home
Melinda Sanborn Director of Nursing Services
The Pines @ Rutland Nursing Home
Integrated Delivery Networks
Citizens Memorial Healthcare Chad Cahow Citizens Memorial Healthcare
Valerie Noblitt Director of Home Care
Citizens Memorial Healthcare
University of Pittsburgh/ University of Pittsburgh Medical Center (UPMC) Steven M. Handler MD, PhD, CMD Assistant Professor; Medical Director Long-term Care Health Information Technology,
University of Pittsburgh/ UPMC
Home Health Experts
Visiting Nurse Service of New York (VNSNY) Sally Sobolewski VNSNY
Thomas Check Chief Information Officer
VNSNY
Nurse Informaticists
Alliance in Nursing (in conjunction with the AMIA Nursing Informatics Working Group) Bonnie Westra, PhD, RN, FAAN Associate Professor, Co-Director ICNP Research Center
University of Minnesota, School of Nursing
Dana Alexander GE Healthcare
Gregory L. Alexander, PhD, MHA, MIS, RN Assistant Professor
University of Missouri-Columbia, Sinclair School of Nursing
Rosemary Kennedy, MBA, RN, FAAN Associate Professor
Thomas Jefferson University, Jefferson School of Nursing
Lori L. Popejoy, PhD, APRN, GNS-BC Assistant Professor
University of Missouri-Columbia, Sinclair School of Nursing
Charlotte Weaver RN, PhD, FAAN Senior Vice President & Chief Clinical Officer
Gentiva® Health Services
Researchers
Health Management Strategies -- LTPAC/Emergency Department "On-Time" Project Siobhan Sharkey Project Director/Facilitator
Health Management Strategies
Sandy Hudak Project Director/Facilitator
Health Management Strategies
ONC Challenge Grant Awardees
Maryland Health Care Commission -- Facilitating Effective Transitions of Care between Long-Term Care Facilities and Hospital Emergency Departments (ONC Challenge Grant Awardee) Kathleen Francis Chief, HIE
Maryland Health Care Commission
Angela Plunkett Health Policy Analyst, Advanced
Maryland Health Care Commission
David Sharp Director
Maryland Health Care Commission
Massachusetts -- IMPACT Project (ONC Challenge Grant Awardee) Larry Garber, MD Medical Director for Informatics
Fallon Clinic/SAFEHealth
Kris Cyr Project Manager, Health Information Exchange
Massachusetts e-Health Institute
Dawn Heisey-Grove Senior Business Analyst
Massachusetts e-Health Institute
Rick Shoup Director
Massachusetts e-Health Institute
Michele Visconti Senior Consultant
Terrence A. O'Malley, MD Medical Director for Non-Acute Care Services
Partners. HealthCare System
TABLE J-2: Participants in the OASIS-C Expert Panel
Sponsoring Organization Panelists
Home Health Experts
Home Care Alliance Karen Carnes RN Vice President, Clinical Ops
Amedisys
Maryann Choi, MD CMO
Harden Healthcare
Leann Darnes, RN Director, Clinical Compliance
LHC Group
Barbara McCann, RN Chief Industry Officer
Interim Healthcare
Mark McDuff Managing Director, IT
Amedisys
Pamela Teenier, RN AVP, Clinical Ops
Gentiva® Health Services
Julie Vandre RN Vice President, Quality & Compliance
Girling Healthcare
Charlotte Weaver, RN Senior Vice President, Chief Clinical Officer
Gentiva® Health Services
Visiting Nurse Service of New York (VNSNY) Sally Sobolewski VNSNY
Integrated Delivery Networks
University of Pittsburgh/ University of Pittsburgh Medical Center (UPMC) Suzanne Keitzer Utilization Supervisor
UPMC-Jefferson Regional Home Health
Chris Lombardo Vice President Reimbursement & Compliance
UPMC-Jefferson Regional Home Health
Nurse Informaticists
Alliance in Nursing (in conjunction with the AMIA Nursing Informatics Working Group) Bonnie Westra, PhD, RN, FAAN Associate Professor, Co-Director ICNP Research Center
University of Minnesota, School of Nursing
Dana Alexander GE Healthcare
Gregory L. Alexander, PhD, MHA, MIS, RN Assistant Professor
University of Missouri-Columbia, Sinclair School of Nursing
Rosemary Kennedy, MBA, RN, FAAN Associate Professor
Thomas Jefferson University, Jefferson School of Nursing
Lori L. Popejoy, PhD, APRN, GNS-BC Assistant Professor
University of Missouri-Columbia, Sinclair School of Nursing
Charlotte Weaver RN, PhD, FAAN Senior Vice President & Chief Clinical Officer
Gentiva® Health Services
Karen S. Martin Omaha System
ONC Challenge Grant Awardees
Maryland Health Care Commission -- Facilitating Effective Transitions of Care between Long-Term Care Facilities and Hospital Emergency Departments (ONC Challenge Grant Awardee) Kathleen Francis Chief, HIE
Maryland Health Care Commission
Angela Plunkett Health Policy Analyst, Advanced
Maryland Health Care Commission
David Sharp Director
Maryland Health Care Commission
TABLE J-3: Final Slate of MDS3.0 Data Elements Selected for the Summary Document
ID# Question/Checklist Item Description ID# Question/Checklist Item Description ID# Question/Checklist Item Description
A Section A -- Identification Information
# MDS3.0 Questions/Checklist Items -- 49
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 33
A0200 Type of provider A0310A Type of assessment: OBRA A0500A Resident first name
A0500B Resident middle initial A0500C Resident last name A0500D Resident name suffix
A0600A Social Security Number A0700 Resident Medicaid number A0800 Gender
A0900 Birthdate A1000A Ethnicity: American Indian or Alaska Native A1000B Ethnicity: Asian
A1000C Ethnicity: Black or African American A1000D Ethnicity: Hispanic or Latino A1000E Ethnicity: Native Hawaiian/Pacific Islander
A1000F Ethnicity: White A1100A Does the resident need or want an interpreter A1100B Preferred language
A1200 Marital status A1300A Medical record number A1300C Name by which resident prefers to be addressed
A1300D Lifetime occupation(s) A1550A MR/DD status: Down syndrome A1550B MR/DD status: Autism
A1550C MR/DD status: Epilepsy A1550D MR/DD status: other organic MR/DD condition A1550E MR/DD status: MR/DD with no organic condition
A1600 Entry date (date of admission/reentry in facility) A1700 Type of entry A1800 Entered from
A2000 Discharge date A2100 Discharge status A2300 Assessment reference date
B Section B -- Hearing, Speech, and Vision
# MDS3.0 Questions/Checklist Items -- 8
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 8
B0100 Comatose B0200 Hearing B0300 Hearing aid
B0600 Speech clarity B0700 Makes self understood B0800 Ability to understand others
B1000 Vision B1200 Corrective lenses    
C Section C -- Cognitive Patters
# MDS3.0 Questions/Checklist Items -- 23
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 13
C0500 BIMS res interview: summary score C0700 Staff asmt mental status: short-term memory OK C0800 Staff asmt mental status: long-term memory OK
C0900A Staff asmt mental status: recall current season C0900B Staff asmt mental status: recall location of room C0900C Staff asmt mental status: recall staff names/faces
C0900D Staff asmt mental status: recall in nursing home C1000 Cognitive skills for daily decision making C1300A Signs of delirium: inattention
C1300B Signs of delirium: disorganized thinking C1300C Signs of delirium: altered level of consciousness C1300D Signs of delirium: psychomotor retardation
C1600 Acute onset mental status change        
D Section D -- Mood
# MDS3.0 Questions/Checklist Items -- 43
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 2
D0300 PHQ res: total mood severity score D0600 PHQ staff: total mood score    
E Section E -- Behavior
# MDS3.0 Questions/Checklist Items -- 18
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 14
E0100A Psychosis: hallucinations E0100B Psychosis: delusions E0200A Physical behav symptoms directed toward others
E0200B Verbal behav symptoms directed toward others E0200C Other behav symptoms not directed toward others E0500A Behav symptoms put res at risk for illness/injury
E0500B Behav symptoms interfere with resident care E0500C Behav symptoms interfere with social activities E0600A Behav symptoms put others at risk for injury
E0600B Behav symptoms intrude on privacy of others E0600C Behav symptoms disrupt care or living environment E0800 Rejection of care: presence and frequency
E0900 Wandering: presence and frequency E1100 Change in behavioral or other symptoms    
F Section F -- Preferences for Customary Routine and Activities
# MDS3.0 Questions/Checklist Items -- 40
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 0
G Section G -- Functional Status
# MDS3.0 Questions/Checklist Items -- 36
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 13
G0110A1 Bed mobility: self-performance G0110B1 Transfer: self-performance G0110C1 Walk in room: self-performance
G0110E1 Locomotion on unit: self-performance G0110H1 Eating: self-performance G0110I1 Toilet use: self-performance
G0110J1 Personal hygiene: self-performance G0400A ROM limitation: upper extremity G0400B ROM limitation: lower extremity
G0600A Mobility devices: cane/crutch G0600B Mobility devices: walker G0600C Mobility devices: wheelchair (manual or electric)
G0600D Mobility devices: limb prosthesis        
H Section H -- Bladder and Bowel
# MDS3.0 Questions/Checklist Items -- 49
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 33
H0100A Appliances: indwelling catheter H0100B Appliances: external catheter H0100C Appliances: ostomy
H0100D Appliances: intermittent catheterization H0200C Urinary toileting program: current program/trial H0300 Urinary continence
H0400 Bowel continence H0500 Bowel toileting program being used H0600 Constipation
I Section I -- Active Disease Diagnosis
# MDS3.0 Questions/Checklist Items -- 67
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 66
I0100 Cancer (with or without metastasis) I0200 Anemia I0300 Atrial fibrillation and other dysrhythmias
I0400 Coronary artery disease (CAD) I0500 Deep venous thrombosis (DVT), PE, or PTE I0600 Heart failure
I0700 Hypertension I0800 Orthostatic hypotension I0900 Peripheral vascular disease (PVD) or PAD
I1100 Cirrhosis I1200 Gastroesophageal reflux disease (GERD) or ulcer I1300 Ulcerative colitis, Crohn’s, inflam bowel disease
I1400 Benign prostatic hyperplasia (BPH) I1500 Renal insufficiency, renal failure, ESRD I1550 Neurogenic bladder
I1650 Obstructive uropathy I1700 Multidrug resistant organism (MDRO) I2000 Pneumonia
I2100 Septicemia I2200 Tuberculosis I2300 Urinary tract infection (UTI) (LAST 30 DAYS)
I2400 Viral hepatitis (includes type A, B, C, D, and E) I2500 Wound infection (other than foot) I2900 Diabetes mellitus (DM)
I3100 Hyponatremia I3200 Hyperkalemia I3300 Hyperlipidemia (e.g., hypercholesterolemia)
I3400 Thyroid disorder I3700 Arthritis I3800 Osteoporosis
I3900 Hip fracture I4000 Other fracture I4200 Alzheimer's disease
I4300 Aphasia I4400 Cerebral palsy I4500 Cerebrovascular accident (CVA), TIA, or stroke
I4800 Dementia I4900 Hemiplegia or hemiparesis I5000 Paraplegia
I5100 Quadriplegia I5200 Multiple sclerosis I5250 Huntington's disease
I5300 Parkinson's disease I5350 Tourette's syndrome I5400 Seizure disorder or epilepsy
I5500 Traumatic brain injury (TBI) I5600 Malnutrition (protein, calorie), risk of malnutrit I5700 Anxiety disorder
I5800 Depression (other than bipolar) I5900 Manic depression (bipolar disease) I5950 Psychotic disorder (other than schizophrenia)
I6000 Schizophrenia I6100 Post-traumatic stress disorder (PTSD) I6200 Asthma (COPD) or chronic lung disease
I6300 Respiratory failure I6500 Cataracts, glaucoma, or macular degeneration I8000A Additional active ICD diagnosis 1
I8000B Additional active ICD diagnosis 2 I8000C Additional active ICD diagnosis 3 I8000D Additional active ICD diagnosis 4
I8000E Additional active ICD diagnosis 5 I8000F Additional active ICD diagnosis 6 I8000G Additional active ICD diagnosis 7
I8000H Additional active ICD diagnosis 8 I8000I Additional active ICD diagnosis 9 I8000J Additional active ICD diagnosis 10
J Section J -- Health Conditions
# MDS3.0 Questions/Checklist Items -- 35
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 15
J0100A Pain: been on scheduled pain med regimen J0400 Res pain interview: frequency J0600A Res pain interview: intensity rating scale
J0600B Res pain interview: verbal descriptor scale J1100A Short breath/trouble breathing: with exertion J1100B Short breath/trouble breathing: sitting at rest
J1100C Short breath/trouble breathing: lying flat J1300 Current tobacco use J1400 Prognosis: life expectancy of less than 6 months
J1700A Fall history: fall during month before admission J1700B Fall history: fall 2-6 months before admission J1700C Fall history: fracture from fall 6 month pre admit
J1800 Falls since admit/prior asmt: any falls J1900B Falls since admit/prior asmt: injury (not major) J1900C Falls since admit/prior asmt: major injury
K Section K -- Swallowing/Nutritional Status
# MDS3.0 Questions/Checklist Items -- 15
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 11
K0100A Swallow disorder: loss liquids/solids from mouth K0100B Swallow disorder: holds food in mouth/cheeks K0100C Swallow disorder: cough/choke with meals/meds
K0100D Swallow disorder: difficulty or pain swallowing K0200A Height (in inches) K0200B Weight (in pounds)
K0300 Weight loss K0500A Nutritional approaches: parenteral/IV feeding K0500B Nutritional approaches: feeding tube
K0500C Nutritional approaches: mechanically altered diet K0500D Nutritional approaches: therapeutic diet    
L Section L -- Oral/Dental Status
# MDS3.0 Questions/Checklist Items -- 8
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 6
L0200A Dental: broken or loosely fitting denture L0200B Dental: no natural teeth or tooth fragment(s) L0200C Dental: abnormal mouth tissue
L0200D Dental: cavity or broken natural teeth L0200E Dental: inflamed/bleeding gums or loose teeth L0200F Dental: pain, discomfort, difficulty chewing
M Section M -- Skin Conditions
# MDS3.0 Questions/Checklist Items -- 49
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 38
M0150 Is resident at risk of developing pressure ulcer M0210 Resident has Stage 1 or higher pressure ulcers M0300A Stage 1 pressure ulcers: number present
M0300B1 Stage 2 pressure ulcers: number present M0300B2 Stage 2 pressure ulcers: number at admit/reentry M0300B3 Stage 2 pressure ulcers: date of oldest
M0300C1 Stage 3 pressure ulcers: number present M0300C2 Stage 3 pressure ulcers: number at admit/reentry M0300D1 Stage 4 pressure ulcers: number present
M0300D2 Stage 4 pressure ulcers: number at admit/reentry M0300E1 Unstaged due to dressing: number present M0300E2 Unstaged due to dressing: number at admit/reentry
M0300F1 Unstaged slough/eschar: number present M0300F2 Unstaged slough/eschar: number at admit/reentry M0300G1 Unstageable -- deep tissue: number present
M0300G2 Unstageable -- deep tissue: number at admit/reentry M0610A Stage 3 or 4 pressure ulcer longest length M0610B Stage 3 or 4 pressure ulcer width (same ulcer)
M0610C Stage 3 or 4 pressure ulcer depth (same ulcer) M0800A Worsened since prior asmt: Stage 2 pressure ulcers M0800B Worsened since prior asmt: Stage 3 pressure ulcers
M0800C Worsened since prior asmt: Stage 4 pressure ulcers M1030 Number of venous and arterial ulcers M1040A Other skin probs: infection of the foot
M1040B Other skin probs: diabetic foot ulcer(s) M1040C Other skin probs: other open lesion(s) on the foot M1040D Other skin probs: lesions not ulcers, rashes, cuts
M1040E Other skin probs: surgical wound(s) M1040F Other skin probs: burn(s) (second or third degree) M1200A Skin/ulcer treat: pressure reduce device for chair
M1200B Skin/ulcer treat: pressure reducing device for bed M1200C Skin/ulcer treat: turning/repositioning M1200D Skin/ulcer treat: nutrition/hydration
M1200E Skin/ulcer treat: ulcer care M1200F Skin/ulcer treat: surgical wound care M1200G Skin/ulcer treat: application of dressings
M1200H Skin/ulcer treat: apply ointments/medications M1200I Skin/ulcer treat: apply dressings to feet    
N Section N -- Medications
# MDS3.0 Questions/Checklist Items -- 11
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 8
N0350A Insulin: insulin injections N0400A Medications: antipsychotic N0400B Medications: antianxiety
N0400C Medications: antidepressant N0400D Medications: hypnotic N0400E Medications: anticoagulant
N0400F Medications: antibiotic N0400G Medications: diuretic    
O Section O -- Special Treatments and Procedures
# MDS3.0 Questions/Checklist Items -- 70
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 18
O0100A2 Treatment: chemotherapy -- while resident O0100B2 Treatment: radiation -- while resident O0100C2 Treatment: oxygen therapy -- while resident
O0100D2 Treatment: suctioning -- while resident O0100E2 Treatment: tracheostomy care -- while resident O0100F2 Treatment: vent/respirator -- while resident
O0100G2 Treatment: BIPAP/CPAP -- while resident O0100H2 Treatment: IV medications -- while resident O0100I2 Treatment: transfusions -- while resident
O0100J2 Treatment: dialysis -- while resident O0100K2 Treatment: hospice care -- while resident O0100L2 Treatment: respite care -- while resident
O0100M2 Treatment: isolate/quarantine -- while resident O0250A Was influenza vaccine received O0250B Date influenza vaccine received.
O0250C If influenza vaccine not received, state reason O0300A Is pneumococcal vaccination up to date O0300B If pneumococcal vacc not received, state reason
P Section P -- Restraints
# MDS3.0 Questions/Checklist Items -- 8
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 8
P0100A Restraints used in bed: bed rail P0100B Restraints used in bed: trunk restraint P0100C Restraints used in bed: limb restraint
P0100D Restraints used in bed: other P0100E Restraints in chair/out of bed: trunk restraint P0100F Restraints in chair/out of bed: limb restraint
P0100G Restraints in chair/out of bed: chair stops rising P0100H Restraints in chair/out of bed: other    
Q Section Q -- Participation in Assessment and Goal Setting
# MDS3.0 Questions/Checklist Items -- 10
# MDS3.0 Patient Assessment Summary Questions/Checklist Items -- 1
Q0400B Determination regarding discharge to community        
Z Section Z --
Z0500B Date RN signed assessment as complete        
TABLE J-4: Final Slate of OASIS-C Data Elements Selected for the Summary Document
ID# Question/Checklist Item Description ID# Question/Checklist Item Description
PATIENT TRACKING # OASIS-C Questions/Checklist Items -- 25
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 23
M0014_BRANCH_STATE Branch State M0016_BRANCH_ID Branch ID (Optional)
M0018_PHYSICIAN_ID Primary Referring Physician National Provider ID (NPI) M0020_PAT_ID Patient ID Number
M0030_START_CARE_DT Start of Care Date M0032_ROC_DT Resumption of Care Date
M0040_PAT_FNAME Patient's First Name M0040_PAT_MI Patient's Middle Initial
M0040_PAT_LNAME Patient's Last Name M0040_PAT_SUFFIX Patient's Suffix
M0050_PAT_ST Patient State of Residence M0060_PAT_ZIP Patient Zip Code
M0063_MEDICARE_NUM Medicare Number, Including Suffix M0064_SSN Patient's Social Security Number
M0065_MEDICAID_NUM Medicaid Number M0066_PAT_BIRTH_DT Date of Birth
M0069_PAT_GENDER Gender M0140_ETHNIC_AI_AN Race/Ethnicity: American Indian or Alaska Native
M0140_ETHNIC_ASIAN Race/Ethnicity: Asian M0140_ETHNIC_BLACK Race/Ethnicity: Black or African-American
M0140_ETHNIC_HISP Race/Ethnicity: Hispanic or Latino M0140_ETHNIC_NH_PI Race/Ethnicity: Native Hawaiian or Pacific Islander
M0140_ETHNIC_WHITE Race/Ethnicity: White    
CLINICAL RECORD ITEMS # OASIS-C Questions/Checklist Items -- 2
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 2
M0090_INFO_COMPLETED_DT Date Assessment Completed M0100_ASSMT_REASON Reason for Assessment
PATIENT HISTORY AND DIAGNOSES # OASIS-C Questions/Checklist Items -- 38
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 30
M1000 Inpatient discharge facility M1005_INP_DISCHARGE_DT Most Recent Inpatient Discharge Date
M1010 Inpatient Diagnosis M1016 Diagnosis Requiring Regimen Change
M1020_PRIMARY_DIAG_ICD Primary Diagnosis ICD Code M1022_OTH_DIAG1_ICD Other Diagnosis 1: ICD Code
M1022_OTH_DIAG2_ICD Other Diagnosis 2: ICD Code M1022_OTH_DIAG3_ICD Other Diagnosis 3: ICD Code
M1022_OTH_DIAG4_ICD Other Diagnosis 4: ICD Code M1022_OTH_DIAG5_ICD Other Diagnosis 5: ICD Code
M1024_PMT_DIAG_ICD_A3 Case Mix Diagnosis: Primary, Column 3 M1024_PMT_DIAG_ICD_B3 Case Mix Diagnosis: First Secondary, Column 3
M1024_PMT_DIAG_ICD_C3 Case Mix Diagnosis: Second Secondary, Column 3 M1024_PMT_DIAG_ICD_D3 Case Mix Diagnosis: Third Secondary, Column 3
M1024_PMT_DIAG_ICD_E3 Case Mix Diagnosis: Fourth Secondary, Column 3 M1024_PMT_DIAG_ICD_F3 Case Mix Diagnosis: Fifth Secondary, Column 3
M1024_PMT_DIAG_ICD_A4 Case Mix Diagnosis: Primary, Column 4 M1024_PMT_DIAG_ICD_B4 Case Mix Diagnosis: First Secondary, Column 4
M1024_PMT_DIAG_ICD_C4 Case Mix Diagnosis: Second Secondary, Column 4 M1024_PMT_DIAG_ICD_D4 Case Mix Diagnosis: Third Secondary, Column 4
M1024_PMT_DIAG_ICD_E4 Case Mix Diagnosis: Fourth Secondary, Column 4 M1024_PMT_DIAG_ICD_F4 Case Mix Diagnosis: Fifth Secondary, Column 4
M1030 Therapies the patient receives at home M1032 Risk for hospitalization
M1034_PTNT_OVRAL_STUS Patient's Overall Status M1036 Risk factors, either present or past, likely to affect current health status and/or outcome
M1040_INFLNZ_RCVD_AGNCY Influenza Vaccine: Did Patient Receive The Influenza Vaccine M1045_INFLNZ_RSN_NOT_RCVD Influenza Vaccine: Reason Not Received In Agency
M1050_PPV_RCVD_AGNCY Pneumococcal Vaccine: Did Patient Receive The Influenza Vaccine M1055_PPV_RSN_NOT_RCVD_AGNCY Pneumococcal Vaccine: Reason Not Received In Agency
LIVING ARRANGEMENTS # OASIS-C Questions/Checklist Items -- 1
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 1
M1100_PTNT_LVG_STUTN Patient Living Situation    
SENSORY STATUS # OASIS-C Questions/Checklist Items -- 6
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 5
M1200_VISION Sensory Status: Vision M1210_HEARG_ABLTY Ability To Hear
M1220_UNDRSTG_VERBAL_CNTNT Understanding Of Verbal Content In Patient's Own Language M1230_SPEECH Sensory Status: Speech
M1242_PAIN_FREQ_ACTVTY_MVMT Frequency Of Pain Interfering With Patient's Activity Or Movement    
INTEGUMENTARY STATUS # OASIS-C Questions/Checklist Items -- 29
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 24
M1302_RISK_OF_PRSR_ULCR Does This Patient Have A Risk Of Developing PUs M1306_UNHLD_STG2_PRSR_ULCR Patient Has At Least 1 Unhealed PU At Stage 2 Or Higher
M1308_NBR_PRSULC_STG2 No. Pressure Ulcers -- Stage 2 M1308_NBR_STG2_AT_SOC_ROC Number PU Stage 2 At SOC/ROC
M1308_NBR_PRSULC_STG3 No. Pressure Ulcers -- Stage 3 M1308_NBR_STG3_AT_SOC_ROC Number PU Stage 3 At SOC/ROC
M1308_NBR_PRSULC_STG4 No. Pressure Ulcers -- Stage 4 M1308_NBR_STG4_AT_SOC_ROC Number PU Stage 4 At SOC/ROC
M1308_NSTG_DRSG Unstageable Due To Non-removable Dressing Or Device M1308_NSTG_DRSG_SOC_ROC Unstageable Due To Non-removable Dressing Or Device At SOC/ROC
M1308_NSTG_CVRG Unstageable Due To Coverage By Slough Or Eschar M1308_NSTG_CVRG_SOC_ROC Unstageable Due To Coverage By Slough Or Eschar At SOC/ROC
M1308_NSTG_DEEP_TISUE Unstageable Due To Suspected Deep Tissue Injury In Evolution M1308_NSTG_DEEP_TISUE_SOC_ROC Unstageable Due To Suspected Deep Tissue Injury In Evolution At SOC/ROC
M1310_PRSR_ULCR_LNGTH Head To Toe Length Of Stage III Or IV Pu With Largest Area M1312_PRSR_ULCR_WDTH Width At Right Angles Of Stage III Or IV Pu With Largest Area
M1314_PRSR_ULCR_DEPTH Depth Of Stage III Or IV Pu With Largest Area M1320_STUS_PRBLM_PRSR_ULCR Status Of Most Problematic Pressure Ulcer
M1322_NBR_PRSULC_STG1 No. Pressure Ulcers -- Stage 1 M1332_NUM_STAS_ULCR No. Stasis Ulcers
M1334_STUS_PRBLM_STAS_ULCR Status Of Most Problematic Stasis Ulcer M1340_SRGCL_WND_PRSNT Does This Patient Have A Surgical Wound
M1342_STUS_PRBLM_SRGCL_WND Status Of Most Problematic Surgical Wound M1350_LESION_OPEN_WND Has Skin Lesion Or Open Wound
RESPIRATORY STATUS # OASIS-C Questions/Checklist Items -- 2
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 2
M1400_WHEN_DYSPNEIC When Dyspneic M1410 Respiratory treatments utilized at home:
CARDIAC STATUS # OASIS-C Questions/Checklist Items -- 2
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 1
M1500_SYMTM_HRT_FAILR_PTNTS Symptoms In Heart Failure Patients    
ELIMINATION STATUS # OASIS-C Questions/Checklist Items -- 5
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 4
M1600_UTI Treated for Urinary Tract Infection in Past 14 Days M1610_UR_INCONT Urinary Incontinence or Urinary Catheter Present
M1615_INCNTNT_TIMING When Urinary Incontinence Occurs M1620_BWL_INCONT Bowel Incontinence Frequency
NEURO/EMOTIONAL/ BEHAVIORAL STATUS # OASIS-C Questions/Checklist Items -- 9
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 8
M1700_COG_FUNCTION Cognitive Functioning M1710_WHEN_CONFUSED When Confused (Reported or Observed)
M1720_WHEN_ANXIOUS When Anxious (Reported or Observed) M1730_STDZ_DPRSN_SCRNG Has The Patient Been Screened For Depression Using Stdzed Screen Tool
M1730_PHQ2_LACK_INTRST PHQ2 Pfizer Little Interest Or Pleasure In Doing Things M1730_PHQ2_DPRSN PHQ2 Pfizer Feeling Down, Depressed Or Hopeless
M1740 Cognitive, behavioral, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): M1745_BEH_PROB_FREQ Frequency of Behavior Problems
ADL/IADLS # OASIS-C Questions/Checklist Items -- 16
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 12
M1800_CUR_GROOMING Current: Grooming M1810_CUR_DRESS_UPPER Current: Dress Upper Body
M1820_CUR_DRESS_LOWER Current: Dress Lower Body M1830_CRNT_BATHG Current: Bathing
M1840_CUR_TOILTG Current: Toileting M1845_CUR_TOILTG_HYGN Current: Toileting Hygiene
M1850_CUR_TRNSFRNG Current: Transferring M1860_CRNT_AMBLTN Current: Ambulation
M1870_CUR_FEEDING Current: Feeding M1880_CUR_PREP_LT_MEALS Current: Prepare Light Meals
M1890_CUR_PHONE_USE Current: Telephone Use M1910_MLT_FCTR_FALL_RISK_ASMT Has Patient Had A Multi-factor Fall Risk Assessment?
MEDICATIONS # OASIS-C Questions/Checklist Items -- 9
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 2
M2020_CRNT_MGMT_ORAL_MDCTN Current: Management Of Oral Medications M2030_CRNT_MGMT_INJCTN_MDCTN Current: Management Of Injectable Medications
CARE MANAGEMENT # OASIS-C Questions/Checklist Items -- 8
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 8
M2100_CARE_TYPE_SRC_ADL Care Mgmt, Types And Sources Of Assist: ADL M2100_CARE_TYPE_SRC_IADL Care Mgmt, Types And Sources Of Assist: IADL
M2100_CARE_TYPE_SRC_MDCTN Care Mgmt, Types And Sources Of Assist: Medication Admin M2100_CARE_TYPE_SRC_PRCDR Care Mgmt, Types And Sources Of Assist: Med Procs Tx
M2100_CARE_TYPE_SRC_EQUIP Care Mgmt, Types And Sources Of Assist: Equipment M2100_CARE_TYPE_SRC_SPRVSN Care Mgmt, Types And Sources Of Assist: Supervision And Safety
M2100_CARE_TYPE_SRC_ADVCY Care Mgmt, Types And Sources Of Assist: Advocacy Or Facilitation M2110_ADL_IADL_ASTNC_FREQ How Often Recv ADL Or IADL Assistance From Any
THERAPY NEED AND PLANS OF CARE # OASIS-C Questions/Checklist Items -- 8
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 5
M2250_PLAN_SMRY_DBTS_FT_CARE Plan Of Care Synopsis: Diabetic Foot Care M2250_PLAN_SMRY_FALL_PRVNT Plan Of Care Synopsis: Falls Prevention Interventions
M2250_PLAN_SMRY_DPRSN_INTRVTN Plan Of Care Synopsis: Depression Interventions M2250_PLAN_SMRY_PRSULC_PRVNT Plan Of Care Synopsis: PU Prevention
M2250_PLAN_SMRY_PRSULC_TRTMT Plan Of Care Synopsis: PU Moist Treatment    
EMERGENT CARE # OASIS-C Questions/Checklist Items -- 8
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 5
M2300_EMER_USE_AFTR_LAST_ASMT Emergent Care: Use Since Last Oasis Data Collection M2310 Reason for emergent care
DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY # OASIS-C Questions/Checklist Items -- 8
# OASIS-C Patient Assessment Summary Questions/Checklist Items -- 5
M2400_INTRVTN_SMRY_DBTS_FT Intervention Synopsis: Diabetic Foot Care M2400_INTRVTN_SMRY_FALL_PRVNT Intervention Synopsis: Falls Prevention Intervention
M2400_INTRVTN_SMRY_DPRSN Intervention Synopsis: Depression Intervention M2400_INTRVTN_SMRY_PAIN_MNTR Intervention Synopsis: Intervention To Monitor And Mitigate Pain
M2400_INTRVTN_SMRY_PRSULC_PRVN Intervention Synopsis: Intervention To Prevent Pressure Ulcers M2400_INTRVTN_SMRY_PRSULC_WET Intervention Synopsis: Pressure Ulcer Treatment Based On Moist Wound Treatment
M2410_INPAT_FACILITY Inpatient Facility M2420_DSCHRG_DISP Discharge Disposition
M2430 Reason for hospitalization M2440 Reason for nursing home admission
M0903_LAST_HOME_VISIT Date of Last Home Visit M0906_DC_TRAN_DTH_DT Discharge, Transfer, Death Date

NOTES

  1. Gage, Barbara, Melissa Morley, Pamela Spain, and Melvin Ingber. Examining Post Acute Care Relationships in an Integrated Hospital System. Washington, DC: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, 2009.

  2. Ibid.

  3. Nawar, Eric, Richard Niska, and Jianmin Xu. “National Hospital Ambulatory Medical Care Survey: 2005 Emergency Department Summary.” Advance Data From Vital and Health Statistics, June 29, 2007.

  4. "Medicare Part B Physician/Supplier Data By Berenson And Eggers Type Of Service Code (BETOS) CY 2008." Centers for Medicare and Medicaid Services. N.p., 2008. Web. July 19, 2010. <http://www.cms.gov/MedicareFeeforSvcPartsAB/Downloads/BETOS08.pdf>.

  5. CMS MDS 2.0 Public Quality Indicator and Resident Reports -- Assessment Counts Report. (2010, Third Quarter). Retrieved from http://www.cms.gov/MDSPubQIandResRep/05_assesscntreport.asp.

  6. GE and KeyHIEExpand Health Information Exchange Collaboration: Next Stage of Project to Enhance Chronic Disease Management Model. (January 11, 2011). Retrieved from https://www.keystonebeaconcommunity.org/news/2011/01/ge-keyhie-expand-health-information-exchange.cfm.

Appendix K: MDS Assessment Summary Rosetta Stone

Overview Of Project: Engaging Post-acute And Long-term Care Providers In Health Information Exchange Activities

National policy promotes the use of health information technology (HIT) to advance health care delivery, payment and outcomes. Long-term and post-acute care (LTPAC) providers are a vital part of the health care system, but have not been included to date in federal incentives to promote adoption of HIT and electronic exchange of health information.

Nationally, there are approximately:

  • 16,000 nursing homes providing services to over 2 million individuals on an annual basis; and
  • 9,000 home health agencies providing services to over 3 million individuals on an annual basis.

The Centers for Medicare and Medicaid Services (CMS) requires Medicare and/or Medicaid participating providers to complete and electronically submit on a routine schedule:

  • The Minimum Data Set (MDS) 3.0 assessment instrument for each resident of a nursing home participating in Medicare and/or Medicaid; and
  • The Outcome and Assessment Information Set (OASIS) for each Medicare or Medicaid client of a home health agency over the age of 18 receiving skilled services.

The MDS and OASIS offer feasible entrance points for nursing home and home health agency providers to participate in health information exchange activities and develop awareness of the need for full interoperability. Two benefits of this approach are that it uses existing capabilities and would engage the majority of LTPAC providers. Once engaged, LTPAC stakeholders can then focus on building and using the technical infrastructure to support more sophisticated types of information exchange and sharing.

The Office of the Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health and Human Services (HHS) has contracted with the American Health Information Management Association (AHIMA) Foundation seeking to advance the interoperable use of HIT and electronic health records by LTPAC providers by leveraging federal requirements for the electronic submission of patient assessment instruments. The project required the identification and application of HIT standards to the MDS and OASIS instruments and identifying issues to consider to supportthe wide spread use of interoperable patient assessment instruments and supported the re-use and exchange of standardized assessment content in patient assessment summary documents. This study has developed several tools, to facilitate the application, widespread, and dissemination of content standards related to the MDS or OASIS assessment instrument.

Toolkit Overview Of MDS 3.0 Patient Assessment Summary

The Toolkit: MDS3.0 Patient Assessment Summary for Health Information Exchange was designed for ASPE/HHS as a tool to facilitate inclusion of nursing home data in health information exchange (HIE) activities.

CMS requires that the MDS 3.0 assessment instrument be completed on a routine schedule for each resident of a nursing home participation in Medicare and/or Medicaid. Nationally, there are approximately 16,000 Medicare and/or Medicaid nursing homes providing services to well over 2 million individuals on an annual basis. This toolkit helps HIEs to tap this well-spring of information on a population with numerous encounters and contacts with acute care and ambulatory providers by:

  1. Identifying a subset of MDS 3.0 data items or highest value to clinicians providing services across the continuum of care.

  2. Mapping the subset of MDS 3.0 data items to:

    1. Healthcare Information Technology Standards Panel (HITSP) C32, Health Level 7 (HL7) Continuity of Care Document (CCD) and HL7 Clinical Document Architecture (CDA) requirements.
    2. Logical Observation Identifiers Names and Codes (LOINC) expressing MDS 3.0 concepts in a one-to-one exact representation using a standardized, computable terminology.
    3. Systematized Nomenclature of Medicine-Clinical Terms (SNOMED-CT) codes expressing MDS 3.0 concepts in a “best available” representation using a standardized, computable terminology.
MDS 3.0 Patient Assessment Summary for Health Information Exchange Context*
Tab 2   Toolkit Overview This tab presents a description of the Toolkit: MDS 3.0 Patient Assessment Summary for Health Information Exchange.
Tab 3 CCD Sequence -- MDS Summary Items Using the CCD section assigned by the KeyHIE project review team as the primary sort order, this tab presents MDS 3.0 Patient Assessment Summary questions and answers (based on the CMS MDS 3.0 data specification v1.01.0, December 2010) and corresponding HITSP, HL7 CCD and HL7 CDA requirements. Content of this tab is listed below:
  • Columns A: CCD section as assigned by the KeyHIE project review team. The KeyHIE CCD section assignment reflects mapping at the assessment question level versus mapping at the assessment section level. This column is the primary sort order for the tab.
  • Columns B: CCD Section as assigned in the MDS CCD Representation Guide (July 2010). The assignment of CCD Sections in this guide reflects mapping at the assessment section level versus mapping at the assessment question level.
  • Columns C - F: MDS 3.0 question and answer ID numbers and descriptions based on CMS data specifications v1.01.0, December 2010.
    Column C = CMS Question ID for each MDS 3.0 data item
    Column E = CMS Answer ID for each MDS 3.0 data item
    Column F = CMS Description for each MDS 3.0 data item
    Notes :
    1. Column D contains a sort indicator for internal use and has been hidden
    2. Column E has been filtered to display only the MDS 3.0 Patient Assessment Summary questions or “check all that apply” listings. Responses to questions have been filtered from this view since HITSP specifications was conducted at the question/check list level
  • Columns G-J: Contain internal tracking/comments regarding review teams evaluation of the appropriateness of MDS question/answers for the MDS 3.0 Patient Assessment Summary. These columns track the review process for selection of Patient Assessment Summary items and have been hidden for normal viewing of this tab.
  • Columns K: Contains final review team determination regarding the appropriateness of items for the MDS 3.0 Patient Assessment Summary. This column has been filtered so that only those items selected for inclusion in the Patient Assessment Summary are displayed.
  • Columns L: Contains the MDS response(s) that would indicate a “normal” status and trigger omission of the MDS question from the MDS 3.0 Patient Assessment Summary.
    Note: The review team determined that, in order to make the Patient Assessment Summary more easily consumable by receiving clinicians, MDS questions/responses should not be displayed if the item indicated a “normal” status. MDS question B0100 (Comatose) was selected for inclusion in the MDS 3.0 Patient Assessment Summary. A “0” for MDS question B0100 would indicate the resident is not comatose and therefore the question/response would not be displayed in the Patient Assessment Summary. However, a response of “1” for MDS question B0100 would indicate the resident was comatose and the question/response would be displayed on the Summary.
  • Columns M - O: HITSP C32 Content Module requirements for CCD based Summary Documents.
    Column M = Name of Content Module and C32 Constraint ID
    Column N = Optionality of Module (R = Required, R2 = Required if Known, O = Optional)
    Column O = Repeatable Entry (Y = Yes, N = No)
  • Column P - T: HITSP C83 Data Mapping and other requirements for Content Modules.
    Column P = Content Module Data Element Identifiers and names
    Column Q = Optionality of Data Element (R = Required, R2 = Required if Known, O = Optional)
    Column R = Data Element Repeatable (Y = Yes, N = No)
    Column S = Additional Data Element Constraints/Specifications
    Column T = Rules for Implementing Component Module in CDA
  • Columns U and V: HITSP C154 Data Definition and Terminology requirements.
    Column U = Data Element definition
    Column V = Data Element constraints
  • Column W: Issues/comments related to mapping requirements and MDS 3.0 Patient Assessment Summary data items. Comments labeled “Issue” pose a challenge to creating a HITSP/C32 component CCD.
Tab 4 MDS Summary Items to C32-CCD Using the MDS3.0 section and question ID as the primary sort order, this tab presents MDS3.0 Patient Assessment Summary questions and answers (based on the CMS MDS 2.0 data specification v1.01.0, December 2010) and corresponding HITSP, HL7 CCD and HL7 CDA requirements. Content of this tab is listed below.
  • Column A - D: MDS 3.0 question and ID numbers and descriptions based on CMS data specifications v1.01.1, December 2010.
    Column A = CMS Section IDs for each MDS 3.0 Summary section
    Column B = CMS Question ID for each MDS 3.0 Summary data item (This column is the primary sort order for the tab.)
    Column C = CMS Answer ID for each MDS 3.0 Summary data item
    Column D = CMS Description for each MDS 3.0 Summary data item
    Note: Column C has been filtered to display one the MDS 3.0 Patient Assessment Summary questions or “check all that apply” listings. Responses to questions have been filtered from this view since analysis against HITSP specifications was conducted at the question/check list level.
  • Column E - H: Contain internal tracking/comments regarding review teams evaluation of the appropriateness of MDS questions/answers for the MDS 3.0 Patient Assessment Summary. These columns track the review process for selection of Patient Assessment Summary items and have been hidden for normal viewing of this tab.
  • Columns I: Contains final review team determination regarding the appropriateness of items for the MDS 3.0 Patient Assessment Summary. This column has been filtered so that only those items selected for inclusion in the Patient Assessment Summary are displayed.
  • Column J: Contains the MDS response(s) that would indicate a “normal” status and trigger omission of the MDS question from the MDS 3.0 Patient Assessment Summary.
    Note: The review team determined that, in order to make the Patient Assessment Summary more easily consumable by receiving clinicians, MDS questions/responses should not be displayed if the items indicated a “normal” status. MDS question B0100 would indicate the resident is not comatose and therefore the question/response would not be displayed in the Patient Assessment Summary. However, a response of “1” for MDS question B0100 would indicate the resident was comatose and the question/response would be displayed on the Summary.
  • Column K - M: HITSP C32 Content Module requirements for CCD based Summary Documents.
    Column K = Name of Content Module and C32 Constraint ID
    Column L = Optionality of Module (R = Required, R2 = Required if Known, O = Optional)
    Column M = Repeatable Entry (Y = Yes, N = No)
  • Column N - R: HITSP C83 Data Mapping and other requirements for Content Modules
    Column N = Content Module Data Element identifiers and names
    Column O = Optionality of Data Element (R = Required, R2 = Required if Known, O = Optional)
    Column P = Data Element Repeatable (Y = Yes, N = No)
    Column Q = Additional Data Element Constraints/Specifications
    Column R = Rules for Implementing Component Module in CDA
  • Column S and T: HITSP C154 Data Definition and Terminology requirements.
    Column S = Data Element definition
    Column T = Data Element constraints
  • Column U and V: CCD Section Mapping
    Column U = CCD section as assigned by the KeyHIE project review team. The KeyHIE CCD section assignment reflects mapping at the assessment question level versus mapping at the assessment level
    Column V = CCD Section as assigned in the MDS CCD Representation Guide (July 2010). The assignment of CCD Sections in this guide reflects mapping at the assessment section level versus mapping at the assessment question level
  • Column W: Issues/comments related to mapping requirements and MDS 3.0 Patient Assessment data items. Comments labeled “Issue” pose a challenge to creating a HITSP/C32 compliant CCD.
Tab 5 MDS Summary Items by Assess Type Using the MDS 3.0 section and question ID as the primary sort order, this tab presents MDS 3.0 Patient Assessment Summary questions and answers (based on the CMS MDS 2.0 data specification v1.01.0, December 2010) and the corresponding MDS 3.0 assessment type(s) in which they are transmitted.
  • Columns A - D: MDS 3.0 question and answer ID numbers and descriptions based on CMS data specifications v1.01.0, December 2010.
    Column A = CMS Section IDs for each MDS 3.0 Summary section
    Column B = CMS Question ID for each MDS 3.0 Summary data item (This column is the primary sort order for the tab.)
    Column C = CMS Answer ID for each MDS 3.0 Summary data item
    Column D = CMS Description for each MDS 3.0 Summary data item
    Note: Column C has been filtered to display only the MDS 3.0 Patient Assessment Summary questions or “check all that apply” listings. Responses to questions have been filtered from this view to match the question/check list level mapping to MDS assessment types provided by CMS.
  • Column E - H: Contain internal tracking/comments regarding review teams evaluation of the appropriateness of MDS questions/answers for the MDS 3.0 Patient Assessment Summary. These columns track the review process for selection of Patient Assessment Summary items and have been hidden for normal viewing of this tab.
  • Columns I: Contains final review team determination regarding the appropriateness of items for the MDS 3.0 Patient Assessment Summary. This column has been filtered so that only those items selected for inclusion in the Patient Assessment Summary are displayed.
  • Column J: Contains the MDS response(s) that would indicate a “normal” status and trigger omission of the MDS question from the Patient Assessment Summary.
    Note: The review team determined that, in order to make the Patient Assessment Summary more easily consumable by receiving clinicians, MDS questions/responses should not be displayed if the item indicated a “normal” status. MDS question B0100 (Comatose) was selected for inclusion in the MDS 3.0 Patient Assessment Summary. A “0” for MDS questions B0100 would indicate the resident is not comatose and therefore the question/response would not be displayed in the Patient Assessment Summary. However, a response of “1” for MDS question B0100 would indicate the resident was comatose and the question/response would be displayed on the Summary.
  • Column K - AA: Contains the mapping of MDS Patient Assessment Summary questions/check list items to the 17 MDS assessment types defined by CMS.
Tab 6 MDS Summary -- Model of Meaning Using the MDS 3.0 section and question ID as the primary sort order , this tab presents MDS 3.0 Patient Assessment Summary questions and answers (based on the CMS MDS 2.0 data specification v1.01.0, December 2010) and corresponding Model of Meaning standard terminology as described in Appendix B, including:
  • SNOMED CT (version 20100731) representations and codes for semantically mappable MDS 3.0 data items.
  • ICD-9-CM (October 1, 2010 update) codes for MDS 3.0 Section I (Active Diagnoses) data items.
  • ICD-10-CM (2011 release) codes for MDS 3.0 Section I (Active Diagnoses) data items.
  • Codes for Vaccines Administered (CVX) (September 30, 2010 update) codes for MDS3.0 vaccination data items.
Note: CAP SNOMED Terminology Solutions provided the SNOMED-CT mapping of MDS 3.0 data items. The AHIMA provided the ICD-9-CM, ICD-10-CM, and CVX mapping of MDS 3.0 data items.
  • Columns A - D: MDS 3.0 question and answer ID numbers and descriptions based on CMS data specifications v1.01.0, December 2010.
    Column A = CMS Section IDs for each MDS 3.0 section
    Column B = CMS Question ID for each MDS 3.0 data item (This column is the primary sort order for the tab.)
    Column C = CMS Answer ID for each MDS 3.0 data item
    Column D = CMS Description for each MDS 3.0 data item
  • Column E - H: Contain internal tracking/comments regarding review teams evaluation of the appropriateness of MDS questions/answers for the MDS 3.0 Patient Assessment Summary. These columns track the review process for selection of Patient Assessment Summary items and have been hidden for normal viewing of this tab.
  • Columns I: Contains final review team determination regarding the appropriateness of items for the MDS 3.0 Patient Assessment Summary. This column has been filtered so that only those items selected for inclusion in the Patient Assessment Summary are displayed.
  • Column J: Contains the MDS response(s) that would indicate a “normal” status and trigger omission of the MDS question from the Patient Assessment Summary.
    Note: The review team determined that, in order to make the Patient Assessment Summary more easily consumable by receiving clinicians, MDS questions/responses should not be displayed if the item indicated a “normal” status. MDS question B0100 (Comatose) was selected for inclusion in the MDS 3.0 Patient Assessment Summary. A “0” for MDS questions B0100 would indicate the resident is not comatose and therefore the question/response would not be displayed in the Patient Assessment Summary. However, a response of “1” for MDS question B0100 would indicate the resident was comatose and the question/response would be displayed on the Summary.
  • Column K: Contains some general guidance related to data mapping.
  • Columns L: Contains the pattern used for mapping the SNOMED-CT representation of the MDS 3.0 Patient Assessment Summary data items. SNOMED mapping was based on either an “assertion pattern” or “question & answer pattern”.
  • Column M - N: Contain SNOMED-CT representation of semantically mappable MDS Patient Assessment Summary data items.
    Column M = SNOMED-CT code for each mapped MDS 3.0 Patient Assessment Summary data item
    Column N = SNOMED-CT Fully Specified Name (FSN) for each assigned SNOMED code
  • Column O: Contains ICD-9-CM codes for the MDS 3.0 Patient Assessment Summary active diagnoses (selected from MDS 3.0 Section I data items).
  • Column P: Contains ICD-10-CM codes for the MDS 3.0 Patient Assessment Summary active diagnoses (selected from MDS 3.0 Session 1 data items).
  • Column Q: Contains CDC Race and Ethnicity codes for the MDS 3.0 Patient Assessment Summary race/ethnicity data items.
  • Column R: Contains CVX for the MDS 3.0 Patient Assessment Summary vaccination data items.
Tab 7 MDS Summary -- Model of Use Using the MDS 3.0 section and question ID as the primary sort order, this tab presents MDS 3.0 Patient Assessment Summary questions and answers(based on the CMS MDS 2.0 data specification v1.01.0, December 2010) and corresponding Model of Use representation as described in Appendix B, including:
  • LOINC representations and codes (provided by Indiana University of Regenstrief Institute, Inc.).
  • CDA pattern per HL7 Implementation Guide for CDA Release 2, CDA Framework for Questionnaire Assessments and CDA Representation of the Minimum Data Set Questionnaire Assessment (hereafter referred to as the MDS CDA Implementation Guide). Content of this tab is listed below.
  • Columns A - D: MDS 3.0 question and answer ID numbers and descriptions based on CMS data specifications v1.01.0, December 2010.
    Column A = CMS Section IDs for each MDS 3.0 Summary section
    Column B = CMS Question ID for each MDS 3.0 Summary data item (This column is the primary sort order for the tab.)
    Column C = CMS Answer ID for each MDS 3.0 Summary data item
    Column D = CMS Description for each MDS 3.0 Summary data item
  • Column E - H: Contain internal tracking/comments regarding review teams evaluation of the appropriateness of MDS questions/answers for the MDS 3.0 Patient Assessment Summary. These columns track the review process for selection of Patient Assessment Summary items and have been hidden for normal viewing of this tab.
  • Columns I: Contains final review team determination regarding the appropriateness of items for the MDS 3.0 Patient Assessment Summary. This column has been filtered so that only those items selected for inclusion in the Patient Assessment Summary are displayed.
  • Columns J: Contains the MDS response(s) that would indicate a “normal” status and trigger omission of the MDS question from the Patient Assessment Summary.
    Note: The review team determined that, in order to make the Patient Assessment Summary more easily consumable by receiving clinicians, MDS questions/responses should not be displayed if the item indicated a “normal” status. MDS question B0100 (Comatose) was selected for inclusion in the MDS 3.0 Patient Assessment Summary. A “0” for MDS questions B0100 would indicate the resident is not comatose and therefore the question/response would not be displayed in the Patient Assessment Summary. However, a response of “1” for MDS question B0100 would indicate the resident was comatose and the question/response would be displayed on the Summary.
  • Column K: Contains some general guidance related to data mapping.
  • Columns L - N: Contain relevant CDA mapping information per the HL7 Implementation Guide for CDA Release 2, CDA Framework for Questionnaire Assessments and CDA Representation of the Minimum Data Set Questionnaire Assessment.
    Column L = Contains the Model of Use question/answer pattern for each MDS 3.0 Patient Assessment Summary items in accordance with the MDS CDA Implementation Guide
    Column M = Contains the data type for each MDS 3.0 Patient Assessment Summary item in accordance with the MDS CDA Implementation guide
    Column N = Contains the type of unit the MDS 3.0 Patient Assessment Summary question requires if the data type is Physical Quantity (PQ) in accordance with the MDS CDA Implementation Guide
  • Columns O - Q: Contain LOINC representation of MDS 3.0 Patient Assessment Summary data items.
    Column O = LOINC question code for each MDS 3.0 Summary data item
    Column P = LOINC answer code for each MDS 3.0 Summary data item
    Column Q = LOINC answer set object identifier (OID) for each MDS 3.0 Summary data item
    Note: LOINC codes were not assigned if the MDS CDA Implementation Guide required the data element be coded to another code sets (e.g., HL7 administrative codes for gender and marital status)
Tabs correspond to Excel file available at http://aspe.hhs.gov/daltcp/reports/2011/StratEng-K.xlsx.
Toolkit Resources
CMS Minimum Data Set 3.0 (MDS3.0) MDS3.0:
Codes for Vaccine Administered (CVX) CVX codes:
HITSP Summary Documents Using HL7 Continuity of Care Document (CCD) Component (HITSP/C32); Version 2.5; July 8, 2009
HITSP Clinical Document and Message Terminology Component (HITSP/C80); Version 2.0; January 25, 2010
HITSP CDA Content Modules Component (HITSP/C83); Version 2.0; January 25, 2010
HITSP Data Dictionary Component (HITSP/C154); Version 1.0; January 31, 2010
International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) ICD-9-CM codes:
  • Are maintained by the National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services
  • Are updated in October (yearly) and April (if needed)
  • Can be accessed at http://www.cdc.gov/nchs/icd/icd9cm.htm
International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) ICD-10-CM codes:
  • Are maintained by the National Center for Health Statistics (NCHS)
  • Are not valid for any purpose or use until October 1, 2013 (effective date per HIPAA requirements)
  • Can be accessed at http://www.cdc.gov/nchs/icd/icd10cm.htm
Logical Object Identifiers Names and Codes (LOINC) LOINC codes:
  • Are maintained by Regenstrief Institute, Inc.
  • Are updated as needed
  • Can be accessed through the Regenstrief LOINC Mapping Assistant (RELMA) at http://loinc.org/relma
Standardized Nomenclature of Medicine - Clinical Terms (SNOMED CT) SNOMED CT codes:
  • Are maintained by the International Health Terminology Standards Development Organisation (IHTSDO)
  • Are updated twice a year in January and July
  • Can be accessed through a variety of free browsers listed by the Unified Medical Language System (UMLS) at http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html

CCD Squence -- MDS Summary Items

[NOTE: This table was split in half because of the size for HTML & PDF versions.]

CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD HEADER
Header Header A0310A   Type of assessment: OBRA TRUE 99 - Not OBRA required assessment/tracking Information Source C32-[CT1--8] R Y
Header Header A0500A   Resident first name TRUE   Person Information C32-[CT1--12] R N
Header Header A0500B   Resident middle initial TRUE   Person Information C32-[CT1--12] R N
Header Header A0500C   Resident last name TRUE   Person Information C32-[CT1--12] R N
Header Header A0500D   Resident name suffix TRUE   Person Information C32-[CT1--12] R N
Header Header A0600A   Social Security Number TRUE   Person Information C32-[CT1--12] R N
Header Header A0800   Gender TRUE   Person Information C32-[CT1--12] R N
Header Header A0900   Birthdate TRUE   Person Information C32-[CT1--12] R N
Header Header A1000A   Ethnicity: American Indian or Alaska Native TRUE   Person Information C32-[CT1--12] R N
Header Header A1000B   Ethnicity: Asian TRUE   Person Information C32-[CT1--12] R N
Header Header A1000C   Ethnicity: Black or African American TRUE   Person Information C32-[CT1--12] R N
Header Header A1000D   Ethnicity: Hispanic or Latino TRUE   Person Information C32-[CT1--12] R N
Header Header A1000E   Ethnicity: Native Hawaiian/Pacific Islander TRUE   Person Information C32-[CT1--12] R N
Header Header A1000F   Ethnicity: White TRUE   Person Information C32-[CT1--12] R N
Header Header A1100A   Does the resident need or want an interpreter TRUE 0 - No;
9 - Unable to determine
Language Spoken C32-[CT1--10] R2 Y
Header Header A1100B   Preferred language TRUE   Language Spoken C32-[CT1--10] R2 Y
Header Header A1200   Marital status TRUE   Person Information C32-[CT1--12] R N
Header Header A1300A MDCL_REC_NUM Medical record number TRUE   Person Information C32-[CT1--12] R N
Header Header A1300C PREFRD_NAME Name by which resident prefers to be addressed TRUE   Person Information C32-[CT1--12] R N
Header Header A2300   Assessment reference date TRUE   Information Source C32-[CT1--8] R Y
Header Header Z0500B   Date RN signed assessment as complete TRUE   Information Source C32-[CT1--8] R Y
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- PAYERS SECTION
Payers Header A0700   Resident Medicaid number TRUE   Insurance Provider C32-[CT1--9] O N
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- ADVANCE DIRECTIVES SECTION
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- SUPPORT SECTION
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- FUNCTIONAL STATUS SECTION
Functional Status Functional Status B0100   Comatose TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status B0200   Hearing TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status B0300   Hearing aid TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status B0600   Speech clarity TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status B0700   Makes self understood TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status B0800   Ability to understand others TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status B1000   Vision TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status B1200   Corrective lenses TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status C0500   BIMS res interview: summary score TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status C0700   Staff asmt mental status: short-term memory OK TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status C0800   Staff asmt mental status: long-term memory OK TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status C0900A   Staff asmt mental status: recall current season TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status C0900B   Staff asmt mental status: recall location of room TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status C0900C   Staff asmt mental status: recall staff names/faces TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status C0900D   Staff asmt mental status: recall in nursing home TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status C1000   Cognitive skills for daily decision making TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status C1300A   Signs of delirium: inattention TRUE 0 - Behavior not present "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status C1300B   Signs of delirium: disorganized thinking TRUE 0 - Behavior not present "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status C1300C   Signs of delirium: altered level of consciousness TRUE 0 - Behavior not present "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status C1300D   Signs of delirium: psychomotor retardation TRUE 0 - Behavior not present "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status C1600   Acute onset mental status change TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status D0300   PHQ res: total mood severity score TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status D0600   PHQ staff: total mood score TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E0100A   Psychosis: hallucinations TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E0100B   Psychosis: delusions TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E0200A   Physical behav symptoms directed toward others TRUE 0 - Behavior not exhibited "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E0200B   Verbal behav symptoms directed toward others TRUE 0 - Behavior not exhibited "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E0200C   Other behav symptoms not directed toward others TRUE 0 - Behavior not exhibited "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E0500A   Behav symptoms put res at risk for illness/injury TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E0500B   Behav symptoms interfere with resident care TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E0500C   Behav symptoms interfere with social activities TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E0600A   Behav symptoms put others at risk for injury TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E0600B   Behav symptoms intrude on privacy of others TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E0600C   Behav symptoms disrupt care or living environment TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E0800   Rejection of care: presence and frequency TRUE 0 - Behavior not exhibited "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E0900   Wandering: presence and frequency TRUE 0 - Behavior not exhibited "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status E1100   Change in behavioral or other symptoms TRUE 0 - Same; 9 - N/A because no prior MDS assessment "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status G0110A1   Bed mobility: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status G0110B1   Transfer: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status G0110C1   Walk in room: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status G0110E1   Locomotion on unit: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status G0110H1   Eating: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status G0110I1   Toilet use: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status G0110J1   Personal hygiene: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status G0400A   ROM limitation: upper extremity TRUE 0 - No impairment "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status G0400B   ROM limitation: lower extremity TRUE 0 - No impairment "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status G0600A   Mobility devices: cane/crutch TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status G0600B   Mobility devices: walker TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status G0600C   Mobility devices: wheelchair (manual or electric) TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status G0600D   Mobility devices: limb prosthesis TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status H0100A   Appliances: indwelling catheter TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status H0100B   Appliances: external catheter TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status H0100C   Appliances: ostomy TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status H0100D   Appliances: intermittent catheterization TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status H0200C   Urinary toileting program: current program/trial TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status H0300   Urinary continence TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status H0400   Bowel continence TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status H0500   Bowel toileting program being used TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status H0600   Constipation TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status K0100A   Swallow disorder: loss liquids/solids from mouth TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status K0100B   Swallow disorder: holds food in mouth/cheeks TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status K0100C   Swallow disorder: cough/choke with meals/meds TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status K0100D   Swallow disorder: difficulty or pain swallowing TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status K0200A   Height (in inches) TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status K0200B   Weight (in pounds) TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status K0300   Weight loss TRUE 0 - No, or unknown "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status K0500A   Nutritional approaches: parenteral /IV feeding TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status K0500B   Nutritional approaches: feeding tube TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status K0500C   Nutritional approaches: mechanically altered diet TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status K0500D   Nutritional approaches: therapeutic diet TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status L0200A   Dental: broken or loosely fitting denture TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status L0200B   Dental: no natural teeth or tooth fragment(s) TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status L0200C   Dental: abnormal mouth tissue TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status L0200D   Dental: cavity or broken natural teeth TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status L0200E   Dental: inflamed/bleeding gums or loose teeth TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status Functional Status L0200F   Dental: pain, discomfort, difficulty chewing TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- PROBLEMS SECTION
Problems Header A1550A   MR/DD status: Down syndrome TRUE   Condition C32-[CT1--4] O N
Problems Header A1550B   MR/DD status: Autism TRUE   Condition C32-[CT1--4] O N
Problems Header A1550C   MR/DD status: Epilepsy TRUE   Condition C32-[CT1--4] O N
Problems Header A1550D   MR/DD status: other organic MR/DD condition TRUE   Condition C32-[CT1--4] O N
Problems Header A1550E   MR/DD status: MR/DD with no organic condition TRUE   Condition C32-[CT1--4] O N
Problems Problems I0100   Cancer (with or without metastasis) TRUE   Condition C32-[CT1--4] O N
Problems Problems I0200   Anemia TRUE   Condition C32-[CT1--4] O N
Problems Problems I0300   Atrial fibrillation and other dysrhythmias TRUE   Condition C32-[CT1--4] O N
Problems Problems I0400   Coronary artery disease (CAD) TRUE   Condition C32-[CT1--4] O N
Problems Problems I0500   Deep venous thrombosis (DVT), PE, or PTE TRUE   Condition C32-[CT1--4] O N
Problems Problems I0600   Heart failure TRUE   Condition C32-[CT1--4] O N
Problems Problems I0700   Hypertension TRUE   Condition C32-[CT1--4] O N
Problems Problems I0800   Orthostatic hypotension TRUE   Condition C32-[CT1--4] O N
Problems Problems I0900   Peripheral vascular disease (PVD) or PAD TRUE   Condition C32-[CT1--4] O N
Problems Problems I1100   Cirrhosis TRUE   Condition C32-[CT1--4] O N
Problems Problems I1200   Gastroesophageal reflux disease (GERD) or ulcer TRUE   Condition C32-[CT1--4] O N
Problems Problems I1300   Ulcerative colitis, Crohn’s, inflam bowel disease TRUE   Condition C32-[CT1--4] O N
Problems Problems I1400   Benign prostatic hyperplasia (BPH) TRUE   Condition C32-[CT1--4] O N
Problems Problems I1500   Renal insufficiency, renal failure, ESRD TRUE   Condition C32-[CT1--4] O N
Problems Problems I1550   Neurogenic bladder TRUE   Condition C32-[CT1--4] O N
Problems Problems I1650   Obstructive uropathy TRUE   Condition C32-[CT1--4] O N
Problems Problems I1700   Multidrug resistant organism (MDRO) TRUE   Condition C32-[CT1--4] O N
Problems Problems I2000   Pneumonia TRUE   Condition C32-[CT1--4] O N
Problems Problems I2100   Septicemia TRUE   Condition C32-[CT1--4] O N
Problems Problems I2200   Tuberculosis TRUE   Condition C32-[CT1--4] O N
Problems Problems I2300   Urinary tract infection (UTI) (LAST 30 DAYS) TRUE   Condition C32-[CT1--4] O N
Problems Problems I2400   Viral hepatitis (includes type A, B, C, D, and E) TRUE   Condition C32-[CT1--4] O N
Problems Problems I2500   Wound infection (other than foot) TRUE   Condition C32-[CT1--4] O N
Problems Problems I2900   Diabetes mellitus (DM) TRUE   Condition C32-[CT1--4] O N
Problems Problems I3100   Hyponatremia TRUE   Condition C32-[CT1--4] O N
Problems Problems I3200   Hyperkalemia TRUE   Condition C32-[CT1--4] O N
Problems Problems I3300   Hyperlipidemia (e.g.,  hypercholesterolemia) TRUE   Condition C32-[CT1--4] O N
Problems Problems I3400   Thyroid disorder TRUE   Condition C32-[CT1--4] O N
Problems Problems I3700   Arthritis TRUE   Condition C32-[CT1--4] O N
Problems Problems I3800   Osteoporosis TRUE   Condition C32-[CT1--4] O N
Problems Problems I3900   Hip fracture TRUE   Condition C32-[CT1--4] O N
Problems Problems I4000   Other fracture TRUE   Condition C32-[CT1--4] O N
Problems Problems I4200   Alzheimer's disease TRUE   Condition C32-[CT1--4] O N
Problems Problems I4300   Aphasia TRUE   Condition C32-[CT1--4] O N
Problems Problems I4400   Cerebral palsy TRUE   Condition C32-[CT1--4] O N
Problems Problems I4500   Cerebrovascular accident (CVA), TIA, or stroke TRUE   Condition C32-[CT1--4] O N
Problems Problems I4800   Dementia TRUE   Condition C32-[CT1--4] O N
Problems Problems I4900   Hemiplegia or hemiparesis TRUE   Condition C32-[CT1--4] O N
Problems Problems I5000   Paraplegia TRUE   Condition C32-[CT1--4] O N
Problems Problems I5100   Quadriplegia TRUE   Condition C32-[CT1--4] O N
Problems Problems I5200   Multiple sclerosis TRUE   Condition C32-[CT1--4] O N
Problems Problems I5250   Huntington's disease TRUE   Condition C32-[CT1--4] O N
Problems Problems I5300   Parkinson's disease TRUE   Condition C32-[CT1--4] O N
Problems Problems I5350   Tourette's syndrome TRUE   Condition C32-[CT1--4] O N
Problems Problems I5400   Seizure disorder or epilepsy TRUE   Condition C32-[CT1--4] O N
Problems Problems I5500   Traumatic brain injury (TBI) TRUE   Condition C32-[CT1--4] O N
Problems Problems I5600   Malnutrition (protein, calorie), risk of malnutrit TRUE   Condition C32-[CT1--4] O N
Problems Problems I5700   Anxiety disorder TRUE   Condition C32-[CT1--4] O N
Problems Problems I5800   Depression (other than bipolar) TRUE   Condition C32-[CT1--4] O N
Problems Problems I5900   Manic depression (bipolar disease) TRUE   Condition C32-[CT1--4] O N
Problems Problems I5950   Psychotic disorder (other than schizophrenia) TRUE   Condition C32-[CT1--4] O N
Problems Problems I6000   Schizophrenia TRUE   Condition C32-[CT1--4] O N
Problems Problems I6100   Post-traumatic stress disorder (PTSD) TRUE   Condition C32-[CT1--4] O N
Problems Problems I6200   Asthma (COPD) or chronic lung disease TRUE   Condition C32-[CT1--4] O N
Problems Problems I6300   Respiratory failure TRUE   Condition C32-[CT1--4] O N
Problems Problems I6500   Cataracts, glaucoma, or macular degeneration TRUE   Condition C32-[CT1--4] O N
Problems Problems I8000A   Additional active ICD diagnosis 1 TRUE   Condition C32-[CT1--4] O N
Problems Problems I8000B   Additional active ICD diagnosis 2 TRUE   Condition C32-[CT1--4] O N
Problems Problems I8000C   Additional active ICD diagnosis 3 TRUE   Condition C32-[CT1--4] O N
Problems Problems I8000D   Additional active ICD diagnosis 4 TRUE   Condition C32-[CT1--4] O N
Problems Problems I8000E   Additional active ICD diagnosis 5 TRUE   Condition C32-[CT1--4] O N
Problems Problems I8000F   Additional active ICD diagnosis 6 TRUE   Condition C32-[CT1--4] O N
Problems Problems I8000G   Additional active ICD diagnosis 7 TRUE   Condition C32-[CT1--4] O N
Problems Problems I8000H   Additional active ICD diagnosis 8 TRUE   Condition C32-[CT1--4] O N
Problems Problems I8000I   Additional active ICD diagnosis 9 TRUE   Condition C32-[CT1--4] O N
Problems Problems I8000J   Additional active ICD diagnosis 10 TRUE   Condition C32-[CT1--4] O N
Problems Problems J0100A   Pain: been on scheduled pain med regimen TRUE 0 - No Condition C32-[CT1--4] O N
Problems Problems J0400   Res pain interview: frequency TRUE 9 - Unable to answer Condition C32-[CT1--4] O N
Problems Problems J0600A   Res pain interview: intensity rating scale TRUE   Condition C32-[CT1--4] O N
Problems Problems J0600B   Res pain interview: verbal descriptor scale TRUE 9 - Unable to answer Condition C32-[CT1--4] O N
Problems Problems J1100A   Short breath/trouble breathing: with exertion TRUE   Condition C32-[CT1--4] O N
Problems Problems J1100B   Short breath/trouble breathing: sitting at rest TRUE   Condition C32-[CT1--4] O N
Problems Problems J1100C   Short breath/trouble breathing: lying flat TRUE   Condition C32-[CT1--4] O N
Problems Problems J1300   Current tobacco use TRUE 0 - No Condition C32-[CT1--4] O N
Problems Problems J1400   Prognosis: life expectancy of less than 6 months TRUE 0 - No Condition C32-[CT1--4] O N
Problems Problems J1700A   Fall history: fall during month before admission TRUE 0 - No;
9 - Unable to determine
Condition C32-[CT1--4] O N
Problems Problems J1700B   Fall history: fall 2-6 months before admission TRUE 0 - No;
9 - Unable to determine
Condition C32-[CT1--4] O N
Problems Problems J1700C   Fall history: fracture from fall 6 month pre admit TRUE 0 - No;
9 - Unable to determine
Condition C32-[CT1--4] O N
Problems Problems J1800   Falls since admit/prior asmt: any falls TRUE 0 - No Condition C32-[CT1--4] O N
Problems Problems J1900B   Falls since admit/prior asmt: injury (not major) TRUE 0 - None Condition C32-[CT1--4] O N
Problems Problems J1900C   Falls since admit/prior asmt: major injury TRUE 0 - None Condition C32-[CT1--4] O N
Problems Problems M0150   Is resident at risk of developing pressure ulcer TRUE 0 - No Condition C32-[CT1--4] O N
Problems Problems M0210   Resident has Stage 1 or higher pressure ulcers TRUE 0 - No Condition C32-[CT1--4] O N
Problems Problems M0300A   Stage 1 pressure ulcers: number present TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0300B1   Stage 2 pressure ulcers: number present TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0300B2   Stage 2 pressure ulcers: number at admit/reentry TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0300B3   Stage 2 pressure ulcers: date of oldest TRUE   Condition C32-[CT1--4] O N
Problems Problems M0300C1   Stage 3 pressure ulcers: number present TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0300C2   Stage 3 pressure ulcers: number at admit/reentry TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0300D1   Stage 4 pressure ulcers: number present TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0300D2   Stage 4 pressure ulcers: number at admit/reentry TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0300E1   Unstaged due to dressing: number present TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0300E2   Unstaged due to dressing: number at admit/reentry TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0300F1   Unstaged slough/eschar: number present TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0300F2   Unstaged slough/eschar: number at admit/reentry TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0300G1   Unstageable - deep tissue: number present TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0300G2   Unstageable - deep tissue: number at admit/reentry TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0610A   Stage 3 or 4 pressure ulcer longest length TRUE   Condition C32-[CT1--4] O N
Problems Problems M0610B   Stage 3 or 4 pressure ulcer width (same ulcer) TRUE   Condition C32-[CT1--4] O N
Problems Problems M0610C   Stage 3 or 4 pressure ulcer depth (same ulcer) TRUE   Condition C32-[CT1--4] O N
Problems Problems M0800A   Worsened since prior asmt: Stage 2 pressure ulcers TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0800B   Worsened since prior asmt: Stage 3 pressure ulcers TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M0800C   Worsened since prior asmt: Stage 4 pressure ulcers TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M1030   Number of venous and arterial ulcers TRUE 0 Condition C32-[CT1--4] O N
Problems Problems M1040A   Other skin probs: infection of the foot TRUE   Condition C32-[CT1--4] O N
Problems Problems M1040B   Other skin probs: diabetic foot ulcer(s) TRUE   Condition C32-[CT1--4] O N
Problems Problems M1040C   Other skin probs: other open lesion(s) on the foot TRUE   Condition C32-[CT1--4] O N
Problems Problems M1040D   Other skin probs: lesions not ulcers, rashes, cuts TRUE   Condition C32-[CT1--4] O N
Problems Problems M1040E   Other skin probs: surgical wound(s) TRUE   Condition C32-[CT1--4] O N
Problems Problems M1040F   Other skin probs: burn(s) (second or third degree) TRUE   Condition C32-[CT1--4] O N
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- FAMILY HISTORY SECTION
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- SOCIAL HISTORY SECTION
Social History Header A1300D   Lifetime occupation(s) TRUE   "Social History" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- ALERTS SECTION
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- MEDICATIONS SECTION
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- MEDICAL EQUIPMENT SECTION
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- IMMUNIZATIONS SECTION
Immunizations Procedures O0250A   Was influenza vaccine received TRUE   Immunization C32-[CT1--7] O N
Immunizations Procedures O0250B   Date influenza vaccine received. TRUE   Immunization C32-[CT1--7] O N
Immunizations Procedures O0250C   If influenza vaccine not received, state reason TRUE 9 - None of the above Immunization C32-[CT1--7] O N
Immunizations Procedures O0300A   Is pneumococcal vaccination up to date TRUE   Immunization C32-[CT1--7] O N
Immunizations Procedures O0300B   If pneumococcal vacc not received, state reason TRUE   Immunization C32-[CT1--7] O N
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- VITAL SIGNS SECTION
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- RESULTS SECTION
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- PROCEDURES SECTION
Procedures Problems M1200A   Skin/ulcer treat: pressure reduce device for chair TRUE   Procedure C32-[CT1--15] O N
Procedures Problems M1200B   Skin/ulcer treat: pressure reducing device for bed TRUE   Procedure C32-[CT1--15] O N
Procedures Problems M1200C   Skin/ulcer treat: turning/repositioning TRUE   Procedure C32-[CT1--15] O N
Procedures Problems M1200D   Skin/ulcer treat: nutrition/hydration TRUE   Procedure C32-[CT1--15] O N
Procedures Problems M1200E   Skin/ulcer treat: ulcer care TRUE   Procedure C32-[CT1--15] O N
Procedures Problems M1200F   Skin/ulcer treat: surgical wound care TRUE   Procedure C32-[CT1--15] O N
Procedures Problems M1200G   Skin/ulcer treat: application of dressings TRUE   Procedure C32-[CT1--15] O N
Procedures Problems M1200H   Skin/ulcer treat: apply ointments/medications TRUE   Procedure C32-[CT1--15] O N
Procedures Problems M1200I   Skin/ulcer treat: apply dressings to feet TRUE   Procedure C32-[CT1--15] O N
Procedures Procedures O0100A2   Treatment: chemotherapy - while resident TRUE   Procedure C32-[CT1--15] O N
Procedures Procedures O0100B2   Treatment: radiation - while resident TRUE   Procedure C32-[CT1--15] O N
Procedures Procedures O0100C2   Treatment: oxygen therapy - while resident TRUE   Procedure C32-[CT1--15] O N
Procedures Procedures O0100D2   Treatment: suctioning - while resident TRUE   Procedure C32-[CT1--15] O N
Procedures Procedures O0100E2   Treatment: tracheostomy care - while resident TRUE   Procedure C32-[CT1--15] O N
Procedures Procedures O0100F2   Treatment: vent/respirator - while resident TRUE   Procedure C32-[CT1--15] O N
Procedures Procedures O0100G2   Treatment: BIPAP/CPAP - while resident TRUE   Procedure C32-[CT1--15] O N
Procedures Procedures O0100H2   Treatment: IV medications - while resident TRUE   Procedure C32-[CT1--15] O N
Procedures Procedures O0100I2   Treatment: transfusions - while resident TRUE   Procedure C32-[CT1--15] O N
Procedures Procedures O0100J2   Treatment: dialysis - while resident TRUE   Procedure C32-[CT1--15] O N
Procedures Procedures O0100K2   Treatment: hospice care - while resident TRUE   Procedure C32-[CT1--15] O N
Procedures Procedures O0100L2   Treatment: respite care - while resident TRUE   Procedure C32-[CT1--15] O N
Procedures Procedures O0100M2   Treatment: isolate/quarantine - while resident TRUE   Procedure C32-[CT1--15] O N
Procedures N/A P0100A   Restraints used in bed: bed rail TRUE 0 - Not used Procedure C32-[CT1--15] O N
Procedures N/A P0100B   Restraints used in bed: trunk restraint TRUE 0 - Not used Procedure C32-[CT1--15] O N
Procedures N/A P0100C   Restraints used in bed: limb restraint TRUE 0 - Not used Procedure C32-[CT1--15] O N
Procedures N/A P0100D   Restraints used in bed: other TRUE 0 - Not used Procedure C32-[CT1--15] O N
Procedures N/A P0100E   Restraints in chair/out of bed: trunk restraint TRUE 0 - Not used Procedure C32-[CT1--15] O N
Procedures N/A P0100F   Restraints in chair/out of bed: limb restraint TRUE 0 - Not used Procedure C32-[CT1--15] O N
Procedures N/A P0100G   Restraints in chair/out of bed: chair stops rising TRUE 0 - Not used Procedure C32-[CT1--15] O N
Procedures N/A P0100H   Restraints in chair/out of bed: other TRUE 0 - Not used Procedure C32-[CT1--15] O N
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- ENCOUNTERS SECTION
Encounter Header A0200   Type of provider TRUE   Encounter C32-[CT1--5] O N
Encounter Header A1600   Entry date (date of admission/reentry in facility) TRUE   Encounter C32-[CT1--5] O N
Encounter Header A1700   Type of entry TRUE   Encounter C32-[CT1--5] O N
Encounter Header A2000   Discharge date TRUE   Encounter C32-[CT1--5] O N
Encounter Header A2100   Discharge status TRUE 99 - Other Encounter C32-[CT1--5] O N
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- PLAN OF CARE SECTION
Plan of Care N/A Q0400B   Determination regarding discharge to community TRUE   Plan of Care C32-[CT1--13] O N
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- HEALTH CARE PROVIDERS SECTION
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
 
CCD SECTION NOT ASSIGNED DUE TO INCOMPATIBILITY OF MDS ITEM AND CCD REQUIREMENTS
? N/A N0350A   Insulin: insulin injections TRUE   --- --- ---
? N/A N0400A   Medications: antipsychotic TRUE   --- --- ---
? N/A N0400B   Medications: antianxiety TRUE   --- --- ---
? N/A N0400C   Medications: antidepressant TRUE   --- --- ---
? N/A N0400D   Medications: hypnotic TRUE   --- --- ---
? N/A N0400E   Medications: anticoagulant TRUE   --- --- ---
? N/A N0400F   Medications: antibiotic TRUE   --- --- ---
? N/A N0400G   Medications: diuretic TRUE   --- --- ---
? N/A N0300   Number of days injectable medications received FALSE        
? N/A N0400Z   Medications: none of the above FALSE        
? N/A Q0100A   Resident participated in assessment FALSE        
? N/A Q0100A 0 No FALSE        
? N/A Q0100A 1 Yes FALSE        
? N/A Q0100B   Family/signif other participated in assessment FALSE        
? N/A Q0100B 0 No FALSE        
? N/A Q0100B 1 Yes FALSE        
? N/A Q0100B 9 No family or significant other FALSE        
? N/A Q0100C   Guardian/legal rep participated in assessment FALSE        
? N/A Q0100C 0 No FALSE        
? N/A Q0100C 1 Yes FALSE        
? N/A Q0100C 9 No guardian or legally authorized representative FALSE        
CCD SECTION
Per Review Team Recommendation
CCD SECTION
Per MDS CCD Representation Guide
(Jul 2010)
MDS ITEMS FINAL SUMMARY ITEM Response(s) Triggering  Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS  Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
 
CCD SECTIONS NOT MAPPED -- MDS ADMINISTRATIVE ITEMS NOT APPLICABLE TO MDS PATIENT ASSESSMENT SUMMARY
N/A N/A FAC_ID   Assigned facility/provider submission ID FALSE        
N/A N/A ITM_SBST_CD   Item subset code FALSE        
N/A N/A ITM_SBST_CD NCN Nursing home comprehensive assessment FALSE        
N/A N/A ITM_SBST_CD NCP Nursing home comprehensive assessment coupled with PPS assessment FALSE        
N/A N/A ITM_SBST_CD NDE Nursing home discharge coupled with EMCA FALSE        
N/A N/A ITM_SBST_CD NDN Nursing home discharge FALSE        
N/A N/A ITM_SBST_CD NEN Nursing home entry FALSE        
N/A N/A ITM_SBST_CD NNE Nursing home EMCA FALSE        
N/A N/A ITM_SBST_CD NNN Nursing home not OMBRA and not PPS assessment FALSE        
N/A N/A ITM_SBST_CD NNP Nursing home PPS assessment FALSE        
N/A N/A ITM_SBST_CD NQN Nursing home quarterly assessment FALSE        
N/A N/A ITM_SBST_CD NQP Nursing home quarterly assessment coupled with PPS assessment FALSE        
N/A N/A ITM_SBST_CD SDE Swing bed discharge coupled with EMCA FALSE        
N/A N/A ITM_SBST_CD SDN Swing bed discharge FALSE        
N/A N/A ITM_SBST_CD SEN Swing bed entry FALSE        
N/A N/A ITM_SBST_CD SNE Swing bed EMCA FALSE        
N/A N/A ITM_SBST_CD SNN Swing bed not a PPS assessment FALSE        
N/A N/A ITM_SBST_CD SNP Swing bed PPS assessment FALSE        
N/A N/A ITM_SBST_CD SNS Swing bed clinical change assessment FALSE        
N/A N/A ITM_SBST_CD XXX Inactivation transaction FALSE        
N/A N/A PRODN_TEST_CD   Production/test indicator FALSE        
N/A N/A PRODN_TEST_CD P Product submission FALSE        
N/A N/A PRODN_TEST_CD T Test submission FALSE        
N/A N/A SFTWR_PROD_NAME   Software product name FALSE        
N/A N/A SFTWR_PROD_NAME   Software product name FALSE        
N/A N/A SFTWR_PROD_VRSN_CD   Software product version code FALSE        
N/A N/A SFTWR_PROD_VRSN_CD   Software product version code FALSE        
N/A N/A SFTWR_VNDR_EMAIL_ADR   Software vendor email address FALSE        
N/A N/A SFTWR_VNDR_EMAIL_ADR   Software vendor email address FALSE        
N/A N/A SFTWR_VNDR_ID   Software vendor federal employer tax ID FALSE        
N/A N/A SFTWR_VNDR_ID   Software vendor federal employer tax ID FALSE        
N/A N/A SFTWR_VNDR_NAME   Software vendor company name FALSE        
N/A N/A SFTWR_VNDR_NAME   Software vendor company name FALSE        
N/A N/A SPEC_VRSN_CD   Specifications version code FALSE        
N/A N/A SPEC_VRSN_CD   Specifications version code FALSE        
N/A N/A V0100A   Prior OBRA reason for assessment FALSE        
N/A N/A V0100A 1 Admission assessment (required by day 14) FALSE        
N/A N/A V0100A 2 Quarterly review assessment FALSE        
N/A N/A V0100A 3 Annual assessment FALSE        
N/A N/A V0100A 4 Significant change in status assessment FALSE        
N/A N/A V0100A 5 Significant correction to prior comprehensive assessment FALSE        
N/A N/A V0100A 6 Significant correction to prior quarterly assessment FALSE        
N/A N/A V0100A 99 Not OBRA required assessment/tracking FALSE        
N/A N/A V0100B   Prior PPS reason for assessment FALSE        
N/A N/A V0100B 1 5-day scheduled assessment FALSE        
N/A N/A V0100B 2 14-day scheduled assessment FALSE        
N/A N/A V0100B 3 30-day scheduled assessment FALSE        
N/A N/A V0100B 4 60-day scheduled assessment FALSE        
N/A N/A V0100B 5 90-day scheduled assessment FALSE        
N/A N/A V0100B 6 Readmission/return assessment FALSE        
N/A N/A V0100B 7 Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment) FALSE        
N/A N/A V0100B 99 Not PPS assessment FALSE        
N/A N/A V0100C   Prior assessment reference date FALSE        
N/A N/A V0100D   Prior assessment BIMS summary score FALSE        
N/A N/A V0100E   Prior asmt PHQ res: total mood severity score FALSE        
N/A N/A V0100F   Prior asmt PHQ staff: total mood score FALSE        
N/A N/A V0200A01A   CAA-Delirium: triggered FALSE        
N/A N/A V0200A01B   CAA-Delirium: plan FALSE        
N/A N/A V0200A02A   CAA-Cognitive loss/dementia: triggered FALSE        
N/A N/A V0200A02B   CAA-Cognitive loss/dementia: plan FALSE        
N/A N/A V0200A03A   CAA-Visual function: triggered FALSE        
N/A N/A V0200A03B   CAA-Visual function: plan FALSE        
N/A N/A V0200A04A   CAA-Communication: triggered FALSE        
N/A N/A V0200A04B   CAA-Communication: plan FALSE        
N/A N/A V0200A05A   CAA-ADL functional/rehab potential: triggered FALSE        
N/A N/A V0200A05B   CAA-ADL functional/rehab potential: plan FALSE        
N/A N/A V0200A06A   CAA-Urinary incont/indwell catheter: triggered FALSE        
N/A N/A V0200A06B   CAA-Urinary incont/indwell catheter: plan FALSE        
N/A N/A V0200A07A   CAA-Psychosocial well-being: triggered FALSE        
N/A N/A V0200A07B   CAA-Psychosocial well-being: plan FALSE        
N/A N/A V0200A08A   CAA-Mood state: triggered FALSE        
N/A N/A V0200A08B   CAA-Mood state: plan FALSE        
N/A N/A V0200A09A   CAA-Behavioral symptoms: triggered FALSE        
N/A N/A V0200A09B   CAA-Behavioral symptoms: plan FALSE        
N/A N/A V0200A10A   CAA-Activities: triggered FALSE        
N/A N/A V0200A10B   CAA-Activities: plan FALSE        
N/A N/A V0200A11A   CAA-Falls: triggered FALSE        
N/A N/A V0200A11B   CAA-Falls: plan FALSE        
N/A N/A V0200A12A   CAA-Nutritional status: triggered FALSE        
N/A N/A V0200A12B   CAA-Nutritional status: plan FALSE        
N/A N/A V0200A13A   CAA-Feeding tubes: triggered FALSE        
N/A N/A V0200A13B   CAA-Feeding tubes: plan FALSE        
N/A N/A V0200A14A   CAA-Dehydration/fluid maintenance: triggered FALSE        
N/A N/A V0200A14B   CAA-Dehydration/fluid maintenance: plan FALSE        
N/A N/A V0200A15A   CAA-Dental care: triggered FALSE        
N/A N/A V0200A15B   CAA-Dental care: plan FALSE        
N/A N/A V0200A16A   CAA-Pressure ulcer: triggered FALSE        
N/A N/A V0200A16B   CAA-Pressure ulcer: plan FALSE        
N/A N/A V0200A17A   CAA-Psychotropic drug use: triggered FALSE        
N/A N/A V0200A17B   CAA-Psychotropic drug use: plan FALSE        
N/A N/A V0200A18A   CAA-Physical restraints: triggered FALSE        
N/A N/A V0200A18B   CAA-Physical restraints: plan FALSE        
N/A N/A V0200A19A   CAA-Pain: triggered FALSE        
N/A N/A V0200A19B   CAA-Pain: plan FALSE        
N/A N/A V0200A20A   CAA-Return to community referral: triggered FALSE        
N/A N/A V0200A20B   CAA-Return to community referral: plan FALSE        
N/A N/A V0200B2   CAA-Assessment process signature date FALSE        
N/A N/A V0200C2   CAA-Care planning signature date FALSE        
N/A N/A X0100   Correction: type of transaction FALSE        
N/A N/A X0100 1 Add new record FALSE        
N/A N/A X0100 2 Modify existing record FALSE        
N/A N/A X0100 3 Inactivate existing record FALSE        
N/A N/A X0150   Correction: type of provider FALSE        
N/A N/A X0150 1 Nursing home (SNF/NF) FALSE        
N/A N/A X0150 2 Swing bed FALSE        
N/A N/A X0200A   Correction: resident first name FALSE        
N/A N/A X0200C   Correction: resident last name FALSE        
N/A N/A X0300   Correction: resident gender FALSE        
N/A N/A X0300 1 Male FALSE        
N/A N/A X0300 2 Female FALSE        
N/A N/A X0400   Correction: resident birth date FALSE        
N/A N/A X0500   Correction: resident social security number FALSE        
N/A N/A X0600A   Correction: OBRA reason for assessment FALSE        
N/A N/A X0600A 1 Admission assessment (required by day 14) FALSE        
N/A N/A X0600A 2 Quarterly review assessment FALSE        
N/A N/A X0600A 3 Annual assessment FALSE        
N/A N/A X0600A 4 Significant change in status assessment FALSE        
N/A N/A X0600A 5 Significant correction to prior comprehensive assessment FALSE        
N/A N/A X0600A 6 Significant correction to prior quarterly assessment FALSE        
N/A N/A X0600A 99 Not OBRA required assessment/tracking FALSE        
N/A N/A X0600B   Correction: PPS reason for assessment FALSE        
N/A N/A X0600B 1 5-day scheduled assessment FALSE        
N/A N/A X0600B 2 14-day scheduled assessment FALSE        
N/A N/A X0600B 3 30-day scheduled assessment FALSE        
N/A N/A X0600B 4 60-day scheduled assessment FALSE        
N/A N/A X0600B 5 90-day scheduled assessment FALSE        
N/A N/A X0600B 6 Readmission/return assessment FALSE        
N/A N/A X0600B 7 Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment) FALSE        
N/A N/A X0600B 99 Not PPS assessment FALSE        
N/A N/A X0600C   Correction: OMRA assessment FALSE        
N/A N/A X0600C 0 No FALSE        
N/A N/A X0600C 1 Start of therapy assessment FALSE        
N/A N/A X0600C 2 End of therapy assessment FALSE        
N/A N/A X0600C 3 Both Start and End of therapy assessment FALSE        
N/A N/A X0600D   Correction: Swing bed clinical change asmt FALSE        
N/A N/A X0600D 0 No FALSE        
N/A N/A X0600D 1 Yes FALSE        
N/A N/A X0600F   Correction: entry/discharge reporting FALSE        
N/A N/A X0600F 1 Entry record FALSE        
N/A N/A X0600F 10 Discharge assessment - return not anticipated FALSE        
N/A N/A X0600F 11 Discharge assessment - return anticipated FALSE        
N/A N/A X0600F 12 Death in facility record FALSE        
N/A N/A X0600F 99 Not entry/discharge FALSE        
N/A N/A X0700A   Correction: assessment reference date FALSE        
N/A N/A X0700B   Correction: discharge date FALSE        
N/A N/A X0700C   Correction: entry date FALSE        
N/A N/A X0800   Correction: correction number FALSE        
N/A N/A X0900A   Correction: modif reasons - transcription error FALSE        
N/A N/A X0900B   Correction: modif reasons - data entry error FALSE        
N/A N/A X0900C   Correction: modif reasons - software error FALSE        
N/A N/A X0900D   Correction: modif reasons - item coding error FALSE        
N/A N/A X0900Z   Correction: modif reasons - other error FALSE        
N/A N/A X1050A   Correction: inact reasons - event did not occur FALSE        
N/A N/A X1050Z   Correction: inact reasons - other reason FALSE        
N/A N/A X1100A   Correction: attestor first name FALSE        
N/A N/A X1100B   Correction: attestor last name FALSE        
N/A N/A X1100E   Correction: attestation date FALSE        
N/A N/A Z0100A   Medicare Part A: HIPPS code FALSE        
N/A N/A Z0100B   Medicare Part A: RUG version code FALSE        
N/A N/A Z0100C   Medicare Part A: Medicare short stay asmt FALSE        
N/A N/A Z0100C 0 No FALSE        
N/A N/A Z0100C 1 Yes FALSE        
N/A N/A Z0150A   Medicare Part A: non-therapy HIPPS code FALSE        
N/A N/A Z0150B   Medicare Part A: non-therapy RUG version code FALSE        
N/A N/A Z0200A   State case mix: RUG group FALSE        
N/A N/A Z0200B   State case mix: RUG version code FALSE        
N/A N/A Z0250A   State case mix: Alternate RUG group FALSE        
N/A N/A Z0250B   State case mix: Alternate RUG version code FALSE        
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name (per C83 Section #2.2.2.x -- Entry Content Module) Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA (per C83 Section #2.2.1.x -- CDA Sections) Data Element Definition Data Element Constraints
CCD HEADER
Section 2.2.2.10 (Information Source) states:  This module contains information about the original author to be supplied and for a reference to the original document to be provided. This module may be applied to all other entry Content Modules. See the HL7 Continuity of Care Document Section 5.2 for constraints applicable to this module.
-- 10.03 - Reference
R N N/A N/A 10.03 - Reference:A reference to the original document from which this information was obtained No Issue:
Item requires additional review. Present mapping is a forced fit.
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name: The individual to whom the exchange refers. Multiple names are allowed to retain birth name, maiden name, legal names and aliases as required. No  
Section 2.2.2.1 (Personal Information): see row #45
-- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name:See row #45 No  
Section 2.2.2.1 (Personal Information): see row #45
-- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name: See row #45 No  
Section 2.2.2.1 (Personal Information): see row #45
-- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name:See row #45 No  
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.02 - Person ID
R N N/A N/A 1.02 - Person ID: An identifier that uniquely identifies the individual to which the exchange refers and connects that document to the individual's personal health record. Potential security risks associated with use of SSN or driver's license for this element suggest that these should not be used routinely. No Issues: 1) Data element #1.02-Person ID is not repeatable, however both the SSN and medical record number have been selected for the Patient Assessment Summary.  Since the medical record number is an Optional field on the MDS and may not be present, general guidance is needed that balances the HITSP concerns over use of the SSN and available data for a Person ID. 2) "Patient Information Entry" is required in the "Personal Information" Component Module. Required data elements for "Patient Information Entry" include #1.02-Person ID, #1.03-Person Address, and #1.04-Person Phone/ e-mail/ URL. The MDS3.0 does not support data elements #1.03 and #1.04.
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.06 – Gender
R N C83 - 2.2.2.1.4 N/A 1.06 – Gender:Gender is used to refer to administrative sex rather than biological sex and therefore should easily be classified into female and male. It is included in the exchange for purposes of linking to insurance information and other patient identification linkages and the value chosen by the patient should reflect the information under which any insurance or financial information will be filed, as well as the same information given to other healthcare providers, institutions or health data exchange networks. C154-[DE-1.06-1] Gender SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.1. Administrative Gender Issue:
The MDS3.0 data set does not fully support the HITSP value set for "administrative gender" detailed in C-80 Table 2-38. The "Undifferentiated" value is not available in the MDS3.0
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.07 - Person Date of Birth
R N N/A N/A 1.07 - Person Date of Birth:The date and time of birth of the individual to which this Exchange refers. The date of birth is typically a key patient identifier variable and used to enable computation of age at the effective date of any other data element. It is assumed to be unique and fixed throughout the patient's lifetime. No  
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race:Race is usually a single valued term that may be constant over that patient's lifetime. The coding of race is aligned with public health and other federal reporting standards of the CDC and the Census Bureau. Typically the patient is the source of the content of this element. However, the individual may opt to omit race. In this event, some healthcare organizations that receive the Summary Document may choose to enter an observed race as their current practice for manual registration. Such organization observed race data should be differentiated from patient sourced data in the patient's registration summary C154-[DE-1.10-1] Race SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.7 Race Issue:
The Race value set identified in HITSP/C80 Section 2.2.1.2.7 includes the value "Other Race". This value is not supported by the MDS3.0.
Section 2.2.2.1 (Personal Information): See row #55
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race:See row #55 Yes - See row #55 Issue:
See row #55
Section 2.2.2.1 (Personal Information): See row #55
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race:See row #55 Yes - See row #55 Issue:
See row #55
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.11 – Ethnicity
O N C83 - 2.2.2.1.7 N/A 1.11 - Ethnicity:Ethnicity is a term that extends the concept of race. The coding of ethnicity is aligned with public health and other federal reporting standards of the CDC and the Census Bureau C154-[DE-1.11-1] Ethnicity SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.2 Ethnicity  
Section 2.2.2.1 (Personal Information): See row #55
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race: See row #55 Yes - See row #55 Issue:
See row #55
Section 2.2.2.1 (Personal Information): See row #55
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race: See row #55 Yes - See row #55 Issue:
See row #55
Section 2.2.2.2 (Language Spoken) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. This module contains the primary and secondary languages of communication for the patient. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.2.
-- 2.01 – Language
R Y C83 - 2.2.2.2.1 N/A 2.01 – Language: Language will be identified as spoken, written, or understood; but no attempt will be made to assess proficiency. The default language is English, but English is to be entered explicitly similar to any other listed language -- C154-[DE-2.01-1] Language SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.9 Language
-- C154-[DE-2.01-2] Sign language SHALL be treated as a separate language
Issue:
This MDS3.0 item seems most appropriate for the "Language Spoken" component module. However, review of HITSP, CCD and CDA documentation seems to indicate that such an intuitive match is not supported in the requirements. This item will likely need to be reclassified.
Section 2.2.2.2 (Language Spoken) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. This module contains the primary and secondary languages of communication for the patient. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.2.
-- 2.01 – Language
R Y C83 - 2.2.2.2.1 N/A 2.01 – Language: Language will be identified as spoken, written, or understood; but no attempt will be made to assess proficiency. The default language is English, but English is to be entered explicitly similar to any other listed language -- C154-[DE-2.01-1] Language SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.9 Language
-- C154-[DE-2.01-2] Sign language SHALL be treated as a separate language
 
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.08 - Marital Status
R Y C83 - 2.2.2.1.5 N/A 1.08 - Marital Status: A value representing the domestic partnership status of a person. Marital status is important in determining insurance eligibility and other legal arrangements surrounding care. Marital status often changes during a patient's lifetime so the data should relate to the effective date of the patient data object and not be entered with multiple values like an address or contact number. This element should only have one instance reflecting the current status of the individual at the time the Exchange is produced. Former values might be part of the personal and social history C154-[DE-1.08-1] Marital Status SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.3.2 Marital Status CDA and HLV3 Issue:
While the value set for marital status found in HITSP/C80 Section 2.2.1.2.3 supports the five marital status values of the MDS3.0, the MDS3.0 does not address all marital status values found in the HITSP C80 marital status value set.
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.02 - Person ID
R N N/A N/A 1.02 - Person ID: An identifier that uniquely identifies the individual to which the exchange refers and connects that document to the individual's personal health record. Potential security risks associated with use of SSN or driver's license for this element suggest that these should not be used routinely. No Issue:
See row #71
Section 2.2.2.1 (Personal Information): see row #45
-- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name: See row #45 No  
Section 2.2.2.10 (Information Source) states: This module contains information about the original author to be supplied and for a reference to the original document to be provided. This module may be applied to all other entry Content Modules. See the HL7 Continuity of Care Document Section 5.2 for constraints applicable to this module.
-- 10.03 - Reference
R N N/A N/A 10.03 - Reference: A reference to the original document from which this information was obtained No Issue:
Item requires additional review. Present mapping is a forced fit.
Section 2.2.2.10 (Information Source) states: This module contains information about the original author to be supplied and for a reference to the original document to be provided. This module may be applied to all other entry Content Modules. See the HL7 Continuity of Care Document Section 5.2 for constraints applicable to this module.
-- 10.01 - Author Time
R N N/A N/A 10.01 - Author Time: The time at which this information was created No Issue:
In addition to the Author Name, required data elements for the "Information Source" Component Module "Author" include 10.02-Author Time and 10.04-Reference Document ID. The MDS3.0 data specifications do not capture the Author Name (item Z0500A on MDS3.0 form) nor a document ID.
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- PAYERS SECTION
Section 2.2.2.5 (Insurance Provider) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.1.2.1.2 for constraints applicable to these data elements. Each unique instance of a payer or party with financial responsibility will include all the pertinent data needed to contact, bill to and collect from that party. The template identifier for these entries is 2.16.840.1.113883.3.88.11.83.5.1.
-- 5.08 - Member ID
R2 N C83 - 2.2.2.5.9 Section #2.2.1.1 (Payers Section) states: The Payers Section contains data on the patient’s payers, whether a ‘third party’ insurance, self-pay, other payer or guarantor, or some combination. At a minimum, the patient's pertinent current payment sources should be listed. If no payment sources are supplied, the reason shall be supplied as free text in the narrative block (e.g., Not Insured, Payer Unknown, Medicare Pending, etc.).
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.101.1
-- C83-[CT-101-1] - This section SHALL conform to the IHE Payers Section template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7
-- C83-[CT-101-2] - The payers section SHALL include entries from the Insurance Provider module when this information is known
5.08 - Member ID: The identifier assigned by the health plan to the patient who is covered by the health plan. When the patient is the actual member or health plan contract holder (the true subscriber) and not a dependent of the subscriber, it is the same as the Subscriber ID. A related spouse, child, or dependent may not have a unique identification number of their own No Issue:
The inclusion of this MDS3.0 item may need to be re-evaluated as the ONLY payer indicated will be Medicaid.
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- ADVANCE DIRECTIVES SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- SUPPORT SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- FUNCTIONAL STATUS SECTION
Section #2.2.2.21 (Functional Status) states: No CDA document mappings have been defined at this time. --- --- --- Section #2.2.1.9 (Functional Status) states:
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.109
-- The Functional Status Section provides information about the capability of the patient to perform acts of daily living.
-- C83-[CT-109-1] This section SHALL conform to the Continuity of Care Document Functional Status section described in section 3.4 of the CCD specification, and SHALL contain a templateId element whose root attribute is 2.16.840.1.113883.10.20.1.5
The functional status module contains data defining the patient's functional status with respect to Ambulatory ability, Mental status or competency, Activities of Daily Living, including bathing, dressing, feeding, grooming, Home/living situation having an effect on the health status of the patient or their Ability to care for themselves.
The definition of this Module is for future development.
--- Issue:
HITSP has not defined a Content Module nor Data Elements for Functional Status.
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
Section #2.2.2.21 (Functional Status): See Row #92 --- --- --- Section #2.2.1.9 (Functional Status): See Row #92 See Row #92 --- Issue:
See Row #92
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- PROBLEMS SECTION
Section 2.2.2.7 (Condition) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.5 for constraints applicable to these data elements. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.7
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section) states: The Problem List Section contains data on the problems currently being monitored for the patient.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.103
-- C83-[CT-103-1]: The problem list section SHALL include entries from the Condition module
-- C83-[CT-103-2]: This section SHALL conform to the IHE Active Problems Section template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.6
7.03 - Problem Name:This is a text description of the problem suffered No Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.5 for constraints applicable to these data elements. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.7
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section) states: The Problem List Section contains data on the problems currently being monitored for the patient.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.103
-- C83-[CT-103-1]: The problem list section SHALL include entries from the Condition module
-- C83-[CT-103-2]: This section SHALL conform to the IHE Active Problems Section template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.6
7.04 - Problem Code:This value is a code describing the problem according to a specific vocabulary of problems C154-[DE-7.04-1] The problem SHALL be coded as specified in HITSP/C80 Section 2.2.3.1.1 Problem  
Section 2.2.2.7 (Condition): See row #901
-- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #901 7.03 - Problem Code
See row #901
Yes -
See row #901
 
Section 2.2.2.7 (Condition): See row #901
-- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #901 7.03 - Problem Code
See row #901
Yes -
See row #901
 
Section 2.2.2.7 (Condition): See row #901
-- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #901 7.03 - Problem Code
See row #901
Yes -
See row #901
 
Section 2.2.2.7 (Condition): See row #901
-- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #901 7.03 - Problem Code
See row #901
Yes -
See row #901
 
Section 2.2.2.7 (Condition): See row #901
-- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #901 7.03 - Problem Code
See row #901
Yes -
See row #901
 
Section 2.2.2.7 (Condition): See row #901
-- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #901 7.03 - Problem Code
See row #901
Yes -
See row #901
 
Section 2.2.2.7 (Condition): See row #901
-- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #901 7.03 - Problem Code
See row #901
Yes -
See row #901
 
Section 2.2.2.7 (Condition): See row #901
-- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #901 7.03 - Problem Code
See row #901
Yes -
See row #901
 
Section 2.2.2.7 (Condition): See row #901
-- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #901 7.03 - Problem Code
See row #901
Yes -
See row #901
 
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
Section 2.2.2.7 (Condition): See row #837
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #837 7.03 - Problem Name
See row #837
No  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- FAMILY HISTORY SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- SOCIAL HISTORY SECTION
Section #2.2.2.19 (Social History) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.7 for constraints applicable to these data elements.
-- 19.03 - Social History Free Text
R N N/A Section #2.2.1.26 (Social History Section) states: The Social History Section contains information about the person’s beliefs, home life, community life, work life, hobbies, and risky habits.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.126
-- C83-[CT-126-1] This section SHALL conform to the IHE Social History Section, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.16
-- C83-[CT-126-2] The Social History Section MAY contain entries conforming to the Social History module
19.03 - Social History Free Text
This is a text description of the social history
No Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- ALERTS SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- MEDICATIONS SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- MEDICAL EQUIPMENT SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- IMMUNIZATIONS ECTION
Section 2.2.2.13 (Immunizations) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.11 for constraints applicable to these data elements. This module contains data describing the patient's immunization history. The HL7 Continuity of Care (CCD) Implementation Guide defines Immunizations using the same data objects and constraints as for Medications. See the HL7 Continuity of Care Document, Sections 3.9 Medications and 3.11 Immunizations; and also the Medication module Section 2.2.2.8 of this construct for constraints applicable to this module. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.13.
-- 13.07 - Free Text Product Name
R N N/A Section #2.2.1.17 (Immunizations Section):
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.117
-- The Immunizations Section contains information describing the immunizations administered to the patient.
-- C83-[CT-117-1] This section SHALL conform to the IHE Immunizations Section, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.23
-- C83-[CT-117-2] The Immunizations Section SHALL include entries from the Immunization module
13.07 - Free Text Product Name: The name of the substance or product without reference to a specific vendor (e.g., generic or other non-proprietary name). If a Coded Product Name is present, this is the text associated with the coded concept. C154-[DE-13.07-1] This SHOULD be sufficient for a provider to identify a medication, and MAY include additional information such as strength, dose form, etc. If the name of the product is unknown, the type, purpose or other description MAY be supplied. Issue:
Per C83 Section #2.2.2.13, Table 2-18, data elements required for an "Immunization Event Entry" include:
-- 13.01 - Refusal (Indicator)
-- 13.07 - Free Text Product Name Data element #13.01 will need to be triggered based on MDS3.0 item O0250C.
Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.13 (Immunizations): See row #1057
-- 13.02 - Administered Date
O N N/A Section #2.2.1.17 (Immunizations Section): See row #1057 13.02 - Administered Date:: The date and time of substance was administered or refused, i.e., when the immunization was administered to the patient, or refused by the patient or patient caregiver. No Issue:
See row #1057
Note: See row #1057
Section 2.2.2.13 (Immunizations): See row #1057
-- 13.10 - Refusal Reason
R2 N C83 - 2.2.2.13.2 Section #2.2.1.17 (Immunizations Section): See row #1057 13.10 - Refusal Reason: When an immunization is refused, this provides a coded representation of the reason for refusing the immunization C154-[DE-13.10-1] The reason for refusal SHALL be coded as specified in HITSP/C80 Section 2.2.3.5.3 No Immunization Reason Issue:
1) See row #1057
2) The HITSP value set for "No Immunization Reason" detailed in C80 Table 2-90 does not fully support the MDS3.0 responses for this question (i.e., "Resident not in facility during this year's flu season", "Received outside of this facility", "Not offered").
Note: See row #1079
No appropriate match --- --- --- Section #2.2.1.17 (Immunizations Section): See row #1057 No appropriate match --- Issue:
1) See row #1057
2) The format of the MDS3.0 pneumococcal vaccination data item does not lend itself to parameters of the C83 Immunization Content module data elements.
Note: See row #1057
Section 2.2.2.13 (Immunizations): See row #1057
-- 13.10 - Refusal Reason
R2 N C83 - 2.2.2.13.2 Section #2.2.1.17 (Immunizations Section): See row #1057 13.10 - Refusal Reason: When an immunization is refused, this provides a coded representation of the reason for refusing the immunization C154-[DE-13.10-1] The reason for refusal SHALL be coded as specified in HITSP/C80 Section 2.2.3.5.3 No Immunization Reason Issue:
1) See row #1057
2) The HITSP value set for "No Immunization Reason" detailed in C80 Table 2-90 does not fully support the MDS3.0 responses for this question (i.e., "Resident not in facility during this year's flu season", "Received outside of this facility", "Not offered").
Note: See row #1057
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- VITAL SIGNS SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- RESULTS SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- PROCEDURES SECTION
Section 2.2.2.17 (Procedure) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.14 for constraints applicable to these data elements. This section defines a coded entry describing a procedure performed on a patient. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.17.
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section) states: The List of Surgeries Section provides a list of surgeries the patient has received.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.108
-- C83-[CT-108-1] This section SHALL conform to the IHE Coded List of Surgeries template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.12
-- C83-[CT-108-2] The list of surgeries section SHALL include entries from the Procedure module
17.03 - Procedure Free Text: Type: Free text describing the Procedure No Issues:
1) Table 2-3 (Content Modules) in the HITSP C32 publication lists C83 Section 2.2.1.8 (List of Surgeries Section) as the "Specification Reference" for the Procedure content module. This poses a potential problem for compliance with C32 specifications as the MDS items designated for capture in the procedure section of the CCD are treatments and services, but NOT surgeries.
2) Per C83 Section #2.2.2.17, Table 2-22, data elements required for "Procedures" include:
-- 17.01 - Procedure ID
-- 17.03 - Procedure Free Text Type The MDS3.0 does not have a corresponding item for 17.01 - Procedure ID. Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
Section 2.2.2.17 (Procedure): See row #1079
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1079 17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #1079
Note: See row #1079
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- ENCOUNTERS SECTION
Section #2.2.2.16 (Encounter): Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.05 - Encounter Provider
R2 Y N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.05 - Encounter Provider: Name and other information for the person or organization performed or hosted the Encounter No Issue:
Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
The MDS3.0 does not have a corresponding item for 16.01 - Encounter ID.
Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section #2.2.2.16 (Encounter): See row #1187
-- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): See row #1187 16.04 - Encounter Date/Time: The date and time of the Encounter, including duration if pertinent No Issue:
See row #1187
Note: See row #1187
Section #2.2.2.16 (Encounter): See row #1187
-- 16.03 - Encounter Free Text Type
R N N/A Section #2.2.1.27 (Encounters Section): See row #1187 16.03 - Encounter Free Text Type: Free text describing the Encounter Type No Issue:
See row #1187
Note: See row #1187
Section #2.2.2.16 (Encounter): See row #1187
-- 16.06 - Admission Source
O N N/A Section #2.2.1.27 (Encounters Section): See row #1187 16.06 - Admission Source: Identifies where the patient was admitted C154-[DE-16.06-1] The Admission Source SHALL be coded as specified in HITSP/C80 Section 2.2.3.9.1 Admission Source Issue:
See row #1187
Note: See row #1187
Section #2.2.2.16 (Encounter): See row #1187
-- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): See row #1187 16.04 - Encounter Date/Time: The date and time of the Encounter, including duration if pertinent No Issue:
See row #1187
Note: See row #1187
Section #2.2.2.16 (Encounter): See row #1187
-- 16.09 - Discharge Disposition
O N N/A Section #2.2.1.27 (Encounters Section): See row #1187 16.09 - Discharge Disposition Discharge Disposition (sometimes called “Discharge Status”) is the person's anticipated location or status following the encounter (e.g. death, transfer to home/hospice/snf/AMA) – uses standard claims-based codes C154-[DE-16.09-1] The Discharge Disposition SHALL be coded as specified in HITSP/C80 Section 2.2.3.9.4 Discharge Disposition Issue:
See row #1187
Note: See row #1187
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- PLAN OF CARE SECTION
Section #2.2.2.22 (Plan of Care):
-- No CDA document mappings have been defined at this time..
-- The template identifier for this module is 2.16.840.1.113883.3.88.11.83.22.
--- --- --- Section #2.2.1.24 (Plan of Care Section) states: The Plan of Care Section contains information about the expectations for care to be provided including proposed interventions and goals for improving the condition of the patient.
-- A plan of care section varies from the assessment and plan section defined above in that it does not include a physician assessment of the patient condition.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.124
-- C83-[CT-124-1] This section SHALL conform to the IHE Care Plan Section, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.31
-- C83-[CT-124-2] This section SHALL conform to the HL7 History and Physical Note and HL7 Consultation Note requirements for this section, and SHALL contain a templateId element whose root attribute is 2.16.840.1.113883.10.20.2.7
-- C83-[CT-124-3] The Plan of Care Section MAY include entries conforming to the Medication , Immunization, Encounter, and Procedure modules to provide information about the intended care plan
There are no HITSP defined data elements that match this MDS item. --- Issues:
1) HITSP has not defined Entry Content Modules for Plan of Care.
2) HITSP has no defined Plan of Care data elements that support this MDS item.
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- HEALTH CARE PROVIDERS SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
 
CCD SECTION NOT ASSIGNED DUE TO INCOMPATIBILITY OF MDS ITEM AND CCD REQUIREMENTS
--- --- --- --- --- --- --- Issue:
Further work is required on representation of relevant medication information found in the MDS3.0. The MDS3.0 information is not compatible with the C83 "Medication-Prescription and Non-Prescription" Content Module. Data element #8.15-Free Text Product Name is required medication information
The MDS3.0 does not have a corresponding item for 8.15 - Free Text Product Name
--- --- --- --- --- --- --- Issue:
See row #4
--- --- --- --- --- --- --- Issue:
See row #4
--- --- --- --- --- --- --- Issue:
See row #4
--- --- --- --- --- --- --- Issue:
See row #4
--- --- --- --- --- --- --- Issue:
See row #4
--- --- --- --- --- --- --- Issue:
See row #4
--- --- --- --- --- --- --- Issue:
See row #4
               
               
               
               
               
               
               
               
               
               
               
               
               
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
 
CCD SECTIONS NOT MAPPED -- MDS ADMINISTRATIVE ITEMS NOT APPLICABLE TO MDS PATIENT ASSESSMENT SUMMARY
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               

MDS Summary Items To C32-CCD

[NOTE: This table was split in half because of the size for HTML & PDF versions.]

MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
A     Identification Information N/A        
  A0200   Type of provider TRUE   Encounter C32-[CT1--5] O N
  A0310A   Type of assessment: OBRA TRUE 99 - Not OBRA required assessment/tracking Information Source C32-[CT1--8] R Y
  A0500A   Resident first name TRUE   Person Information C32-[CT1--12] R N
  A0500B   Resident middle initial TRUE   Person Information C32-[CT1--12] R N
  A0500C   Resident last name TRUE   Person Information C32-[CT1--12] R N
  A0500D   Resident name suffix TRUE   Person Information C32-[CT1--12] R N
  A0600A   Social Security Number TRUE   Person Information C32-[CT1--12] R N
  A0700   Resident Medicaid number TRUE   Insurance Provider C32-[CT1--9] O N
  A0800   Gender TRUE   Person Information C32-[CT1--12] R N
  A0900   Birthdate TRUE   Person Information C32-[CT1--12] R N
  A1000A   Ethnicity: American Indian or Alaska Native TRUE   Person Information C32-[CT1--12] R N
  A1000B   Ethnicity: Asian TRUE   Person Information C32-[CT1--12] R N
  A1000C   Ethnicity: Black or African American TRUE   Person Information C32-[CT1--12] R N
  A1000D   Ethnicity: Hispanic or Latino TRUE   Person Information C32-[CT1--12] R N
  A1000E   Ethnicity: Native Hawaiian/Pacific Islander TRUE   Person Information C32-[CT1--12] R N
  A1000F   Ethnicity: White TRUE   Person Information C32-[CT1--12] R N
  A1100A   Does the resident need or want an interpreter TRUE 0 - No;
9 - Unable to determine
Language Spoken C32-[CT1--10] R2 Y
  A1100B   Preferred language TRUE   Language Spoken C32-[CT1--10] R2 Y
  A1200   Marital status TRUE   Person Information C32-[CT1--12] R N
  A1300A MDCL_REC_NUM Medical record number TRUE   Person Information C32-[CT1--12] R N
  A1300C PREFRD_NAME Name by which resident prefers to be addressed TRUE   Person Information C32-[CT1--12] R N
  A1300D   Lifetime occupation(s) TRUE   "Social History" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  A1550A   MR/DD status: Down syndrome TRUE   Condition C32-[CT1--4] O N
  A1550B   MR/DD status: Autism TRUE   Condition C32-[CT1--4] O N
  A1550C   MR/DD status: Epilepsy TRUE   Condition C32-[CT1--4] O N
  A1550D   MR/DD status: other organic MR/DD condition TRUE   Condition C32-[CT1--4] O N
  A1550E   MR/DD status: MR/DD with no organic condition TRUE   Condition C32-[CT1--4] O N
  A1600   Entry date (date of admission/reentry in facility) TRUE   Encounter C32-[CT1--5] O N
  A1700   Type of entry TRUE   Encounter C32-[CT1--5] O N
  A1800   Entered from TRUE 99 - Other Encounter C32-[CT1--5] O N
  A2000   Discharge date TRUE   Encounter C32-[CT1--5] O N
  A2100   Discharge status TRUE 99 - Other Encounter C32-[CT1--5] O N
  A2300   Assessment reference date TRUE   Information Source C32-[CT1--8] R Y
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
B     Hearing, Speech, and Vision N/A        
  B0100   Comatose TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  B0200   Hearing TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  B0300   Hearing aid TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  B0600   Speech clarity TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  B0700   Makes self understood TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  B0800   Ability to understand others TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  B1000   Vision TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  B1200   Corrective lenses TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
C     Cognitive Patterns N/A        
  C0500   BIMS res interview: summary score TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  C0700   Staff asmt mental status: short-term memory OK TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  C0800   Staff asmt mental status: long-term memory OK TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  C0900A   Staff asmt mental status: recall current season TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  C0900B   Staff asmt mental status: recall location of room TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  C0900C   Staff asmt mental status: recall staff names/faces TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  C0900D   Staff asmt mental status: recall in nursing home TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  C1000   Cognitive skills for daily decision making TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  C1300A   Signs of delirium: inattention TRUE 0 - Behavior not present "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  C1300B   Signs of delirium: disorganized thinking TRUE 0 - Behavior not present "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  C1300C   Signs of delirium: altered level of consciousness TRUE 0 - Behavior not present "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  C1300D   Signs of delirium: psychomotor retardation TRUE 0 - Behavior not present "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  C1600   Acute onset mental status change TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
D     Section D - Mood N/A        
  D0300   PHQ res: total mood severity score TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  D0600   PHQ staff: total mood score TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
E     Section E - Behavior N/A        
  E0100A   Psychosis: hallucinations TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  E0100B   Psychosis: delusions TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  E0200A   Physical behav symptoms directed toward others TRUE 0 - Behavior not exhibited "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  E0200B   Verbal behav symptoms directed toward others TRUE 0 - Behavior not exhibited "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  E0200C   Other behav symptoms not directed toward others TRUE 0 - Behavior not exhibited "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  E0500A   Behav symptoms put res at risk for illness/injury TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  E0500B   Behav symptoms interfere with resident care TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  E0500C   Behav symptoms interfere with social activities TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  E0600A   Behav symptoms put others at risk for injury TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  E0600B   Behav symptoms intrude on privacy of others TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  E0600C   Behav symptoms disrupt care or living environment TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  E0800   Rejection of care: presence and frequency TRUE 0 - Behavior not exhibited "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  E0900   Wandering: presence and frequency TRUE 0 - Behavior not exhibited "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  E1100   Change in behavioral or other symptoms TRUE 0 - Same;
9 - N/A because no prior MDS assessment
"Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
F     Section F - Preferences for Customary Routine and Activities N/A        
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
G     Section G - Functional Status N/A        
  G0110A1   Bed mobility: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  G0110B1   Transfer: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  G0110C1   Walk in room: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  G0110E1   Locomotion on unit: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  G0110H1   Eating: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  G0110I1   Toilet use: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  G0110J1   Personal hygiene: self-performance TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  G0400A   ROM limitation: upper extremity TRUE 0 - No impairment "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  G0400B   ROM limitation: lower extremity TRUE 0 - No impairment "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  G0600A   Mobility devices: cane/crutch TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  G0600B   Mobility devices: walker TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  G0600C   Mobility devices: wheelchair (manual or electric) TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  G0600D   Mobility devices: limb prosthesis TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
H     Section H - Bladder and Bowel N/A        
  H0100A   Appliances: indwelling catheter TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  H0100B   Appliances: external catheter TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  H0100C   Appliances: ostomy TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  H0100D   Appliances: intermittent catheterization TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  H0200C   Urinary toileting program: current program/trial TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  H0300   Urinary continence TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  H0400   Bowel continence TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  H0500   Bowel toileting program being used TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  H0600   Constipation TRUE 0 - No "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
I     Section I - Active Disease Diagnosis N/A        
  I0100   Cancer (with or without metastasis) TRUE   Condition C32-[CT1--4] O N
  I0200   Anemia TRUE   Condition C32-[CT1--4] O N
  I0300   Atrial fibrillation and other dysrhythmias TRUE   Condition C32-[CT1--4] O N
  I0400   Coronary artery disease (CAD) TRUE   Condition C32-[CT1--4] O N
  I0500   Deep venous thrombosis (DVT), PE, or PTE TRUE   Condition C32-[CT1--4] O N
  I0600   Heart failure TRUE   Condition C32-[CT1--4] O N
  I0700   Hypertension TRUE   Condition C32-[CT1--4] O N
  I0800   Orthostatic hypotension TRUE   Condition C32-[CT1--4] O N
  I0900   Peripheral vascular disease (PVD) or PAD TRUE   Condition C32-[CT1--4] O N
  I1100   Cirrhosis TRUE   Condition C32-[CT1--4] O N
  I1200   Gastroesophageal reflux disease (GERD) or ulcer TRUE   Condition C32-[CT1--4] O N
  I1300   Ulcerative colitis, Crohn’s, inflam bowel disease TRUE   Condition C32-[CT1--4] O N
  I1400   Benign prostatic hyperplasia (BPH) TRUE   Condition C32-[CT1--4] O N
  I1500   Renal insufficiency, renal failure, ESRD TRUE   Condition C32-[CT1--4] O N
  I1550   Neurogenic bladder TRUE   Condition C32-[CT1--4] O N
  I1650   Obstructive uropathy TRUE   Condition C32-[CT1--4] O N
  I1700   Multidrug resistant organism (MDRO) TRUE   Condition C32-[CT1--4] O N
  I2000   Pneumonia TRUE   Condition C32-[CT1--4] O N
  I2100   Septicemia TRUE   Condition C32-[CT1--4] O N
  I2200   Tuberculosis TRUE   Condition C32-[CT1--4] O N
  I2300   Urinary tract infection (UTI) (LAST 30 DAYS) TRUE   Condition C32-[CT1--4] O N
  I2400   Viral hepatitis (includes type A, B, C, D, and E) TRUE   Condition C32-[CT1--4] O N
  I2500   Wound infection (other than foot) TRUE   Condition C32-[CT1--4] O N
  I2900   Diabetes mellitus (DM) TRUE   Condition C32-[CT1--4] O N
  I3100   Hyponatremia TRUE   Condition C32-[CT1--4] O N
  I3200   Hyperkalemia TRUE   Condition C32-[CT1--4] O N
  I3300   Hyperlipidemia (e.g.,  hypercholesterolemia) TRUE   Condition C32-[CT1--4] O N
  I3400   Thyroid disorder TRUE   Condition C32-[CT1--4] O N
  I3700   Arthritis TRUE   Condition C32-[CT1--4] O N
  I3800   Osteoporosis TRUE   Condition C32-[CT1--4] O N
  I3900   Hip fracture TRUE   Condition C32-[CT1--4] O N
  I4000   Other fracture TRUE   Condition C32-[CT1--4] O N
  I4200   Alzheimer's disease TRUE   Condition C32-[CT1--4] O N
  I4300   Aphasia TRUE   Condition C32-[CT1--4] O N
  I4400   Cerebral palsy TRUE   Condition C32-[CT1--4] O N
  I4500   Cerebrovascular accident (CVA), TIA, or stroke TRUE   Condition C32-[CT1--4] O N
  I4800   Dementia TRUE   Condition C32-[CT1--4] O N
  I4900   Hemiplegia or hemiparesis TRUE   Condition C32-[CT1--4] O N
  I5000   Paraplegia TRUE   Condition C32-[CT1--4] O N
  I5100   Quadriplegia TRUE   Condition C32-[CT1--4] O N
  I5200   Multiple sclerosis TRUE   Condition C32-[CT1--4] O N
  I5250   Huntington's disease TRUE   Condition C32-[CT1--4] O N
  I5300   Parkinson's disease TRUE   Condition C32-[CT1--4] O N
  I5350   Tourette's syndrome TRUE   Condition C32-[CT1--4] O N
  I5400   Seizure disorder or epilepsy TRUE   Condition C32-[CT1--4] O N
  I5500   Traumatic brain injury (TBI) TRUE   Condition C32-[CT1--4] O N
  I5600   Malnutrition (protein, calorie), risk of malnutrit TRUE   Condition C32-[CT1--4] O N
  I5700   Anxiety disorder TRUE   Condition C32-[CT1--4] O N
  I5800   Depression (other than bipolar) TRUE   Condition C32-[CT1--4] O N
  I5900   Manic depression (bipolar disease) TRUE   Condition C32-[CT1--4] O N
  I5950   Psychotic disorder (other than schizophrenia) TRUE   Condition C32-[CT1--4] O N
  I6000   Schizophrenia TRUE   Condition C32-[CT1--4] O N
  I6100   Post-traumatic stress disorder (PTSD) TRUE   Condition C32-[CT1--4] O N
  I6200   Asthma (COPD) or chronic lung disease TRUE   Condition C32-[CT1--4] O N
  I6300   Respiratory failure TRUE   Condition C32-[CT1--4] O N
  I6500   Cataracts, glaucoma, or macular degeneration TRUE   Condition C32-[CT1--4] O N
  I8000A   Additional active ICD diagnosis 1 TRUE   Condition C32-[CT1--4] O N
  I8000B   Additional active ICD diagnosis 2 TRUE   Condition C32-[CT1--4] O N
  I8000C   Additional active ICD diagnosis 3 TRUE   Condition C32-[CT1--4] O N
  I8000D   Additional active ICD diagnosis 4 TRUE   Condition C32-[CT1--4] O N
  I8000E   Additional active ICD diagnosis 5 TRUE   Condition C32-[CT1--4] O N
  I8000F   Additional active ICD diagnosis 6 TRUE   Condition C32-[CT1--4] O N
  I8000G   Additional active ICD diagnosis 7 TRUE   Condition C32-[CT1--4] O N
  I8000H   Additional active ICD diagnosis 8 TRUE   Condition C32-[CT1--4] O N
  I8000I   Additional active ICD diagnosis 9 TRUE   Condition C32-[CT1--4] O N
  I8000J   Additional active ICD diagnosis 10 TRUE   Condition C32-[CT1--4] O N
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
J     Section J - Health Conditions N/A        
  J0100A   Pain: been on scheduled pain med regimen TRUE 0 - No Condition C32-[CT1--4] O N
  J0400   Res pain interview: frequency TRUE 9 - Unable to answer Condition C32-[CT1--4] O N
  J0600A   Res pain interview: intensity rating scale TRUE   Condition C32-[CT1--4] O N
  J0600B   Res pain interview: verbal descriptor scale TRUE 9 - Unable to answer Condition C32-[CT1--4] O N
  J1100A   Short breath/trouble breathing: with exertion TRUE   Condition C32-[CT1--4] O N
  J1100B   Short breath/trouble breathing: sitting at rest TRUE   Condition C32-[CT1--4] O N
  J1100C   Short breath/trouble breathing: lying flat TRUE   Condition C32-[CT1--4] O N
  J1300   Current tobacco use TRUE 0 - No Condition C32-[CT1--4] O N
  J1400   Prognosis: life expectancy of less than 6 months TRUE 0 - No Condition C32-[CT1--4] O N
  J1700A   Fall history: fall during month before admission TRUE 0 - No;
9 - Unable to determine
Condition C32-[CT1--4] O N
  J1700B   Fall history: fall 2-6 months before admission TRUE 0 - No;
9 - Unable to determine
Condition C32-[CT1--4] O N
  J1700C   Fall history: fracture from fall 6 month pre admit TRUE 0 - No;
9 - Unable to determine
Condition C32-[CT1--4] O N
  J1800   Falls since admit/prior asmt: any falls TRUE 0 - No Condition C32-[CT1--4] O N
  J1900B   Falls since admit/prior asmt: injury (not major) TRUE 0 - None Condition C32-[CT1--4] O N
  J1900C   Falls since admit/prior asmt: major injury TRUE 0 - None Condition C32-[CT1--4] O N
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
K     Section K - Swallowing/ Nutritional Status N/A        
  K0100A   Swallow disorder: loss liquids/solids from mouth TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  K0100B   Swallow disorder: holds food in mouth/cheeks TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  K0100C   Swallow disorder: cough/choke with meals/meds TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  K0100D   Swallow disorder: difficulty or pain swallowing TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  K0200A   Height (in inches) TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  K0200B   Weight (in pounds) TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  K0300   Weight loss TRUE 0 - No, or unknown "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  K0500A   Nutritional approaches: parenteral /IV feeding TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  K0500B   Nutritional approaches: feeding tube TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  K0500C   Nutritional approaches: mechanically altered diet TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  K0500D   Nutritional approaches: therapeutic diet TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
L     Section L - Oral/Dental Status N/A        
  L0200A   Dental: broken or loosely fitting denture TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  L0200B   Dental: no natural teeth or tooth fragment(s) TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  L0200C   Dental: abnormal mouth tissue TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  L0200D   Dental: cavity or broken natural teeth TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  L0200E   Dental: inflamed/bleeding gums or loose teeth TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
  L0200F   Dental: pain, discomfort, difficulty chewing TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
M     Section M - Skin Conditions N/A        
  M0150   Is resident at risk of developing pressure ulcer TRUE 0 - No Condition C32-[CT1--4] O N
  M0210   Resident has Stage 1 or higher pressure ulcers TRUE 0 - No Condition C32-[CT1--4] O N
  M0300A   Stage 1 pressure ulcers: number present TRUE 0 Condition C32-[CT1--4] O N
  M0300B1   Stage 2 pressure ulcers: number present TRUE 0 Condition C32-[CT1--4] O N
  M0300B2   Stage 2 pressure ulcers: number at admit/reentry TRUE 0 Condition C32-[CT1--4] O N
  M0300B3   Stage 2 pressure ulcers: date of oldest TRUE   Condition C32-[CT1--4] O N
  M0300C1   Stage 3 pressure ulcers: number present TRUE 0 Condition C32-[CT1--4] O N
  M0300C2   Stage 3 pressure ulcers: number at admit/reentry TRUE 0 Condition C32-[CT1--4] O N
  M0300D1   Stage 4 pressure ulcers: number present TRUE 0 Condition C32-[CT1--4] O N
  M0300D2   Stage 4 pressure ulcers: number at admit/reentry TRUE 0 Condition C32-[CT1--4] O N
  M0300E1   Unstaged due to dressing: number present TRUE 0 Condition C32-[CT1--4] O N
  M0300E2   Unstaged due to dressing: number at admit/reentry TRUE 0 Condition C32-[CT1--4] O N
  M0300F1   Unstaged slough/eschar: number present TRUE 0 Condition C32-[CT1--4] O N
  M0300F2   Unstaged slough/eschar: number at admit/reentry TRUE 0 Condition C32-[CT1--4] O N
  M0300G1   Unstageable - deep tissue: number present TRUE 0 Condition C32-[CT1--4] O N
  M0300G2   Unstageable - deep tissue: number at admit/reentry TRUE 0 Condition C32-[CT1--4] O N
  M0610A   Stage 3 or 4 pressure ulcer longest length TRUE   Condition C32-[CT1--4] O N
  M0610B   Stage 3 or 4 pressure ulcer width (same ulcer) TRUE   Condition C32-[CT1--4] O N
  M0610C   Stage 3 or 4 pressure ulcer depth (same ulcer) TRUE   Condition C32-[CT1--4] O N
  M0800A   Worsened since prior asmt: Stage 2 pressure ulcers TRUE 0 Condition C32-[CT1--4] O N
  M0800B   Worsened since prior asmt: Stage 3 pressure ulcers TRUE 0 Condition C32-[CT1--4] O N
  M0800C   Worsened since prior asmt: Stage 4 pressure ulcers TRUE 0 Condition C32-[CT1--4] O N
  M1030   Number of venous and arterial ulcers TRUE 0 Condition C32-[CT1--4] O N
  M1040A   Other skin probs: infection of the foot TRUE   Condition C32-[CT1--4] O N
  M1040B   Other skin probs: diabetic foot ulcer(s) TRUE   Condition C32-[CT1--4] O N
  M1040C   Other skin probs: other open lesion(s) on the foot TRUE   Condition C32-[CT1--4] O N
  M1040D   Other skin probs: lesions not ulcers, rashes, cuts TRUE   Condition C32-[CT1--4] O N
  M1040E   Other skin probs: surgical wound(s) TRUE   Condition C32-[CT1--4] O N
  M1040F   Other skin probs: burn(s) (second or third degree) TRUE   Condition C32-[CT1--4] O N
  M1200A   Skin/ulcer treat: pressure reduce device for chair TRUE   Procedure C32-[CT1--15] O N
  M1200B   Skin/ulcer treat: pressure reducing device for bed TRUE   Procedure C32-[CT1--15] O N
  M1200C   Skin/ulcer treat: turning/repositioning TRUE   Procedure C32-[CT1--15] O N
  M1200D   Skin/ulcer treat: nutrition/hydration TRUE   Procedure C32-[CT1--15] O N
  M1200E   Skin/ulcer treat: ulcer care TRUE   Procedure C32-[CT1--15] O N
  M1200F   Skin/ulcer treat: surgical wound care TRUE   Procedure C32-[CT1--15] O N
  M1200G   Skin/ulcer treat: application of dressings TRUE   Procedure C32-[CT1--15] O N
  M1200H   Skin/ulcer treat: apply ointments/medications TRUE   Procedure C32-[CT1--15] O N
  M1200I   Skin/ulcer treat: apply dressings to feet TRUE   Procedure C32-[CT1--15] O N
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
N     Section N - Medications N/A        
  N0350A   Insulin: insulin injections TRUE   --- --- ---
  N0400A   Medications: antipsychotic TRUE   --- --- ---
  N0400B   Medications: antianxiety TRUE   --- --- ---
  N0400C   Medications: antidepressant TRUE   --- --- ---
  N0400D   Medications: hypnotic TRUE   --- --- ---
  N0400E   Medications: anticoagulant TRUE   --- --- ---
  N0400F   Medications: antibiotic TRUE   --- --- ---
  N0400G   Medications: diuretic TRUE   --- --- ---
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
O     Section O - Special Treatments and Procedures N/A        
  O0100A2   Treatment: chemotherapy - while resident TRUE   Procedure C32-[CT1--15] O N
  O0100B2   Treatment: radiation - while resident TRUE   Procedure C32-[CT1--15] O N
  O0100C2   Treatment: oxygen therapy - while resident TRUE   Procedure C32-[CT1--15] O N
  O0100D2   Treatment: suctioning - while resident TRUE   Procedure C32-[CT1--15] O N
  O0100E2   Treatment: tracheostomy care - while resident TRUE   Procedure C32-[CT1--15] O N
  O0100F2   Treatment: vent/respirator - while resident TRUE   Procedure C32-[CT1--15] O N
  O0100G2   Treatment: BIPAP/CPAP - while resident TRUE   Procedure C32-[CT1--15] O N
  O0100H2   Treatment: IV medications - while resident TRUE   Procedure C32-[CT1--15] O N
  O0100I2   Treatment: transfusions - while resident TRUE   Procedure C32-[CT1--15] O N
  O0100J2   Treatment: dialysis - while resident TRUE   Procedure C32-[CT1--15] O N
  O0100K2   Treatment: hospice care - while resident TRUE   Procedure C32-[CT1--15] O N
  O0100L2   Treatment: respite care - while resident TRUE   Procedure C32-[CT1--15] O N
  O0100M2   Treatment: isolate/quarantine - while resident TRUE   Procedure C32-[CT1--15] O N
  O0250A   Was influenza vaccine received TRUE   Immunization C32-[CT1--7] O N
  O0250B   Date influenza vaccine received. TRUE   Immunization C32-[CT1--7] O N
  O0250C   If influenza vaccine not received, state reason TRUE 9 - None of the above Immunization C32-[CT1--7] O N
  O0300A   Is pneumococcal vaccination up to date TRUE   Immunization C32-[CT1--7] O N
  O0300B   If pneumococcal vacc not received, state reason TRUE   Immunization C32-[CT1--7] O N
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
P     Section P - Restraints N/A        
  P0100A   Restraints used in bed: bed rail TRUE 0 - Not used Procedure C32-[CT1--15] O N
  P0100B   Restraints used in bed: trunk restraint TRUE 0 - Not used Procedure C32-[CT1--15] O N
  P0100C   Restraints used in bed: limb restraint TRUE 0 - Not used Procedure C32-[CT1--15] O N
  P0100D   Restraints used in bed: other TRUE 0 - Not used Procedure C32-[CT1--15] O N
  P0100E   Restraints in chair/out of bed: trunk restraint TRUE 0 - Not used Procedure C32-[CT1--15] O N
  P0100F   Restraints in chair/out of bed: limb restraint TRUE 0 - Not used Procedure C32-[CT1--15] O N
  P0100G   Restraints in chair/out of bed: chair stops rising TRUE 0 - Not used Procedure C32-[CT1--15] O N
  P0100H   Restraints in chair/out of bed: other TRUE 0 - Not used Procedure C32-[CT1--15] O N
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
Q     Section Q - Participation in Assessment and Goal Setting N/A        
  Q0400B   Determination regarding discharge to community TRUE   Plan of Care C32-[CT1--13] O N
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
T     Therapy Supplement for Medicare PPS N/A        
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
V       N/A        
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
X       N/A        
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
Z     Assessment Administration N/A        
  Z0500B   Date RN signed assessment as complete TRUE   Information Source C32-[CT1--8] R Y
MDS ITEMS FINAL SUMMARY ITEM 2 Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
OTHER       N/A        
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
A                  
Section #2.2.2.16 (Encounter): Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
- 16.05 - Encounter Provider
R2 Y N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.05 - Encounter Provider: Name and other information for the person or organization performed or hosted the Encounter No Encounter Header Issue:
Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
- 16.01 - Encounter ID
- 16.03 - Encounter Free Text Type
- 16.04 - Encounter Date / Time The MDS3.0 does not have a corresponding item for 16.01 - Encounter ID.
Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.10 (Information Source) states: This module contains information about the original author to be supplied and for a reference to the original document to be provided. This module may be applied to all other entry Content Modules. See the HL7 Continuity of Care Document Section 5.2 for constraints applicable to this module.
- 10.03 - Reference
R N N/A N/A 10.03 - Reference: A reference to the original document from which this information was obtained No Header Header Issue:
Item requires additional review. Present mapping is a forced fit.
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name: The individual to whom the exchange refers. Multiple names are allowed to retain birth name, maiden name, legal names and aliases as required. No Header Header  
Section 2.2.2.1 (Personal Information): see row #48
- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name: See row #48 No Header Header  
Section 2.2.2.1 (Personal Information): see row #48
- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name: See row #48 No Header Header  
Section 2.2.2.1 (Personal Information): see row #48
- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name: See row #48 No Header Header  
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
- 1.02 - Person ID
R N N/A N/A 1.02 - Person ID: An identifier that uniquely identifies the individual to which the exchange refers and connects that document to the individual's personal health record. Potential security risks associated with use of SSN or driver's license for this element suggest that these should not be used routinely. No Header Header Issues:
1) Data element #1.02-Person ID is not repeatable, however both the SSN and medical record number have been selected for the Summary. Since the medical record number is an Optional field on the MDS and may not be present, general guidance is needed that balances the HITSP concerns over use of the SSN and available data for a Person ID. 2) "Patient Information Entry" is required in the "Personal Information" Component Module. Required data elements for "Patient Information Entry" include #1.02-Person ID, #1.03-Person Address, and #1.04-Person Phone/ e-mail/ URL. The MDS3.0 does not support data elements #1.03 and #1.04.
Section 2.2.2.5 (Insurance Provider) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.1.2.1.2 for constraints applicable to these data elements. Each unique instance of a payer or party with financial responsibility will include all the pertinent data needed to contact, bill to and collect from that party. The template identifier for these entries is 2.16.840.1.113883.3.88.11.83.5.1.
- 5.08 - Member ID
R2 N C83 - 2.2.2.5.9 Section #2.2.1.1 (Payers Section) states: The Payers Section contains data on the patient’s payers, whether a ‘third party’ insurance, self-pay, other payer or guarantor, or some combination. At a minimum, the patient's pertinent current payment sources should be listed. If no payment sources are supplied, the reason shall be supplied as free text in the narrative block (e.g., Not Insured, Payer Unknown, Medicare Pending, etc.).
- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.101.1
- C83-[CT-101-1] - This section SHALL conform to the IHE Payers Section template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7
- C83-[CT-101-2] - The payers section SHALL include entries from the Insurance Provider module when this information is known
5.08 - Member ID The identifier assigned by the health plan to the patient who is covered by the health plan. When the patient is the actual member or health plan contract holder (the true subscriber) and not a dependent of the subscriber, it is the same as the Subscriber ID. A related spouse, child, or dependent may not have a unique identification number of their own No Payers Header Issue:
The inclusion of this MDS3.0 item may need to be re-evaluated as the ONLY payer indicated will be Medicaid.
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
- 1.06 – Gender
R N C83 - 2.2.2.1.4 N/A 1.06 – Gender: Gender is used to refer to administrative sex rather than biological sex and therefore should easily be classified into female and male. It is included in the exchange for purposes of linking to insurance information and other patient identification linkages and the value chosen by the patient should reflect the information under which any insurance or financial information will be filed, as well as the same information given to other healthcare providers, institutions or health data exchange networks. C154-[DE-1.06-1] Gender SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.1. Administrative Gender Header Header Issue:
The MDS3.0 data set does not fully support the HITSP value set for "administrative gender" detailed in C-80 Table 2-38. The "Undifferentiated" value is not available in the MDS3.0
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
- 1.07 - Person Date of Birth
R N N/A N/A 1.07 - Person Date of Birth: The date and time of birth of the individual to which this Exchange refers. The date of birth is typically a key patient identifier variable and used to enable computation of age at the effective date of any other data element. It is assumed to be unique and fixed throughout the patient's lifetime. No Header Header  
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race: Race is usually a single valued term that may be constant over that patient's lifetime. The coding of race is aligned with public health and other federal reporting standards of the CDC and the Census Bureau. Typically the patient is the source of the content of this element. However, the individual may opt to omit race. In this event, some healthcare organizations that receive the Summary Document may choose to enter an observed race as their current practice for manual registration. Such organization observed race data should be differentiated from patient sourced data in the patient's registration summary C154-[DE-1.10-1] Race SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.7 Race Header Header Issue:
The Race value set identified in HITSP/C80 Section 2.2.1.2.7 includes the value "Other Race". This value is not supported by the MDS3.0.
Section 2.2.2.1 (Personal Information): see row #59
- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race: See row #59 Yes - See row #59 Header Header Issue:
See row #59
Section 2.2.2.1 (Personal Information): see row #59
- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race: See row #59 Yes - See row #59 Header Header Issue:
See row #59
Section 2.2.2.1 (Personal Information): see row #59
- 1.11 – Ethnicity
O N C83 - 2.2.2.1.7 N/A 1.11 - Ethnicity: Ethnicity is a term that extends the concept of race. The coding of ethnicity is aligned with public health and other federal reporting standards of the CDC and the Census Bureau C154-[DE-1.11-1] Ethnicity SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.2 Ethnicity Header Header  
Section 2.2.2.1 (Personal Information): see row #59
- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race: See row #59 Yes - See row #59 Header Header Issue:
See row #59
Section 2.2.2.1 (Personal Information): see row #59
- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race: See row #59 Yes - See row #59 Header Header Issue:
See row #59
Section 2.2.2.2 (Language Spoken) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. This module contains the primary and secondary languages of communication for the patient. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.2.
- 2.01 – Language
R Y C83 - 2.2.2.2.1 N/A 2.01 – Language Language will be identified as spoken, written, or understood; but no attempt will be made to assess proficiency. The default language is English, but English is to be entered explicitly similar to any other listed language ● C154-[DE-2.01-1] Language SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.9 Language
- C154-[DE-2.01-2] Sign language SHALL be treated as a separate language
Header Header Issue:
This MDS3.0 item seems most appropriate for the "Language Spoken" component module. However, review of HITSP, CCD and CDA documentation seems to indicate that such an intuitive match is not supported in the requirements. This item will likely need to be reclassified.
Section 2.2.2.2 (Language Spoken) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. This module contains the primary and secondary languages of communication for the patient. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.2.
- 2.01 – Language
R Y C83 - 2.2.2.2.1 N/A 2.01 – Language Language will be identified as spoken, written, or understood; but no attempt will be made to assess proficiency. The default language is English, but English is to be entered explicitly similar to any other listed language ● C154-[DE-2.01-1] Language SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.9 Language
- C154-[DE-2.01-2] Sign language SHALL be treated as a separate language
Header Header  
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
- 1.08 - Marital Status
R Y C83 - 2.2.2.1.5 N/A 1.08 - Marital Status: A value representing the domestic partnership status of a person. Marital status is important in determining insurance eligibility and other legal arrangements surrounding care. Marital status often changes during a patient's lifetime so the data should relate to the effective date of the patient data object and not be entered with multiple values like an address or contact number. This element should only have one instance reflecting the current status of the individual at the time the Exchange is produced. Former values might be part of the personal and social history C154-[DE-1.08-1] Marital Status SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.3.2 Marital Status CDA and HLV3 Header Header Issue:
While the value set for marital status found in HITSP/C80 Section 2.2.1.2.3 supports the five marital status values of the MDS3.0, the MDS3.0 does not address all marital status values found in the HITSP C80 marital status value set.
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
- 1.02 - Person ID
R N N/A N/A 1.02 - Person ID: An identifier that uniquely identifies the individual to which the exchange refers and connects that document to the individual's personal health record. Potential security risks associated with use of SSN or driver's license for this element suggest that these should not be used routinely. No Header Header Issue:
See row #52
Section 2.2.2.1 (Personal Information): see row #48
- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name: See row #48 No Header Header  
Section #2.2.2.19 (Social History) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.7 for constraints applicable to these data elements.
- 19.03 - Social History Free Text
R N N/A Section #2.2.1.26 (Social History Section) states: The Social History Section contains information about the person’s beliefs, home life, community life, work life, hobbies, and risky habits.
- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.126
- C83-[CT-126-1] This section SHALL conform to the IHE Social History Section, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.16
- C83-[CT-126-2] The Social History Section MAY contain entries conforming to the Social History module
19.03 - Social History Free Text This is a text description of the social history No Social History Header Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.7 (Condition) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.5 for constraints applicable to these data elements. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.7
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section) states: The Problem List Section contains data on the problems currently being monitored for the patient.
- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.103
- C83-[CT-103-1]: The problem list section SHALL include entries from the Condition module
- C83-[CT-103-2]: This section SHALL conform to the IHE Active Problems Section template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.6
7.03 - Problem Name This is a text description of the problem suffered No Problems Header Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.7 (Condition): See row #84
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #84 7.03 - Problem Name See row #84 No Problems Header Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.7 (Condition): See row #84
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #84 7.03 - Problem Name See row #84 No Problems Header Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.7 (Condition): See row #84
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #84 7.03 - Problem Name See row #84 No Problems Header Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.7 (Condition): See row #84
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #84 7.03 - Problem Name See row #84 No Problems Header Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section #2.2.2.16 (Encounter): Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.04 - Encounter Date/Time:The date and time of the Encounter, including duration if pertinent No Encounter Header Issue: Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
- 16.01 - Encounter ID
- 16.03 - Encounter Free Text Type
- 16.04 - Encounter Date / Time The MDS3.0 does not have a corresponding item for 16.01 - Encounter ID.
Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section #2.2.2.16 (Encounter): See row #90
- 16.03 - Encounter Free Text Type
R N N/A Section #2.2.1.27 (Encounters Section): See row #90 16.03 - Encounter Free Text Type:Free text describing the Encounter Type No Encounter Header Issue:
See row #90
Note: See row #90
Section #2.2.2.16 (Encounter): See row #90
- 16.06 - Admission Source
O N N/A Section #2.2.1.27 (Encounters Section): See row #90 16.06 - Admission Source:Identifies where the patient was admitted C154-[DE-16.06-1] The Admission Source SHALL be coded as specified in HITSP/C80 Section 2.2.3.9.1 Admission Source Encounter Header Issue:
See row #90
Note: See row #90
Section #2.2.2.16 (Encounter): See row #90
- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): See row #90 16.04 - Encounter Date/Time:The date and time of the Encounter, including duration if pertinent No Encounter Header Issue:
See row #90
Note: See row #90
Section #2.2.2.16 (Encounter): See row #90
- 16.09 - Discharge Disposition
O N N/A Section #2.2.1.27 (Encounters Section): See row #90 16.09 - Discharge Disposition Discharge Disposition (sometimes called “Discharge Status”) is the person's anticipated location or status following the encounter (e.g. death, transfer to home/hospice/snf/AMA) – uses standard claims-based codes C154-[DE-16.09-1] The Discharge Disposition SHALL be coded as specified in HITSP/C80 Section 2.2.3.9.4 Discharge Disposition Encounter Header Issue:
See row #90
Note: See row #90
Section 2.2.2.10 (Information Source) states: This module contains information about the original author to be supplied and for a reference to the original document to be provided. This module may be applied to all other entry Content Modules. See the HL7 Continuity of Care Document Section 5.2 for constraints applicable to this module.
- 10.03 - Reference
R N N/A N/A 10.03 - Reference: A reference to the original document from which this information was obtained No Header Header Issue:
Item requires additional review. Present mapping is a forced fit.
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
B                  
Section #2.2.2.21 (Functional Status) states: No CDA document mappings have been defined at this time. --- --- --- Section #2.2.1.9 (Functional Status) states:
- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.109
- The Functional Status Section provides information about the capability of the patient to perform acts of daily living.
- C83-[CT-109-1] This section SHALL conform to the Continuity of Care Document Functional Status section described in section 3.4 of the CCD specification, and SHALL contain a templateId element whose root attribute is 2.16.840.1.113883.10.20.1.5
The functional status module contains data defining the patient's functional status with respect to Ambulatory ability, Mental status or competency, Activities of Daily Living, including bathing, dressing, feeding, grooming, Home/living situation having an effect on the health status of the patient or their Ability to care for themselves. The definition of this Module is for future development. --- Functional Status Functional Status Issue:
HITSP has not defined a Content Module nor Data Elements for Functional Status.
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
C                  
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
D                  
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
E                  
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
F                  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
G                  
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
H                  
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
I                  
Section 2.2.2.7 (Condition) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.5 for constraints applicable to these data elements. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.7
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section) states: The Problem List Section contains data on the problems currently being monitored for the patient.
- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.103
- C83-[CT-103-1]: The problem list section SHALL include entries from the Condition module
- C83-[CT-103-2]: This section SHALL conform to the IHE Active Problems Section template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.6
7.03 - Problem Name This is a text description of the problem suffered No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.5 for constraints applicable to these data elements. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.7
- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section) states: The Problem List Section contains data on the problems currently being monitored for the patient.
- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.103
- C83-[CT-103-1]: The problem list section SHALL include entries from the Condition module
- C83-[CT-103-2]: This section SHALL conform to the IHE Active Problems Section template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.6
7.04 - Problem Code This value is a code describing the problem according to a specific vocabulary of problems C154-[DE-7.04-1] The problem SHALL be coded as specified in HITSP/C80 Section 2.2.3.1.1 Problem Problems Problems  
Section 2.2.2.7 (Condition): See row #899
- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #899 7.03 - Problem Code See row #899 Yes - See row #899 Problems Problems  
Section 2.2.2.7 (Condition): See row #899
- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #899 7.03 - Problem Code See row #899 Yes - See row #899 Problems Problems  
Section 2.2.2.7 (Condition): See row #899
- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #899 7.03 - Problem Code See row #899 Yes - See row #899 Problems Problems  
Section 2.2.2.7 (Condition): See row #899
- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #899 7.03 - Problem Code See row #899 Yes - See row #899 Problems Problems  
Section 2.2.2.7 (Condition): See row #899
- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #899 7.03 - Problem Code See row #899 Yes - See row #899 Problems Problems  
Section 2.2.2.7 (Condition): See row #899
- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #899 7.03 - Problem Code See row #899 Yes - See row #899 Problems Problems  
Section 2.2.2.7 (Condition): See row #899
- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #899 7.03 - Problem Code See row #899 Yes - See row #899 Problems Problems  
Section 2.2.2.7 (Condition): See row #899
- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #899 7.03 - Problem Code See row #899 Yes - See row #899 Problems Problems  
Section 2.2.2.7 (Condition): See row #899
- 7.03 - Problem Code
R N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section): See row #899 7.03 - Problem Code See row #899 Yes - See row #899 Problems Problems  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
J                  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
K                  
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
L                  
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
Section #2.2.2.21 (Functional Status): See Row #122 --- --- --- Section #2.2.1.9 (Functional Status): See Row #122 See Row #122 --- Functional Status Functional Status Issue:
See Row #122
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
M                  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.7 (Condition): See row #842
- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section): See row #842 7.03 - Problem Name See row #842 No Problems Problems  
Section 2.2.2.17 (Procedure) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.14 for constraints applicable to these data elements. This section defines a coded entry describing a procedure performed on a patient. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.17.
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section) states: The List of Surgeries Section provides a list of surgeries the patient has received.
- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.108
- C83-[CT-108-1] This section SHALL conform to the IHE Coded List of Surgeries template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.12
- C83-[CT-108-2] The list of surgeries section SHALL include entries from the Procedure module
17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Problems Issues:
1) Table 2-3 (Content Modules) in the HITSP C32 publication lists C83 Section 2.2.1.8 (List of Surgeries Section) as the "Specification Reference" for the Procedure content module. This poses a potential problem for compliance with C32 specifications as the MDS items designated for capture in the procedure section of the CCD are treatments and services, but NOT surgeries. 2) Per C83 Section #2.2.2.17, Table 2-22, data elements required for "Procedures" include:
- 17.01 - Procedure ID
- 17.03 - Procedure Free Text Type The MDS3.0 does not have a corresponding item for 17.01 - Procedure ID.
Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.17 (Procedure): See row #1084
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1084 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Problems Issues:
See row #1084
Note: See row #1084
Section 2.2.2.17 (Procedure): See row #1084
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1084 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Problems Issues:
See row #1084
Note: See row #1084
Section 2.2.2.17 (Procedure): See row #1084
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1084 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Problems Issues:
See row #1084
Note: See row #1084
Section 2.2.2.17 (Procedure): See row #1084
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1084 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Problems Issues:
See row #1084
Note: See row #1084
Section 2.2.2.17 (Procedure): See row #1084
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1084 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Problems Issues:
See row #1084
Note: See row #1084
Section 2.2.2.17 (Procedure): See row #1084
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1084 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Problems Issues:
See row #1084
Note: See row #1084
Section 2.2.2.17 (Procedure): See row #1084
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1084 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Problems Issues:
See row #1084
Note: See row #1084
Section 2.2.2.17 (Procedure): See row #1084
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1084 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Problems Issues:
See row #1084
Note: See row #1084
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
N                  
--- --- --- --- --- --- --- ? N/A Issue:
Further work is required on representation of relevant medication information found in the MDS3.0. The MDS3.0 information is not compatible with the C83 "Medication-Prescription and Non-Prescription" Content Module. Data element #8.15-Free Text Product Name is required medication information.
--- --- --- --- --- --- --- ? N/A Issue:
See row #1096
--- --- --- --- --- --- --- ? N/A Issue:
See row #1096
--- --- --- --- --- --- --- ? N/A Issue:
See row #1096
--- --- --- --- --- --- --- ? N/A Issue:
See row #1096
--- --- --- --- --- --- --- ? N/A Issue:
See row #1096
--- --- --- --- --- --- --- ? N/A Issue:
See row #1096
--- --- --- --- --- --- --- ? N/A Issue:
See row #1096
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
O                  
Section 2.2.2.17 (Procedure) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.14 for constraints applicable to these data elements. This section defines a coded entry describing a procedure performed on a patient. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.17.
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section) states: The List of Surgeries Section provides a list of surgeries the patient has received.
- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.108
- C83-[CT-108-1] This section SHALL conform to the IHE Coded List of Surgeries template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.12
- C83-[CT-108-2] The list of surgeries section SHALL include entries from the Procedure module
17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Procedures Issues:
1) Table 2-3 (Content Modules) in the HITSP C32 publication lists C83 Section 2.2.1.8 (List of Surgeries Section) as the "Specification Reference" for the Procedure content module. This poses a potential problem for compliance with C32 specifications as the MDS items designated for capture in the procedure section of the CCD are treatments and services, but NOT surgeries. 2) Per C83 Section #2.2.2.17, Table 2-22, data elements required for "Procedures" include:
- 17.01 - Procedure ID
- 17.03 - Procedure Free Text Type The MDS3.0 does not have a corresponding item for 17.01 - Procedure ID.
Section 2.2.2.17 (Procedure): See row #1108
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1108 17.03 - Procedure Free Text Type: See row #1108 No Procedures Procedures Issues:
See row #1108
Section 2.2.2.17 (Procedure): See row #1108
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1108 17.03 - Procedure Free Text Type: See row #1108 No Procedures Procedures Issues:
See row #1108
Section 2.2.2.17 (Procedure): See row #1108
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1108 17.03 - Procedure Free Text Type: See row #1108 No Procedures Procedures Issues:
See row #1108
Section 2.2.2.17 (Procedure): See row #1108
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1108 17.03 - Procedure Free Text Type: See row #1108 No Procedures Procedures Issues:
See row #1108
Section 2.2.2.17 (Procedure): See row #1108
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1108 17.03 - Procedure Free Text Type: See row #1108 No Procedures Procedures Issues:
See row #1108
Section 2.2.2.17 (Procedure): See row #1108
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1108 17.03 - Procedure Free Text Type: See row #1108 No Procedures Procedures Issues:
See row #1108
Section 2.2.2.17 (Procedure): See row #1108
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1108 17.03 - Procedure Free Text Type: See row #1108 No Procedures Procedures Issues:
See row #1108
Section 2.2.2.17 (Procedure): See row #1108
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1108 17.03 - Procedure Free Text Type: See row #1108 No Procedures Procedures Issues:
See row #1108
Section 2.2.2.17 (Procedure): See row #1108
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1108 17.03 - Procedure Free Text Type: See row #1108 No Procedures Procedures Issues:
See row #1108
Section 2.2.2.17 (Procedure): See row #1108
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1108 17.03 - Procedure Free Text Type: See row #1108 No Procedures Procedures Issues:
See row #1108
Section 2.2.2.17 (Procedure): See row #1108
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1108 17.03 - Procedure Free Text Type: See row #1108 No Procedures Procedures Issues:
See row #1108
Section 2.2.2.17 (Procedure): See row #1108
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1108 17.03 - Procedure Free Text Type: See row #1108 No Procedures Procedures Issues:
See row #1108
Section 2.2.2.13 (Immunizations) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.11 for constraints applicable to these data elements. This module contains data describing the patient's immunization history. The HL7 Continuity of Care (CCD) Implementation Guide defines Immunizations using the same data objects and constraints as for Medications. See the HL7 Continuity of Care Document, Sections 3.9 Medications and 3.11 Immunizations; and also the Medication module Section 2.2.2.8 of this construct for constraints applicable to this module. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.13.
- 13.07 - Free Text Product Name
R N N/A Section #2.2.1.17 (Immunizations Section):
- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.117
- The Immunizations Section contains information describing the immunizations administered to the patient.
- C83-[CT-117-1] This section SHALL conform to the IHE Immunizations Section, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.23
- C83-[CT-117-2] The Immunizations Section SHALL include entries from the Immunization module
13.07 - Free Text Product Name: The name of the substance or product without reference to a specific vendor (e.g., generic or other non-proprietary name). If a Coded Product Name is present, this is the text associated with the coded concept. C154-[DE-13.07-1] This SHOULD be sufficient for a provider to identify a medication, and MAY include additional information such as strength, dose form, etc. If the name of the product is unknown, the type, purpose or other description MAY be supplied. Immunizations Procedures Issue:
Per C83 Section #2.2.2.13, Table 2-18, data elements required for an "Immunization Event Entry" include:
- 13.01 - Refusal (Indicator)
- 13.07 - Free Text Product Name Data element #13.01 will need to be triggered based on MDS3.0 item O0250C.
Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.13 (Immunizations): See row #1134
- 13.02 - Administered Date
O N N/A Section #2.2.1.17 (Immunizations Section): See row #1134 13.02 - Administered Date: The date and time of substance was administered or refused, i.e., when the immunization was administered to the patient, or refused by the patient or patient caregiver. No Immunizations Procedures Issue:
See row #1134
Note: See row #1134
Section 2.2.2.13 (Immunizations): See row #1134
- 13.10 - Refusal Reason
R2 N C83 - 2.2.2.13.2 Section #2.2.1.17 (Immunizations Section): See row #1134 13.10 - Refusal Reason: When an immunization is refused, this provides a coded representation of the reason for refusing the immunization C154-[DE-13.10-1] The reason for refusal SHALL be coded as specified in HITSP/C80 Section 2.2.3.5.3 No Immunization Reason Immunizations Procedures Issue:
1) See row #1134 2) The HITSP value set for "No Immunization Reason" detailed in C80 Table 2-90 does not fully support the MDS3.0 responses for this question (i.e., "Resident not in facility during this year's flu season", "Received outside of this facility", "Not offered").
Note: See row #1134
No appropriate match       Section #2.2.1.17 (Immunizations Section): See row #1134 No appropriate match   Immunizations Procedures Issue:
1) See row #1134 2) The format of the MDS3.0 pneumococcal vaccination data item does not lend itself to parameters of the C83 Immunization Content module data elements.
Note: See row #1134
Section 2.2.2.13 (Immunizations): See row #1134
- 13.10 - Refusal Reason
R2 N C83 - 2.2.2.13.2 Section #2.2.1.17 (Immunizations Section): See row #1134 13.10 - Refusal Reason: See row #1138 Yes - see row #1138 Immunizations Procedures Issue:
See row #1138
Note: See row #1138
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
P                  
Section 2.2.2.17 (Procedure) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.14 for constraints applicable to these data elements. This section defines a coded entry describing a procedure performed on a patient. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.17.
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section) states: The List of Surgeries Section provides a list of surgeries the patient has received.
- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.108
- C83-[CT-108-1] This section SHALL conform to the IHE Coded List of Surgeries template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.12
- C83-[CT-108-2] The list of surgeries section SHALL include entries from the Procedure module
17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures N/A Issues:
1) Table 2-3 (Content Modules) in the HITSP C32 publication lists C83 Section 2.2.1.8 (List of Surgeries Section) as the "Specification Reference" for the Procedure content module. This poses a potential problem for compliance with C32 specifications as the MDS items designated for capture in the procedure section of the CCD are treatments and services, but NOT surgeries. 2) Per C83 Section #2.2.2.17, Table 2-22, data elements required for "Procedures" include:
- 17.01 - Procedure ID
- 17.03 - Procedure Free Text Type The MDS3.0 does not have a corresponding item for 17.01 - Procedure ID.
Note: KeyHIE CCD Section assignment reflects mapping at MDS3.0 question level vs. mapping at MDS3.0 section level.
Section 2.2.2.17 (Procedure): See row #1192
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1192 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures N/A Issues:
See row #1192
Note: See row #1192
Section 2.2.2.17 (Procedure): See row #1192
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1192 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures N/A Issues:
See row #1192
Note: See row #1192
Section 2.2.2.17 (Procedure): See row #1192
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1192 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures N/A Issues:
See row #1192
Note: See row #1192
Section 2.2.2.17 (Procedure): See row #1192
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1192 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures N/A Issues:
See row #1192
Note: See row #1192
Section 2.2.2.17 (Procedure): See row #1192
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1192 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures N/A Issues:
See row #1192
Note: See row #1192
Section 2.2.2.17 (Procedure): See row #1192
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1192 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures N/A Issues:
See row #1192
Note: See row #1192
Section 2.2.2.17 (Procedure): See row #1192
- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section): See row #1192 17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures N/A Issues:
See row #1192
Note: See row #1192
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
Q                  
Section #2.2.2.22 (Plan of Care):
- No CDA document mappings have been defined at this time..
- The template identifier for this module is 2.16.840.1.113883.3.88.11.83.22.
--- --- --- Section #2.2.1.24 (Plan of Care Section) states: The Plan of Care Section contains information about the expectations for care to be provided including proposed interventions and goals for improving the condition of the patient.
- A plan of care section varies from the assessment and plan section defined above in that it does not include a physician assessment of the patient condition.
- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.124
- C83-[CT-124-1] This section SHALL conform to the IHE Care Plan Section, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.31
- C83-[CT-124-2] This section SHALL conform to the HL7 History and Physical Note and HL7 Consultation Note requirements for this section, and SHALL contain a templateId element whose root attribute is 2.16.840.1.113883.10.20.2.7
- C83-[CT-124-3] The Plan of Care Section MAY include entries conforming to the Medication , Immunization, Encounter, and Procedure modules to provide information about the intended care plan
There are no HITSP defined data elements that match this MDS item. --- Plan of Care N/A Issues:
1) HITSP has not defined Entry Content Modules for Plan of Care. 2) HITSP has no defined Plan of Care data elements that support this MDS item.
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
T                  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
V                  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
X                  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
Z                  
Section 2.2.2.10 (Information Source) states: This module contains information about the original author to be supplied and for a reference to the original document to be provided. This module may be applied to all other entry Content Modules. See the HL7 Continuity of Care Document Section 5.2 for constraints applicable to this module.
- 10.01 - Author Time
R N N/A N/A 10.01 - Author Time: The time at which this information was created No Header Header Issue:
In addition to the Author Name, required data elements for the "Information Source" Component Module "Author" include 10.02-Author Time and 10.04-Reference Document ID. The MDS3.0 data specificiations do not capture the Author Name (item Z0500A on MDS3.0 form) nor a document ID.
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD SECTION ISSUES/ COMMENTS
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints Per Review Team Recommendation Per MDS CCD Representation Guide
(Draft 3/24/09)
OTHER                  

MDS Summary Items By Assess Type

[NOTE: This table was split in half because of the size for HTML & PDF versions.]

Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
A     Identification Information N/A            
  A0200   Type of provider TRUE   x x x x x
  A0310A   Type of assessment: OBRA TRUE 99 - Not OBRA required assessment/tracking x x x x x
  A0500A   Resident first name TRUE   x x x x x
  A0500B   Resident middle initial TRUE   x x x x x
  A0500C   Resident last name TRUE   x x x x x
  A0500D   Resident name suffix TRUE   x x x x x
  A0600A   Social Security Number TRUE   x x x x x
  A0700   Resident Medicaid number TRUE   x x x x x
  A0800   Gender TRUE   x x x x x
  A0900   Birthdate TRUE   x x x x x
  A1000A   Ethnicity: American Indian or Alaska Native TRUE   x x x x x
  A1000B   Ethnicity: Asian TRUE   x x x x x
  A1000C   Ethnicity: Black or African American TRUE   x x x x x
  A1000D   Ethnicity: Hispanic or Latino TRUE   x x x x x
  A1000E   Ethnicity: Native Hawaiian/Pacific Islander TRUE   x x x x x
  A1000F   Ethnicity: White TRUE   x x x x x
  A1100A   Does the resident need or want an interpreter TRUE 0 - No;
9 - Unable to determine
x x x   x
  A1100B   Preferred language TRUE   x x x   x
  A1200   Marital status TRUE   x x x x x
  A1300A MDCL_REC_NUM Medical record number TRUE   x x x x x
  A1300C PREFRD_NAME Name by which resident prefers to be addressed TRUE   x x x x x
  A1300D   Lifetime occupation(s) TRUE   x x x x x
  A1550A   MR/DD status: Down syndrome TRUE   x x x   x
  A1550B   MR/DD status: Autism TRUE   x x x   x
  A1550C   MR/DD status: Epilepsy TRUE   x x x   x
  A1550D   MR/DD status: other organic MR/DD condition TRUE   x x x   x
  A1550E   MR/DD status: MR/DD with no organic condition TRUE   x x x   x
  A1600   Entry date (date of admission/reentry in facility) TRUE   x x x x x
  A1700   Type of entry TRUE   x x x x x
  A1800   Entered from TRUE 99 - Other x x x x x
  A2000   Discharge date TRUE   x x x x x
  A2100   Discharge status TRUE 99 - Other x x x x x
  A2300   Assessment reference date TRUE   x x x x x
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
B     Hearing, Speech, and Vision N/A            
  B0100   Comatose TRUE 0 - No x x x   x
  B0200   Hearing TRUE   x x x   x
  B0300   Hearing aid TRUE 0 - No x x x   x
  B0600   Speech clarity TRUE   x x x   x
  B0700   Makes self understood TRUE   x x x   x
  B0800   Ability to understand others TRUE   x x x   x
  B1000   Vision TRUE   x x x   x
  B1200   Corrective lenses TRUE 0 - No x x x   x
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
C     Cognitive Patterns N/A            
  C0500   BIMS res interview: summary score TRUE   x x x   x
  C0700   Staff asmt mental status: short-term memory OK TRUE   x x x   x
  C0800   Staff asmt mental status: long-term memory OK TRUE   x x x   x
  C0900A   Staff asmt mental status: recall current season TRUE   x x x   x
  C0900B   Staff asmt mental status: recall location of room TRUE   x x x   x
  C0900C   Staff asmt mental status: recall staff names/faces TRUE   x x x   x
  C0900D   Staff asmt mental status: recall in nursing home TRUE   x x x   x
  C1000   Cognitive skills for daily decision making TRUE   x x x   x
  C1300A   Signs of delirium: inattention TRUE 0 - Behavior not present x x x   x
  C1300B   Signs of delirium: disorganized thinking TRUE 0 - Behavior not present x x x   x
  C1300C   Signs of delirium: altered level of consciousness TRUE 0 - Behavior not present x x x   x
  C1300D   Signs of delirium: psychomotor retardation TRUE 0 - Behavior not present x x x   x
  C1600   Acute onset mental status change TRUE 0 - No x x x   x
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
D     Mood N/A            
  D0300   PHQ res: total mood severity score TRUE   x x x   x
  D0600   PHQ staff: total mood score TRUE   x x x   x
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
E     Behavior N/A            
  E0100A   Psychosis: hallucinations TRUE   x x x   x
  E0100B   Psychosis: delusions TRUE   x x x   x
  E0200A   Physical behav symptoms directed toward others TRUE 0 - Behavior not exhibited x x x    
  E0200B   Verbal behav symptoms directed toward others TRUE 0 - Behavior not exhibited x x x    
  E0200C   Other behav symptoms not directed toward others TRUE 0 - Behavior not exhibited x x x    
  E0500A   Behav symptoms put res at risk for illness/injury TRUE 0 - No x s s    
  E0500B   Behav symptoms interfere with resident care TRUE 0 - No x s s    
  E0500C   Behav symptoms interfere with social activities TRUE 0 - No x s s    
  E0600A   Behav symptoms put others at risk for injury TRUE 0 - No x s s    
  E0600B   Behav symptoms intrude on privacy of others TRUE 0 - No x s s    
  E0600C   Behav symptoms disrupt care or living environment TRUE 0 - No x s s    
  E0800   Rejection of care: presence and frequency TRUE 0 - Behavior not exhibited x x x    
  E0900   Wandering: presence and frequency TRUE 0 - Behavior not exhibited x x x    
  E1100   Change in behavioral or other symptoms TRUE 0 - Same;
9 - N/A because no prior MDS assessment
x s s    
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
F     Preferences for Customary Routine and Activities N/A            
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
G     Functional Status N/A            
  G0110A1   Bed mobility: self-performance TRUE   x x x x x
  G0110B1   Transfer: self-performance TRUE   x x x x x
  G0110C1   Walk in room: self-performance TRUE   x x x   x
  G0110E1   Locomotion on unit: self-performance TRUE   x x x   x
  G0110H1   Eating: self-performance TRUE   x x x x x
  G0110I1   Toilet use: self-performance TRUE   x x x x x
  G0110J1   Personal hygiene: self-performance TRUE   x x x   x
  G0400A   ROM limitation: upper extremity TRUE 0 - No impairment x x x   x
  G0400B   ROM limitation: lower extremity TRUE 0 - No impairment x x x   x
  G0600A   Mobility devices: cane/crutch TRUE   x x x   x
  G0600B   Mobility devices: walker TRUE   x x x   x
  G0600C   Mobility devices: wheelchair (manual or electric) TRUE   x x x   x
  G0600D   Mobility devices: limb prosthesis TRUE   x x x   x
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
H     Bladder and Bowel N/A            
  H0100A   Appliances: indwelling catheter TRUE   x x x   x
  H0100B   Appliances: external catheter TRUE   x x x   x
  H0100C   Appliances: ostomy TRUE   x x x   x
  H0100D   Appliances: intermittent catheterization TRUE   x x x   x
  H0200C   Urinary toileting program: current program/trial TRUE 0 - No x x x x x
  H0300   Urinary continence TRUE   x x x   x
  H0400   Bowel continence TRUE   x x x   x
  H0500   Bowel toileting program being used TRUE 0 - No x x x x x
  H0600   Constipation TRUE 0 - No x s s    
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
I     Active Disease Diagnosis N/A            
  I0100   Cancer (with or without metastasis) TRUE   x s s    
  I0200   Anemia TRUE   x x x   x
  I0300   Atrial fibrillation and other dysrhythmias TRUE   x s s    
  I0400   Coronary artery disease (CAD) TRUE   x s s    
  I0500   Deep venous thrombosis (DVT), PE, or PTE TRUE   x s s    
  I0600   Heart failure TRUE   x x x   x
  I0700   Hypertension TRUE   x x x   x
  I0800   Orthostatic hypotension TRUE   x x x   x
  I0900   Peripheral vascular disease (PVD) or PAD TRUE   x s s    
  I1100   Cirrhosis TRUE   x s s    
  I1200   Gastroesophageal reflux disease (GERD) or ulcer TRUE   x s s    
  I1300   Ulcerative colitis, Crohn’s, inflam bowel disease TRUE   x s s    
  I1400   Benign prostatic hyperplasia (BPH) TRUE   x s s    
  I1500   Renal insufficiency, renal failure, ESRD TRUE   x s s    
  I1550   Neurogenic bladder TRUE   x x x   x
  I1650   Obstructive uropathy TRUE   x x x   x
  I1700   Multidrug resistant organism (MDRO) TRUE   x x x   x
  I2000   Pneumonia TRUE   x x x   x
  I2100   Septicemia TRUE   x x x   x
  I2200   Tuberculosis TRUE   x x x   x
  I2300   Urinary tract infection (UTI) (LAST 30 DAYS) TRUE   x x x   x
  I2400   Viral hepatitis (includes type A, B, C, D, and E) TRUE   x x x    
  I2500   Wound infection (other than foot) TRUE   x x x   x
  I2900   Diabetes mellitus (DM) TRUE   x x x   x
  I3100   Hyponatremia TRUE   x x x   x
  I3200   Hyperkalemia TRUE   x x x   x
  I3300   Hyperlipidemia (e.g.,  hypercholesterolemia) TRUE   x x x   x
  I3400   Thyroid disorder TRUE   x s s    
  I3700   Arthritis TRUE   x s s    
  I3800   Osteoporosis TRUE   x s s    
  I3900   Hip fracture TRUE   x x x   x
  I4000   Other fracture TRUE   x x x   x
  I4200   Alzheimer's disease TRUE   x x x    
  I4300   Aphasia TRUE   x x x    
  I4400   Cerebral palsy TRUE   x x x    
  I4500   Cerebrovascular accident (CVA), TIA, or stroke TRUE   x x x   x
  I4800   Dementia TRUE   x x x   x
  I4900   Hemiplegia or hemiparesis TRUE   x x x   x
  I5000   Paraplegia TRUE   x x x   x
  I5100   Quadriplegia TRUE   x x x   x
  I5200   Multiple sclerosis TRUE   x x x   x
  I5250   Huntington's disease TRUE   x x x   x
  I5300   Parkinson's disease TRUE   x x x   x
  I5350   Tourette's syndrome TRUE   x s s    
  I5400   Seizure disorder or epilepsy TRUE   x x x   x
  I5500   Traumatic brain injury (TBI) TRUE   x x x   x
  I5600   Malnutrition (protein, calorie), risk of malnutrit TRUE   x x x   x
  I5700   Anxiety disorder TRUE   x x x   x
  I5800   Depression (other than bipolar) TRUE   x x x   x
  I5900   Manic depression (bipolar disease) TRUE   x x x   x
  I5950   Psychotic disorder (other than schizophrenia) TRUE   x x x   x
  I6000   Schizophrenia TRUE   x x x   x
  I6100   Post-traumatic stress disorder (PTSD) TRUE   x x x    
  I6200   Asthma (COPD) or chronic lung disease TRUE   x x x   x
  I6300   Respiratory failure TRUE   x x x   x
  I6500   Cataracts, glaucoma, or macular degeneration TRUE   x s s    
  I8000A   Additional active ICD diagnosis 1 TRUE   x x x   x
  I8000B   Additional active ICD diagnosis 2 TRUE   x x x   x
  I8000C   Additional active ICD diagnosis 3 TRUE   x x x   x
  I8000D   Additional active ICD diagnosis 4 TRUE   x x x   x
  I8000E   Additional active ICD diagnosis 5 TRUE   x x x   x
  I8000F   Additional active ICD diagnosis 6 TRUE   x x x   x
  I8000G   Additional active ICD diagnosis 7 TRUE   x x x   x
  I8000H   Additional active ICD diagnosis 8 TRUE   x x x   x
  I8000I   Additional active ICD diagnosis 9 TRUE   x x x   x
  I8000J   Additional active ICD diagnosis 10 TRUE   x x x   x
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
J     Health Conditions N/A            
  J0100A   Pain: been on scheduled pain med regimen TRUE 0 - No x x x   x
  J0400   Res pain interview: frequency TRUE 9 - Unable to answer x x x   x
  J0600A   Res pain interview: intensity rating scale TRUE   x x x   x
  J0600B   Res pain interview: verbal descriptor scale TRUE 9 - Unable to answer x x x   x
  J1100A   Short breath/trouble breathing: with exertion TRUE   x x x   x
  J1100B   Short breath/trouble breathing: sitting at rest TRUE   x x x   x
  J1100C   Short breath/trouble breathing: lying flat TRUE   x x x   x
  J1300   Current tobacco use TRUE 0 - No x s s    
  J1400   Prognosis: life expectancy of less than 6 months TRUE 0 - No x x x   x
  J1700A   Fall history: fall during month before admission TRUE 0 - No;
9 - Unable to determine
x x x   x
  J1700B   Fall history: fall 2-6 months before admission TRUE 0 - No;
9 - Unable to determine
x x x   x
  J1700C   Fall history: fracture from fall 6 month pre admit TRUE 0 - No;
9 - Unable to determine
x x x   x
  J1800   Falls since admit/prior asmt: any falls TRUE 0 - No x x x   x
  J1900B   Falls since admit/prior asmt: injury (not major) TRUE 0 - None x x x   x
  J1900C   Falls since admit/prior asmt: major injury TRUE 0 - None x x x   x
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
K     Swallowing/Nutritional Status N/A            
  K0100A   Swallow disorder: loss liquids/solids from mouth TRUE   x x x    
  K0100B   Swallow disorder: holds food in mouth/cheeks TRUE   x x x    
  K0100C   Swallow disorder: cough/choke with meals/meds TRUE   x x x    
  K0100D   Swallow disorder: difficulty or pain swallowing TRUE   x x x    
  K0200A   Height (in inches) TRUE   x x x   x
  K0200B   Weight (in pounds) TRUE   x x x   x
  K0300   Weight loss TRUE 0 - No, or unknown x x x   x
  K0500A   Nutritional approaches: parenteral /IV feeding TRUE   x x x   x
  K0500B   Nutritional approaches: feeding tube TRUE   x x x   x
  K0500C   Nutritional approaches: mechanically altered diet TRUE   x x x   x
  K0500D   Nutritional approaches: therapeutic diet TRUE   x x x   x
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
L     Oral/Dental Status N/A            
  L0200A   Dental: broken or loosely fitting denture TRUE   x x x    
  L0200B   Dental: no natural teeth or tooth fragment(s) TRUE   x s s    
  L0200C   Dental: abnormal mouth tissue TRUE   x s s    
  L0200D   Dental: cavity or broken natural teeth TRUE   x s s    
  L0200E   Dental: inflamed/bleeding gums or loose teeth TRUE   x s s    
  L0200F   Dental: pain, discomfort, difficulty chewing TRUE   x x x    
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
M     Skin Conditions N/A            
  M0150   Is resident at risk of developing pressure ulcer TRUE 0 - No x x x   x
  M0210   Resident has Stage 1 or higher pressure ulcers TRUE 0 - No x x x   x
  M0300A   Stage 1 pressure ulcers: number present TRUE 0 x x x   x
  M0300B1   Stage 2 pressure ulcers: number present TRUE 0 x x x   x
  M0300B2   Stage 2 pressure ulcers: number at admit/reentry TRUE 0 x x x   x
  M0300B3   Stage 2 pressure ulcers: date of oldest TRUE   x x x   x
  M0300C1   Stage 3 pressure ulcers: number present TRUE 0 x x x   x
  M0300C2   Stage 3 pressure ulcers: number at admit/reentry TRUE 0 x x x   x
  M0300D1   Stage 4 pressure ulcers: number present TRUE 0 x x x   x
  M0300D2   Stage 4 pressure ulcers: number at admit/reentry TRUE 0 x x x   x
  M0300E1   Unstaged due to dressing: number present TRUE 0 x x x   x
  M0300E2   Unstaged due to dressing: number at admit/reentry TRUE 0 x x x   x
  M0300F1   Unstaged slough/eschar: number present TRUE 0 x x x   x
  M0300F2   Unstaged slough/eschar: number at admit/reentry TRUE 0 x x x   x
  M0300G1   Unstageable - deep tissue: number present TRUE 0 x x x   x
  M0300G2   Unstageable - deep tissue: number at admit/reentry TRUE 0 x x x   x
  M0610A   Stage 3 or 4 pressure ulcer longest length TRUE   x x x   x
  M0610B   Stage 3 or 4 pressure ulcer width (same ulcer) TRUE   x x x   x
  M0610C   Stage 3 or 4 pressure ulcer depth (same ulcer) TRUE   x x x   x
  M0800A   Worsened since prior asmt: Stage 2 pressure ulcers TRUE 0 x x x   x
  M0800B   Worsened since prior asmt: Stage 3 pressure ulcers TRUE 0 x x x   x
  M0800C   Worsened since prior asmt: Stage 4 pressure ulcers TRUE 0 x x x   x
  M1030   Number of venous and arterial ulcers TRUE 0 x x x   x
  M1040A   Other skin probs: infection of the foot TRUE   x x x   x
  M1040B   Other skin probs: diabetic foot ulcer(s) TRUE   x x x   x
  M1040C   Other skin probs: other open lesion(s) on the foot TRUE   x x x   x
  M1040D   Other skin probs: lesions not ulcers, rashes, cuts TRUE   x x x   x
  M1040E   Other skin probs: surgical wound(s) TRUE   x x x   x
  M1040F   Other skin probs: burn(s) (second or third degree) TRUE   x x x   x
  M1200A   Skin/ulcer treat: pressure reduce device for chair TRUE   x x x   x
  M1200B   Skin/ulcer treat: pressure reducing device for bed TRUE   x x x   x
  M1200C   Skin/ulcer treat: turning/repositioning TRUE   x x x   x
  M1200D   Skin/ulcer treat: nutrition/hydration TRUE   x x x   x
  M1200E   Skin/ulcer treat: ulcer care TRUE   x x x   x
  M1200F   Skin/ulcer treat: surgical wound care TRUE   x x x   x
  M1200G   Skin/ulcer treat: application of dressings TRUE   x x x   x
  M1200H   Skin/ulcer treat: apply ointments/medications TRUE   x x x   x
  M1200I   Skin/ulcer treat: apply dressings to feet TRUE   x x x   x
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
N     Medications N/A            
  N0350A   Insulin: insulin injections TRUE   x x x    
  N0400A   Medications: antipsychotic TRUE   x x x   x
  N0400B   Medications: antianxiety TRUE   x x x   x
  N0400C   Medications: antidepressant TRUE   x x x   x
  N0400D   Medications: hypnotic TRUE   x x x   x
  N0400E   Medications: anticoagulant TRUE   x s s    
  N0400F   Medications: antibiotic TRUE   x s s    
  N0400G   Medications: diuretic TRUE   x s s    
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
O     Special Treatments and Procedures N/A            
  O0100A2   Treatment: chemotherapy - while resident TRUE   x x x    
  O0100B2   Treatment: radiation - while resident TRUE   x x x    
  O0100C2   Treatment: oxygen therapy - while resident TRUE   x x x    
  O0100D2   Treatment: suctioning - while resident TRUE   x x x    
  O0100E2   Treatment: tracheostomy care - while resident TRUE   x x x x x
  O0100F2   Treatment: vent/respirator - while resident TRUE   x x x x x
  O0100G2   Treatment: BIPAP/CPAP - while resident TRUE   x s s    
  O0100H2   Treatment: IV medications - while resident TRUE   x x x    
  O0100I2   Treatment: transfusions - while resident TRUE   x x x    
  O0100J2   Treatment: dialysis - while resident TRUE   x x x    
  O0100K2   Treatment: hospice care - while resident TRUE   x x x   x
  O0100L2   Treatment: respite care - while resident TRUE   x s s    
  O0100M2   Treatment: isolate/quarantine - while resident TRUE   x x x x x
  O0250A   Was influenza vaccine received TRUE   x x x   x
  O0250B   Date influenza vaccine received. TRUE   x x x   x
  O0250C   If influenza vaccine not received, state reason TRUE 9 - None of the above x x x   x
  O0300A   Is pneumococcal vaccination up to date TRUE   x x x   x
  O0300B   If pneumococcal vacc not received, state reason TRUE   x x x   x
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
P     Restraints N/A            
  P0100A   Restraints used in bed: bed rail TRUE 0 - Not used x x x   x
  P0100B   Restraints used in bed: trunk restraint TRUE 0 - Not used x x x   x
  P0100C   Restraints used in bed: limb restraint TRUE 0 - Not used x x x   x
  P0100D   Restraints used in bed: other TRUE 0 - Not used x x x   x
  P0100E   Restraints in chair/out of bed: trunk restraint TRUE 0 - Not used x x x   x
  P0100F   Restraints in chair/out of bed: limb restraint TRUE 0 - Not used x x x   x
  P0100G   Restraints in chair/out of bed: chair stops rising TRUE 0 - Not used x x x   x
  P0100H   Restraints in chair/out of bed: other TRUE 0 - Not used x x x   x
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
Q     Participation in Assessment and Goal Setting N/A            
  Q0400B   Determination regarding discharge to community TRUE   x x x    
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
T     Therapy Supplement for Medicare PPS N/A            
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
V       N/A            
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
X       N/A            
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
Z     Assessment Administration N/A            
  Z0500B   Date RN signed assessment as complete TRUE            
Section CMS Question ID Answer CMS Description
Light Green Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary NC (Nsg Home Comprehensive) NQ (Nsg Home Quarterly) NP (Nsy Home PPS) NS (Nsg Home OMRA SOT) NO (Nsg Home OMRA SOT & Discharge)
OTHER       N/A            
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
A                      
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x   x   x x x x    
x x x   x   x x x x    
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
  x x                  
  x x                  
  x x                  
  x x                  
  x x                  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x x x x x x x x x  
x x x   x x x x x x    
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
B                      
x x x   x   x x x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
x x x   x   x x x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
C                      
x x x   x   x x x x    
x x x   x   x x x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
x x x   x   x x x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
D                      
x x x   x   x x x x    
x x x   x   x x x x    
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
E                      
x x x   x   x x x x    
x x x   x   x x x x    
x x     x     x x      
x x     x     x x      
x x     x     x x      
                       
                       
                       
                       
                       
                       
x x     x     x x      
x x     x     x x      
                       
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
F                      
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
G                      
x x x   x x x x x x    
x x x   x x x x x x    
  x x   x   x   x x    
  x x   x   x   x x    
x x x   x x x x x x    
x x x   x x x x x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
H                      
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
x x     x x x x x      
  x x   x   x   x x    
  x x   x   x   x x    
x x     x x x x x      
                       
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
I                      
                       
  x x   x   x   x x    
                       
                       
                       
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
                       
                       
                       
                       
                       
                       
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
x x x   x   x x x x    
x x x   x   x x x x    
  x x   x   x   x x    
  x x   x   x   x x    
                       
  x x   x   x   x x    
x x x   x   x x x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
                       
                       
                       
  x x   x   x   x x    
  x x   x   x   x x    
                       
                       
x x     x     x x      
  x x   x   x   x x    
  x x   x   x   x x    
x x x   x   x x x x    
  x x   x   x   x x    
x x x   x   x x x x    
x x x   x   x x x x    
  x x   x   x   x x    
x x x   x   x x x x    
                       
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
                       
x x x   x   x x x x    
x x x   x   x x x x    
                       
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
J                      
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
x x x   x   x x x x    
                       
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
K                      
                       
                       
                       
                       
  x x   x   x   x x    
  x x   x   x   x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
  x x   x   x   x x    
  x x   x   x   x x    
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
L                      
                       
                       
                       
                       
                       
                       
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
M                      
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
x x x   x   x x x x    
  x x   x   x   x x    
  x x   x   x   x x    
x x x   x   x x x x    
  x x   x   x   x x    
x x x   x   x x x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
x x x   x   x x x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
x x x   x   x x x x    
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
N                      
x x     x     x x      
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
                       
                       
                       
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
O                      
x x     x     x x      
x x     x     x x      
x x     x     x x      
                       
x x x   x x x x x x    
x x x   x x x x x x    
                       
x x     x     x x      
x x     x     x x      
x x     x     x x      
  x x   x   x   x x    
                       
x x x   x x x x x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
P                      
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
  x x   x   x   x x    
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
Q                      
        x              
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
T                      
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
V                      
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
X                      
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
Z                      
                       
NO (Nsg Home OMRA Other) NOD (Nsg Home OMRA Other & Discharge) ND (Nsg Home Discharge) NT (Nsg Home Entry/ Expired Tracking) SP (Swing Bed PPS) SS (Swing Bed OMRA SOT) SSD (Swing Bed OMRA SOT & Discharge) SO (Swing Bed OMRA Other) SOD (Swing Bed OMRA Other & Discharge) SD (Swing Bed Discharge) ST (Swing Bed Entry/ Expired Tracking) XX (Inactivation)
OTHER                      

MDS Summary -- Model Of Meaning

[NOTE: This table was split in half because of the size for HTML & PDF versions.]

Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
A     Section A - Identification Information N/A    
  A0200   Type of provider TRUE    
  A0200 1 Nursing home (SNF/NF) TRUE    
  A0200 2 Swing bed TRUE    
  A0310A   Type of assessment: OBRA TRUE 99 - Not OBRA required assessment/tracking  
  A0310A 1 Admission assessment (required by day 14) TRUE    
  A0310A 2 Quarterly review assessment TRUE    
  A0310A 3 Annual assessment TRUE    
  A0310A 4 Significant change in status assessment TRUE    
  A0310A 5 Significant correction to prior comprehensive assessment TRUE    
  A0310A 6 Significant correction to prior quarterly assessment TRUE    
  A0500A   Resident first name TRUE    
  A0500B   Resident middle initial TRUE    
  A0500C   Resident last name TRUE    
  A0500D   Resident name suffix TRUE    
  A0600A   Social Security Number TRUE    
  A0700   Resident Medicaid number TRUE    
  A0800   Gender TRUE    
  A0800 1 Male TRUE    
  A0800 2 Female TRUE    
  A0900   Birthdate TRUE    
  A1000A   Ethnicity: American Indian or Alaska Native TRUE   *ONC Final Rule (7/28/2010) requires use of the Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, October 30, 1997. This is not a vocabulary.
*HITSP Component C-32 ( HITSP Summary Documents Using HL7 Continuity of Care Document (CCD)) requires use of the CDC Race and Ethnicity vocabulary for reporting race and ethnicity (see Column Q).
*See DSTU for details on representation of Race/Ethnicity data.
  A1000B   Ethnicity: Asian TRUE    
  A1000C   Ethnicity: Black or African American TRUE    
  A1000D   Ethnicity: Hispanic or Latino TRUE    
  A1000E   Ethnicity: Native Hawaiian/Pacific Islander TRUE    
  A1000F   Ethnicity: White TRUE    
  A1100A   Does the resident need or want an interpreter TRUE 0 - No;
9 - Unable to determine
 
  A1100A 1 Yes TRUE    
  A1100B   Preferred language TRUE    
  A1200   Marital status TRUE    
  A1200 1 Never married TRUE    
  A1200 2 Married TRUE    
  A1200 3 Widowed TRUE    
  A1200 4 Separated TRUE    
  A1200 5 Divorced TRUE    
  A1300A MDCL_REC_NUM Medical record number TRUE    
  A1300C PREFRD_NAME Name by which resident prefers to be addressed TRUE    
  A1300D   Lifetime occupation(s) TRUE    
  A1550A   MR/DD status: Down syndrome TRUE    
  A1550B   MR/DD status: Autism TRUE    
  A1550C   MR/DD status: Epilepsy TRUE    
  A1550D   MR/DD status: other organic MR/DD condition TRUE    
  A1550E   MR/DD status: MR/DD with no organic condition TRUE    
  A1600   Entry date (date of admission/reentry in facility) TRUE    
  A1700   Type of entry TRUE    
  A1700 1 Admission TRUE    
  A1700 2 Reentry TRUE    
  A1800   Entered from TRUE 99 - Other  
  A1800 1 Community (private home/apt., board/care, assisted living, group home) TRUE    
  A1800 2 Another nursing home or swing bed TRUE    
  A1800 3 Acute hospital TRUE    
  A1800 4 Psychiatric hospital TRUE    
  A1800 5 Inpatient rehabilitation facility TRUE    
  A1800 6 MR/DD facility TRUE    
  A1800 7 Hospice TRUE    
  A2000   Discharge date TRUE    
  A2100   Discharge status TRUE 99 - Other  
  A2100 1 Community (private home/apt., board/care, assisted living, group home) TRUE    
  A2100 2 Another nursing home or swing bed TRUE    
  A2100 3 Acute hospital TRUE    
  A2100 4 Psychiatric hospital TRUE    
  A2100 5 Inpatient rehabilitation facility TRUE    
  A2100 6 MR/DD facility TRUE    
  A2100 7 Hospice TRUE    
  A2100 8 Deceased TRUE    
  A2300   Assessment reference date TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
B     Section B - Hearing, Speech, and Vision N/A    
  B0100   Comatose TRUE 0 - No  
  B0100 1 Yes TRUE    
  B0200   Hearing TRUE    
  B0200 0 Adequate - no difficulty in normal conversation, social interaction, listening to TV TRUE    
  B0200 1 Minimal difficulty - difficulty in some environments (e.g., when person speaks softly or setting is noisy) TRUE    
  B0200 2 Moderate difficulty - speaker has to increase volume and speak distinctly TRUE    
  B0200 3 Highly impaired - absence of useful hearing TRUE    
  B0300   Hearing aid TRUE 0 - No  
  B0300 1 Yes TRUE    
  B0600   Speech clarity TRUE    
  B0600 0 Clear speech - distinct intelligible words TRUE    
  B0600 1 Unclear speech - slurred or mumbled words TRUE    
  B0600 2 No speech - absence of spoken words TRUE    
  B0700   Makes self understood TRUE    
  B0700 0 Understood TRUE    
  B0700 1 Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time TRUE    
  B0700 2 Sometimes understood - ability is limited to making concrete requests TRUE    
  B0700 3 Rarely/never understood TRUE    
  B0800   Ability to understand others TRUE    
  B0800 0 Understands - clear comprehension TRUE    
  B0800 1 Usually understands - misses some part/intent of message but comprehends most conversation TRUE    
  B0800 2 Sometimes understands - responds adequately to simple, direct communication only TRUE    
  B0800 3 Rarely/never understands TRUE    
  B1000   Vision TRUE    
  B1000 0 Adequate - sees fine detail, including regular print in newspapers/books TRUE    
  B1000 1 Impaired - sees large print, but not regular print in newspapers/books TRUE    
  B1000 2 Moderately Impaired - limited vision; not able to see newspaper headlines but can identify objects TRUE    
  B1000 3 Highly impaired - object identification in question, but eyes appear to follow objects TRUE    
  B1000 4 Severely impaired - no vision or sees only light, colors or shapes; eyes do not appear to follow objects TRUE    
  B1200   Corrective lenses TRUE 0 - No  
  B1200 1 Yes TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
C     Section C - Cognitive Patterns N/A    
  C0500   BIMS res interview: summary score TRUE    
  C0700   Staff asmt mental status: short-term memory OK TRUE    
  C0700 0 Memory OK TRUE    
  C0700 1 Memory problem TRUE    
  C0800   Staff asmt mental status: long-term memory OK TRUE    
  C0800 0 Memory OK TRUE    
  C0800 1 Memory problem TRUE    
  C0900A   Staff asmt mental status: recall current season TRUE    
  C0900B   Staff asmt mental status: recall location of room TRUE    
  C0900C   Staff asmt mental status: recall staff names/faces TRUE    
  C0900D   Staff asmt mental status: recall in nursing home TRUE    
  C1000   Cognitive skills for daily decision making TRUE    
  C1000 0 Independent - decisions consistent/reasonable TRUE    
  C1000 1 Modified independence - some difficulty in new situations only TRUE    
  C1000 2 Moderately impaired - decisions poor; cues/supervision required TRUE    
  C1000 3 Severely impaired - never/rarely made decisions TRUE    
  C1300A   Signs of delirium: inattention TRUE 0 - Behavior not present  
  C1300A 1 Behavior continuously present, does not fluctuate TRUE    
  C1300A 2 Behavior present, fluctuates (comes and goes, changes in severity) TRUE    
  C1300B   Signs of delirium: disorganized thinking TRUE 0 - Behavior not present  
  C1300B 1 Behavior continuously present, does not fluctuate TRUE    
  C1300B 2 Behavior present, fluctuates (comes and goes, changes in severity) TRUE    
  C1300C   Signs of delirium: altered level of consciousness TRUE 0 - Behavior not present  
  C1300C 1 Behavior continuously present, does not fluctuate TRUE    
  C1300C 2 Behavior present, fluctuates (comes and goes, changes in severity) TRUE    
  C1300D   Signs of delirium: psychomotor retardation TRUE 0 - Behavior not present  
  C1300D 1 Behavior continuously present, does not fluctuate TRUE    
  C1300D 2 Behavior present, fluctuates (comes and goes, changes in severity) TRUE    
  C1600   Acute onset mental status change TRUE 0 - No  
  C1600 1 Yes TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
D     Section D - Mood N/A    
  D0300   PHQ res: total mood severity score TRUE    
  D0600   PHQ staff: total mood score TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
E     Section E - Behavior N/A    
  E0100A   Psychosis: hallucinations TRUE    
  E0100B   Psychosis: delusions TRUE    
  E0200A   Physical behav symptoms directed toward others TRUE 0 - Behavior not exhibited  
  E0200A 1 Behavior of this type occurred 1 to 3 days TRUE    
  E0200A 2 Behavior of this type occurred 4 to 6 days, but less than daily TRUE    
  E0200A 3 Behavior of this type occurred daily TRUE    
  E0200B   Verbal behav symptoms directed toward others TRUE 0 - Behavior not exhibited  
  E0200B 1 Behavior of this type occurred 1 to 3 days TRUE    
  E0200B 2 Behavior of this type occurred 4 to 6 days, but less than daily TRUE    
  E0200B 3 Behavior of this type occurred daily TRUE    
  E0200C   Other behav symptoms not directed toward others TRUE 0 - Behavior not exhibited  
  E0200C 1 Behavior of this type occurred 1 to 3 days TRUE    
  E0200C 2 Behavior of this type occurred 4 to 6 days, but less than daily TRUE    
  E0200C 3 Behavior of this type occurred daily TRUE    
  E0500A   Behav symptoms put res at risk for illness/injury TRUE 0 - No  
  E0500A 1 Yes TRUE    
  E0500B   Behav symptoms interfere with resident care TRUE 0 - No  
  E0500B 1 Yes TRUE    
  E0500C   Behav symptoms interfere with social activities TRUE 0 - No  
  E0500C 1 Yes TRUE    
  E0600A   Behav symptoms put others at risk for injury TRUE 0 - No  
  E0600A 1 Yes TRUE    
  E0600B   Behav symptoms intrude on privacy of others TRUE 0 - No  
  E0600B 1 Yes TRUE    
  E0600C   Behav symptoms disrupt care or living environment TRUE 0 - No  
  E0600C 1 Yes TRUE    
  E0800   Rejection of care: presence and frequency TRUE 0 - Behavior not exhibited  
  E0800 1 Behavior of this type occurred 1 to 3 days TRUE    
  E0800 2 Behavior of this type occurred 4 to 6 days, but less than daily TRUE    
  E0800 3 Behavior of this type occurred daily TRUE    
  E0900   Wandering: presence and frequency TRUE 0 - Behavior not exhibited  
  E0900 1 Behavior of this type occurred 1 to 3 days TRUE    
  E0900 2 Behavior of this type occurred 4 to 6 days, but less than daily TRUE    
  E0900 3 Behavior of this type occurred daily TRUE    
  E1100   Change in behavioral or other symptoms TRUE 0 - Same;
9 - N/A because no prior MDS assessment
 
  E1100 1 Improved TRUE    
  E1100 2 Worse TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
F     Section F - Preferences for Customary Routine and Activities N/A    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
G     Section G - Functional Status N/A    
  G0110A1   Bed mobility: self-performance TRUE    
  G0110A1 0 Independent - no help or staff oversight at any time TRUE    
  G0110A1 1 Supervision - oversight, encouragement or cueing TRUE    
  G0110A1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE    
  G0110A1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE    
  G0110A1 4 Total dependence - full staff performance every time during entire 7-day period TRUE    
  G0110A1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE    
  G0110A1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE    
  G0110B1   Transfer: self-performance TRUE    
  G0110B1 0 Independent - no help or staff oversight at any time TRUE    
  G0110B1 1 Supervision - oversight, encouragement or cueing TRUE    
  G0110B1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE    
  G0110B1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE    
  G0110B1 4 Total dependence - full staff performance every time during entire 7-day period TRUE    
  G0110B1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE    
  G0110B1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE    
  G0110C1   Walk in room: self-performance TRUE    
  G0110C1 0 Independent - no help or staff oversight at any time TRUE    
  G0110C1 1 Supervision - oversight, encouragement or cueing TRUE    
  G0110C1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE    
  G0110C1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE    
  G0110C1 4 Total dependence - full staff performance every time during entire 7-day period TRUE    
  G0110C1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE    
  G0110C1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE    
  G0110E1   Locomotion on unit: self-performance TRUE    
  G0110E1 0 Independent - no help or staff oversight at any time TRUE    
  G0110E1 1 Supervision - oversight, encouragement or cueing TRUE    
  G0110E1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE    
  G0110E1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE    
  G0110E1 4 Total dependence - full staff performance every time during entire 7-day period TRUE    
  G0110E1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE    
  G0110E1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE    
  G0110H1   Eating: self-performance TRUE    
  G0110H1 0 Independent - no help or staff oversight at any time TRUE    
  G0110H1 1 Supervision - oversight, encouragement or cueing TRUE    
  G0110H1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE    
  G0110H1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE    
  G0110H1 4 Total dependence - full staff performance every time during entire 7-day period TRUE    
  G0110H1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE    
  G0110H1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE    
  G0110I1   Toilet use: self-performance TRUE    
  G0110I1 0 Independent - no help or staff oversight at any time TRUE    
  G0110I1 1 Supervision - oversight, encouragement or cueing TRUE    
  G0110I1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE    
  G0110I1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE    
  G0110I1 4 Total dependence - full staff performance every time during entire 7-day period TRUE    
  G0110I1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE    
  G0110I1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE    
  G0110J1   Personal hygiene: self-performance TRUE    
  G0110J1 0 Independent - no help or staff oversight at any time TRUE    
  G0110J1 1 Supervision - oversight, encouragement or cueing TRUE    
  G0110J1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE    
  G0110J1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE    
  G0110J1 4 Total dependence - full staff performance every time during entire 7-day period TRUE    
  G0110J1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE    
  G0110J1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE    
  G0400A   ROM limitation: upper extremity TRUE 0 - No impairment  
  G0400A 1 Impairment on one side TRUE    
  G0400A 2 Impairment on both sides TRUE    
  G0400B   ROM limitation: lower extremity TRUE 0 - No impairment  
  G0400B 1 Impairment on one side TRUE    
  G0400B 2 Impairment on both sides TRUE    
  G0600A   Mobility devices: cane/crutch TRUE    
  G0600B   Mobility devices: walker TRUE    
  G0600C   Mobility devices: wheelchair (manual or electric) TRUE    
  G0600D   Mobility devices: limb prosthesis TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
H     Section H - Bladder and Bowel N/A    
  H0100A   Appliances: indwelling catheter TRUE    
  H0100B   Appliances: external catheter TRUE    
  H0100C   Appliances: ostomy TRUE    
  H0100D   Appliances: intermittent catheterization TRUE    
  H0200C   Urinary toileting program: current program/trial TRUE 0 - No  
  H0200C 1 Yes TRUE    
  H0300   Urinary continence TRUE    
  H0300 0 Always continent TRUE    
  H0300 1 Occasionally incontinent (less than 7 episodes of incontinence) TRUE    
  H0300 2 Frequently incontinent (7 or more episodes of urinary incontinence, but at least one episode of continent voiding) TRUE    
  H0300 3 Always incontinent (no episodes of continent voiding) TRUE    
  H0300 9 Not rated, resident had a catheter (indwelling, condom), urinary ostomy, or no urine output for entire 7 days TRUE    
  H0400   Bowel continence TRUE    
  H0400 0 Always continent TRUE    
  H0400 1 Occasionally incontinent (one episode of bowel incontinence) TRUE    
  H0400 2 Frequently incontinent (2 or more episodes of bowel incontinence, but at least one continent bowel movement) TRUE    
  H0400 3 Always incontinent (no episodes of continent bowel movements) TRUE    
  H0400 9 Not rated, resident had an ostomy or did not have a bowel movement for the entire 7 days TRUE    
  H0500   Bowel toileting program being used TRUE 0 - No  
  H0500 1 Yes TRUE    
  H0600   Constipation TRUE 0 - No  
  H0600 1 Yes TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
I     Section I - Active Disease Diagnosis N/A    
  I0100   Cancer (with or without metastasis) TRUE    
  I0200   Anemia TRUE    
  I0300   Atrial fibrillation and other dysrhythmias TRUE    
  I0400   Coronary artery disease (CAD) TRUE    
  I0500   Deep venous thrombosis (DVT), PE, or PTE TRUE    
  I0600   Heart failure TRUE    
  I0700   Hypertension TRUE    
  I0800   Orthostatic hypotension TRUE    
  I0900   Peripheral vascular disease (PVD) or PAD TRUE    
  I1100   Cirrhosis TRUE    
  I1200   Gastroesophageal reflux disease (GERD) or ulcer TRUE    
  I1300   Ulcerative colitis, Crohn’s, inflam bowel disease TRUE    
  I1400   Benign prostatic hyperplasia (BPH) TRUE    
  I1500   Renal insufficiency, renal failure, ESRD TRUE    
  I1550   Neurogenic bladder TRUE    
  I1650   Obstructive uropathy TRUE    
  I1700   Multidrug resistant organism (MDRO) TRUE    
  I2000   Pneumonia TRUE    
  I2100   Septicemia TRUE    
  I2200   Tuberculosis TRUE    
  I2300   Urinary tract infection (UTI) (LAST 30 DAYS) TRUE    
  I2400   Viral hepatitis (includes type A, B, C, D, and E) TRUE    
  I2500   Wound infection (other than foot) TRUE    
  I2900   Diabetes mellitus (DM) TRUE    
  I3100   Hyponatremia TRUE    
  I3200   Hyperkalemia TRUE    
  I3300   Hyperlipidemia (e.g., hypercholesterolemia) TRUE    
  I3400   Thyroid disorder TRUE    
  I3700   Arthritis TRUE    
  I3800   Osteoporosis TRUE    
  I3900   Hip fracture TRUE    
  I4000   Other fracture TRUE    
  I4200   Alzheimer's disease TRUE    
  I4300   Aphasia TRUE    
  I4400   Cerebral palsy TRUE    
  I4500   Cerebrovascular accident (CVA), TIA, or stroke TRUE    
  I4800   Dementia TRUE    
  I4900   Hemiplegia or hemiparesis TRUE    
  I5000   Paraplegia TRUE    
  I5100   Quadriplegia TRUE    
  I5200   Multiple sclerosis TRUE    
  I5250   Huntington's disease TRUE    
  I5300   Parkinson's disease TRUE    
  I5350   Tourette's syndrome TRUE    
  I5400   Seizure disorder or epilepsy TRUE    
  I5500   Traumatic brain injury (TBI) TRUE    
  I5600   Malnutrition (protein, calorie), risk of malnutrit TRUE    
  I5700   Anxiety disorder TRUE    
  I5800   Depression (other than bipolar) TRUE    
  I5900   Manic depression (bipolar disease) TRUE    
  I5950   Psychotic disorder (other than schizophrenia) TRUE    
  I6000   Schizophrenia TRUE    
  I6100   Post-traumatic stress disorder (PTSD) TRUE    
  I6200   Asthma (COPD) or chronic lung disease TRUE    
  I6300   Respiratory failure TRUE    
  I6500   Cataracts, glaucoma, or macular degeneration TRUE    
  I8000A   Additional active ICD diagnosis 1 TRUE    
  I8000B   Additional active ICD diagnosis 2 TRUE    
  I8000C   Additional active ICD diagnosis 3 TRUE    
  I8000D   Additional active ICD diagnosis 4 TRUE    
  I8000E   Additional active ICD diagnosis 5 TRUE    
  I8000F   Additional active ICD diagnosis 6 TRUE    
  I8000G   Additional active ICD diagnosis 7 TRUE    
  I8000H   Additional active ICD diagnosis 8 TRUE    
  I8000I   Additional active ICD diagnosis 9 TRUE    
  I8000J   Additional active ICD diagnosis 10 TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
J     Section J - Health Conditions N/A    
  J0100A   Pain: been on scheduled pain med regimen TRUE 0 - No  
  J0100A 1 Yes TRUE    
  J0400   Res pain interview: frequency TRUE 9 - Unable to answer  
  J0400 1 Almost constantly TRUE    
  J0400 2 Frequently TRUE    
  J0400 3 Occasionally TRUE    
  J0400 4 Rarely TRUE    
  J0600A   Res pain interview: intensity rating scale TRUE    
  J0600B   Res pain interview: verbal descriptor scale TRUE 9 - Unable to answer  
  J0600B 1 Mild TRUE    
  J0600B 2 Moderate TRUE    
  J0600B 3 Severe TRUE    
  J0600B 4 Very severe, horrible TRUE    
  J1100A   Short breath/trouble breathing: with exertion TRUE    
  J1100B   Short breath/trouble breathing: sitting at rest TRUE    
  J1100C   Short breath/trouble breathing: lying flat TRUE    
  J1300   Current tobacco use TRUE 0 - No  
  J1300 1 Yes TRUE    
  J1400   Prognosis: life expectancy of less than 6 months TRUE 0 - No  
  J1400 1 Yes TRUE    
  J1700A   Fall history: fall during month before admission TRUE 0 - No;
9 - Unable to determine
 
  J1700A 1 Yes TRUE    
  J1700B   Fall history: fall 2-6 months before admission TRUE 0 - No;
9 - Unable to determine
 
  J1700B 1 Yes TRUE    
  J1700C   Fall history: fracture from fall 6 month pre admit TRUE 0 - No;
9 - Unable to determine
 
  J1700C 1 Yes TRUE    
  J1800   Falls since admit/prior asmt: any falls TRUE 0 - No  
  J1800 1 Yes TRUE    
  J1900B   Falls since admit/prior asmt: injury (not major) TRUE 0 - None  
  J1900B 1 One TRUE    
  J1900B 2 Two or more TRUE    
  J1900C   Falls since admit/prior asmt: major injury TRUE 0 - None  
  J1900C 1 One TRUE    
  J1900C 2 Two or more TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
K     Section K - Swallowing/ Nutritional Status N/A    
  K0100A   Swallow disorder: loss liquids/solids from mouth TRUE    
  K0100B   Swallow disorder: holds food in mouth/cheeks TRUE    
  K0100C   Swallow disorder: cough/choke with meals/meds TRUE    
  K0100D   Swallow disorder: difficulty or pain swallowing TRUE    
  K0200A   Height (in inches) TRUE    
  K0200B   Weight (in pounds) TRUE    
  K0300   Weight loss TRUE 0 - No, or unknown  
  K0300 1 Yes, on physician - prescribed weight - loss regimen TRUE    
  K0300 2 Yes, not on physician - prescribed weight - loss regimen TRUE    
  K0500A   Nutritional approaches: parenteral /IV feeding TRUE    
  K0500B   Nutritional approaches: feeding tube TRUE    
  K0500C   Nutritional approaches: mechanically altered diet TRUE    
  K0500D   Nutritional approaches: therapeutic diet TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
L     Section L - Oral/Dental Status N/A    
  L0200A   Dental: broken or loosely fitting denture TRUE    
  L0200B   Dental: no natural teeth or tooth fragment(s) TRUE    
  L0200C   Dental: abnormal mouth tissue TRUE    
  L0200D   Dental: cavity or broken natural teeth TRUE    
  L0200E   Dental: inflamed/bleeding gums or loose teeth TRUE    
  L0200F   Dental: pain, discomfort, difficulty chewing TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
M     Section M - Skin Conditions N/A    
  M0150   Is resident at risk of developing pressure ulcer TRUE 0 - No  
  M0150 1 Yes TRUE    
  M0210   Resident has Stage 1 or higher pressure ulcers TRUE 0 - No  
  M0210 1 Yes TRUE    
  M0300A   Stage 1 pressure ulcers: number present TRUE 0  
  M0300B1   Stage 2 pressure ulcers: number present TRUE 0  
  M0300B2   Stage 2 pressure ulcers: number at admit/reentry TRUE 0  
  M0300B3   Stage 2 pressure ulcers: date of oldest TRUE    
  M0300C1   Stage 3 pressure ulcers: number present TRUE 0  
  M0300C2   Stage 3 pressure ulcers: number at admit/reentry TRUE 0  
  M0300D1   Stage 4 pressure ulcers: number present TRUE 0  
  M0300D2   Stage 4 pressure ulcers: number at admit/reentry TRUE 0  
  M0300E1   Unstaged due to dressing: number present TRUE 0  
  M0300E2   Unstaged due to dressing: number at admit/reentry TRUE 0  
  M0300F1   Unstaged slough/eschar: number present TRUE 0  
  M0300F2   Unstaged slough/eschar: number at admit/reentry TRUE 0  
  M0300G1   Unstageable - deep tissue: number present TRUE 0  
  M0300G2   Unstageable - deep tissue: number at admit/reentry TRUE 0  
  M0610A   Stage 3 or 4 pressure ulcer longest length TRUE    
  M0610B   Stage 3 or 4 pressure ulcer width (same ulcer) TRUE    
  M0610C   Stage 3 or 4 pressure ulcer depth (same ulcer) TRUE    
  M0800A   Worsened since prior asmt: Stage 2 pressure ulcers TRUE 0  
  M0800B   Worsened since prior asmt: Stage 3 pressure ulcers TRUE 0  
  M0800C   Worsened since prior asmt: Stage 4 pressure ulcers TRUE 0  
  M1030   Number of venous and arterial ulcers TRUE 0  
  M1040A   Other skin probs: infection of the foot TRUE    
  M1040B   Other skin probs: diabetic foot ulcer(s) TRUE    
  M1040C   Other skin probs: other open lesion(s) on the foot TRUE    
  M1040D   Other skin probs: lesions not ulcers, rashes, cuts TRUE    
  M1040E   Other skin probs: surgical wound(s) TRUE    
  M1040F   Other skin probs: burn(s) (second or third degree) TRUE    
  M1200A   Skin/ulcer treat: pressure reduce device for chair TRUE    
  M1200B   Skin/ulcer treat: pressure reducing device for bed TRUE    
  M1200C   Skin/ulcer treat: turning/repositioning TRUE    
  M1200D   Skin/ulcer treat: nutrition/hydration TRUE    
  M1200E   Skin/ulcer treat: ulcer care TRUE    
  M1200F   Skin/ulcer treat: surgical wound care TRUE    
  M1200G   Skin/ulcer treat: application of dressings TRUE    
  M1200H   Skin/ulcer treat: apply ointments/medications TRUE    
  M1200I   Skin/ulcer treat: apply dressings to feet TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
N     Section N - Medications N/A    
  N0350A   Insulin: insulin injections TRUE    
  N0400A   Medications: antipsychotic TRUE    
  N0400B   Medications: antianxiety TRUE    
  N0400C   Medications: antidepressant TRUE    
  N0400D   Medications: hypnotic TRUE    
  N0400E   Medications: anticoagulant TRUE    
  N0400F   Medications: antibiotic TRUE    
  N0400G   Medications: diuretic TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
O     Section O - Special Treatments and Procedures N/A    
  O0100A2   Treatment: chemotherapy - while resident TRUE    
  O0100B2   Treatment: radiation - while resident TRUE    
  O0100C2   Treatment: oxygen therapy - while resident TRUE    
  O0100D2   Treatment: suctioning - while resident TRUE    
  O0100E2   Treatment: tracheostomy care - while resident TRUE    
  O0100F2   Treatment: vent/respirator - while resident TRUE    
  O0100G2   Treatment: BIPAP/CPAP - while resident TRUE    
  O0100H2   Treatment: IV medications - while resident TRUE    
  O0100I2   Treatment: transfusions - while resident TRUE    
  O0100J2   Treatment: dialysis - while resident TRUE    
  O0100K2   Treatment: hospice care - while resident TRUE    
  O0100L2   Treatment: respite care - while resident TRUE    
  O0100M2   Treatment: isolate/quarantine - while resident TRUE    
  O0250A   Was influenza vaccine received TRUE    
  O0250A 0 No TRUE    
  O0250A 1 Yes TRUE    
  O0250B   Date influenza vaccine received. TRUE    
  O0250C   If influenza vaccine not received, state reason TRUE 9 - None of the above  
  O0250C 1 Resident not in facility during this year's flu season TRUE    
  O0250C 2 Received outside of this facility TRUE    
  O0250C 3 Not eligible - medical contraindication TRUE    
  O0250C 4 Offered and declined TRUE    
  O0250C 5 Not offered TRUE    
  O0250C 6 Inability to obtain vaccine due to a declared shortage TRUE    
  O0300A   Is pneumococcal vaccination up to date TRUE    
  O0300A 0 No TRUE    
  O0300A 1 Yes TRUE    
  O0300B   If pneumococcal vacc not received, state reason TRUE    
  O0300B 1 Not eligible - medical contraindication TRUE    
  O0300B 2 Offered and declined TRUE    
  O0300B 3 Not offered TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
P     Section P - Restraints N/A    
  P0100A   Restraints used in bed: bed rail TRUE 0 - Not used  
  P0100A 1 Used less than daily TRUE    
  P0100A 2 Used daily TRUE    
  P0100B   Restraints used in bed: trunk restraint TRUE 0 - Not used  
  P0100B 1 Used less than daily TRUE    
  P0100B 2 Used daily TRUE    
  P0100C   Restraints used in bed: limb restraint TRUE 0 - Not used  
  P0100C 1 Used less than daily TRUE    
  P0100C 2 Used daily TRUE    
  P0100D   Restraints used in bed: other TRUE 0 - Not used  
  P0100D 1 Used less than daily TRUE    
  P0100D 2 Used daily TRUE    
  P0100E   Restraints in chair/out of bed: trunk restraint TRUE 0 - Not used  
  P0100E 1 Used less than daily TRUE    
  P0100E 2 Used daily TRUE    
  P0100F   Restraints in chair/out of bed: limb restraint TRUE 0 - Not used  
  P0100F 1 Used less than daily TRUE    
  P0100F 2 Used daily TRUE    
  P0100G   Restraints in chair/out of bed: chair stops rising TRUE 0 - Not used  
  P0100G 1 Used less than daily TRUE    
  P0100G 2 Used daily TRUE    
  P0100H   Restraints in chair/out of bed: other TRUE 0 - Not used  
  P0100H 1 Used less than daily TRUE    
  P0100H 2 Used daily TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
Q     Section Q - Participation in Assessment and Goal Setting N/A    
  Q0400B   Determination regarding discharge to community TRUE    
  Q0400B 0 Determination not made TRUE    
  Q0400B 1 Discharge to community determined to be feasible TRUE    
  Q0400B 2 Discharge to community determined to be not feasible TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
T     Therapy Supplement for Medicare PPS N/A    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
V       N/A    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
X       N/A    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
Z     Assessment Administration N/A    
  Z0500B   Date RN signed assessment as complete TRUE    
Section CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance on Mapping
OTHER       N/A    
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
A            
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
             
             
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
             
             
             
             
             
             
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
             
             
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
ETHNICITY PATTERN         1002-5  
ETHNICITY PATTERN         2028-9  
ETHNICITY PATTERN         2054-5  
ETHNICITY PATTERN         2135-2  
ETHNICITY PATTERN         2076-8  
ETHNICITY PATTERN         2106-3  
ASSERTION PATTERN            
Assertion pattern 315594003 interpreter needed (finding)        
  Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping          
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
             
             
             
             
             
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
  Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping          
Assertion pattern 41040004 complete trisomy 21 syndrome (disorder)        
Assertion pattern 408856003 autistic disorder (disorder)        
Assertion pattern 84757009 epilepsy (disorder)        
  Concept Not Mapped (Reason #5) - Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT          
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
             
             
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
             
             
             
             
             
             
             
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
             
             
             
             
             
             
             
             
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
B            
ASSERTION PATTERN            
Assertion pattern 371632003 coma (disorder)        
ASSERTION PATTERN            
Assertion pattern 162339002 hearing normal (finding)        
Assertion pattern 162340000 hearing difficulty (finding)        
Assertion pattern 425091001 difficulty hearing normal speech tones (finding)        
Assertion pattern 306972000 unable to hear loud voice (finding)        
ASSERTION PATTERN            
Assertion pattern 285055002 does use hearing aid (finding)        
ASSERTION PATTERN            
Assertion pattern 286296002 does articulate clearly (finding)        
Assertion pattern 286298001 does not articulate clearly (finding)        
Assertion pattern 286371003 does not speak (finding)        
QUESTION/ANSWER PATTERN 288743004 ability to make self understood (observable entity)        
Question/Answer pattern 288746007 does make self understood (finding)        
Question/Answer pattern 288748008 difficulty making self understood (finding)        
Question/Answer pattern 288748008 difficulty making self understood (finding)        
Question/Answer pattern 288747003 does not make self understood (finding)        
QUESTION/ANSWER PATTERN 395659009 ability to comprehend (observable entity)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Question/Answer pattern 64270008 disturbance of understanding (finding)        
Question/Answer pattern 64270008 disturbance of understanding (finding)        
Question/Answer pattern 53314000 akatamathesia (finding)        
QUESTION/ANSWER PATTERN 415823006 vision observable (observable entity)        
Question/Answer pattern 45089002 normal vision (finding)        
Question/Answer pattern 424883003 difficulty seeing small print (finding)        
Question/Answer pattern 285163004 able to recognize objects by sight (finding)        
Question/Answer pattern 170728008 poor visual acuity (finding)        
Question/Answer pattern 397541004 severe visual impairment (disorder)        
ASSERTION PATTERN            
Assertion pattern 365237006 finding related to ability to use appliances for sensory impairment (finding)        
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
C            
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
ASSERTION PATTERN            
Assertion pattern 247590001 short-term memory within normal limits (finding)        
Assertion pattern 247592009 poor short-term memory (finding)        
ASSERTION PATTERN            
Assertion pattern 247587007 long-term memory within normal limits (finding)        
Assertion pattern 247588002 poor long-term memory (finding)        
Assertion pattern 165284008 memory: present time known (finding)        
Assertion pattern 165287001 memory: present place known (finding)        
Assertion pattern 285227006 able to remember faces (finding)        
Assertion pattern 165287001 memory: present place known (finding)        
QUESTION/ANSWER PATTERN 413383002 ability to make decisions (observable entity)        
Question/Answer pattern 304650003 able to use decision making strategies (finding)        
Question/Answer pattern 304652006 difficulty using decision making strategies (finding)        
Question/Answer pattern 304652006 difficulty using decision making strategies (finding)        
Question/Answer pattern 304651004 unable to use decision making strategies (finding)        
QUESTION/ANSWER PATTERN 52963003 attentiveness (observable entity)        
Question/Answer pattern 288773008 difficulty directing attention (finding)        
Question/Answer pattern 247767009 integrated attention for short spells (finding)        
QUESTION/ANSWER PATTERN 88952004 thinking, function (observable entity)        
Question/Answer pattern 247640008 unable to think clearly (finding)        
Question/Answer pattern 88962006 incomplete clear mindedness (finding)        
QUESTION/ANSWER PATTERN 6942003 level of consciousness (observable entity)        
Question/Answer pattern 3006004 disturbance of consciousness (finding)        
Question/Answer pattern 3006004 disturbance of consciousness (finding)        
QUESTION/ANSWER PATTERN 48761009 motor behavior (observable entity)        
Question/Answer pattern 398991009 motor retardation (finding)        
Question/Answer pattern 398991009 motor retardation (finding)        
ASSERTION PATTERN            
Assertion pattern 419284004 altered mental status (finding)        
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
D            
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
E            
Assertion pattern 7011001 hallucinations (finding)        
Assertion pattern 2073000 delusions (finding)        
ASSERTION PATTERN            
Assertion pattern 225480004 physically abusive behavior (finding)        
Assertion pattern 225480004 physically abusive behavior (finding)        
Assertion pattern 225480004 physically abusive behavior (finding)        
ASSERTION PATTERN            
Assertion pattern 225478005 verbally abusive behavior (finding)        
Assertion pattern 225478005 verbally abusive behavior (finding)        
Assertion pattern 225478005 verbally abusive behavior (finding)        
ASSERTION PATTERN            
  Concept Not Mapped (Reason #4)– Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD.          
  Concept Not Mapped (Reason #4)– Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD.          
  Concept Not Mapped (Reason #4)– Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD.          
ASSERTION PATTERN            
Assertion pattern 81763001 at risk for injury (finding)        
ASSERTION PATTERN            
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
ASSERTION PATTERN            
Assertion pattern 88598008 impaired social interaction (finding)        
ASSERTION PATTERN            
Assertion pattern 391155006 at risk of harming others (finding)        
ASSERTION PATTERN            
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
ASSERTION PATTERN            
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
QUESTION/ANSWER PATTERN 405078008 compliance behavior (observable entity)        
Question/Answer pattern 105480006 refusal of treatment by patient (situation)        
Question/Answer pattern 105480006 refusal of treatment by patient (situation)        
Question/Answer pattern 105480006 refusal of treatment by patient (situation)        
QUESTION/ANSWER PATTERN 363896009 behavior observable (observable entity)        
Question/Answer pattern 50239007 wandering (finding)        
Question/Answer pattern 50239007 wandering (finding)        
Question/Answer pattern 50239007 wandering (finding)        
QUESTION/ANSWER PATTERN 315244000 change in behavior (observable entity)        
Question/Answer pattern 385425000 improved (qualifier value)        
Question/Answer pattern 231877006 worse (qualifier value)        
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
F            
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
G            
QUESTION/ANSWER PATTERN 301680009 ability to move in bed (observable entity)        
Question/Answer pattern 371153006 independently able (qualifier value)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Question/Answer pattern 255469002 limited (qualifier value)        
Question/Answer pattern 41118005 extensive (qualifier value)        
Question/Answer pattern 371156003 does not, dependent (qualifier value)        
Question/Answer pattern 301684000 does not move in bed (finding)        
Question/Answer pattern 301684000 does not move in bed (finding)        
QUESTION/ANSWER PATTERN 165236004 chair/bed transfer ability (observable entity)        
Question/Answer pattern 371153006 independently able (qualifier value)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Question/Answer pattern 255469002 limited (qualifier value)        
Question/Answer pattern 41118005 extensive (qualifier value)        
Question/Answer pattern 371156003 does not, dependent (qualifier value)        
Question/Answer pattern 302266005 does not transfer (finding)        
Question/Answer pattern 302266005 does not transfer (finding)        
QUESTION/ANSWER PATTERN 129006008 walking (observable entity)        
Question/Answer pattern 371153006 independently able (qualifier value)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Question/Answer pattern 255469002 limited (qualifier value)        
Question/Answer pattern 41118005 extensive (qualifier value)        
Question/Answer pattern 371156003 does not, dependent (qualifier value)        
Question/Answer pattern 282147000 does not walk (finding)        
Question/Answer pattern 282147000 does not walk (finding)        
QUESTION/ANSWER PATTERN 418305009 self-propelled locomotion activity (observable entity)        
Question/Answer pattern 371153006 independently able (qualifier value)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Question/Answer pattern 255469002 limited (qualifier value)        
Question/Answer pattern 41118005 extensive (qualifier value)        
Question/Answer pattern 371156003 does not, dependent (qualifier value)        
Question/Answer pattern 302045007 does not mobilize (finding)        
Question/Answer pattern 302045007 does not mobilize (finding)        
QUESTION/ANSWER PATTERN 48263008 eating (observable entity)        
Question/Answer pattern 371153006 independently able (qualifier value)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Question/Answer pattern 255469002 limited (qualifier value)        
Question/Answer pattern 41118005 extensive (qualifier value)        
Question/Answer pattern 371156003 does not, dependent (qualifier value)        
Question/Answer pattern 289003008 does not feed self (finding)        
Question/Answer pattern 289003008 does not feed self (finding)        
QUESTION/ANSWER PATTERN 129004006 toileting (observable entity)        
Question/Answer pattern 371153006 independently able (qualifier value)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Question/Answer pattern 255469002 limited (qualifier value)        
Question/Answer pattern 41118005 extensive (qualifier value)        
Question/Answer pattern 371156003 does not, dependent (qualifier value)        
Question/Answer pattern 284903008 does not perform toileting activities (finding)        
Question/Answer pattern 284903008 does not perform toileting activities (finding)        
QUESTION/ANSWER PATTERN 286850002 personal hygiene activities, function (observable entity)        
Question/Answer pattern 371153006 independently able (qualifier value)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Question/Answer pattern 255469002 limited (qualifier value)        
Question/Answer pattern 41118005 extensive (qualifier value)        
Question/Answer pattern 371156003 does not, dependent (qualifier value)        
Question/Answer pattern 284783002 does not perform personal hygiene activity (finding)        
Question/Answer pattern 284783002 does not perform personal hygiene activity (finding)        
QUESTION/ANSWER PATTERN 364564000 range of joint movement (observable entity)        
Question/Answer pattern 70733008 limitation of joint movement (finding)        
Question/Answer pattern 70733008 limitation of joint movement (finding)        
QUESTION/ANSWER PATTERN 364564000 range of joint movement (observable entity)        
Question/Answer pattern 70733008 limitation of joint movement (finding)        
Question/Answer pattern 70733008 limitation of joint movement (finding)        
Assertion pattern 365112008 finding of walking aid use (finding)        
Assertion pattern 365112008 finding of walking aid use (finding)        
Assertion pattern 301578005 does mobilize using wheelchair (finding)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
H            
Assertion pattern 266765001 indwelling catheter inserted (situation)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Assertion pattern 385712009 ostomy care (regime/therapy)        
Assertion pattern 225103006 intermittent urethral catheterization (procedure)        
ASSERTION PATTERN            
Assertion pattern 37799002 urinary bladder training (regime/therapy)        
QUESTION/ANSWER PATTERN 249282008 frequency of incontinence (observable entity)        
Question/Answer pattern 260413007 none (qualifier value)        
Question/Answer pattern 84638005 occasional (qualifier value)        
Question/Answer pattern 70232002 frequent (qualifier value)        
Question/Answer pattern 255619001 total (qualifier value)        
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
QUESTION/ANSWER PATTERN 406217005 bowel continence status (observable entity)        
Question/Answer pattern 260413007 bowels: fully continent (finding)        
Question/Answer pattern 165230005 bowels: occasional accident (finding)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Question/Answer pattern 72042002 incontinence of feces (finding)        
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
ASSERTION PATTERN            
Assertion pattern 385976008 bowel training (regime/therapy)        
ASSERTION PATTERN            
Assertion pattern 14760008 constipation (disorder)        
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
I            
Assertion pattern 363346000 malignant neoplastic disease (disorder) 199.1 C80.0    
Assertion pattern 271737000 anemia (disorder) 285.9 D64.9    
Assertion pattern 44808001 conduction disorder of the heart (disorder) 427.9 I49.9    
Assertion pattern 56265001 heart disease (disorder) 414.9 I25.10    
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping   Concept Not Mapped - Venous embolism/thrombosis (e.g. DVT) and pulmonary embolus do not have a common representation Concept Not Mapped - Venous embolism/thrombosis (e.g. DVT) and pulmonary embolus do not have a common representation    
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping   428.9 I50.9    
Assertion pattern 38341003 hypertensive disorder, systemic arterial (disorder) 401.9 I10    
Assertion pattern 28651003 orthostatic hypotension (disorder) 458.0 I95.1    
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping   443.9 I73.9    
Assertion pattern 19943007 cirrhosis of liver (disorder) 571.5 K74.60    
Assertion pattern 119291004 disorder of upper gastrointestinal tract (disorder) Concept Not Mapped - Disorders of the esophagus (e.g. GERD) and ulcers of the upper GI tract do not have a common representation Concept Not Mapped - Disorders of the esophagus (e.g. GERD) and ulcers of the upper GI tract do not have a common representation    
Assertion pattern 24526004 inflammatory bowel disease (disorder) Concept Not Mapped - Regional enteritis (e.g. Crohn's), ulcerative colitis and unspecified colitis do not have a common representation Concept Not Mapped - Regional enteritis (e.g. Crohn's), ulcerative colitis and unspecified colitis do not have a common representation    
Assertion pattern 266569009 benign prostatic hyperplasia (disorder) 600.00 N40.0    
Assertion pattern 42399005 renal failure syndrome (disorder) 593.9 N28.9    
Assertion pattern 398064005 neurogenic bladder (finding) 596.54 N31.9    
Assertion pattern 7163005 urinary tract obstruction (disorder) 599.60 N13.9    
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping   V09.91 Z16    
Assertion pattern 233604007 pneumonia (disorder) 486 J18.9    
Assertion pattern 105592009 septicemia (disorder) 038.9 A41.9    
Assertion pattern 56717001 tuberculosis (disorder) 011.90 A15.9    
Assertion pattern 68566005 urinary tract infectious disease (disorder) 599.0 N39.0    
Assertion pattern 3738000 viral hepatitis (disorder) 070.9 B19.9    
  Concept Not Mapped (Reason #5) - Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT   Concept Not Mapped - Open wounds of upper limbs, lower limbs, and other body sites do not have a common representation Concept Not Mapped - Open wounds of upper limbs, lower limbs, and other body sites do not have a common representation    
Assertion pattern 73211009 diabetes mellitus (disorder) 250.00 E11.9    
Assertion pattern 89627008 hyponatremia (disorder) 276.1 E87.1    
Assertion pattern 14140009 hyperkalemia (disorder) 276.8 E87.6    
Assertion pattern 55822004 hyperlipidemia (disorder) 272.4 E78.5    
Assertion pattern 14304000 disorder of thyroid gland (disorder) 246.9 E07.9    
Assertion pattern 399269003 arthropathy (disorder) 716.90 M19.90    
Assertion pattern 64859006 osteoporosis (disorder) 733.00 M81.0    
Assertion pattern 263225007 fracture of proximal end of femur (disorder) 820.9 S72.00    
  Concept Not Mapped (Reason #5) - Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT   Concept Not Mapped - Fractures of any site (excluding hip) do not have a common representation Concept Not Mapped - Fractures of any site (excluding hip) do not have a common representation    
Assertion pattern 26929004 Alzheimer's disease (disorder) 331.0 G30.9, with additional code to identify delirium, (if applicable) F05, F02.81, F02.80    
Assertion pattern 87486003 aphasia (finding) 784.3 R47.01    
Assertion pattern 128188000 cerebral palsy (disorder) 343.9 G80.9    
Assertion pattern 62914000 cerebrovascular disease (disorder) Concept Not Mapped - CVA and TIA do not have a common representation Concept Not Mapped - CVA and TIA do not have a common representation    
Assertion pattern 52448006 dementia (disorder) 294.8 F03    
Assertion pattern 23853001 disorder of the central nervous system (disorder) 342.90 G81.90    
Assertion pattern 60389000 paraplegia (disorder) 344.1 G82.30    
Assertion pattern 11538006 quadriplegia (disorder) 344.09 G82.50    
Assertion pattern 24700007 multiple sclerosis (disorder) 340 G35    
Assertion pattern 58756001 Huntington's chorea (disorder) 333.4 G10    
Assertion pattern 49049000 Parkinson's disease (disorder) 332.0 G20    
Assertion pattern 5158005 Gilles de la Tourette's syndrome (disorder) 307.23 F95.2    
Assertion pattern 128613002 seizure disorder (disorder) 345.90 G40.909    
Assertion pattern 127295002 traumatic brain injury (disorder) 854.00 Concept Not Mapped - Traumatic Brain Injury requires further specification - code for head injury NOS is S09.90x    
Assertion pattern 2492009 nutritional disorder (disorder) 263.9 E46    
Assertion pattern 197480006 anxiety disorder (disorder) 300.00 F41.9    
Assertion pattern 35489007 depressive disorder (disorder) 311 F32.9    
Assertion pattern 13746004 bipolar disorder (disorder) 296.80 F31.9    
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping   298.9 F29    
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping   295.90 F20.9    
Assertion pattern 47505003 posttraumatic stress disorder (disorder) 309.81 F43.10    
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping   Concept Not Mapped - Asthma and Chronic lung Disease/COPD do not have a common representation Concept Not Mapped - Asthma and Chronic lung Disease/COPD do not have a common representation    
Assertion pattern 409622000 respiratory failure (disorder) 518.81 J96.90    
Assertion pattern 371405004 disorder of eye proper (disorder) Concept Not Mapped - Cataracts, glaucoma and macular degeneration do not have a common representation Concept Not Mapped - Cataracts, glaucoma and macular degeneration do not have a common representation    
  Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping          
  Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping          
  Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping          
  Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping          
  Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping          
  Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping          
  Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping          
  Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping          
  Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping          
  Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping          
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
J            
ASSERTION PATTERN            
Assertion pattern 410240006 pain control management (procedure)        
QUESTION/ANSWER PATTERN 364631005 pattern of pain (observable entity)        
Question/Answer pattern 255238004 continuous (qualifier value)        
Question/Answer pattern 70232002 frequent (qualifier value)        
Question/Answer pattern 84638005 occasional (qualifier value)        
Question/Answer pattern 89292003 rare (qualifier value)        
  225908003 pain score (observable entity)        
QUESTION/ANSWER PATTERN 406127006 pain intensity (observable entity)        
Question/Answer pattern 40196000 mild pain (finding)        
Question/Answer pattern 50415004 moderate pain (finding)        
Question/Answer pattern 76948002 severe pain (finding)        
Question/Answer pattern 301383001 horrible present pain (finding)        
Assertion pattern 60845006 dyspnea on exertion (finding)        
Assertion pattern 161941007 dyspnea at rest (finding)        
Assertion pattern 62744007 orthopnea (finding)        
ASSERTION PATTERN            
Assertion pattern 110483000 tobacco user (finding)        
ASSERTION PATTERN            
Assertion pattern 170969009 prognosis bad (finding)        
ASSERTION PATTERN            
Assertion pattern 428942009 history of fall (situation)        
ASSERTION PATTERN            
Assertion pattern 428942009 history of fall (situation)        
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
             
ASSERTION PATTERN            
Assertion pattern 161898004 falls (finding)        
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
             
             
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
             
             
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
K            
Assertion pattern 288904007 does not retain food in mouth (finding)        
Assertion pattern 288903001 does retain food in mouth (finding)        
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
  50373000 body height measure (observable entity)        
  27113001 body weight (observable entity)        
QUESTION/ANSWER PATTERN 363806002 weight loss (amount) (observable entity)        
Question/Answer pattern 416528001 intentional weight loss (finding)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Assertion pattern 25156005 intravenous feeding of patient (regime/therapy)        
Assertion pattern 61420007 tube feeding of patient (regime/therapy)        
Assertion pattern 226207007 modified texture diet (finding)        
Assertion pattern 226077000 therapeutic diets (finding)        
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
L            
Assertion pattern 278542003 dental appliance or restoration finding (finding)        
Assertion pattern 278650002 edentulous (finding)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
M            
ASSERTION PATTERN            
Assertion pattern 285304000 at risk of pressure sore (finding)        
ASSERTION PATTERN            
Assertion pattern 421076008 pressure ulcer stage 1 (disorder)        
  264892003 number of pressure sores (observable entity)        
  264892003 number of pressure sores (observable entity)        
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
  298059007 date of onset (observable entity)        
  264892003 number of pressure sores (observable entity)        
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
  264892003 number of pressure sores (observable entity)        
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
  264892003 number of pressure sores (observable entity)        
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
  264892003 number of pressure sores (observable entity)        
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
  264892003 number of pressure sores (observable entity)        
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
  401238003 length of wound (observable entity)        
  401239006 width of wound (observable entity)        
  425094009 depth of wound (observable entity)        
  271618001 impaired wound healing (finding)        
  271618001 impaired wound healing (finding)        
  271618001 impaired wound healing (finding)        
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
Assertion pattern 299990002 infection of foot (disorder)        
Assertion pattern 371087003 diabetic foot ulcer (disorder)        
  Concept Not Mapped (Reason #5) - Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT          
Assertion pattern 95324001 skin lesion (disorder)        
Assertion pattern 419635000 surgical wound finding (finding)        
Assertion pattern 125666000 burn (disorder)        
Assertion pattern 228617000 provision of pressure relief equipment (procedure)        
Assertion pattern 228617000 provision of pressure relief equipment (procedure)        
Assertion pattern 308739004 repositioning (procedure)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Assertion pattern 440461005 Skin ulcer care (regime/therapy)        
Assertion pattern 226007004 post-surgical wound care (regime/therapy)        
Assertion pattern 3895009 application of dressing (procedure)        
Assertion pattern 431695009 administration of drug or medicament to skin via topical route (procedure)        
Assertion pattern 3895009 application of dressing (procedure)        
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
N            
  Concept Not Mapped (Reason #3)– Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.          
Assertion Pattern 408490001 antipsychotic drug therapy (procedure)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Assertion Pattern 182764009 anticoagulant therapy (procedure)        
Assertion Pattern 281789004 antibiotic therapy (procedure)        
Assertion Pattern 395011005 prophylactic diuretic therapy (procedure)        
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
O            
Assertion Pattern 367336001 chemotherapy (procedure)        
Assertion Pattern 108290001 radiation oncology AND/OR radiotherapy (procedure)        
Assertion Pattern 57485005 oxygen therapy (procedure)        
Assertion Pattern 58058006 suction of patient (procedure)        
Assertion Pattern 385858000 tracheostomy care (regime/therapy)        
Assertion Pattern 409025002 ventilator care (regime/therapy)        
Assertion Pattern 243141005 mechanically assisted spontaneous ventilation (procedure)        
Assertion Pattern 386358000 administration of drug or medicament via intravenous route (procedure)        
Assertion Pattern 116859006 transfusion of blood product (procedure)        
Assertion Pattern 108241001 dialysis procedure (procedure)        
Assertion Pattern 385763009 hospice care (regime/therapy)        
Assertion Pattern 105386004 respite care of patient (regime/therapy)        
Assertion Pattern 275823006 isolation nursing (procedure)        
ASSERTION PATTERN            
  Concept Not Mapped (Reason #4)– Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD         Concept Not Mapped - No comparable CVX concept is available.
Assertion pattern 86198006 influenza vaccination (procedure)       141
  439272007 date of procedure (observable entity)        
QUESTION/ANSWER PATTERN 445032002 reason procedure not performed (observable entity)       Concept Not Mapped - No comparable CVX concept is available.
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Question/Answer pattern 308532005 influenza vaccination status (finding)        
Question/Answer pattern 390796006 influenza vaccination contraindicated (situation)        
Question/Answer pattern 315640000 influenza vaccination declined (situation)        
Question/Answer pattern 171262002 immunization not offered (finding)        
Question/Answer pattern 182850000 drugs not issued (finding)        
ASSERTION PATTERN           Concept Not Mapped - No comparable CVX concept is available.
Assertion pattern 171259000 not up-to-date with immunizations (finding)        
Assertion pattern 171258008 up-to-date with immunizations (finding)        
QUESTION/ANSWER PATTERN 445032002 reason procedure not performed (observable entity)       Concept Not Mapped - No comparable CVX concept is available.
Question/Answer pattern 390795005 pneumococcal vaccination contraindicated (situation)        
Question/Answer pattern 401086001 pneumococcal vaccination declined (situation)        
Question/Answer pattern 171262002 immunization not offered (finding)        
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
P            
ASSERTION PATTERN            
Assertion pattern 64373007 placing bedrails (procedure)        
Assertion pattern 64373007 placing bedrails (procedure)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
             
             
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
             
             
  Concept Not Mapped (Reason #5) - Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT          
             
             
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
             
             
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
             
             
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
             
             
  Concept Not Mapped (Reason #5) - Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT          
             
             
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
Q            
QUESTION/ANSWER PATTERN 404984000 readiness for discharge to independent living (observable entity)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Question/Answer pattern 306689006 discharge home (procedure)        
  Concept Not Mapped (Reason #2)- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping          
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
T            
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
V            
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
X            
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
Z            
  Concept Not Mapped (Reason #1) – This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians          
Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name ICD-9-CM Code - Section/Only ICD-10-CM Code -- Section/ Only CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX) -- Section O Only
OTHER            

MDS Summary -- Model Of Use

Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
A     Identification Information N/A                
  A0200   Type of provider TRUE     Typical pattern CD   54582-2   1.3.6.1.4.1.12009.10.1.61
  A0200 1 Nursing home (SNF/NF) TRUE     Typical pattern CD   54582-2 LA10882-1 1.3.6.1.4.1.12009.10.1.61
  A0200 2 Swing bed TRUE     Typical pattern CD   54582-2 LA10883-9 1.3.6.1.4.1.12009.10.1.61
  A0310A   Type of assessment: OBRA TRUE 99 - Not OBRA required assessment/tracking   Typical pattern CD   54583-0   1.3.6.1.4.1.12009.10.1.60
  A0310A 1 Admission assessment (required by day 14) TRUE     Typical pattern CD   54583-0 LA10-4 1.3.6.1.4.1.12009.10.1.60
  A0310A 2 Quarterly review assessment TRUE     Typical pattern CD   54583-0 LA15-3 1.3.6.1.4.1.12009.10.1.60
  A0310A 3 Annual assessment TRUE     Typical pattern CD   54583-0 LA12-0 1.3.6.1.4.1.12009.10.1.60
  A0310A 4 Significant change in status assessment TRUE     Typical pattern CD   54583-0 LA13-8 1.3.6.1.4.1.12009.10.1.60
  A0310A 5 Significant correction to prior comprehensive assessment TRUE     Typical pattern CD   54583-0 LA10888-8 1.3.6.1.4.1.12009.10.1.60
  A0310A 6 Significant correction to prior quarterly assessment TRUE     Typical pattern CD   54583-0 LA10889-6 1.3.6.1.4.1.12009.10.1.60
  A0500A   Resident first name TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A0500B   Resident middle initial TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A0500C   Resident last name TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A0500D   Resident name suffix TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A0600A   Social Security Number TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A0700   Resident Medicaid number TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A0800   Gender TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A0800 1 Male TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A0800 2 Female TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A0900   Birthdate TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A1000A   Ethnicity: American Indian or Alaska Native TRUE     Ethnicity pattern CD       2.16.840.1.113883.1.11.15836
  A1000B   Ethnicity: Asian TRUE     Ethnicity pattern CD       2.16.840.1.113883.1.11.15836
  A1000C   Ethnicity: Black or African American TRUE     Ethnicity pattern CD       2.16.840.1.113883.1.11.15836
  A1000D   Ethnicity: Hispanic or Latino TRUE     Ethnicity pattern CD       2.16.840.1.113883.1.11.15836
  A1000E   Ethnicity: Native Hawaiian/Pacific Islander TRUE     Ethnicity pattern CD       2.16.840.1.113883.1.11.15836
  A1000F   Ethnicity: White TRUE     Ethnicity pattern CD       2.16.840.1.113883.1.11.15836
  A1100A   Does the resident need or want an interpreter TRUE 0 - No;
9 - Unable to determine
  Typical pattern CD   54588-9   1.3.6.1.4.1.12009.10.1.58
  A1100A 1 Yes TRUE     Typical pattern CD   54588-9 LA33-6 1.3.6.1.4.1.12009.10.1.58
  A1100B   Preferred language TRUE     Other response data type pattern ED   54899-0    
  A1200   Marital status TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A1200 1 Never married TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A1200 2 Married TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A1200 3 Widowed TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A1200 4 Separated TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A1200 5 Divorced TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A1300A MDCL_REC_NUM Medical record number TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A1300C PREFRD_NAME Name by which resident prefers to be addressed TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A1300D   Lifetime occupation(s) TRUE     Other response data type pattern ED   45418-1    
  A1550A   MR/DD status: Down syndrome TRUE     Multiple response pattern BL   45422-3    
  A1550B   MR/DD status: Autism TRUE     Multiple response pattern BL   45423-1    
  A1550C   MR/DD status: Epilepsy TRUE     Multiple response pattern BL   45424-9    
  A1550D   MR/DD status: other organic MR/DD condition TRUE     Multiple response pattern BL    45425-6    
  A1550E   MR/DD status: MR/DD with no organic condition TRUE     Multiple response pattern BL   45426-4    
  A1600   Entry date (date of admission/reentry in facility) TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A1700   Type of entry TRUE     Typical pattern CD   54590-5   1.3.6.1.4.1.12009.10.1.56
  A1700 1 Admission TRUE     Typical pattern CD   54590-5 LA10922-5 1.3.6.1.4.1.12009.10.1.56
  A1700 2 Reentry TRUE     Typical pattern CD   54590-5 LA54-2 1.3.6.1.4.1.12009.10.1.56
  A1800   Entered from TRUE 99 - Other   Typical pattern CD   54591-3   1.3.6.1.4.1.12009.10.1.55
  A1800 1 Community (private home/apt., board/care, assisted living, group home) TRUE     Typical pattern CD   54591-3 LA10924-1 1.3.6.1.4.1.12009.10.1.55
  A1800 2 Another nursing home or swing bed TRUE     Typical pattern CD   54591-3 LA10925-8 1.3.6.1.4.1.12009.10.1.55
  A1800 3 Acute hospital TRUE     Typical pattern CD   54591-3 LA9928-8 1.3.6.1.4.1.12009.10.1.55
  A1800 4 Psychiatric hospital TRUE     Typical pattern CD   54591-3 LA10064-6 1.3.6.1.4.1.12009.10.1.55
  A1800 5 Inpatient rehabilitation facility TRUE     Typical pattern CD   54591-3 LA10928-2 1.3.6.1.4.1.12009.10.1.55
  A1800 6 MR/DD facility TRUE     Typical pattern CD   54591-3 LA10929-0 1.3.6.1.4.1.12009.10.1.55
  A1800 7 Hospice TRUE     Typical pattern CD   54591-3 LA6216-1 1.3.6.1.4.1.12009.10.1.55
  A2000   Discharge date TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A2100   Discharge status TRUE 99 - Other See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A2100 1 Community (private home/apt., board/care, assisted living, group home) TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A2100 2 Another nursing home or swing bed TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A2100 3 Acute hospital TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A2100 4 Psychiatric hospital TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A2100 5 Inpatient rehabilitation facility TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A2100 6 MR/DD facility TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A2100 7 Hospice TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A2100 8 Deceased TRUE   See CDA X-Path Mapping Table 6 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
  A2300   Assessment reference date TRUE     Other response data type pattern TS   54593-9    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
B     Hearing, Speech, and Vision N/A                
  B0100   Comatose TRUE 0 - No   Typical pattern CD   54597-0   1.3.6.1.4.1.12009.10.1.62
  B0100 1 Yes TRUE     Typical pattern CD   54597-0 LA33-6 1.3.6.1.4.1.12009.10.1.62
  B0200   Hearing TRUE     Typical pattern CD   54598-8   1.3.6.1.4.1.12009.10.1.53
  B0200 0 Adequate - no difficulty in normal conversation, social interaction, listening to TV TRUE     Typical pattern CD   54598-8 LA10941-5 1.3.6.1.4.1.12009.10.1.53
  B0200 1 Minimal difficulty - difficulty in some environments (e.g., when person speaks softly or setting is noisy) TRUE     Typical pattern CD   54598-8 LA10942-3 1.3.6.1.4.1.12009.10.1.53
  B0200 2 Moderate difficulty - speaker has to increase volume and speak distinctly TRUE     Typical pattern CD   54598-8 LA10943-1 1.3.6.1.4.1.12009.10.1.53
  B0200 3 Highly impaired - absence of useful hearing TRUE     Typical pattern CD   54598-8 LA10944-9 1.3.6.1.4.1.12009.10.1.53
  B0300   Hearing aid TRUE 0 - No   Typical pattern CD   54599-6   1.3.6.1.4.1.12009.10.1.62
  B0300 1 Yes TRUE     Typical pattern CD   54599-6 LA33-6 1.3.6.1.4.1.12009.10.1.62
  B0600   Speech clarity TRUE     Typical pattern CD   54600-2   1.3.6.1.4.1.12009.10.1.52
  B0600 0 Clear speech - distinct intelligible words TRUE     Typical pattern CD   54600-2 LA10945-6 1.3.6.1.4.1.12009.10.1.52
  B0600 1 Unclear speech - slurred or mumbled words TRUE     Typical pattern CD   54600-2 LA10946-4 1.3.6.1.4.1.12009.10.1.52
  B0600 2 No speech - absence of spoken words TRUE     Typical pattern CD   54600-2 LA10947-2 1.3.6.1.4.1.12009.10.1.52
  B0700   Makes self understood TRUE     Typical pattern CD   54601-0   1.3.6.1.4.1.12009.10.1.51
  B0700 0 Understood TRUE     Typical pattern CD   54601-0 LA71-6 1.3.6.1.4.1.12009.10.1.51
  B0700 1 Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time TRUE     Typical pattern CD   54601-0 LA10949-8 1.3.6.1.4.1.12009.10.1.51
  B0700 2 Sometimes understood - ability is limited to making concrete requests TRUE     Typical pattern CD   54601-0 LA10950-6 1.3.6.1.4.1.12009.10.1.51
  B0700 3 Rarely/never understood TRUE     Typical pattern CD   54601-0 LA74-0 1.3.6.1.4.1.12009.10.1.51
  B0800   Ability to understand others TRUE     Typical pattern CD   54602-8   1.3.6.1.4.1.12009.10.1.50
  B0800 0 Understands - clear comprehension TRUE     Typical pattern CD   54602-8 LA10952-2 1.3.6.1.4.1.12009.10.1.50
  B0800 1 Usually understands - misses some part/intent of message but comprehends most conversation TRUE     Typical pattern CD   54602-8 LA10953-0 1.3.6.1.4.1.12009.10.1.50
  B0800 2 Sometimes understands - responds adequately to simple, direct communication only TRUE     Typical pattern CD   54602-8 LA10954-8 1.3.6.1.4.1.12009.10.1.50
  B0800 3 Rarely/never understands TRUE     Typical pattern CD   54602-8 LA81-5 1.3.6.1.4.1.12009.10.1.50
  B1000   Vision TRUE     Typical pattern CD   54603-6   1.3.6.1.4.1.12009.10.1.49
  B1000 0 Adequate - sees fine detail, including regular print in newspapers/books TRUE     Typical pattern CD   54603-6 LA10956-3 1.3.6.1.4.1.12009.10.1.49
  B1000 1 Impaired - sees large print, but not regular print in newspapers/books TRUE     Typical pattern CD   54603-6 LA10957-1 1.3.6.1.4.1.12009.10.1.49
  B1000 2 Moderately Impaired - limited vision; not able to see newspaper headlines but can identify objects TRUE     Typical pattern CD   54603-6 LA10958-9 1.3.6.1.4.1.12009.10.1.49
  B1000 3 Highly impaired - object identification in question, but eyes appear to follow objects TRUE     Typical pattern CD   54603-6 LA10959-7 1.3.6.1.4.1.12009.10.1.49
  B1000 4 Severely impaired - no vision or sees only light, colors or shapes; eyes do not appear to follow objects TRUE     Typical pattern CD   54603-6 LA10960-5 1.3.6.1.4.1.12009.10.1.49
  B1200   Corrective lenses TRUE 0 - No   Typical pattern CD   54604-4   1.3.6.1.4.1.12009.10.1.62
  B1200 1 Yes TRUE     Typical pattern CD   54604-4 LA33-6 1.3.6.1.4.1.12009.10.1.62
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
C     Cognitive Patterns N/A                
  C0500   BIMS res interview: summary score TRUE     Other response data type pattern INT   54614-3    
  C0700   Staff asmt mental status: short-term memory OK TRUE     Typical pattern CD   54616-8   1.3.6.1.4.1.12009.10.1.42
  C0700 0 Memory OK TRUE     Typical pattern CD   54616-8 LA55-9 1.3.6.1.4.1.12009.10.1.42
  C0700 1 Memory problem TRUE     Typical pattern CD   54616-8 LA56-7 1.3.6.1.4.1.12009.10.1.42
  C0800   Staff asmt mental status: long-term memory OK TRUE     Typical pattern CD   54617-6   1.3.6.1.4.1.12009.10.1.42
  C0800 0 Memory OK TRUE     Typical pattern CD   54617-6 LA55-9 1.3.6.1.4.1.12009.10.1.42
  C0800 1 Memory problem TRUE     Typical pattern CD   54617-6 LA56-7 1.3.6.1.4.1.12009.10.1.42
  C0900A   Staff asmt mental status: recall current season TRUE     Multiple response pattern BL   54619-2    
  C0900B   Staff asmt mental status: recall location of room TRUE     Multiple response pattern BL   54620-0    
  C0900C   Staff asmt mental status: recall staff names/faces TRUE     Multiple response pattern BL   54621-8    
  C0900D   Staff asmt mental status: recall in nursing home TRUE     Multiple response pattern BL   54622-6    
  C1000   Cognitive skills for daily decision making TRUE     Typical pattern CD   54624-2   1.3.6.1.4.1.12009.10.1.41
  C1000 0 Independent - decisions consistent/reasonable TRUE     Typical pattern CD   54624-2 LA10985-2 1.3.6.1.4.1.12009.10.1.41
  C1000 1 Modified independence - some difficulty in new situations only TRUE     Typical pattern CD   54624-2 LA10986-0 1.3.6.1.4.1.12009.10.1.41
  C1000 2 Moderately impaired - decisions poor; cues/supervision required TRUE     Typical pattern CD   54624-2 LA10987-8 1.3.6.1.4.1.12009.10.1.41
  C1000 3 Severely impaired - never/rarely made decisions TRUE     Typical pattern CD   54624-2 LA10988-6 1.3.6.1.4.1.12009.10.1.41
  C1300A   Signs of delirium: inattention TRUE 0 - Behavior not present   Typical pattern CD   54628-3   1.3.6.1.4.1.12009.10.1.39
  C1300A 1 Behavior continuously present, does not fluctuate TRUE     Typical pattern CD   54628-3 LA11143-7 1.3.6.1.4.1.12009.10.1.39
  C1300A 2 Behavior present, fluctuates (comes and goes, changes in severity) TRUE     Typical pattern CD   54628-3 LA10993-6 1.3.6.1.4.1.12009.10.1.39
  C1300B   Signs of delirium: disorganized thinking TRUE 0 - Behavior not present   Typical pattern CD   54629-1   1.3.6.1.4.1.12009.10.1.39
  C1300B 1 Behavior continuously present, does not fluctuate TRUE     Typical pattern CD   54629-1 LA11143-7 1.3.6.1.4.1.12009.10.1.39
  C1300B 2 Behavior present, fluctuates (comes and goes, changes in severity) TRUE     Typical pattern CD   54629-1 LA10993-6 1.3.6.1.4.1.12009.10.1.39
  C1300C   Signs of delirium: altered level of consciousness TRUE 0 - Behavior not present   Typical pattern CD   54630-9   1.3.6.1.4.1.12009.10.1.39
  C1300C 1 Behavior continuously present, does not fluctuate TRUE     Typical pattern CD   54630-9 LA11143-7 1.3.6.1.4.1.12009.10.1.39
  C1300C 2 Behavior present, fluctuates (comes and goes, changes in severity) TRUE     Typical pattern CD   54630-9 LA10993-6 1.3.6.1.4.1.12009.10.1.39
  C1300D   Signs of delirium: psychomotor retardation TRUE 0 - Behavior not present   Typical pattern CD   54631-7   1.3.6.1.4.1.12009.10.1.39
  C1300D 1 Behavior continuously present, does not fluctuate TRUE     Typical pattern CD   54631-7 LA11143-7 1.3.6.1.4.1.12009.10.1.39
  C1300D 2 Behavior present, fluctuates (comes and goes, changes in severity) TRUE     Typical pattern CD   54631-7 LA10993-6 1.3.6.1.4.1.12009.10.1.39
  C1600   Acute onset mental status change TRUE 0 - No   Typical pattern CD   54632-5   1.3.6.1.4.1.12009.10.1.62
  C1600 1 Yes TRUE     Typical pattern CD   54632-5 LA33-6 1.3.6.1.4.1.12009.10.1.62
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
D     Mood N/A                
  D0300   PHQ res: total mood severity score TRUE     Other response data type pattern INT   54654-9    
  D0600   PHQ staff: total mood score TRUE     Other response data type pattern INT   54677-0    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
E     Behavior N/A                
  E0100A   Psychosis: hallucinations TRUE     Multiple response pattern BL   54678-8    
  E0100B   Psychosis: delusions TRUE     Multiple response pattern BL   54680-4    
  E0200A   Physical behav symptoms directed toward others TRUE 0 - Behavior not exhibited   Typical pattern CD   54682-0   1.3.6.1.4.1.12009.10.1.35
  E0200A 1 Behavior of this type occurred 1 to 3 days TRUE     Typical pattern CD   54682-0 LA11006-6 1.3.6.1.4.1.12009.10.1.35
  E0200A 2 Behavior of this type occurred 4 to 6 days, but less than daily TRUE     Typical pattern CD   54682-0 LA94-8 1.3.6.1.4.1.12009.10.1.35
  E0200A 3 Behavior of this type occurred daily TRUE     Typical pattern CD   54682-0 LA95-5 1.3.6.1.4.1.12009.10.1.35
  E0200B   Verbal behav symptoms directed toward others TRUE 0 - Behavior not exhibited   Typical pattern CD   54683-8   1.3.6.1.4.1.12009.10.1.35
  E0200B 1 Behavior of this type occurred 1 to 3 days TRUE     Typical pattern CD   54683-8 LA11006-6 1.3.6.1.4.1.12009.10.1.35
  E0200B 2 Behavior of this type occurred 4 to 6 days, but less than daily TRUE     Typical pattern CD   54683-8 LA94-8 1.3.6.1.4.1.12009.10.1.35
  E0200B 3 Behavior of this type occurred daily TRUE     Typical pattern CD   54683-8 LA95-5 1.3.6.1.4.1.12009.10.1.35
  E0200C   Other behav symptoms not directed toward others TRUE 0 - Behavior not exhibited   Typical pattern CD   54684-6   1.3.6.1.4.1.12009.10.1.35
  E0200C 1 Behavior of this type occurred 1 to 3 days TRUE     Typical pattern CD   54684-6 LA11006-6 1.3.6.1.4.1.12009.10.1.35
  E0200C 2 Behavior of this type occurred 4 to 6 days, but less than daily TRUE     Typical pattern CD   54684-6 LA94-8 1.3.6.1.4.1.12009.10.1.35
  E0200C 3 Behavior of this type occurred daily TRUE     Typical pattern CD   54684-6 LA95-5 1.3.6.1.4.1.12009.10.1.35
  E0500A   Behav symptoms put res at risk for illness/injury TRUE 0 - No   Typical pattern CD   54686-1   1.3.6.1.4.1.12009.10.1.62
  E0500A 1 Yes TRUE     Typical pattern CD   54686-1 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E0500B   Behav symptoms interfere with resident care TRUE 0 - No   Typical pattern CD   54687-9   1.3.6.1.4.1.12009.10.1.62
  E0500B 1 Yes TRUE     Typical pattern CD   54687-9 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E0500C   Behav symptoms interfere with social activities TRUE 0 - No   Typical pattern CD   54688-7   1.3.6.1.4.1.12009.10.1.62
  E0500C 1 Yes TRUE     Typical pattern CD   54688-7 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E0600A   Behav symptoms put others at risk for injury TRUE 0 - No   Typical pattern CD   54689-5   1.3.6.1.4.1.12009.10.1.62
  E0600A 1 Yes TRUE     Typical pattern CD   54689-5 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E0600B   Behav symptoms intrude on privacy of others TRUE 0 - No   Typical pattern CD   54690-3   1.3.6.1.4.1.12009.10.1.62
  E0600B 1 Yes TRUE     Typical pattern CD   54690-3 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E0600C   Behav symptoms disrupt care or living environment TRUE 0 - No   Typical pattern CD   54691-1   1.3.6.1.4.1.12009.10.1.62
  E0600C 1 Yes TRUE     Typical pattern CD   54691-1 LA33-6 1.3.6.1.4.1.12009.10.1.62
  E0800   Rejection of care: presence and frequency TRUE 0 - Behavior not exhibited   Typical pattern CD   54692-9   1.3.6.1.4.1.12009.10.1.35
  E0800 1 Behavior of this type occurred 1 to 3 days TRUE     Typical pattern CD   54692-9 LA11006-6 1.3.6.1.4.1.12009.10.1.35
  E0800 2 Behavior of this type occurred 4 to 6 days, but less than daily TRUE     Typical pattern CD   54692-9 LA94-8 1.3.6.1.4.1.12009.10.1.35
  E0800 3 Behavior of this type occurred daily TRUE     Typical pattern CD   54692-9 LA95-5 1.3.6.1.4.1.12009.10.1.35
  E0900   Wandering: presence and frequency TRUE 0 - Behavior not exhibited   Typical pattern CD   54693-7   1.3.6.1.4.1.12009.10.1.35
  E0900 1 Behavior of this type occurred 1 to 3 days TRUE     Typical pattern CD   54693-7 LA11006-6 1.3.6.1.4.1.12009.10.1.35
  E0900 2 Behavior of this type occurred 4 to 6 days, but less than daily TRUE     Typical pattern CD   54693-7 LA94-8 1.3.6.1.4.1.12009.10.1.35
  E0900 3 Behavior of this type occurred daily TRUE     Typical pattern CD   54693-7 LA95-5 1.3.6.1.4.1.12009.10.1.35
  E1100   Change in behavioral or other symptoms TRUE 0 - Same;
9 - N/A because no prior MDS assessment
  Typical pattern CD   54696-0   1.3.6.1.4.1.12009.10.1.34
  E1100 1 Improved TRUE     Typical pattern CD   54696-0 LA65-8 1.3.6.1.4.1.12009.10.1.34
  E1100 2 Worse TRUE     Typical pattern CD   54696-0 LA11011-6 1.3.6.1.4.1.12009.10.1.34
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
F     Preferences for Customary Routine and Activities N/A                
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
G     Functional Status N/A                
  G0110A1   Bed mobility: self-performance TRUE     Typical pattern CD   45588-1   1.3.6.1.4.1.12009.10.1.70
  G0110A1 0 Independent - no help or staff oversight at any time TRUE     Typical pattern CD   45588-1 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110A1 1 Supervision - oversight, encouragement or cueing TRUE     Typical pattern CD   45588-1 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110A1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE     Typical pattern CD   45588-1 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110A1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE     Typical pattern CD   45588-1 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110A1 4 Total dependence - full staff performance every time during entire 7-day period TRUE     Typical pattern CD   45588-1 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110A1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE     Typical pattern CD   45588-1 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110A1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE     Typical pattern CD   45588-1 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110B1   Transfer: self-performance TRUE     Typical pattern CD   45590-7   1.3.6.1.4.1.12009.10.1.70
  G0110B1 0 Independent - no help or staff oversight at any time TRUE     Typical pattern CD   45590-7 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110B1 1 Supervision - oversight, encouragement or cueing TRUE     Typical pattern CD   45590-7 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110B1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE     Typical pattern CD   45590-7 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110B1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE     Typical pattern CD   45590-7 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110B1 4 Total dependence - full staff performance every time during entire 7-day period TRUE     Typical pattern CD   45590-7 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110B1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE     Typical pattern CD   45590-7 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110B1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE     Typical pattern CD   45590-7 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110C1   Walk in room: self-performance TRUE     Typical pattern CD   45592-3   1.3.6.1.4.1.12009.10.1.70
  G0110C1 0 Independent - no help or staff oversight at any time TRUE     Typical pattern CD   45592-3 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110C1 1 Supervision - oversight, encouragement or cueing TRUE     Typical pattern CD   45592-3 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110C1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE     Typical pattern CD   45592-3 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110C1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE     Typical pattern CD   45592-3 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110C1 4 Total dependence - full staff performance every time during entire 7-day period TRUE     Typical pattern CD   45592-3 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110C1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE     Typical pattern CD   45592-3 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110C1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE     Typical pattern CD   45592-3 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110E1   Locomotion on unit: self-performance TRUE     Typical pattern CD   45596-4   1.3.6.1.4.1.12009.10.1.70
  G0110E1 0 Independent - no help or staff oversight at any time TRUE     Typical pattern CD   45596-4 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110E1 1 Supervision - oversight, encouragement or cueing TRUE     Typical pattern CD   45596-4 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110E1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE     Typical pattern CD   45596-4 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110E1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE     Typical pattern CD   45596-4 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110E1 4 Total dependence - full staff performance every time during entire 7-day period TRUE     Typical pattern CD   45596-4 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110E1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE     Typical pattern CD   45596-4 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110E1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE     Typical pattern CD   45596-4 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110H1   Eating: self-performance TRUE     Typical pattern CD   45602-0   1.3.6.1.4.1.12009.10.1.70
  G0110H1 0 Independent - no help or staff oversight at any time TRUE     Typical pattern CD   45602-0 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110H1 1 Supervision - oversight, encouragement or cueing TRUE     Typical pattern CD   45602-0 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110H1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE     Typical pattern CD   45602-0 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110H1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE     Typical pattern CD   45602-0 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110H1 4 Total dependence - full staff performance every time during entire 7-day period TRUE     Typical pattern CD   45602-0 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110H1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE     Typical pattern CD   45602-0 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110H1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE     Typical pattern CD   45602-0 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110I1   Toilet use: self-performance TRUE     Typical pattern CD   45604-6   1.3.6.1.4.1.12009.10.1.70
  G0110I1 0 Independent - no help or staff oversight at any time TRUE     Typical pattern CD   45604-6 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110I1 1 Supervision - oversight, encouragement or cueing TRUE     Typical pattern CD   45604-6 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110I1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE     Typical pattern CD   45604-6 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110I1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE     Typical pattern CD   45604-6 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110I1 4 Total dependence - full staff performance every time during entire 7-day period TRUE     Typical pattern CD   45604-6 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110I1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE     Typical pattern CD   45604-6 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110I1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE     Typical pattern CD   45604-6 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0110J1   Personal hygiene: self-performance TRUE     Typical pattern CD   45606-1   1.3.6.1.4.1.12009.10.1.70
  G0110J1 0 Independent - no help or staff oversight at any time TRUE     Typical pattern CD   45606-1 LA12637-7 1.3.6.1.4.1.12009.10.1.70
  G0110J1 1 Supervision - oversight, encouragement or cueing TRUE     Typical pattern CD   45606-1 LA12638-5 1.3.6.1.4.1.12009.10.1.70
  G0110J1 2 Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance TRUE     Typical pattern CD   45606-1 LA12639-3 1.3.6.1.4.1.12009.10.1.70
  G0110J1 3 Extensive assistance - resident involved in activity, staff provide weight-bearing support TRUE     Typical pattern CD   45606-1 LA12640-1 1.3.6.1.4.1.12009.10.1.70
  G0110J1 4 Total dependence - full staff performance every time during entire 7-day period TRUE     Typical pattern CD   45606-1 LA12641-9 1.3.6.1.4.1.12009.10.1.70
  G0110J1 7 Activity occurred only once or twice - activity did occur but only once or twice. TRUE     Typical pattern CD   45606-1 LA12642-7 1.3.6.1.4.1.12009.10.1.70
  G0110J1 8 Activity did not occur - activity (or any part of the ADL) was not performed by resident or staff at all over the entire 7-day period TRUE     Typical pattern CD   45606-1 LA12643-5 1.3.6.1.4.1.12009.10.1.70
  G0400A   ROM limitation: upper extremity TRUE 0 - No impairment   Typical pattern CD   54754-7   1.3.6.1.4.1.12009.10.1.36
  G0400A 1 Impairment on one side TRUE     Typical pattern CD   54754-7 LA11036-3 1.3.6.1.4.1.12009.10.1.36
  G0400A 2 Impairment on both sides TRUE     Typical pattern CD   54754-7 LA11037-1 1.3.6.1.4.1.12009.10.1.36
  G0400B   ROM limitation: lower extremity TRUE 0 - No impairment   Typical pattern CD   54755-4   1.3.6.1.4.1.12009.10.1.36
  G0400B 1 Impairment on one side TRUE     Typical pattern CD   54755-4 LA11036-3 1.3.6.1.4.1.12009.10.1.36
  G0400B 2 Impairment on both sides TRUE     Typical pattern CD   54755-4 LA11037-1 1.3.6.1.4.1.12009.10.1.36
  G0600A   Mobility devices: cane/crutch TRUE     Multiple response pattern BL   54756-2    
  G0600B   Mobility devices: walker TRUE     Multiple response pattern BL   54757-0    
  G0600C   Mobility devices: wheelchair (manual or electric) TRUE     Multiple response pattern BL   54758-8    
  G0600D   Mobility devices: limb prosthesis TRUE     Multiple response pattern BL   54759-6    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
H     Bladder and Bowel N/A                
  H0100A   Appliances: indwelling catheter TRUE     Multiple response pattern BL   54762-0    
  H0100B   Appliances: external catheter TRUE     Multiple response pattern BL   54763-8    
  H0100C   Appliances: ostomy TRUE     Multiple response pattern BL   54764-6    
  H0100D   Appliances: intermittent catheterization TRUE     Multiple response pattern BL   54765-3    
  H0200C   Urinary toileting program: current program/trial TRUE 0 - No   Typical pattern CD   54769-5   1.3.6.1.4.1.12009.10.1.62
  H0200C 1 Yes TRUE     Typical pattern CD   54769-5 LA33-6 1.3.6.1.4.1.12009.10.1.62
  H0300   Urinary continence TRUE     Typical pattern CD   54770-3   1.3.6.1.4.1.12009.10.1.29
  H0300 0 Always continent TRUE     Typical pattern CD   54770-3 LA11042-1 1.3.6.1.4.1.12009.10.1.29
  H0300 1 Occasionally incontinent (less than 7 episodes of incontinence) TRUE     Typical pattern CD   54770-3 LA11043-9 1.3.6.1.4.1.12009.10.1.29
  H0300 2 Frequently incontinent (7 or more episodes of urinary incontinence, but at least one episode of continent voiding) TRUE     Typical pattern CD   54770-3 LA11044-7 1.3.6.1.4.1.12009.10.1.29
  H0300 3 Always incontinent (no episodes of continent voiding) TRUE     Typical pattern CD   54770-3 LA11045-4 1.3.6.1.4.1.12009.10.1.29
  H0300 9 Not rated, resident had a catheter (indwelling, condom), urinary ostomy, or no urine output for entire 7 days TRUE     Typical pattern CD   54770-3 LA11046-2 1.3.6.1.4.1.12009.10.1.29
  H0400   Bowel continence TRUE     Typical pattern CD   54771-1    1.3.6.1.4.1.12009.10.1.28
  H0400 0 Always continent TRUE     Typical pattern CD   54771-1 LA11042-1 1.3.6.1.4.1.12009.10.1.28
  H0400 1 Occasionally incontinent (one episode of bowel incontinence) TRUE     Typical pattern CD   54771-1 LA11048-8 1.3.6.1.4.1.12009.10.1.28
  H0400 2 Frequently incontinent (2 or more episodes of bowel incontinence, but at least one continent bowel movement) TRUE     Typical pattern CD   54771-1 LA11049-6 1.3.6.1.4.1.12009.10.1.28
  H0400 3 Always incontinent (no episodes of continent bowel movements) TRUE     Typical pattern CD   54771-1 LA11050-4 1.3.6.1.4.1.12009.10.1.28
  H0400 9 Not rated, resident had an ostomy or did not have a bowel movement for the entire 7 days TRUE     Typical pattern CD   54771-1 LA11051-2 1.3.6.1.4.1.12009.10.1.28
  H0500   Bowel toileting program being used TRUE 0 - No   Typical pattern CD   54772-9   1.3.6.1.4.1.12009.10.1.62
  H0500 1 Yes TRUE     Typical pattern CD   54772-9 LA33-6 1.3.6.1.4.1.12009.10.1.62
  H0600   Constipation TRUE 0 - No   Typical pattern CD   54773-7   1.3.6.1.4.1.12009.10.1.62
  H0600 1 Yes TRUE     Typical pattern CD   54773-7 LA33-6 1.3.6.1.4.1.12009.10.1.62
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
I     Active Disease Diagnosis N/A                
  I0100   Cancer (with or without metastasis) TRUE     Multiple response pattern BL   54774-5    
  I0200   Anemia TRUE     Multiple response pattern BL   54775-2    
  I0300   Atrial fibrillation and other dysrhythmias TRUE     Multiple response pattern BL   54776-0    
  I0400   Coronary artery disease (CAD) TRUE     Multiple response pattern BL   54777-8    
  I0500   Deep venous thrombosis (DVT), PE, or PTE TRUE     Multiple response pattern BL   54778-6    
  I0600   Heart failure TRUE     Multiple response pattern BL   54779-4    
  I0700   Hypertension TRUE     Multiple response pattern BL   54780-2    
  I0800   Orthostatic hypotension TRUE     Multiple response pattern BL   54781-0    
  I0900   Peripheral vascular disease (PVD) or PAD TRUE     Multiple response pattern BL   54782-8    
  I1100   Cirrhosis TRUE     Multiple response pattern BL   54783-6    
  I1200   Gastroesophageal reflux disease (GERD) or ulcer TRUE     Multiple response pattern BL   54784-4    
  I1300   Ulcerative colitis, Crohn’s, inflam bowel disease TRUE     Multiple response pattern BL   54785-1    
  I1400   Benign prostatic hyperplasia (BPH) TRUE     Multiple response pattern BL   54786-9    
  I1500   Renal insufficiency, renal failure, ESRD TRUE     Multiple response pattern BL   54787-7    
  I1550   Neurogenic bladder TRUE     Multiple response pattern BL   58111-6    
  I1650   Obstructive uropathy TRUE     Multiple response pattern BL   58112-4    
  I1700   Multidrug resistant organism (MDRO) TRUE     Multiple response pattern BL   58109-0    
  I2000   Pneumonia TRUE     Multiple response pattern BL   54790-1    
  I2100   Septicemia TRUE     Multiple response pattern BL   54791-9    
  I2200   Tuberculosis TRUE     Multiple response pattern BL   54792-7    
  I2300   Urinary tract infection (UTI) (LAST 30 DAYS) TRUE     Multiple response pattern BL   54793-5    
  I2400   Viral hepatitis (includes type A, B, C, D, and E) TRUE     Multiple response pattern BL   54794-3    
  I2500   Wound infection (other than foot) TRUE     Multiple response pattern BL   54965-9    
  I2900   Diabetes mellitus (DM) TRUE     Multiple response pattern BL   54795-0    
  I3100   Hyponatremia TRUE     Multiple response pattern BL   54796-8    
  I3200   Hyperkalemia TRUE     Multiple response pattern BL   54797-6    
  I3300   Hyperlipidemia (e.g.,  hypercholesterolemia) TRUE     Multiple response pattern BL   54798-4    
  I3400   Thyroid disorder TRUE     Multiple response pattern BL   54799-2    
  I3700   Arthritis TRUE     Multiple response pattern BL   54800-8    
  I3800   Osteoporosis TRUE     Multiple response pattern BL   54801-6    
  I3900   Hip fracture TRUE     Multiple response pattern BL   54802-4    
  I4000   Other fracture TRUE     Multiple response pattern BL   54803-2    
  I4200   Alzheimer's disease TRUE     Multiple response pattern BL   54804-0    
  I4300   Aphasia TRUE     Multiple response pattern BL   54805-7    
  I4400   Cerebral palsy TRUE     Multiple response pattern BL   54806-5    
  I4500   Cerebrovascular accident (CVA), TIA, or stroke TRUE     Multiple response pattern BL   54807-3    
  I4800   Dementia TRUE     Multiple response pattern BL   54808-1    
  I4900   Hemiplegia or hemiparesis TRUE     Multiple response pattern BL   54809-9    
  I5000   Paraplegia TRUE     Multiple response pattern BL   54810-7    
  I5100   Quadriplegia TRUE     Multiple response pattern BL   54811-5    
  I5200   Multiple sclerosis TRUE     Multiple response pattern BL   54812-3    
  I5250   Huntington's disease TRUE     Multiple response pattern BL   58113-2    
  I5300   Parkinson's disease TRUE     Multiple response pattern BL   54813-1    
  I5350   Tourette's syndrome TRUE     Multiple response pattern BL   58114-0    
  I5400   Seizure disorder or epilepsy TRUE     Multiple response pattern BL   54814-9    
  I5500   Traumatic brain injury (TBI) TRUE     Multiple response pattern BL   54815-6    
  I5600   Malnutrition (protein, calorie), risk of malnutrit TRUE     Multiple response pattern BL   54816-4    
  I5700   Anxiety disorder TRUE     Multiple response pattern BL    54817-2    
  I5800   Depression (other than bipolar) TRUE     Multiple response pattern BL   54818-0    
  I5900   Manic depression (bipolar disease) TRUE     Multiple response pattern BL   54819-8    
  I5950   Psychotic disorder (other than schizophrenia) TRUE     Multiple response pattern BL   58115-7    
  I6000   Schizophrenia TRUE     Multiple response pattern BL   54820-6    
  I6100   Post-traumatic stress disorder (PTSD) TRUE     Multiple response pattern BL   54821-4    
  I6200   Asthma (COPD) or chronic lung disease TRUE     Multiple response pattern BL   54822-2    
  I6300   Respiratory failure TRUE     Multiple response pattern BL   58116-5    
  I6500   Cataracts, glaucoma, or macular degeneration TRUE     Multiple response pattern BL   54823-0    
  I8000A   Additional active ICD diagnosis 1 TRUE     Other response data type pattern CD   54546-7    
  I8000B   Additional active ICD diagnosis 2 TRUE     Other response data type pattern CD   54547-5    
  I8000C   Additional active ICD diagnosis 3 TRUE     Other response data type pattern CD   54548-3    
  I8000D   Additional active ICD diagnosis 4 TRUE     Other response data type pattern CD   54549-1    
  I8000E   Additional active ICD diagnosis 5 TRUE     Other response data type pattern CD   54550-9    
  I8000F   Additional active ICD diagnosis 6 TRUE     Other response data type pattern CD   54551-7    
  I8000G   Additional active ICD diagnosis 7 TRUE     Other response data type pattern CD   54552-5    
  I8000H   Additional active ICD diagnosis 8 TRUE     Other response data type pattern CD   54553-3    
  I8000I   Additional active ICD diagnosis 9 TRUE     Other response data type pattern CD   54554-1    
  I8000J   Additional active ICD diagnosis 10 TRUE     Other response data type pattern CD   54555-8    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
J     Health Conditions N/A                
  J0100A   Pain: been on scheduled pain med regimen TRUE 0 - No   Typical pattern CD   54825-5   1.3.6.1.4.1.12009.10.1.62
  J0100A 1 Yes TRUE     Typical pattern CD   54825-5 LA33-6 1.3.6.1.4.1.12009.10.1.62
  J0400   Res pain interview: frequency TRUE 9 - Unable to answer   Typical pattern CD   54830-5   1.3.6.1.4.1.12009.10.1.26
  J0400 1 Almost constantly TRUE     Typical pattern CD   54830-5 LA11055-3 1.3.6.1.4.1.12009.10.1.26
  J0400 2 Frequently TRUE     Typical pattern CD   54830-5 LA6482-9 1.3.6.1.4.1.12009.10.1.26
  J0400 3 Occasionally TRUE     Typical pattern CD   54830-5 LA6483-7 1.3.6.1.4.1.12009.10.1.26
  J0400 4 Rarely TRUE     Typical pattern CD   54830-5 LA10066-1 1.3.6.1.4.1.12009.10.1.26
  J0600A   Res pain interview: intensity rating scale TRUE     Other response data type pattern INT   54833-9    
  J0600B   Res pain interview: verbal descriptor scale TRUE 9 - Unable to answer   Typical pattern CD   54834-7   1.3.6.1.4.1.12009.10.1.25
  J0600B 1 Mild TRUE     Typical pattern CD   54834-7 LA6752-5 1.3.6.1.4.1.12009.10.1.25
  J0600B 2 Moderate TRUE     Typical pattern CD   54834-7 LA6751-7 1.3.6.1.4.1.12009.10.1.25
  J0600B 3 Severe TRUE     Typical pattern CD   54834-7 LA6750-9 1.3.6.1.4.1.12009.10.1.25
  J0600B 4 Very severe, horrible TRUE     Typical pattern CD   54834-7 LA11063-7 1.3.6.1.4.1.12009.10.1.25
  J1100A   Short breath/trouble breathing: with exertion TRUE     Multiple response pattern BL   54841-2    
  J1100B   Short breath/trouble breathing: sitting at rest TRUE     Multiple response pattern BL   54842-0    
  J1100C   Short breath/trouble breathing: lying flat TRUE     Multiple response pattern BL   54843-8    
  J1300   Current tobacco use TRUE 0 - No   Typical pattern CD   54845-3   1.3.6.1.4.1.12009.10.1.62
  J1300 1 Yes TRUE     Typical pattern CD   54845-3 LA33-6 1.3.6.1.4.1.12009.10.1.62
  J1400   Prognosis: life expectancy of less than 6 months TRUE 0 - No   Typical pattern CD   54846-1   1.3.6.1.4.1.12009.10.1.62
  J1400 1 Yes TRUE     Typical pattern CD   54846-1 LA33-6 1.3.6.1.4.1.12009.10.1.62
  J1700A   Fall history: fall during month before admission TRUE 0 - No;
9 - Unable to determine
  Typical pattern CD   54850-3   1.3.6.1.4.1.12009.10.1.27
  J1700A 1 Yes TRUE     Typical pattern CD   54850-3 LA33-6 1.3.6.1.4.1.12009.10.1.27
  J1700B   Fall history: fall 2-6 months before admission TRUE 0 - No;
9 - Unable to determine
  Typical pattern CD   54851-1   1.3.6.1.4.1.12009.10.1.27
  J1700B 1 Yes TRUE     Typical pattern CD   54851-1 LA33-6 1.3.6.1.4.1.12009.10.1.27
  J1700C   Fall history: fracture from fall 6 month pre admit TRUE 0 - No;
9 - Unable to determine
  Typical pattern CD   54852-9   1.3.6.1.4.1.12009.10.1.27
  J1700C 1 Yes TRUE     Typical pattern CD   54852-9 LA33-6 1.3.6.1.4.1.12009.10.1.27
  J1800   Falls since admit/prior asmt: any falls TRUE 0 - No   Typical pattern CD   54853-7   1.3.6.1.4.1.12009.10.1.62
  J1800 1 Yes TRUE     Typical pattern CD   54853-7 LA33-6 1.3.6.1.4.1.12009.10.1.62
  J1900B   Falls since admit/prior asmt: injury (not major) TRUE 0 - None   Typical pattern CD   54856-0   1.3.6.1.4.1.12009.10.1.22
  J1900B 1 One TRUE     Typical pattern CD   54856-0 LA6306-0 1.3.6.1.4.1.12009.10.1.22
  J1900B 2 Two or more TRUE     Typical pattern CD   54856-0 LA11073-6 1.3.6.1.4.1.12009.10.1.22
  J1900C   Falls since admit/prior asmt: major injury TRUE 0 - None   Typical pattern CD   54857-8   1.3.6.1.4.1.12009.10.1.22
  J1900C 1 One TRUE     Typical pattern CD   54857-8 LA6306-0 1.3.6.1.4.1.12009.10.1.22
  J1900C 2 Two or more TRUE     Typical pattern CD   54857-8 LA11073-6 1.3.6.1.4.1.12009.10.1.22
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
K     Swallowing/Nutritional Status N/A                
  K0100A   Swallow disorder: loss liquids/solids from mouth TRUE     Multiple response pattern BL   54858-6    
  K0100B   Swallow disorder: holds food in mouth/cheeks TRUE     Multiple response pattern BL   54859-4    
  K0100C   Swallow disorder: cough/choke with meals/meds TRUE     Multiple response pattern BL   54860-2    
  K0100D   Swallow disorder: difficulty or pain swallowing TRUE     Multiple response pattern BL   54861-0    
  K0200A   Height (in inches) TRUE     Other response data type pattern PQ [in_i] 3137-7    
  K0200B   Weight (in pounds) TRUE     Other response data type pattern PQ [lb_av] 3141-9    
  K0300   Weight loss TRUE 0 - No, or unknown   Typical pattern CD   54863-6   1.3.6.1.4.1.12009.10.1.21
  K0300 1 Yes, on physician - prescribed weight - loss regimen TRUE     Typical pattern CD   54863-6 LA11075-1 1.3.6.1.4.1.12009.10.1.21
  K0300 2 Yes, not on physician - prescribed weight - loss regimen TRUE     Typical pattern CD   54863-6 LA11076-9 1.3.6.1.4.1.12009.10.1.21
  K0500A   Nutritional approaches: parenteral /IV feeding TRUE     Multiple response pattern BL   54864-4    
  K0500B   Nutritional approaches: feeding tube TRUE     Multiple response pattern BL   54865-1    
  K0500C   Nutritional approaches: mechanically altered diet TRUE     Multiple response pattern BL   54866-9    
  K0500D   Nutritional approaches: therapeutic diet TRUE     Multiple response pattern BL   54867-7    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
L     Oral/Dental Status N/A                
  L0200A   Dental: broken or loosely fitting denture TRUE     Multiple response pattern BL   54871-9    
  L0200B   Dental: no natural teeth or tooth fragment(s) TRUE     Multiple response pattern BL   54872-7    
  L0200C   Dental: abnormal mouth tissue TRUE     Multiple response pattern BL   54873-5    
  L0200D   Dental: cavity or broken natural teeth TRUE     Multiple response pattern BL   54874-3    
  L0200E   Dental: inflamed/bleeding gums or loose teeth TRUE     Multiple response pattern BL   54875-0    
  L0200F   Dental: pain, discomfort, difficulty chewing TRUE     Multiple response pattern BL   54876-8    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
M     Skin Conditions N/A                
  M0150   Is resident at risk of developing pressure ulcer TRUE 0 - No   Typical pattern CD   54882-6   1.3.6.1.4.1.12009.10.1.62
  M0150 1 Yes TRUE     Typical pattern CD   54882-6 LA33-6 1.3.6.1.4.1.12009.10.1.62
  M0210   Resident has Stage 1 or higher pressure ulcers TRUE 0 - No   Typical pattern CD   58214-8   1.3.6.1.4.1.12009.10.1.62
  M0210 1 Yes TRUE     Typical pattern CD   58214-8 LA33-6 1.3.6.1.4.1.12009.10.1.62
  M0300A   Stage 1 pressure ulcers: number present TRUE 0   Other response data type pattern INT   54884-2    
  M0300B1   Stage 2 pressure ulcers: number present TRUE 0   Other response data type pattern INT   55124-2    
  M0300B2   Stage 2 pressure ulcers: number at admit/reentry TRUE 0   Other response data type pattern INT   54886-7    
  M0300B3   Stage 2 pressure ulcers: date of oldest TRUE     Other response data type pattern TS   58123-1    
  M0300C1   Stage 3 pressure ulcers: number present TRUE 0   Other response data type pattern INT   55125-9    
  M0300C2   Stage 3 pressure ulcers: number at admit/reentry TRUE 0   Other response data type pattern INT   54887-5    
  M0300D1   Stage 4 pressure ulcers: number present TRUE 0   Other response data type pattern INT   55126-7    
  M0300D2   Stage 4 pressure ulcers: number at admit/reentry TRUE 0   Other response data type pattern INT   54890-9    
  M0300E1   Unstaged due to dressing: number present TRUE 0   Other response data type pattern INT   54893-3    
  M0300E2   Unstaged due to dressing: number at admit/reentry TRUE 0   Other response data type pattern INT   54894-1    
  M0300F1   Unstaged slough/eschar: number present TRUE 0   Other response data type pattern INT   54946-9    
  M0300F2   Unstaged slough/eschar: number at admit/reentry TRUE 0   Other response data type pattern INT   54947-7    
  M0300G1   Unstageable - deep tissue: number present TRUE 0   Other response data type pattern INT   54950-1    
  M0300G2   Unstageable - deep tissue: number at admit/reentry TRUE 0   Other response data type pattern INT   54951-9    
  M0610A   Stage 3 or 4 pressure ulcer longest length TRUE     Other response data type pattern PQ cm 52728-3    
  M0610B   Stage 3 or 4 pressure ulcer width (same ulcer) TRUE     Other response data type pattern PQ cm 52729-1    
  M0610C   Stage 3 or 4 pressure ulcer depth (same ulcer) TRUE     Other response data type pattern PQ cm 57228-9    
  M0800A   Worsened since prior asmt: Stage 2 pressure ulcers TRUE 0   Other response data type pattern INT   54953-5    
  M0800B   Worsened since prior asmt: Stage 3 pressure ulcers TRUE 0   Other response data type pattern INT   54954-3    
  M0800C   Worsened since prior asmt: Stage 4 pressure ulcers TRUE 0   Other response data type pattern INT   54955-0    
  M1030   Number of venous and arterial ulcers TRUE 0   Other response data type pattern INT   54970-9    
  M1040A   Other skin probs: infection of the foot TRUE     Multiple response pattern BL   58228-8    
  M1040B   Other skin probs: diabetic foot ulcer(s) TRUE     Multiple response pattern BL   54963-4    
  M1040C   Other skin probs: other open lesion(s) on the foot TRUE     Multiple response pattern BL   58125-6    
  M1040D   Other skin probs: lesions not ulcers, rashes, cuts TRUE     Multiple response pattern BL   54967-5    
  M1040E   Other skin probs: surgical wound(s) TRUE     Multiple response pattern BL   54966-7    
  M1040F   Other skin probs: burn(s) (second or third degree) TRUE     Multiple response pattern BL   54968-3    
  M1200A   Skin/ulcer treat: pressure reduce device for chair TRUE     Multiple response pattern BL   54972-5    
  M1200B   Skin/ulcer treat: pressure reducing device for bed TRUE     Multiple response pattern BL   54973-3    
  M1200C   Skin/ulcer treat: turning/repositioning TRUE     Multiple response pattern BL   54974-1    
  M1200D   Skin/ulcer treat: nutrition/hydration TRUE     Multiple response pattern BL   54975-8    
  M1200E   Skin/ulcer treat: ulcer care TRUE     Multiple response pattern BL   54976-6    
  M1200F   Skin/ulcer treat: surgical wound care TRUE     Multiple response pattern BL   54977-4    
  M1200G   Skin/ulcer treat: application of dressings TRUE     Multiple response pattern BL   54978-2    
  M1200H   Skin/ulcer treat: apply ointments/medications TRUE     Multiple response pattern BL   54979-0    
  M1200I   Skin/ulcer treat: apply dressings to feet TRUE     Multiple response pattern BL   54980-8    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
N     Medications N/A                
  N0350A   Insulin: insulin injections TRUE     Other response data type pattern PQ d 58127-2    
  N0400A   Medications: antipsychotic TRUE     Multiple response pattern BL   54984-0    
  N0400B   Medications: antianxiety TRUE     Multiple response pattern BL   54985-7    
  N0400C   Medications: antidepressant TRUE     Multiple response pattern BL   54986-5    
  N0400D   Medications: hypnotic TRUE     Multiple response pattern BL   54987-3    
  N0400E   Medications: anticoagulant TRUE     Multiple response pattern BL   54988-1    
  N0400F   Medications: antibiotic TRUE     Multiple response pattern BL   58129-8    
  N0400G   Medications: diuretic TRUE     Multiple response pattern BL   58130-6    
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
O     Special Treatments and Procedures N/A                
  O0100A2   Treatment: chemotherapy - while resident TRUE     Multiple response pattern BL   54993-1    
  O0100B2   Treatment: radiation - while resident TRUE     Multiple response pattern BL   54995-6    
  O0100C2   Treatment: oxygen therapy - while resident TRUE     Multiple response pattern BL   54997-2    
  O0100D2   Treatment: suctioning - while resident TRUE     Multiple response pattern BL   54999-8    
  O0100E2   Treatment: tracheostomy care - while resident TRUE     Multiple response pattern BL   55001-2    
  O0100F2   Treatment: vent/respirator - while resident TRUE     Multiple response pattern BL   55003-8    
  O0100G2   Treatment: BIPAP/CPAP - while resident TRUE     Multiple response pattern BL   55005-3    
  O0100H2   Treatment: IV medications - while resident TRUE     Multiple response pattern BL   55007-9    
  O0100I2   Treatment: transfusions - while resident TRUE     Multiple response pattern BL   55009-5    
  O0100J2   Treatment: dialysis - while resident TRUE     Multiple response pattern BL   55011-1    
  O0100K2   Treatment: hospice care - while resident TRUE     Multiple response pattern BL   55013-7    
  O0100L2   Treatment: respite care - while resident TRUE     Multiple response pattern BL   55015-2    
  O0100M2   Treatment: isolate/quarantine - while resident TRUE     Multiple response pattern BL   55017-8    
  O0250A   Was influenza vaccine received TRUE     Typical pattern CD   55019-4   1.3.6.1.4.1.12009.10.1.62
  O0250A 0 No TRUE     Typical pattern CD   55019-4 LA32-8 1.3.6.1.4.1.12009.10.1.62
  O0250A 1 Yes TRUE     Typical pattern CD   55019-4 LA33-6 1.3.6.1.4.1.12009.10.1.62
  O0250B   Date influenza vaccine received. TRUE     Other response data type pattern TS   58131-4    
  O0250C   If influenza vaccine not received, state reason TRUE 9 - None of the above   Typical pattern CD   55020-2   1.3.6.1.4.1.12009.10.1.16
  O0250C 1 Resident not in facility during this year's flu season TRUE     Typical pattern CD   55020-2 LA12666-6 1.3.6.1.4.1.12009.10.1.16
  O0250C 2 Received outside of this facility TRUE     Typical pattern CD   55020-2 LA184-4 1.3.6.1.4.1.12009.10.1.16
  O0250C 3 Not eligible - medical contraindication TRUE     Typical pattern CD   55020-2 LA11091-8 1.3.6.1.4.1.12009.10.1.16
  O0250C 4 Offered and declined TRUE     Typical pattern CD   55020-2 LA186-9 1.3.6.1.4.1.12009.10.1.16
  O0250C 5 Not offered TRUE     Typical pattern CD   55020-2 LA187-7 1.3.6.1.4.1.12009.10.1.16
  O0250C 6 Inability to obtain vaccine due to a declared shortage TRUE     Typical pattern CD   55020-2 LA12156-8 1.3.6.1.4.1.12009.10.1.16
  O0300A   Is pneumococcal vaccination up to date TRUE     Typical pattern CD   55022-8   1.3.6.1.4.1.12009.10.1.62
  O0300A 0 No TRUE     Typical pattern CD   55022-8 LA32-8 1.3.6.1.4.1.12009.10.1.62
  O0300A 1 Yes TRUE     Typical pattern CD   55022-8 LA33-6 1.3.6.1.4.1.12009.10.1.62
  O0300B   If pneumococcal vacc not received, state reason TRUE     Typical pattern CD   55023-6   1.3.6.1.4.1.12009.10.1.15
  O0300B 1 Not eligible - medical contraindication TRUE     Typical pattern CD   55023-6 LA11091-8 1.3.6.1.4.1.12009.10.1.15
  O0300B 2 Offered and declined TRUE     Typical pattern CD   55023-6 LA186-9 1.3.6.1.4.1.12009.10.1.15
  O0300B 3 Not offered TRUE     Typical pattern CD   55023-6 LA187-7 1.3.6.1.4.1.12009.10.1.15
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
P     Restraints N/A                
  P0100A   Restraints used in bed: bed rail TRUE 0 - Not used   Typical pattern CD   55044-2   1.3.6.1.4.1.12009.10.1.63
  P0100A 1 Used less than daily TRUE     Typical pattern CD   55044-2 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100A 2 Used daily TRUE     Typical pattern CD   55044-2 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100B   Restraints used in bed: trunk restraint TRUE 0 - Not used   Typical pattern CD   55045-9   1.3.6.1.4.1.12009.10.1.63
  P0100B 1 Used less than daily TRUE     Typical pattern CD   55045-9 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100B 2 Used daily TRUE     Typical pattern CD   55045-9 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100C   Restraints used in bed: limb restraint TRUE 0 - Not used   Typical pattern CD   55046-7   1.3.6.1.4.1.12009.10.1.63
  P0100C 1 Used less than daily TRUE     Typical pattern CD   55046-7 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100C 2 Used daily TRUE     Typical pattern CD   55046-7 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100D   Restraints used in bed: other TRUE 0 - Not used   Typical pattern CD   55047-5   1.3.6.1.4.1.12009.10.1.63
  P0100D 1 Used less than daily TRUE     Typical pattern CD   55047-5 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100D 2 Used daily TRUE     Typical pattern CD   55047-5 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100E   Restraints in chair/out of bed: trunk restraint TRUE 0 - Not used   Typical pattern CD   55048-3   1.3.6.1.4.1.12009.10.1.63
  P0100E 1 Used less than daily TRUE     Typical pattern CD   55048-3 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100E 2 Used daily TRUE     Typical pattern CD   55048-3 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100F   Restraints in chair/out of bed: limb restraint TRUE 0 - Not used   Typical pattern CD   55049-1   1.3.6.1.4.1.12009.10.1.63
  P0100F 1 Used less than daily TRUE     Typical pattern CD   55049-1 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100F 2 Used daily TRUE     Typical pattern CD   55049-1 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100G   Restraints in chair/out of bed: chair stops rising TRUE 0 - Not used   Typical pattern CD   55050-9   1.3.6.1.4.1.12009.10.1.63
  P0100G 1 Used less than daily TRUE     Typical pattern CD   55050-9 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100G 2 Used daily TRUE     Typical pattern CD   55050-9 LA159-6 1.3.6.1.4.1.12009.10.1.63
  P0100H   Restraints in chair/out of bed: other TRUE 0 - Not used   Typical pattern CD   55051-7   1.3.6.1.4.1.12009.10.1.63
  P0100H 1 Used less than daily TRUE     Typical pattern CD   55051-7 LA158-8 1.3.6.1.4.1.12009.10.1.63
  P0100H 2 Used daily TRUE     Typical pattern CD   55051-7 LA159-6 1.3.6.1.4.1.12009.10.1.63
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
Q     Participation in Assessment and Goal Setting N/A                
  Q0400B   Determination regarding discharge to community TRUE     Typical pattern CD   58147-0   1.3.6.1.4.1.12009.10.1.74
  Q0400B 0 Determination not made TRUE     Typical pattern CD   58147-0 LA12653-4 1.3.6.1.4.1.12009.10.1.74
  Q0400B 1 Discharge to community determined to be feasible TRUE     Typical pattern CD   58147-0 LA12654-2 1.3.6.1.4.1.12009.10.1.74
  Q0400B 2 Discharge to community determined to be not feasible TRUE     Typical pattern CD   58147-0 LA12655-9 1.3.6.1.4.1.12009.10.1.74
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
T     Therapy Supplement for Medicare PPS N/A                
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
V       N/A                
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
X       N/A                
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
Z     Assessment Administration N/A                
  Z0500B   Date RN signed assessment as complete TRUE   See CDA X-Path Mapping Table 27 Implementation Guide for CDA R2 - CDA Framework/MDS Questionnaire Assessment DSTU, Update Release 2.0 (April 21, 2010)            
Section CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary General Guidance Pattern Data Type Units LOINC Question Code LOINC Answer Code LOINC Answer Set OID
OTHER       N/A                

Appendix L: OASIS Assessment Summary Rosetta Stone

Overview Of Project: Engaging Post-acute And Long-term Care Providers In Health Information Exchange Activities

National policy promotes the use of health information technology (HIT) to advance health care delivery, payment and outcomes. Long-term and post-acute care (LTPAC) providers are a vital part of the health care system, but have not been included to date in federal incentives to promote adoption of HIT and electronic exchange of health information.

Nationally, there are approximately:

  • 16,000 nursing homes providing services to over 2 million individuals on an annual basis; and
  • 9,000 home health agencies providing services to over 3 million individuals on an annual basis.

The Centers for Medicare and Medicaid Services (CMS) requires Medicare and/or Medicaid participating providers to complete and electronically submit on a routine schedule:

  • The Minimum Data Set (MDS) 3.0 assessment instrument for each resident of a nursing home participating in Medicare and/or Medicaid; and
  • The Outcome and Assessment Information Set (OASIS) for each Medicare or Medicaid client of a home health agency over the age of 18 receiving skilled services.

The MDS and OASIS offer feasible entrance points for nursing home and home health agency providers to participate in health information exchange activities and develop awareness of the need for full interoperability. Two benefits of this approach are that it uses existing capabilities and would engage the majority of LTPAC providers. Once engaged, LTPAC stakeholders can then focus on building and using the technical infrastructure to support more sophisticated types of information exchange and sharing.

The Office of the Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health and Human Services (HHS) has contracted with the American Health Information Management Association (AHIMA) Foundation seeking to advance the interoperable use of HIT and electronic health records by LTPAC providers by leveraging federal requirements for the electronic submission of patient assessment instruments. The project required the identification and application of HIT standards to the MDS and OASIS instruments and identifying issues to consider to supportthe wide spread use of interoperable patient assessment instruments and supported the re-use and exchange of standardized assessment content in patient assessment summary documents. This study has developed several tools, to facilitate the application, widespread, and dissemination of content standards related to the MDS or OASIS assessment instrument.

Toolkit Overview Of OASIS Patient Assessment Summary For Health Information Exchange

The Toolkit: OASIS Patient Assessment Summary for Health Information Exchange was designed for ASPE/HHS as a tool to facilitate inclusion of home health data in health information exchange (HIE) activities.

CMS requires that the OASIS assessment instrument be completed on a routine schedule for each Medicare or Medicaid client of a home health agency over the age of 18 receiving skilled services. Nationally, there are approximately 9,200 Medicare and/or Medicaid home health agencies providing services to over 3 million individuals on an annual basis. This toolkit helps HIEs to tap this well-spring of information on a population with numerous encounters and contacts with acute care and ambulatory providers by:

  1. Identifying a subset of OASIS data items of highest value to clinicians providing services across the continuum of care.

  2. Mapping the subset of OASIS data items to:

    1. Healthcare Information Technology Standards Panel (HITSP) C32, Health Level 7 (HL7) Continuity of Care Document (CCD) and HL7 Clinical Document Architecture (CDA) requirements.
    2. Logical Observation Identifiers Names and Codes (LOINC) expressing OASIS concepts in a one-to-one exact representation using a standardized, computable terminology.
    3. Systematized Nomenclature of Medicine-Clinical Terms (SNOMED-CT) codes expressing OASIS concepts in a “best available” representation using a standardized, computable terminology.
OASIS Patient Assessment Summary for Health Information Exchange -- Content*
Tab 2   Toolkit Overview This tab presents a description of the Toolkit: OASIS-C Patient Assessment Summary for Health Information Exchange.
Tab 3 CCD Sequence -- OASIS Summary Items Using the CCD section assigned by the project team as the primary sort order, this tab presents OASIS Patient Assessment Summary questions and answers (based on the CMS OASIS data specifications v2.00, Revision 3, October 2009) and corresponding HITSP, HL7 CCD and HL7 CDA requirements. Content of this tab is listed below.
Note: Due to limitations of the OASIS data specifications, several “question” rows have been added to better represent OASIS question/answer pairs and to facilitate formatting in a CDA-based message. These added rows are identified by the use of italicized textfor the description of the question.
  • Column A: CCD section as assigned by the project team. This column is the primary sort order for the tab.
  • Columns B - D: OASIS question and answer ID numbers and descriptions based on CMS data specifications v2.00, Revision 3, October 2009.
    Column B = CMS Question ID for each OASIS Summary data item
    Column C = CMS Answer ID for each OASIS Summary data item
    Column D = CMS Description for each OASIS Summary data item
    Note: This tab has been filtered to display only the OASIS Patient Assessment questions or “check all that apply” listings. Responses to question have been filtered from this view since analysis against HITSP specifications was conducted at the question/check list level.
  • Columns E - I: Contain internal tracking/comments regarding review teams evaluation of the appropriateness of OASIS questions/answers for the OASIS Patient Assessment Summary. These columns track the review process for selection of Patient Assessment Summary items and have been hidden for normal viewing of this tab.
  • Column J: Contains final review team determination regarding the appropriateness of items for the OASIS Patient Assessment Summary. This tab has been filtered so that only those items selected for inclusion in the Patient Assessment Summary are displayed.
  • Column K: Contains the OASIS response(s) that would indicate a “normal” status and trigger omission of the OASIS question from the Patient Assessment Summary.
    Note: The review team determined that, in order to make the Patient Assessment Summary more easily consumable by receiving clinicians, OASIS questions/responses should not be displayed if the item indicated a “normal” status. For example, a response of “0” for OASIS question M1710 (When Confused) would indicate the client is not confused and therefore the question/response would not be displayed in the Summary. However, a response of 1 through 4 for OASIS question M1710 would indicate increasing levels of confusion and would be displayed on the Summary.
  • Columns L - N: HITSP C32 Content Module requirements for CCD based Summary Documents.
    Column L = Name of Content Module and C32 Constraint ID
    Column M = Optionality of Module (R = Required, R2 = Required if Known, O = Optional)
    Column N = Repeatable Entry (Y = Yes, N = No)
  • Columns O - S: HITSP C83 Data Mapping and other requirements for Content Modules.
    Column O = Content Module Data Element identifiers and names
    Column P = Optionality of Data Element (R = Required, R2 = Required if Known, O = Optional)
    Column Q = Data Element Repeatable (Y = Yes, N = No)
    Column R = Additional Data Element Constraints/Specifications
    Column S = Rules for Implementing Component Module in CDA
  • Columns T and U: HITSP C154 Data Definition and Terminology requirements.
    Column T = Data Element definition
    Column U = Data Element constraints
  • Column V: Issues/comments related to mapping requirements and OASIS Patient Assessment Summary data items. Comments labeled “Issue” pose a challenge to creating a HITSP/C32 compliant CCD.
Tab 4 OASIS Summary Items to C32-CCD Using the OASIS section and question ID as the primary sort order, this tab presents OASIS Patient Assessment Summary questions and answers (based on the CMS OASIS data specifications v2.00, Revision 3, October 2009) and corresponding HITSP, HL7 CCD and HL7 CDA requirements. Content of this tab is listed below:
Note: Due to limitations of the OASIS data specifications, several “question” rows have been added to better represent OASIS question/answer pairs and to facilitate formatting in a CDA-based message. These added rows are identified by the use of italicized text for the description of the question.
  • Column A - C: OASIS question and answer ID numbers and descriptions based on CMS data specifications v2.00, Revision 3, October 2009.
    Column A = CMS Question ID for each OASIS Summary data item (This column is the primary sort order for the tab.)
    Column B = CMS Answer ID for each OASIS Summary data item
    Column C = CMS Description for each OASIS Summary data item
    Note: This tab has been filtered to display only the OASIS Patient Assessment Summary questions or “check all that apply” listings. Responses to questions have been filtered from this view since analysis against HITSP specifications was conducted at the question/check list level.
  • Column D - H: Contain internal tracking/comments regarding review teams evaluation of the appropriateness of OASIS questions/answers for the OASIS Patient Assessment Summary. These columns track the review process for selection of Patient Assessment Summary items and have been hidden for normal viewing of this tab.
  • Columns I: Contains final review team determination regarding the appropriateness of items for the OASIS Patient Assessment Summary. This column has been filtered so that only those items selected for inclusion in the Patient Assessment Summary are displayed.
  • Column J: Contains the OASIS response(s) that would indicate a “normal” status and trigger omission of the OASIS question from the Patient Assessment Summary.
    Note: The review team determined that, in order to make the Patient Assessment Summary more easily consumable by receiving clinicians, OASIS questions/responses should not be displayed if the item indicated a “normal” status. For example, a response of “0” for OASIS question M1710 (When Confused) would indicate the client is not confused and therefore the question/response would not be displayed in the Summary. However, a response of 1 through 4 for OASIS question M1710 would indicate increasing levels of confusion and would be displayed on the Summary.
  • Column K - M: HITSP C32 Content Module requirements for CCD based Summary Documents.
    Column K = Name of Content Module and C32 Constraint ID
    Column L = Optionality of Module (R = Required, R2 = Required if Known, O = Optional)
    Column M = Repeatable Entry (Y = Yes, N = No)
  • Column N - R: HITSP C83 Data Mapping and other requirements for Content Modules.
    Column N = Content Module Data Element identifiers and names
    Column O = Optionality of Data Element (R = Required, R2 = Required if Known, O = Optional)
    Column P = Data Element Repeatable (Y = Yes, N = No)
    Column Q = Additional Data Element Constraints/Specifications
    Column R = Rules for Implementing Component Module in CDA
  • Column S and T: HITSP C154 Data Definition and Terminology requirements.
    Column S = Data Element definition
    Column T = Data Element constraints
  • Column U: CCD Section Mapping.
    Column U = CCD section as assigned by the project review team
  • Column V: Issues/comments related to mapping requirements and OASIS Patient Assessment Summary data items. Comments “Issue” pose a challenge to creating a HITSP/C32 compliant CCD.
Tab 5 OASIS Summary -- Model of Meaning Using the OASIS section and question ID as the primary sort order, this tab presents OASIS Patient Assessment Summary questions and answers (based on the CMS MDS 2.0 data specification v1.01.0, December 2010) and the corresponding Model of Meaning standard terminology as described in Appendix B, including:
  • SNOMED CT (version 20100731) representations and codes for semantically mappable MDS 3.0 data items.
  • CVX (September 30, 2010 update) codes for MDS 3.0 vaccination data items.
Notes:
  1. CAP SNOMED Terminology Solutions provided the SNOMED CT mapping of OASIS data items. AHIMA provided the CVX mapping of OASIS data items.
  2. Due to limitations of the OASIS data specifications, several “question” rows have been added to better represent OASIS Patient Assessment Summary question/answer pairs and to facilitate formatting in a CDA-based message. These added rows are identified by the use of italicized text for the description of the question.
  • Columns A - C: OASIS question and answer ID numbers and descriptions based on CMS OASIS specifications v2.00, Revision 3, October 2009.
    Column A = CMS Question ID for each OASIS Summary data item (This column is the primary sort order for the tab.)
    Column B = CMS Answer ID for each OASIS Summary data item
    Column C = CMS Description for each OASIS Summary data item
  • Column D - G: Contain internal tracking/comments regarding review teams evaluation of the appropriateness of OASIS questions/answers for the OASIS Patient Assessment Summary. These columns track the review process for selection of Patient Assessment Summary items and have been hidden for normal viewing of this tab.
  • Columns H: Contains final review team determination regarding the appropriateness of items for the OASIS Patient Assessment Summary. This tab has been filtered so that only those items selected for inclusion in the Patient Assessment Summary are displayed.
  • Column I: Contains the OASIS response(s) that would indicate a “normal” status and trigger omission of the OASIS question from the Patient Assessment Summary.
    Note: The review team determined that, in order to make the Patient Assessment Summary more easily consumable by receiving clinicians, OASIS questions/responses should not be displayed if the item indicated a “normal” status. For example, a response of “0” for OASIS question M1710 (When Confused) would indicate the client is not confused and therefore the question/response would not be displayed in the Summary. However, a response of 1 through 4 for OASIS question M1710 would indicate increasing levels of confusion and would be displayed on the Summary.
  • Column J: Contains some general guidance related to the data mapping.
  • Column K: Contains the pattern used for mapping SNOMED CT representation of OASIS Patient Assessment Summary data items. SNOMED mapping was based on either an “assertion pattern” or “question & answer pattern”.
  • Columns L - M: Contain SNOMED CT representation of semantically mappable OASIS Patient Assessment Summary data items.
    Column L = SNOMED CT code for each mapped OASIS Patient Assessment Summary data item
    Column M = SNOMED CT Fully Specified Name (FSN) for each assigned SNOMED code
  • Column N: Contains CDC Race and Ethnicity Codes for the OASIS Patient Assessment Summary race/ethnicity data items.
  • Column O: Contains CVX for the OASIS Patient Assessment Summary vaccination data items.
Tab 6 OASIS Summary -- Model of Use Using the OASIS section and question ID as the primary sort order, this tab presents OASIS Patient Assessment Summary questions and answers (based on the CMS OASIS data specifications v2.00, Revision 3, October 2009) and corresponding Model of Use representation as described in Appendix B.

Content of this tab is listed below.
Notes: 1) LOINC representations and codes have been provided by Indiana University of Regenstrief Institute, Inc. 2) Due to limitations of the OASIS data specifications, several “question” rows have been added to better represent OASIS Patient Assessment Summary question/answer pairs and to facilitate formatting in a CDA-based message. These added rows are identified by the use of italicized text for the description of the question.
  • Columns A - C: OASIS question and answer ID numbers and descriptions based on CMS OASIS data specifications v2.00, Revision 3, October 2009.
    Column A = CMS Question ID for each OASIS Summary data item (This column is the primary sort order for the tab.)
    Column B = CMS Answer ID for each OASIS Summary data item
    Column C = CMS Description for each OASIS Summary data item
  • Column D - G: Contain internal tracking/comments regarding review teams evaluation of the appropriateness of OASIS questions/answers for the OASIS Patient Assessment Summary. These columns track the review process for selection of Patient Assessment Summary items and have been hidden for normal viewing of this tab.
  • Columns H: Contains final review team determination regarding the appropriateness of items for the OASIS Patient Assessment Summary. This column has been filtered so that only those items selected for inclusion in the Patient Assessment Summary are displayed.
  • Column I: Contains the OASIS response(s) that would indicate a “normal” status and trigger omission of the MDS question from the Patient Assessment Summary.
    Note: The review team determined that, in order to make the Patient Assessment Summary more easily consumable by receiving clinicians, OASIS questions/responses should not be displayed if the item indicated a “normal” status. For example, a response of “0” for OASIS question M1710 (When Confused) would indicate the client is not confused and therefore the question/response would not be displayed in the Summary. However, a response of 1 through 4 for OASIS question M1710 would indicate increasing levels of confusion would be displayed on the Summary.
  • Column J: Contains some general guidance related to data mapping.
  • Column K - M: Contain LOINC representation of the OASIS Patient Assessment Summary data items.
    Column K = LOINC question code for each OASIS Summary data item
    Column L = LOINC answer code for each OASIS Summary data item
    Column M = LOINC answer set object identified (OID) for each OASIS Summary data item
Tabs correspond to Excel file available at http://aspe.hhs.gov/daltcp/reports/2011/StratEng-L.xlsx.
Toolkit Resources
CMS Outcome & Assessment Information Set (OASIS) OASIS:
Codes for Vaccine Administered (CVX) CVX codes:
HITSP Summary Documents Using HL7 Continuity of Care Document (CCD) Component (HITSP/C32); Version 2.5; July 8, 2009
HITSP Clinical Document and Message Terminology Component (HITSP/C80); Version 2.0; January 25, 2010
HITSP CDA Content Modules Component (HITSP/C83); Version 2.0; January 25, 2010
HITSP Data Dictionary Component (HITSP/C154); Version 1.0; January 31, 2010
Logical Object Identifiers Names and Codes (LOINC) LOINC codes:
  • Are maintained by Regenstrief Institute, Inc.
  • Are updated as needed
  • Can be accessed through the Regenstrief LOINC Mapping Assistant (RELMA) at http://loinc.org/relma
Standardized Nomenclature of Medicine - Clinical Terms (SNOMED CT) SNOMED CT codes:
  • Are maintained by the International Health Terminology Standards Development Organisation (IHTSDO)
  • Are updated twice a year in January and July
  • Can be accessed through a variety of free browsers listed by the Unified Medical Language System (UMLS) at http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html

CCD Sequence -- OASIS Summary Items

[NOTE: This table was split in half because of the size for HTML & PDF versions.]

CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD HEADER
Header M0014_BRANCH_STATE   Branch State TRUE   --- --- ---
Header M0016_BRANCH_ID   Branch ID (Optional) TRUE   --- --- ---
Header M0020_PAT_ID   Patient ID Number TRUE   Person Information C32-[CT1--12] R N
Header M0040_PAT_FNAME   Patient's First Name TRUE   Person Information C32-[CT1--12] R N
Header M0040_PAT_MI   Patient's Middle Initial TRUE   Person Information C32-[CT1--12] R N
Header M0040_PAT_LNAME   Patient's Last Name TRUE   Person Information C32-[CT1--12] R N
Header M0040_PAT_SUFFIX   Patient's Suffix TRUE   Person Information C32-[CT1--12] R N
Header M0050_PAT_ST   Patient State of Residence TRUE   Person Information C32-[CT1--12] R N
Header M0060_PAT_ZIP   Patient Zip Code TRUE   Person Information C32-[CT1--12] R N
Header M0064_SSN   Patient's Social Security Number TRUE   Person Information C32-[CT1--12] R N
Header M0066_PAT_BIRTH_DT   Date of Birth TRUE   Person Information C32-[CT1--12] R N
Header M0069_PAT_GENDER   Gender TRUE   Person Information C32-[CT1--12] R N
Header M0140_ETHNIC_AI_AN 1 Race/Ethnicity: American Indian or Alaska Native TRUE   Person Information C32-[CT1--12] R N
Header M0140_ETHNIC_ASIAN 2 Race/Ethnicity: Asian TRUE   Person Information C32-[CT1--12] R N
Header M0140_ETHNIC_BLACK 3 Race/Ethnicity: Black or African-American TRUE   Person Information C32-[CT1--12] R N
Header M0140_ETHNIC_HISP 4 Race/Ethnicity: Hispanic or Latino TRUE   Person Information C32-[CT1--12] R N
Header M0140_ETHNIC_NH_PI 5 Race/Ethnicity: Native Hawaiian or Pacific Islander TRUE   Person Information C32-[CT1--12] R N
Header M0140_ETHNIC_WHITE 6 Race/Ethnicity: White TRUE   Person Information C32-[CT1--12] R N
Header M0090_INFO_COMPLETED_DT   Date Assessment Completed TRUE   Information Source C32-[CT1--8] R Y
Header M0100_ASSMT_REASON   Reason for Assessment TRUE   Information Source C32-[CT1--8] R Y
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- PAYERS SECTION
Payer M0063_MEDICARE_NUM   Medicare Number, Including Suffix TRUE   Insurance Provider C32-[CT1--9] O N
Payer M0065_MEDICAID_NUM   Medicaid Number TRUE   Insurance Provider C32-[CT1--9] O N
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- ADVANCE DIRECTIVES SECTION
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- SUPPORT SECTION
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- FUNCTIONAL STATUS SECTION
                 
Functional Status M1200_VISION   Sensory Status: Vision TRUE 0 - Normal vision "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1210_HEARG_ABLTY   Ability To Hear TRUE 0 - Adequates
UK - Unable to assess hearing
"Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1220_UNDRSTG_VERBAL_CNTNT   Understanding Of Verbal Content In Patient's Own Language TRUE 0 - Understands
UK - Unable to assess understanding
"Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1230_SPEECH   Sensory Status: Speech TRUE 0 - Expresses complex ideas, feelings, and needs clearly "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1610_UR_INCONT   Urinary Incontinence or Urinary Catheter Present TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1615_INCNTNT_TIMING   When Urinary Incontinence Occurs TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1620_BWL_INCONT   Bowel Incontinence Frequency TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1700_COG_FUNCTION   Cognitive Functioning TRUE 0 - Alert/oriented "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1710_WHEN_CONFUSED   When Confused (Reported or Observed) TRUE 0 - Never "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1720_WHEN_ANXIOUS   When Anxious (Reported or Observed) TRUE 0 - None of the time "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1730_STDZ_DPRSN_SCRNG   Has The Patient Been Screened For Depression Using Stdzed Screen Tool TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1730_PHQ2_LACK_INTRST 1a PHQ2 Pfizer Little Interest Or Pleasure In Doing Things TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1730_PHQ2_DPRSN 1b PHQ2 Pfizer Feeling Down, Depressed Or Hopeless TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1740   Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): TRUE 7 - None of the Above "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1745_BEH_PROB_FREQ   Frequency of Behavior Problems TRUE 0 - Never "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1800_CUR_GROOMING   Current: Grooming TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1810_CUR_DRESS_UPPER   Current: Dress Upper Body TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1820_CUR_DRESS_LOWER   Current: Dress Lower Body TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1830_CRNT_BATHG   Current: Bathing TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1840_CUR_TOILTG   Current: Toileting TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1845_CUR_TOILTG_HYGN   Current: Toileting Hygiene TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1850_CUR_TRNSFRNG   Current: Transferring TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1860_CRNT_AMBLTN   Current: Ambulation TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1870_CUR_FEEDING   Current: Feeding TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1880_CUR_PREP_LT_MEALS   Current: Prepare Light Meals TRUE 0 - Able to independently prepare all light meals "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1890_CUR_PHONE_USE   Current: Telephone Use TRUE 0 - Able to dial numbers and answer calls appropriately and as desired. "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M1910_MLT_FCTR_FALL_RISK_ASMT   Has Patient Had A Multi-factor Fall Risk Assessment? TRUE 0 - No multi-factor falls risk assessment conducted
1 - Yes, and it does not indicate a risk for falls
"Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M2020_CRNT_MGMT_ORAL_MDCTN   Current: Management Of Oral Medications TRUE 0 - Able to independently take the correct oral medication(s) and proper dosage(s) at the correct times.
NA - No oral medications prescribed.
"Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M2030_CRNT_MGMT_INJCTN_MDCTN   Current: Management Of Injectable Medications TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M2100_CARE_TYPE_SRC_ADL a Care Mgmt, Types And Sources Of Assist: ADL TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M2100_CARE_TYPE_SRC_IADL b Care Mgmt, Types And Sources Of Assist: IADL TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M2100_CARE_TYPE_SRC_MDCTN c Care Mgmt, Types And Sources Of Assist: Medication Admin TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M2100_CARE_TYPE_SRC_PRCDR d Care Mgmt, Types And Sources Of Assist: Med Procs Tx TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M2100_CARE_TYPE_SRC_EQUIP e Care Mgmt, Types And Sources Of Assist: Equipment TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M2100_CARE_TYPE_SRC_SPRVSN f Care Mgmt, Types And Sources Of Assist: Supervision And Safety TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M2100_CARE_TYPE_SRC_ADVCY g Care Mgmt, Types And Sources Of Assist: Advocacy Or Facilitation TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
Functional Status M2110_ADL_IADL_ASTNC_FREQ   How Often Recv ADL Or IADL Assistance From Any TRUE 5 - No assistance received
UK - Unknown
"Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- PROBLEMS SECTION
Problems M1010   Inpatient Diagnosis TRUE   Condition C32-[CT1--4] O N
Problems M1016   Diagnosis Requiring Regimen Change TRUE   Condition C32-[CT1--4] O N
Problems M1020_PRIMARY_DIAG_ICD a Primary Diagnosis ICD Code TRUE   Condition C32-[CT1--4] O N
Problems M1022_OTH_DIAG1_ICD b Other Diagnosis 1: ICD Code TRUE   Condition C32-[CT1--4] O N
Problems M1022_OTH_DIAG2_ICD c Other Diagnosis 2: ICD Code TRUE   Condition C32-[CT1--4] O N
Problems M1022_OTH_DIAG3_ICD d Other Diagnosis 3: ICD Code TRUE   Condition C32-[CT1--4] O N
Problems M1022_OTH_DIAG4_ICD e Other Diagnosis 4: ICD Code TRUE   Condition C32-[CT1--4] O N
Problems M1022_OTH_DIAG5_ICD f Other Diagnosis 5: ICD Code TRUE   Condition C32-[CT1--4] O N
Problems M1024_PMT_DIAG_ICD_A3 a Case Mix Diagnosis: Primary, Column 3 TRUE   Condition C32-[CT1--4] O N
Problems M1024_PMT_DIAG_ICD_B3 b Case Mix Diagnosis: First Secondary, Column 3 TRUE   Condition C32-[CT1--4] O N
Problems M1024_PMT_DIAG_ICD_C3 c Case Mix Diagnosis: Second Secondary, Column 3 TRUE   Condition C32-[CT1--4] O N
Problems M1024_PMT_DIAG_ICD_D3 d Case Mix Diagnosis: Third Secondary, Column 3 TRUE   Condition C32-[CT1--4] O N
Problems M1024_PMT_DIAG_ICD_E3 e Case Mix Diagnosis: Fourth Secondary, Column 3 TRUE   Condition C32-[CT1--4] O N
Problems M1024_PMT_DIAG_ICD_F3 f Case Mix Diagnosis: Fifth Secondary, Column 3 TRUE   Condition C32-[CT1--4] O N
Problems M1024_PMT_DIAG_ICD_A4 a Case Mix Diagnosis: Primary, Column 4 TRUE   Condition C32-[CT1--4] O N
Problems M1024_PMT_DIAG_ICD_B4 b Case Mix Diagnosis: First Secondary, Column 4 TRUE   Condition C32-[CT1--4] O N
Problems M1024_PMT_DIAG_ICD_C4 c Case Mix Diagnosis: Second Secondary, Column 4 TRUE   Condition C32-[CT1--4] O N
Problems M1024_PMT_DIAG_ICD_D4 d Case Mix Diagnosis: Third Secondary, Column 4 TRUE   Condition C32-[CT1--4] O N
Problems M1024_PMT_DIAG_ICD_E4 e Case Mix Diagnosis: Fourth Secondary, Column 4 TRUE   Condition C32-[CT1--4] O N
Problems M1024_PMT_DIAG_ICD_F4 f Case Mix Diagnosis: Fifth Secondary, Column 4 TRUE   Condition C32-[CT1--4] O N
Problems M1032   Risk for hospitalization TRUE 6 - Other
7 - None of the Above
Condition C32-[CT1--4] O N
Problems M1034_PTNT_OVRAL_STUS   Patient's Overall Status TRUE 0 - Patient stable
1 - Patient temporarily facing high health risk
UK - Unknown
Condition C32-[CT1--4] O N
Problems M1036   Risk factors, either present or past, likely to affect current health status and/or outcome TRUE 5 - None of the Above
UK - Unknown
Condition C32-[CT1--4] O N
Problems M1242_PAIN_FREQ_ACTVTY_MVMT   Frequency Of Pain Interfering With Patient's Activity Or Movement TRUE 0 - Patient has no pain Condition C32-[CT1--4] O N
Problems M1302_RISK_OF_PRSR_ULCR   Does This Patient Have A Risk Of Developing PUs TRUE 0 - No Condition C32-[CT1--4] O N
Problems M1306_UNHLD_STG2_PRSR_ULCR   Patient Has At Least 1 Unhealed PU At Stage 2 Or Higher TRUE 0 - No Condition C32-[CT1--4] O N
Problems M1308_NBR_PRSULC_STG2 a No. Pressure Ulcers - Stage 2 TRUE 0 Condition C32-[CT1--4] O N
Problems M1308_NBR_STG2_AT_SOC_ROC   Number PU Stage 2 At SOC/ROC TRUE 0 Condition C32-[CT1--4] O N
Problems M1308_NBR_PRSULC_STG3 b No. Pressure Ulcers - Stage 3 TRUE 0 Condition C32-[CT1--4] O N
Problems M1308_NBR_STG3_AT_SOC_ROC   Number PU Stage 3 At SOC/ROC TRUE 0 Condition C32-[CT1--4] O N
Problems M1308_NBR_PRSULC_STG4 c No. Pressure Ulcers - Stage 4 TRUE 0 Condition C32-[CT1--4] O N
Problems M1308_NBR_STG4_AT_SOC_ROC   Number PU Stage 4 At SOC/ROC TRUE 0 Condition C32-[CT1--4] O N
Problems M1308_NSTG_DRSG d1 Unstageable Due To Non-removable Dressing Or Device TRUE 0 Condition C32-[CT1--4] O N
Problems M1308_NSTG_DRSG_SOC_ROC   Unstageable Due To Non-removable Dressing Or Device At SOC/ROC TRUE 0 Condition C32-[CT1--4] O N
Problems M1308_NSTG_CVRG d2 Unstageable Due To Coverage By Slough Or Eschar TRUE 0 Condition C32-[CT1--4] O N
Problems M1308_NSTG_CVRG_SOC_ROC   Unstageable Due To Coverage By Slough Or Eschar At SOC/ROC TRUE 0 Condition C32-[CT1--4] O N
Problems M1308_NSTG_DEEP_TISUE d3 Unstageable Due To Suspected Deep Tissue Injury In Evolution TRUE 0 Condition C32-[CT1--4] O N
Problems M1308_NSTG_DEEP_TISUE_SOC_ROC   Unstageable Due To Suspected Deep Tissue Injury In Evolution At SOC/ROC TRUE 0 Condition C32-[CT1--4] O N
Problems M1310_PRSR_ULCR_LNGTH   Head To Toe Length Of Stage III Or IV Pu With Largest Area TRUE   Condition C32-[CT1--4] O N
Problems M1312_PRSR_ULCR_WDTH   Width At Right Angles Of Stage III Or IV Pu With Largest Area TRUE   Condition C32-[CT1--4] O N
Problems M1314_PRSR_ULCR_DEPTH   Depth Of Stage III Or IV Pu With Largest Area TRUE   Condition C32-[CT1--4] O N
Problems M1320_STUS_PRBLM_PRSR_ULCR   Status Of Most Problematic Pressure Ulcer TRUE   Condition C32-[CT1--4] O N
Problems M1322_NBR_PRSULC_STG1   No. Pressure Ulcers - Stage 1 TRUE 0 Condition C32-[CT1--4] O N
Problems M1332_NUM_STAS_ULCR   No. Stasis Ulcers TRUE   Condition C32-[CT1--4] O N
Problems M1334_STUS_PRBLM_STAS_ULCR   Status Of Most Problematic Stasis Ulcer TRUE   Condition C32-[CT1--4] O N
Problems M1340_SRGCL_WND_PRSNT   Does This Patient Have A Surgical Wound TRUE 0 - No Condition C32-[CT1--4] O N
Problems M1342_STUS_PRBLM_SRGCL_WND   Status Of Most Problematic Surgical Wound TRUE   Condition C32-[CT1--4] O N
Problems M1350_LESION_OPEN_WND   Has Skin Lesion Or Open Wound TRUE 0 - No Condition C32-[CT1--4] O N
Problems M1400_WHEN_DYSPNEIC   When Dyspneic TRUE 0 - Patient is not short of breath Condition C32-[CT1--4] O N
Problems M1500_SYMTM_HRT_FAILR_PTNTS   Symptoms In Heart Failure Patients TRUE 0 - No
NA - Patient does not have diagnosis of heart failure
Condition C32-[CT1--4] O N
Problems M1600_UTI   Treated for Urinary Tract Infection in Past 14 Days TRUE 0 - No
UK - Unknown
Condition C32-[CT1--4] O N
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY - FAMILY HISTORY SECTION
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- SOCIAL HISTORY SECTION
Social History M1100_PTNT_LVG_STUTN   Patient Living Situation TRUE   "Social History" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- ALERTS SECTION
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- MEDICATIONS SECTION
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- MEDICAL EQUIPMENT SECTION
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- IMMUNIZATIONS
                 
Immunizations M1040_INFLNZ_RCVD_AGNCY   Influenza Vaccine: Did Patient Receive The Influenza Vaccine TRUE 0 - No Immunization C32-[CT1--7] O N
Immunizations M1045_INFLNZ_RSN_NOT_RCVD   Influenza Vaccine: Reason Not Received In Agency TRUE 7 - None of the Above Immunization C32-[CT1--7] O N
Immunizations M1050_PPV_RCVD_AGNCY   Pneumococcal Vaccine: Did Patient Receive The Influenza Vaccine TRUE 0 - No Immunization C32-[CT1--7] O N
Immunizations M1055_PPV_RSN_NOT_RCVD_AGNCY   Pneumococcal Vaccine: Reason Not Received In Agency TRUE 5 - None of the Above Immunization C32-[CT1--7] O N
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- VITAL SIGNS SECTOIN
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- RESULTS SECTION
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- PROCEDURES SECTION
Procedures M1030   Therapies the patient receives at home TRUE 4 - None of the Above Procedure C32-[CT1--15] O N
Procedures M1410   Respiratory treatments utilized at home: TRUE 4 - None of the Above Procedure C32-[CT1--15] O N
Procedures M2400_INTRVTN_SMRY_DBTS_FT a Intervention Synopsis: Diabetic Foot Care TRUE 0 - No
NA - Patient is not diabetic or is bilateral amputee
Procedure C32-[CT1--15] O N
Procedures M2400_INTRVTN_SMRY_FALL_PRVNT b Intervention Synopsis: Falls Prevention Intervention TRUE 0 - No
NA - Formal multi-factor Fall Risk Assessment indicates the patient was not at risk for falls since the last OASIS assessment
Procedure C32-[CT1--15] O N
Procedures M2400_INTRVTN_SMRY_DPRSN c Intervention Synopsis: Depression Intervention TRUE 0 - No
NA - Formal assessment indicates patient did not meet criteria for depression AND patient did not have diagnosis of depression since the last OASIS assessment
Procedure C32-[CT1--15] O N
Procedures M2400_INTRVTN_SMRY_PAIN_MNTR d Intervention Synopsis: Intervention To Monitor And Mitigate Pain TRUE 0 - No
NA - Formal assessment did not indicate pain since the last OASIS assessment
Procedure C32-[CT1--15] O N
Procedures M2400_INTRVTN_SMRY_PRSULC_PRVN e Intervention Synopsis: Intervention To Prevent Pressure Ulcers TRUE 0 - No
NA - Formal assessment indicates the patient was not at risk of pressure ulcers since the last OASIS assessment
Procedure C32-[CT1--15] O N
Procedures M2400_INTRVTN_SMRY_PRSULC_WET f Intervention Synopsis: Pressure Ulcer Treatment Based On Moist Wound Treatment TRUE 0 - No
NA - Dressings that support the principles of moist wound healing not indicated for this patient’s pressure ulcers OR patient has no pressure ulcers with need for moist wound healing
Procedure C32-[CT1--15] O N
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- ENCOUNTERS SECTION
Encounter M0030_START_CARE_DT   Start of Care Date TRUE   Encounter C32-[CT1--5] O N
Encounter M0032_ROC_DT   Resumption of Care Date TRUE   Encounter C32-[CT1--5] O N
Encounter M1000   Inpatient discharge facility TRUE 7 -Past 14 Days: Dschrgd From Other
N/A - Past 14 Days: Not Discharged from Inpatient Facility
Encounter C32-[CT1--5] O N
Encounter M1005_INP_DISCHARGE_DT   Most Recent Inpatient Discharge Date TRUE   Encounter C32-[CT1--5] O N
Encounter M2300_EMER_USE_AFTR_LAST_ASMT   Emergent Care: Use Since Last Oasis Data Collection TRUE 0 - No
UK - Unknown
Encounter C32-[CT1--5] O N
Encounter M2310   Reason for emergent care TRUE 19 - Other than above reasons
UK - Reason Unknown
Encounter C32-[CT1--5] O N
Encounter M2410_INPAT_FACILITY   Inpatient Facility TRUE NA - No inpatient facility admission Encounter C32-[CT1--5] O N
Encounter M2420_DSCHRG_DISP   Discharge Disposition TRUE 4 - Unknown because patient moved to a geographic location not served by this agency
UK - Other Unknown
Encounter C32-[CT1--5] O N
Encounter M2430   Reason for hospitalization TRUE 20 - Other than above reasons
UK - Reason Unknown
Encounter C32-[CT1--5] O N
Encounter M2440   Reason for nursing home admission TRUE 6 - Other
UK - Unknown
Encounter C32-[CT1--5] O N
Encounter M0903_LAST_HOME_VISIT   Date of Last Home Visit TRUE   Encounter C32-[CT1--5] O N
Encounter M0906_DC_TRAN_DTH_DT   Discharge, Transfer, Death Date TRUE   Encounter C32-[CT1--5] O N
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- PLAN OF CARE SECTION
                 
Plan of Care M2250_PLAN_SMRY_DBTS_FT_CARE b Plan Of Care Synopsis: Diabetic Foot Care TRUE 0 - No
NA - Patient is not diabetic or is bilateral amputee
Plan of Care C32-[CT1--13] O N
Plan of Care M2250_PLAN_SMRY_FALL_PRVNT c Plan Of Care Synopsis: Falls Prevention Interventions TRUE 0 - No
NA - Patient is not assessed to be at risk for falls
Plan of Care C32-[CT1--13] O N
Plan of Care M2250_PLAN_SMRY_DPRSN_INTRVTN d Plan Of Care Synopsis: Depression Interventions TRUE 0 - No
NA - Patient is not assessed to be at risk for falls
Plan of Care C32-[CT1--13] O N
Plan of Care M2250_PLAN_SMRY_PRSULC_PRVNT f Plan Of Care Synopsis: PU Prevention TRUE 0 - No
NA - Patient is not assessed to be at risk for pressure ulcers
Plan of Care C32-[CT1--13] O N
Plan of Care M2250_PLAN_SMRY_PRSULC_TRTMT g Plan Of Care Synopsis: PU Moist Treatment TRUE 0 - No
NA - Patient has no pressure ulcers with need for moist wound healing
Plan of Care C32-[CT1--13] O N
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CCD BODY -- HEALTH CARE PROVIDERS SECTION
Healthcare Providers M0018_PHYSICIAN_ID   Primary Referring Physician National Provider ID (NPI) TRUE   C32-[CT1--6] Healthcare Provider O Y
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
 
CCD SECTION NOT ASSIGNED DUE TO INCOMPATIBILITY OF MDS ITEM AND CCD REQUIREMENTS
                 
                 
CCD SECTION
Per Review Team Recommendation
OASIS ITEMS FINAL SUMMARY ITEM Response(s) Triggering Omission of MDS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Rose Shading ndicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
 
CCD SECTIONS NOT MAPPED -- MDS ADMINISTRATIVE ITEMS NOT APPLICABLE TO MDS PATIENT ASSESSMENT SUMMARY
                 
                 
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD HEADER
--- --- --- --- --- --- --- Issue:
Verify whether this should be mapped to the CCD Header or to the Healthcare Provider Section
--- --- --- --- --- --- --- Issue:
Verify whether this should be mapped to the CCD Header or to the Healthcare Provider Section
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.02 - Person ID
R N N/A N/A 1.02 - Person ID:
An identifier that uniquely identifies the individual to which the exchange refers and connects that document to the individual's personal health record. Potential security risks associated with use of SSN or driver's license for this element suggest that these should not be used routinely.
No  
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name:
The individual to whom the exchange refers. Multiple names are allowed to retain birth name, maiden name, legal names and aliases as required.
No  
Section 2.2.2.1 (Personal Information):
See row #8
-- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name:
See row #8
No  
Section 2.2.2.1 (Personal Information):
See row #8
-- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name:
See row #8
No  
Section 2.2.2.1 (Personal Information):
See row #8
-- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name:
See row #8
No  
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.03 - Person Address
R Y C83 - 2.2.2.1.2 N/A 1.03 - Person Address:
The current address of the individual to which the exchange refers. Multiple addresses are allowed and the work address may be a method of disclosing the employer.
C154-[DE-1.03-1] The state part of an address in the United States SHALL be recorded using HITSP/C80 Section 2.2.1.1.1 State
C154-[DE-1.03-2] The postal code part of an address in the United States SHALL be recorded using HITSP/C80 Section 2.2.1.1.2 Postal Code
C154-[DE-1.03-3] The country part of an address SHALL be recorded using HITSP/C80 Section 2.2.1.1.3 Country
Issue:
Verify whether the address components captured in OASIS (state of residence and zip code) provides sufficient information to comply with the Address constraints specified at C83 - 2.2.2.1.2
Section 2.2.2.1 (Personal Information):
See row #12
-- 1.03 - Person Address
R Y C83 - 2.2.2.1.2 N/A 1.03 - Person Address:
See row #12
See row #12 Issue:
See row #12
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.02 - Person ID
R N N/A N/A 1.02 - Person ID:
An identifier that uniquely identifies the individual to which the exchange refers and connects that document to the individual's personal health record. Potential security risks associated with use of SSN or driver's license for this element suggest that these should not be used routinely.
No Issues:
1) Data element #1.02-Person ID is not repeatable, however both the SSN and patient ID number have been selected for the Summary.
2) "Patient Information Entry" is required in the "Personal Information" Component Module.  Required data elements for "Patient Information Entry" include #1.02-Person ID, #1.03-Person Address, and #1.04-Person Phone/ e-mail/ URL.  OASIS does not support data element #1.04.
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.07 - Person Date of Birth
R N N/A N/A 1.07 - Person Date of Birth:
The date and time of birth of the individual to which this Exchange refers. The date of birth is typically a key patient identifier variable and used to enable computation of age at the effective date of any other data element. It is assumed to be unique and fixed throughout the patient's lifetime.
No  
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.06 – Gender
R N C83 - 2.2.2.1.4 N/A 1.06 – Gender:
Gender is used to refer to administrative sex rather than biological sex and therefore should easily be classified into female and male. It is included in the exchange for purposes of linking to insurance information and other patient identification linkages and the value chosen by the patient should reflect the information under which any insurance or financial information will be filed, as well as the same information given to other healthcare providers, institutions or health data exchange networks.
C154-[DE-1.06-1] Gender SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.1. Administrative Gender Issue:
The OASIS data set does not fully support the HITSP value set for "administrative gender" detailed in C-80 Table 2-38.  The "Undifferentiated" value is not available in the MDS3.0
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race:
Race is usually a single valued term that may be constant over that patient's lifetime. The coding of race is aligned with public health and other federal reporting standards of the CDC and the Census Bureau. Typically the patient is the source of the content of this element. However, the individual may opt to omit race. In this event, some healthcare organizations that receive the Summary Document may choose to enter an observed race as their current practice for manual registration. Such organization observed race data should be differentiated from patient sourced data in the patient's registration summary
C154-[DE-1.10-1] Race SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.7 Race Issue:
The Race value set identified in HITSP/C80 Section 2.2.1.2.7 includes the value "Other Race".  This value is not supported by OASIS.
Section 2.2.2.1 (Personal Information):
See row #20
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race:
See row #20
Yes -
See row #20
Issue:
See row #20
Section 2.2.2.1 (Personal Information):
See row #20
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race:
See row #20
Yes -
See row #20
Issue:
See row #20
Section 2.2.2.1 (Personal Information):
See row #20
-- 1.11 – Ethnicity
O Y C83 - 2.2.2.1.7 N/A 1.11 – Ethnicity:
Ethnicity is a term that extends the concept of race. The coding of ethnicity is aligned with public health and other federal reporting standards of the CDC and the Census Bureau
C154-[DE-1.11-1] Ethnicity SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.2 Ethnicity  
Section 2.2.2.1 (Personal Information):
See row #20
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race:
See row #20
Yes -
See row #20
Issue:
See row #20
Section 2.2.2.1 (Personal Information):
See row #20
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race:
See row #20
Yes -
See row #20
Issue:
See row #20
Section 2.2.2.10 (Information Source) states:  This module contains information about the original author to be supplied and for a reference to the original document to be provided. This module may be applied to all other entry Content Modules. See the HL7 Continuity of Care Document Section 5.2 for constraints applicable to this module.
-- 10.01 - Author Time
R N N/A N/A 10.01 - Author Time:
The time at which this information was created
No Issue:
In addition to the Author Name, required data elements for the "Information Source" Component Module "Author" include 10.02-Author Time and 10.04-Reference Document ID.  The OASIS data specificiations do not capture the Author Name nor a document ID.
Section 2.2.2.10 (Information Source) states:  This module contains information about the original author to be supplied and for a reference to the original document to be provided. This module may be applied to all other entry Content Modules. See the HL7 Continuity of Care Document Section 5.2 for constraints applicable to this module.
-- 10.03 - Reference
R N N/A N/A 10.03 - Reference:
A reference to the original document from which this information was obtained
No Issue:
Item requires additional review.  Present mapping is a forced fit.
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- PAYERS SECTION
Section 2.2.2.5 (Insurance Provider) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.1.2.1.2 for constraints applicable to these data elements. Each unique instance of a payer or party with financial responsibility will include all the pertinent data needed to contact, bill to and collect from that party. The template identifier for these entries is 2.16.840.1.113883.3.88.11.83.5.1.
-- 5.08 - Member ID
R2 N C83 - 2.2.2.5.9 Section #2.2.1.1 (Payers Section) states: The Payers Section contains data on the patient’s payers, whether a ‘third party’ insurance, self-pay, other payer or guarantor, or some combination. At a minimum, the patient's pertinent current payment sources should be listed. If no payment sources are supplied, the reason shall be supplied as free text in the narrative block (e.g., Not Insured, Payer Unknown, Medicare Pending, etc.).
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.101.1
-- C83-[CT-101-1] - This section SHALL conform to the IHE Payers Section template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7
-- C83-[CT-101-2] - The payers section SHALL include entries from the Insurance Provider module when this information is known
5.08 - Member ID
The identifier assigned by the health plan to the patient who is covered by the health plan. When the patient is the actual member or health plan contract holder (the true subscriber) and not a dependent of the subscriber, it is the same as the Subscriber ID. A related spouse, child, or dependent may not have a unique identification number of their own
No  
Section 2.2.2.5 (Insurance Provider):
See row #42
-- 5.08 - Member ID
      Section #2.2.1.1 (Payers Section):
See row #42
5.08 - Member ID
See row #42
No  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- ADVANCE DIRECTIVES SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- SUPPORT SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- FUNCTIONAL STATUS SECTION
Section #2.2.2.21 (Functional Status) states: No CDA document mappings have been defined at this time. --- --- --- Section #2.2.1.9 (Functional Status) states:
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.109
-- The Functional Status Section provides information about the capability of the patient to perform acts of daily living.
-- C83-[CT-109-1] This section SHALL conform to the Continuity of Care Document Functional Status section described in section 3.4 of the CCD specification, and SHALL contain a templateId element whose root attribute is 2.16.840.1.113883.10.20.1.5
The functional status module contains data defining the patient's functional status with respect to Ambulatory ability, Mental status or competency, Activities of Daily Living, including bathing, dressing, feeding, grooming, Home/living situation having an effect on the health status of the patient or their Ability to care for themselves.
The definition of this Module is for future development.
Functional Status Issue:
HITSP has not defined a Content Module nor Data Elements for Functional Status.
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
Section #2.2.2.21 (Functional Status):
See Row #63
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #63
See Row #63 --- Issue:
See Row #63
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- PROBLEMS SECTION
Section 2.2.2.7 (Condition) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.5 for constraints applicable to these data elements.  The template identifier for this module is 2.16.840.1.113883.3.88.11.83.7
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section) states:
The Problem List Section contains data on the problems currently being monitored for the patient.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.103
-- C83-[CT-103-1]: The problem list section SHALL include entries from the Condition module
-- C83-[CT-103-2]: This section SHALL conform to the IHE Active Problems Section template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.6
7.04 - Problem Code
This value is a code describing the problem according to a specific vocabulary of problems
C154-[DE-7.04-1] The problem SHALL be coded as specified in HITSP/C80 Section 2.2.3.1.1 Problem  
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition):
See row #326
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #326
7.04 - Problem Code
See row #326
YES -
See row #326
 
Section 2.2.2.7 (Condition) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.5 for constraints applicable to these data elements.  The template identifier for this module is 2.16.840.1.113883.3.88.11.83.7
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section) states:
The Problem List Section contains data on the problems currently being monitored for the patient.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.103
-- C83-[CT-103-1]: The problem list section SHALL include entries from the Condition module
-- C83-[CT-103-2]: This section SHALL conform to the IHE Active Problems Section template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.6
7.03 - Problem Name
This is a text description of the problem suffered
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
Section 2.2.2.7 (Condition):
See row #405
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #405
7.03 - Problem Name
See row #405
No  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY - FAMILY HISTORY SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- SOCIAL HISTORY SECTION
Section #2.2.2.19 (Social History) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.7 for constraints applicable to these data elements.
-- 19.03 - Social History Free Text
R N N/A Section #2.2.1.26 (Social History Section) states: The Social History Section contains information about the person’s beliefs, home life, community life, work life, hobbies, and risky habits.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.126
-- C83-[CT-126-1] This section SHALL conform to the IHE Social History Section, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.16
-- C83-[CT-126-2] The Social History Section MAY contain entries conforming to the Social History module
19.03 - Social History Free Text
This is a text description of the social history
No  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- ALERTS SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- MEDICATIONS SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- MEDICAL EQUIPMENT SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- IMMUNIZATIONS
Section 2.2.2.13 (Immunizations) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.11 for constraints applicable to these data elements. This module contains data describing the patient's immunization history. The HL7 Continuity of Care (CCD) Implementation Guide defines Immunizations using the same data objects and constraints as for Medications. See the HL7 Continuity of Care Document, Sections 3.9 Medications and 3.11 Immunizations; and also the Medication module Section 2.2.2.8 of this construct for constraints applicable to this module.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.13.
-- 13.07 - Free Text Product Name
R N N/A Section #2.2.1.17 (Immunizations Section):
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.117
-- The Immunizations Section contains information describing the immunizations administered to the patient.
-- C83-[CT-117-1] This section SHALL conform to the IHE Immunizations Section, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.23
-- C83-[CT-117-2] The Immunizations Section SHALL include entries from the Immunization module
13.07 - Free Text Product Name:
The name of the substance or product without reference to a specific vendor (e.g., generic or other non-proprietary name). If a Coded Product Name is present, this is the text associated with the coded concept.
C154-[DE-13.07-1] This SHOULD be sufficient for a provider to identify a medication, and MAY include additional information such as strength, dose form, etc. If the name of the product is unknown, the type, purpose or other description MAY be supplied. Issue:
Per C83 Section #2.2.2.13, Table 2-18, data elements required for an "Immunization Event Entry" include:
-- 13.01 - Refusal (Indicator)
-- 13.07 - Free Text Product Name
Verify that "Flu Vaccine" is adequate as a "product name"
Section 2.2.2.13 (Immunizations):
See row #556
-- 13.10 - Refusal Reason
R2 N C83 - 2.2.2.13.2 Section #2.2.1.17 (Immunizations Section):
See row #556
13.10 - Refusal Reason:
When an immunization is refused, this provides a coded representation of the reason for refusing the immunization
C154-[DE-13.10-1] The reason for refusal SHALL be coded as specified in HITSP/C80 Section 2.2.3.5.3 No Immunization Reason Issue:
1) See row #556
2) The HITSP value set for "No Immunization Reason" detailed in C80 Table 2-90 does not fully support the OASIS responses for this question (i.e., "Received from another health care provider (e.g., physician)", "Received from your agency previously during this year’s flu season", "Not indicated; patient does not meet age/condition guidelines for influenza vaccine").
Section 2.2.2.13 (Immunizations):
See row #556
-- 13.07 - Free Text Product Name
R N N/A Section #2.2.1.17 (Immunizations Section):
See row #556
13.07 - Free Text Product Name:
The name of the substance or product without reference to a specific vendor (e.g., generic or other non-proprietary name). If a Coded Product Name is present, this is the text associated with the coded concept.
C154-[DE-13.07-1] This SHOULD be sufficient for a provider to identify a medication, and MAY include additional information such as strength, dose form, etc. If the name of the product is unknown, the type, purpose or other description MAY be supplied. Issue:
Per C83 Section #2.2.2.13, Table 2-18, data elements required for an "Immunization Event Entry" include:
-- 13.01 - Refusal (Indicator)
-- 13.07 - Free Text Product Name
Verify that "Flu Vaccine" is adequate as a "product name"
Section 2.2.2.13 (Immunizations):
See row #556
-- 13.10 - Refusal Reason
R2 N C83 - 2.2.2.13.2 Section #2.2.1.17 (Immunizations Section):
See row #556
13.10 - Refusal Reason:
When an immunization is refused, this provides a coded representation of the reason for refusing the immunization
C154-[DE-13.10-1] The reason for refusal SHALL be coded as specified in HITSP/C80 Section 2.2.3.5.3 No Immunization Reason Issue:
1) See row #556
2) The HITSP value set for "No Immunization Reason" detailed in C80 Table 2-90 does not fully support the OASIS responses for this question (i.e., "Patient has received PPV in the past", "Not indicated; patient does not meet age/condition guidelines for influenza vaccine", "None of the above").
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- VITAL SIGNS SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- RESULTS SECTION
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- PROCEDURES SECTION
Section 2.2.2.17 (Procedure) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.14 for constraints applicable to these data elements.
This section defines a coded entry describing a procedure performed on a patient. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.17.
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section) states:
The List of Surgeries Section provides a list of surgeries the patient has received.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.108
-- C83-[CT-108-1] This section SHALL conform to the IHE Coded List of Surgeries template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.12
-- C83-[CT-108-2] The list of surgeries section SHALL include entries from the Procedure module
17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
1) Table 2-3 (Content Modules) in the HITSP C32 publication lists C83 Section 2.2.1.8 (List of Surgeries Section) as the "Specification Reference" for the Procedure content module.  This poses a potential problem for compliance with C32 specifications as the OASIS items designated for capture in the procedure section of the CCD are treatments and services, but NOT surgeries.
2) Per C83 Section #2.2.2.17, Table 2-22, data elements required for "Procedures" include:
-- 17.01 - Procedure ID
-- 17.03 - Procedure Free Text Type
OASIS does not have a corresponding item for 17.01 - Procedure ID.
Section 2.2.2.17 (Procedure):
See row #587
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section):
See row #587
17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #587
Section 2.2.2.17 (Procedure):
See row #587
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section):
See row #587
17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #587
Section 2.2.2.17 (Procedure):
See row #587
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section):
See row #587
17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #587
Section 2.2.2.17 (Procedure):
See row #587
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section):
See row #587
17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #587
Section 2.2.2.17 (Procedure):
See row #587
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section):
See row #587
17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #587
Section 2.2.2.17 (Procedure):
See row #587
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section):
See row #587
17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #587
Section 2.2.2.17 (Procedure):
See row #587
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section):
See row #587
17.03 - Procedure Free Text Type: Free text describing the Procedure No Issues:
See row #587
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- ENCOUNTERS SECTION
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.04 - Encounter Date / Time:
The date and time of the Encounter, including duration if pertinent
No Issue:
1) OASIS captures both a start of care and resumption of care date however, the "encounter date/time" data element is not repeatable
2) Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
OASIS does not have a corresponding item for 16.01 - Encounter ID.
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.04 - Encounter Date / Time:
The date and time of the Encounter, including duration if pertinent
No Issue:
1) OASIS captures both a start of care and resumption of care date however, the "encounter date/time" data element is not repeatable
2) Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
OASIS does not have a corresponding item for 16.01 - Encounter ID.
No appropriate match       Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
No appropriate match   Issue:
1) There does not appear to be an appropriate Encounter data element for this OASIS item.  OASIS question M1000 captures the types of inpatient facilities from which the client was discharged in the past 14 days, but the encounter dates associated with these stays are not captured.
2) Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
The OASIS does not have a corresponding item for 16.01 - Encounter ID.
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.04 - Encounter Date / Time:
The date and time of the Encounter, including duration if pertinent
No Issue:
1) Need to verify how the preceding inpatient discharge date is captured if the "encounter date/time" data element is not repeatable
2) Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
The OASIS does not have a corresponding item for 16.01 - Encounter ID.
No appropriate match       Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
No appropriate match   Issue:
There does not appear to be an appropriate Encounter data element for this OASIS item.  The OASIS form does not capture encounter dates for the ER visit(s).
No appropriate match       Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
No appropriate match   Issue:
There does not appear to be an appropriate Encounter data element for this OASIS item.  The OASIS form does not capture encounter dates for the ER visit(s).
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.09 - Discharge Disposition
O N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.09 - Discharge Disposition
Discharge Disposition (sometimes called “Discharge Status”) is the person's anticipated location or status following the encounter (e.g. death, transfer to home/hospice/snf/AMA) – uses standard claims-based codes
C154-[DE-16.09-1] The Discharge Disposition SHALL be coded as specified in HITSP/C80 Section 2.2.3.9.4 Discharge Disposition Issue:
Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
OASIS does not have a corresponding item for 16.01 - Encounter ID.
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.09 - Discharge Disposition
O N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.09 - Discharge Disposition
Discharge Disposition (sometimes called “Discharge Status”) is the person's anticipated location or status following the encounter (e.g. death, transfer to home/hospice/snf/AMA) – uses standard claims-based codes
C154-[DE-16.09-1] The Discharge Disposition SHALL be coded as specified in HITSP/C80 Section 2.2.3.9.4 Discharge Disposition Issue:
Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
OASIS does not have a corresponding item for 16.01 - Encounter ID.
No appropriate match       Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
No appropriate match   Issue:
There does not appear to be an appropriate Encounter data element for this OASIS item.  The OASIS form does not capture encounter dates for the ER visit(s).
No appropriate match       Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
No appropriate match   Issue:
There does not appear to be an appropriate Encounter data element for this OASIS item.  The OASIS form does not capture encounter dates for the ER visit(s).
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.04 - Encounter Date / Time:
The date and time of the Encounter, including duration if pertinent
No Issue:
1) Need to verify how the preceding inpatient discharge date is captured if the "encounter date/time" data element is not repeatable
2) Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
OASIS does not have a corresponding item for 16.01 - Encounter ID.
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.04 - Encounter Date / Time:
The date and time of the Encounter, including duration if pertinent
No Issue:
Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
OASIS does not have a corresponding item for 16.01 - Encounter ID.
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- PLAN OF CARE SECTION
Section #2.2.2.22 (Plan of Care):
-- No CDA document mappings have been defined at this time..
-- The template identifier for this module is 2.16.840.1.113883.3.88.11.83.22.
--- --- --- Section #2.2.1.24 (Plan of Care Section) states: The Plan of Care Section contains information about the expectations for care to be provided including proposed interventions and goals for improving the condition of the patient.
-- A plan of care section varies from the assessment and plan section defined above in that it does not include a physician assessment of the patient condition.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.124
-- C83-[CT-124-1] This section SHALL conform to the IHE Care Plan Section, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.31
-- C83-[CT-124-2] This section SHALL conform to the HL7 History and Physical Note and HL7 Consultation Note requirements for this section, and SHALL contain a templateId element whose root attribute is 2.16.840.1.113883.10.20.2.7
-- C83-[CT-124-3] The Plan of Care Section MAY include entries conforming to the Medication , Immunization, Encounter, and Procedure modules to provide information about the intended care plan
There are no HITSP defined data elements that match this MDS item. --- Issues:
1) HITSP has not defined Entry Content Modules for Plan of Care.
2) HITSP has no defined Plan of Care data elements that support this OASIS item.
Section #2.2.2.22 (Plan of Care):
See row #744
--- --- --- Section #2.2.1.24 (Plan of Care Section)
See row #744
There are no HITSP defined data elements that match this MDS item. --- Issues:
See row #744
Section #2.2.2.22 (Plan of Care):
See row #744
--- --- --- Section #2.2.1.24 (Plan of Care Section)
See row #744
There are no HITSP defined data elements that match this MDS item. --- Issues:
See row #744
Section #2.2.2.22 (Plan of Care):
See row #744
--- --- --- Section #2.2.1.24 (Plan of Care Section)
See row #744
There are no HITSP defined data elements that match this MDS item. --- Issues:
See row #744
Section #2.2.2.22 (Plan of Care):
See row #744
--- --- --- Section #2.2.1.24 (Plan of Care Section)
See row #744
There are no HITSP defined data elements that match this MDS item. --- Issues:
See row #744
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CCD BODY -- HEALTH CARE PROVIDERS SECTION
Section 2.2.2.4 (Healthcare Provider):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. These entries contain the healthcare providers involved in the current or pertinent historical care of the patient. See the HL7 Continuity of Care Document Section 3.17 for constraints applicable to these data elements. If no healthcare providers are supplied, the reason shall be supplied as free text in the narrative block (e.g., No Providers, Provider Unknown, etc.).
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.4.
-- 4.10 - National Provider ID
R2 N C83 - 2.2.2.4.4 N/A 4.10 - National Provider ID
National Provider Identifier or NPI is a unique identification number issued to healthcare providers in the United States.
No Issue:
The assignment of this OASIS item to data element 4.10 needs to be verified. The OASIS item is reporting the NPI of the referring physician.
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
 
CCD SECTION NOT ASSIGNED DUE TO INCOMPATIBILITY OF MDS ITEM AND CCD REQUIREMENTS
               
               
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
 
CCD SECTIONS NOT MAPPED -- MDS ADMINISTRATIVE ITEMS NOT APPLICABLE TO MDS PATIENT ASSESSMENT SUMMARY
               
               

OASIS Summary Items To C32-CCD

[NOTE: This table was split in half because of the size for HTML & PDF versions.]

OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
PATIENT TRACKING
M0014_BRANCH_STATE   Branch State TRUE   --- --- ---
M0016_BRANCH_ID   Branch ID (Optional) TRUE   --- --- ---
M0018_PHYSICIAN_ID   Primary Referring Physician National Provider ID (NPI) TRUE   C32-[CT1--6]
Healthcare Provider
O Y
M0020_PAT_ID   Patient ID Number TRUE   Person Information C32-[CT1--12] R N
M0030_START_CARE_DT   Start of Care Date TRUE   Encounter
C32-[CT1--5]
O N
M0032_ROC_DT   Resumption of Care Date TRUE   Encounter
C32-[CT1--5]
O N
M0040_PAT_FNAME   Patient's First Name TRUE   Person Information C32-[CT1--12] R N
M0040_PAT_MI   Patient's Middle Initial TRUE   Person Information C32-[CT1--12] R N
M0040_PAT_LNAME   Patient's Last Name TRUE   Person Information C32-[CT1--12] R N
M0040_PAT_SUFFIX   Patient's Suffix TRUE   Person Information C32-[CT1--12] R N
M0050_PAT_ST   Patient State of Residence TRUE   Person Information C32-[CT1--12] R N
M0060_PAT_ZIP   Patient Zip Code TRUE   Person Information C32-[CT1--12] R N
M0063_MEDICARE_NUM   Medicare Number, Including Suffix TRUE   Insurance Provider C32-[CT1--9] O N
M0064_SSN   Patient's Social Security Number TRUE   Person Information C32-[CT1--12] R N
M0065_MEDICAID_NUM   Medicaid Number TRUE   Insurance Provider C32-[CT1--9] O N
M0066_PAT_BIRTH_DT   Date of Birth TRUE   Person Information C32-[CT1--12] R N
M0069_PAT_GENDER   Gender TRUE   Person Information C32-[CT1--12] R N
M0140_ETHNIC_AI_AN 1 Race/Ethnicity: American Indian or Alaska Native TRUE   Person Information C32-[CT1--12] R N
M0140_ETHNIC_ASIAN 2 Race/Ethnicity: Asian TRUE   Person Information C32-[CT1--12] R N
M0140_ETHNIC_BLACK 3 Race/Ethnicity: Black or African-American TRUE   Person Information C32-[CT1--12] R N
M0140_ETHNIC_HISP 4 Race/Ethnicity: Hispanic or Latino TRUE   Person Information C32-[CT1--12] R N
M0140_ETHNIC_NH_PI 5 Race/Ethnicity: Native Hawaiian or Pacific Islander TRUE   Person Information C32-[CT1--12] R N
M0140_ETHNIC_WHITE 6 Race/Ethnicity: White TRUE   Person Information C32-[CT1--12] R N
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CLINICAL RECORD ITEMS
M0090_INFO_COMPLETED_DT   Date Assessment Completed TRUE   Information Source
C32-[CT1--8]
R Y
M0100_ASSMT_REASON   Reason for Assessment TRUE   Information Source
C32-[CT1--8]
R Y
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
PATIENT HISTORY AND DIAGNOSES
M1000   Inpatient discharge facility TRUE 7 -Past 14 Days: Dschrgd From Other
N/A - Past 14 Days: Not Discharged from Inpatient Facility
Encounter
C32-[CT1--5]
O N
M1005_INP_DISCHARGE_DT   Most Recent Inpatient Discharge Date TRUE   Encounter
C32-[CT1--5]
O N
M1010   Inpatient Diagnosis TRUE   Condition
C32-[CT1--4]
O N
M1016   Diagnosis Requiring Regimen Change TRUE   Condition
C32-[CT1--4]
O N
M1020_PRIMARY_DIAG_ICD a Primary Diagnosis ICD Code TRUE   Condition
C32-[CT1--4]
O N
M1022_OTH_DIAG1_ICD b Other Diagnosis 1: ICD Code TRUE   Condition
C32-[CT1--4]
O N
M1022_OTH_DIAG2_ICD c Other Diagnosis 2: ICD Code TRUE   Condition
C32-[CT1--4]
O N
M1022_OTH_DIAG3_ICD d Other Diagnosis 3: ICD Code TRUE   Condition
C32-[CT1--4]
O N
M1022_OTH_DIAG4_ICD e Other Diagnosis 4: ICD Code TRUE   Condition
C32-[CT1--4]
O N
M1022_OTH_DIAG5_ICD f Other Diagnosis 5: ICD Code TRUE   Condition
C32-[CT1--4]
O N
M1024_PMT_DIAG_ICD_A3 a Case Mix Diagnosis: Primary, Column 3 TRUE   Condition
C32-[CT1--4]
O N
M1024_PMT_DIAG_ICD_B3 b Case Mix Diagnosis: First Secondary, Column 3 TRUE   Condition
C32-[CT1--4]
O N
M1024_PMT_DIAG_ICD_C3 c Case Mix Diagnosis: Second Secondary, Column 3 TRUE   Condition
C32-[CT1--4]
O N
M1024_PMT_DIAG_ICD_D3 d Case Mix Diagnosis: Third Secondary, Column 3 TRUE   Condition
C32-[CT1--4]
O N
M1024_PMT_DIAG_ICD_E3 e Case Mix Diagnosis: Fourth Secondary, Column 3 TRUE   Condition
C32-[CT1--4]
O N
M1024_PMT_DIAG_ICD_F3 f Case Mix Diagnosis: Fifth Secondary, Column 3 TRUE   Condition
C32-[CT1--4]
O N
M1024_PMT_DIAG_ICD_A4 a Case Mix Diagnosis: Primary, Column 4 TRUE   Condition
C32-[CT1--4]
O N
M1024_PMT_DIAG_ICD_B4 b Case Mix Diagnosis: First Secondary, Column 4 TRUE   Condition
C32-[CT1--4]
O N
M1024_PMT_DIAG_ICD_C4 c Case Mix Diagnosis: Second Secondary, Column 4 TRUE   Condition
C32-[CT1--4]
O N
M1024_PMT_DIAG_ICD_D4 d Case Mix Diagnosis: Third Secondary, Column 4 TRUE   Condition
C32-[CT1--4]
O N
M1024_PMT_DIAG_ICD_E4 e Case Mix Diagnosis: Fourth Secondary, Column 4 TRUE   Condition
C32-[CT1--4]
O N
M1024_PMT_DIAG_ICD_F4 f Case Mix Diagnosis: Fifth Secondary, Column 4 TRUE   Condition
C32-[CT1--4]
O N
M1030   Therapies the patient receives at home TRUE 4 - None of the Above Procedure
C32-[CT1--15]
O N
M1032   Risk for hospitalization TRUE 6 - Other
7 - None of the Above
Condition
C32-[CT1--4]
O N
M1034_PTNT_OVRAL_STUS   Patient's Overall Status TRUE 0 - Patient stable
1 - Patient temporarily facing high health risk
UK - Unknown
Condition
C32-[CT1--4]
O N
M1036   Risk factors, either present or past, likely to affect current health status and/or outcome TRUE 5 - None of the Above
UK - Unknown
Condition
C32-[CT1--4]
O N
M1040_INFLNZ_RCVD_AGNCY   Influenza Vaccine: Did Patient Receive The Influenza Vaccine TRUE 0 - No Immunization
C32-[CT1--7]
O N
M1045_INFLNZ_RSN_NOT_RCVD   Influenza Vaccine: Reason Not Received In Agency TRUE 7 - None of the Above Immunization
C32-[CT1--7]
O N
M1050_PPV_RCVD_AGNCY   Pneumococcal Vaccine: Did Patient Receive The Influenza Vaccine TRUE 0 - No Immunization
C32-[CT1--7]
O N
M1055_PPV_RSN_NOT_RCVD_AGNCY   Pneumococcal Vaccine: Reason Not Received In Agency TRUE 5 - None of the Above Immunization
C32-[CT1--7]
O N
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
LIVING ARRANGEMENTS
M1100_PTNT_LVG_STUTN   Patient Living Situation TRUE   "Social History" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
SENSORY STATUS
M1200_VISION   Sensory Status: Vision TRUE 0 - Normal vision "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1210_HEARG_ABLTY   Ability To Hear TRUE 0 - Adequates
UK - Unable to assess hearing
"Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1220_UNDRSTG_VERBAL_CNTNT   Understanding Of Verbal Content In Patient's Own Language TRUE 0 - Understands
UK - Unable to assess understanding
"Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1230_SPEECH   Sensory Status: Speech TRUE 0 - Expresses complex ideas, feelings, and needs clearly "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1242_PAIN_FREQ_ACTVTY_MVMT   Frequency Of Pain Interfering With Patient's Activity Or Movement TRUE 0 - Patient has no pain Condition
C32-[CT1--4]
O N
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
INTEGUMENTARY STATUS
               
M1302_RISK_OF_PRSR_ULCR   Does This Patient Have A Risk Of Developing PUs TRUE 0 - No Condition
C32-[CT1--4]
O N
M1306_UNHLD_STG2_PRSR_ULCR   Patient Has At Least 1 Unhealed PU At Stage 2 Or Higher TRUE 0 - No Condition
C32-[CT1--4]
O N
M1308_NBR_PRSULC_STG2 a No. Pressure Ulcers - Stage 2 TRUE 0 Condition
C32-[CT1--4]
O N
M1308_NBR_STG2_AT_SOC_ROC   Number PU Stage 2 At SOC/ROC TRUE 0 Condition
C32-[CT1--4]
O N
M1308_NBR_PRSULC_STG3 b No. Pressure Ulcers - Stage 3 TRUE 0 Condition
C32-[CT1--4]
O N
M1308_NBR_STG3_AT_SOC_ROC   Number PU Stage 3 At SOC/ROC TRUE 0 Condition
C32-[CT1--4]
O N
M1308_NBR_PRSULC_STG4 c No. Pressure Ulcers - Stage 4 TRUE 0 Condition
C32-[CT1--4]
O N
M1308_NBR_STG4_AT_SOC_ROC   Number PU Stage 4 At SOC/ROC TRUE 0 Condition
C32-[CT1--4]
O N
M1308_NSTG_DRSG d1 Unstageable Due To Non-removable Dressing Or Device TRUE 0 Condition
C32-[CT1--4]
O N
M1308_NSTG_DRSG_SOC_ROC   Unstageable Due To Non-removable Dressing Or Device At SOC/ROC TRUE 0 Condition
C32-[CT1--4]
O N
M1308_NSTG_CVRG d2 Unstageable Due To Coverage By Slough Or Eschar TRUE 0 Condition
C32-[CT1--4]
O N
M1308_NSTG_CVRG_SOC_ROC   Unstageable Due To Coverage By Slough Or Eschar At SOC/ROC TRUE 0 Condition
C32-[CT1--4]
O N
M1308_NSTG_DEEP_TISUE d3 Unstageable Due To Suspected Deep Tissue Injury In Evolution TRUE 0 Condition
C32-[CT1--4]
O N
M1308_NSTG_DEEP_TISUE_SOC_ROC   Unstageable Due To Suspected Deep Tissue Injury In Evolution At SOC/ROC TRUE 0 Condition
C32-[CT1--4]
O N
M1310_PRSR_ULCR_LNGTH   Head To Toe Length Of Stage III Or IV Pu With Largest Area TRUE   Condition
C32-[CT1--4]
O N
M1312_PRSR_ULCR_WDTH   Width At Right Angles Of Stage III Or IV Pu With Largest Area TRUE   Condition
C32-[CT1--4]
O N
M1314_PRSR_ULCR_DEPTH   Depth Of Stage III Or IV Pu With Largest Area TRUE   Condition
C32-[CT1--4]
O N
M1320_STUS_PRBLM_PRSR_ULCR   Status Of Most Problematic Pressure Ulcer TRUE   Condition
C32-[CT1--4]
O N
M1322_NBR_PRSULC_STG1   No. Pressure Ulcers - Stage 1 TRUE 0 Condition
C32-[CT1--4]
O N
M1332_NUM_STAS_ULCR   No. Stasis Ulcers TRUE   Condition
C32-[CT1--4]
O N
M1334_STUS_PRBLM_STAS_ULCR   Status Of Most Problematic Stasis Ulcer TRUE   Condition
C32-[CT1--4]
O N
M1340_SRGCL_WND_PRSNT   Does This Patient Have A Surgical Wound TRUE 0 - No Condition
C32-[CT1--4]
O N
M1342_STUS_PRBLM_SRGCL_WND   Status Of Most Problematic Surgical Wound TRUE   Condition
C32-[CT1--4]
O N
M1350_LESION_OPEN_WND   Has Skin Lesion Or Open Wound TRUE 0 - No Condition
C32-[CT1--4]
O N
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
RESPIRATORY STATUS
M1400_WHEN_DYSPNEIC   When Dyspneic TRUE 0 - Patient is not short of breath Condition
C32-[CT1--4]
O N
M1410   Respiratory treatments utilized at home: TRUE 4 - None of the Above Procedure
C32-[CT1--15]
O N
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CARDIAC STATUS
M1500_SYMTM_HRT_FAILR_PTNTS   Symptoms In Heart Failure Patients TRUE 0 - No
NA - Patient does not have diagnosis of heart failure
Condition
C32-[CT1--4]
O N
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
ELIMINATION STATUS
M1600_UTI   Treated for Urinary Tract Infection in Past 14 Days TRUE 0 - No
UK - Unknown
Condition
C32-[CT1--4]
O N
M1610_UR_INCONT   Urinary Incontinence or Urinary Catheter Present TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1615_INCNTNT_TIMING   When Urinary Incontinence Occurs TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1620_BWL_INCONT   Bowel Incontinence Frequency TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
NEURO/EMOTIONAL/BEHAVIORAL STATUS
M1700_COG_FUNCTION   Cognitive Functioning TRUE 0 - Alert/oriented "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1710_WHEN_CONFUSED   When Confused (Reported or Observed) TRUE 0 - Never "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1720_WHEN_ANXIOUS   When Anxious (Reported or Observed) TRUE 0 - None of the time "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1730_STDZ_DPRSN_SCRNG   Has The Patient Been Screened For Depression Using Stdzed Screen Tool TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1730_PHQ2_LACK_INTRST 1a PHQ2 Pfizer Little Interest Or Pleasure In Doing Things TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1730_PHQ2_DPRSN 1b PHQ2 Pfizer Feeling Down, Depressed Or Hopeless TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1740   Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): TRUE 7 - None of the Above "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1745_BEH_PROB_FREQ   Frequency of Behavior Problems TRUE 0 - Never "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
ADL/IADLs
M1800_CUR_GROOMING   Current: Grooming TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1810_CUR_DRESS_UPPER   Current: Dress Upper Body TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1820_CUR_DRESS_LOWER   Current: Dress Lower Body TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1830_CRNT_BATHG   Current: Bathing TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1840_CUR_TOILTG   Current: Toileting TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1845_CUR_TOILTG_HYGN   Current: Toileting Hygiene TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1850_CUR_TRNSFRNG   Current: Transferring TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1860_CRNT_AMBLTN   Current: Ambulation TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1870_CUR_FEEDING   Current: Feeding TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1880_CUR_PREP_LT_MEALS   Current: Prepare Light Meals TRUE 0 - Able to independently prepare all light meals "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1890_CUR_PHONE_USE   Current: Telephone Use TRUE 0 - Able to dial numbers and answer calls appropriately and as desired. "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M1910_MLT_FCTR_FALL_RISK_ASMT   Has Patient Had A Multi-factor Fall Risk Assessment? TRUE 0 - No multi-factor falls risk assessment conducted
1 - Yes, and it does not indicate a risk for falls
"Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
MEDICATIONS
M2020_CRNT_MGMT_ORAL_MDCTN   Current: Management Of Oral Medications TRUE 0 - Able to independently take the correct oral medication(s) and proper dosage(s) at the correct times.
NA - No oral medications prescribed.
"Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M2030_CRNT_MGMT_INJCTN_MDCTN   Current: Management Of Injectable Medications TRUE   "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
CARE MANAGEMENT
M2100_CARE_TYPE_SRC_ADL a Care Mgmt, Types And Sources Of Assist: ADL TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M2100_CARE_TYPE_SRC_IADL b Care Mgmt, Types And Sources Of Assist: IADL TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M2100_CARE_TYPE_SRC_MDCTN c Care Mgmt, Types And Sources Of Assist: Medication Admin TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M2100_CARE_TYPE_SRC_PRCDR d Care Mgmt, Types And Sources Of Assist: Med Procs Tx TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M2100_CARE_TYPE_SRC_EQUIP e Care Mgmt, Types And Sources Of Assist: Equipment TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M2100_CARE_TYPE_SRC_SPRVSN f Care Mgmt, Types And Sources Of Assist: Supervision And Safety TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M2100_CARE_TYPE_SRC_ADVCY g Care Mgmt, Types And Sources Of Assist: Advocacy Or Facilitation TRUE 0 - No assistance needed in this area "Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
M2110_ADL_IADL_ASTNC_FREQ   How Often Recv ADL Or IADL Assistance From Any TRUE 5 - No assistance received
UK - Unknown
"Functional Status" is not included in HITSP C32 Table 2-3 (Content Modules) --- ---
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
THERAPY NEED AND PLAN OF CARE
M2250_PLAN_SMRY_DBTS_FT_CARE b Plan Of Care Synopsis: Diabetic Foot Care TRUE 0 - No
NA - Patient is not diabetic or is bilateral amputee
Plan of Care
C32-[CT1--13]
O N
M2250_PLAN_SMRY_FALL_PRVNT c Plan Of Care Synopsis: Falls Prevention Interventions TRUE 0 - No
NA - Patient is not assessed to be at risk for falls
Plan of Care
C32-[CT1--13]
O N
M2250_PLAN_SMRY_DPRSN_INTRVTN d Plan Of Care Synopsis: Depression Interventions TRUE 0 - No
NA - Patient is not assessed to be at risk for falls
Plan of Care
C32-[CT1--13]
O N
M2250_PLAN_SMRY_PRSULC_PRVNT f Plan Of Care Synopsis: PU Prevention TRUE 0 - No
NA - Patient is not assessed to be at risk for pressure ulcers
Plan of Care
C32-[CT1--13]
O N
M2250_PLAN_SMRY_PRSULC_TRTMT g Plan Of Care Synopsis: PU Moist Treatment TRUE 0 - No
NA - Patient has no pressure ulcers with need for moist wound healing
Plan of Care
C32-[CT1--13]
O N
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
EMERGENT CARE
M2300_EMER_USE_AFTR_LAST_ASMT   Emergent Care: Use Since Last Oasis Data Collection TRUE 0 - No
UK - Unknown
Encounter
C32-[CT1--5]
O N
M2310   Reason for emergent care TRUE 19 - Other than above reasons
UK - Reason Unknown
Encounter
C32-[CT1--5]
O N
OASIS ITEMS Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary HITSP C32 ENTRY CONTENT MODULES
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Content Module/ C32 Constraint ID Content Module -- Optionality Content Module -- Repeatable
DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY
M2400_INTRVTN_SMRY_DBTS_FT a Intervention Synopsis: Diabetic Foot Care TRUE 0 - No
NA - Patient is not diabetic or is bilateral amputee
Procedure
C32-[CT1--15]
O N
M2400_INTRVTN_SMRY_FALL_PRVNT b Intervention Synopsis: Falls Prevention Intervention TRUE 0 - No
NA - Formal multi-factor Fall Risk Assessment indicates the patient was not at risk for falls since the last OASIS assessment
Procedure
C32-[CT1--15]
O N
M2400_INTRVTN_SMRY_DPRSN c Intervention Synopsis: Depression Intervention TRUE 0 - No
NA - Formal assessment indicates patient did not meet criteria for depression AND patient did not have diagnosis of depression since the last OASIS assessment
Procedure
C32-[CT1--15]
O N
M2400_INTRVTN_SMRY_PAIN_MNTR d Intervention Synopsis: Intervention To Monitor And Mitigate Pain TRUE 0 - No
NA - Formal assessment did not indicate pain since the last OASIS assessment
Procedure
C32-[CT1--15]
O N
M2400_INTRVTN_SMRY_PRSULC_PRVN e Intervention Synopsis: Intervention To Prevent Pressure Ulcers TRUE 0 - No
NA - Formal assessment indicates the patient was not at risk of pressure ulcers since the last OASIS assessment
Procedure
C32-[CT1--15]
O N
M2400_INTRVTN_SMRY_PRSULC_WET f Intervention Synopsis: Pressure Ulcer Treatment Based On Moist Wound Treatment TRUE 0 - No
NA - Dressings that support the principles of moist wound healing not indicated for this patient’s pressure ulcers OR patient has no pressure ulcers with need for moist wound healing
Procedure
C32-[CT1--15]
O N
M2410_INPAT_FACILITY   Inpatient Facility TRUE NA - No inpatient facility admission Encounter
C32-[CT1--5]
O N
M2420_DSCHRG_DISP   Discharge Disposition TRUE 4 - Unknown because patient moved to a geographic location not served by this agency
UK - Other Unknown
Encounter
C32-[CT1--5]
O N
M2430   Reason for hospitalization TRUE 20 - Other than above reasons
UK - Reason Unknown
Encounter
C32-[CT1--5]
O N
M2440   Reason for nursing home admission TRUE 6 - Other
UK - Unknown
Encounter
C32-[CT1--5]
O N
M0903_LAST_HOME_VISIT   Date of Last Home Visit TRUE   Encounter
C32-[CT1--5]
O N
M0906_DC_TRAN_DTH_DT   Discharge, Transfer, Death Date TRUE   Encounter
C32-[CT1--5]
O N
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
PATIENT TRACKING
--- --- --- --- --- --- --- Header Issue:
Verify whether this should be mapped to the CCD Header or to the Healthcare Provider Section
--- --- --- --- --- --- --- Header Issue:
Verify whether this should be mapped to the CCD Header or to the Healthcare Provider Section
Section 2.2.2.4 (Healthcare Provider):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. These entries contain the healthcare providers involved in the current or pertinent historical care of the patient. See the HL7 Continuity of Care Document Section 3.17 for constraints applicable to these data elements. If no healthcare providers are supplied, the reason shall be supplied as free text in the narrative block (e.g., No Providers, Provider Unknown, etc.).
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.4.
-- 4.10 - National Provider ID
R2 N C83 - 2.2.2.4.4 N/A 4.10 - National Provider ID
National Provider Identifier or NPI is a unique identification number issued to healthcare providers in the United States.
No Healthcare Providers Issue:
The assignment of this OASIS item to data element 4.10 needs to be verified. The OASIS item is reporting the NPI of the referring physician.
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.02 - Person ID
R N N/A N/A 1.02 - Person ID:
An identifier that uniquely identifies the individual to which the exchange refers and connects that document to the individual's personal health record. Potential security risks associated with use of SSN or driver's license for this element suggest that these should not be used routinely.
No Header  
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.04 - Encounter Date / Time:
The date and time of the Encounter, including duration if pertinent
No Encounter Issue:
1) OASIS captures both a start of care and resumption of care date however, the "encounter date/time" data element is not repeatable
2) Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
OASIS does not have a corresponding item for 16.01 - Encounter ID.
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.04 - Encounter Date / Time:
The date and time of the Encounter, including duration if pertinent
No Encounter Issue:
1) OASIS captures both a start of care and resumption of care date however, the "encounter date/time" data element is not repeatable
2) Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
OASIS does not have a corresponding item for 16.01 - Encounter ID.
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name:
The individual to whom the exchange refers. Multiple names are allowed to retain birth name, maiden name, legal names and aliases as required.
No Header  
Section 2.2.2.1 (Personal Information):
See row #12
-- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name:
See row #12
No Header  
Section 2.2.2.1 (Personal Information):
See row #12
-- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name:
See row #12
No Header  
Section 2.2.2.1 (Personal Information):
See row #12
-- 1.05 - Person Name
R Y C83 - 2.2.2.1.1 N/A 1.05 - Person Name:
See row #12
No Header  
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.03 - Person Address
R Y C83 - 2.2.2.1.2 N/A 1.03 - Person Address:
The current address of the individual to which the exchange refers. Multiple addresses are allowed and the work address may be a method of disclosing the employer.
C154-[DE-1.03-1] The state part of an address in the United States SHALL be recorded using HITSP/C80 Section 2.2.1.1.1 State
C154-[DE-1.03-2] The postal code part of an address in the United States SHALL be recorded using HITSP/C80 Section 2.2.1.1.2 Postal Code
C154-[DE-1.03-3] The country part of an address SHALL be recorded using HITSP/C80 Section 2.2.1.1.3 Country
Header Issue:
Verify whether the address components captured in OASIS (state of residence and zip code) provides sufficient information to comply with the Address constraints specified at C83 - 2.2.2.1.2
Section 2.2.2.1 (Personal Information):
See row #16
-- 1.03 - Person Address
R Y C83 - 2.2.2.1.2 N/A 1.03 - Person Address:
See row #16
See row #16 Header Issue:
See row #16
Section 2.2.2.5 (Insurance Provider) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.1.2.1.2 for constraints applicable to these data elements. Each unique instance of a payer or party with financial responsibility will include all the pertinent data needed to contact, bill to and collect from that party. The template identifier for these entries is 2.16.840.1.113883.3.88.11.83.5.1.
-- 5.08 - Member ID
R2 N C83 - 2.2.2.5.9 Section #2.2.1.1 (Payers Section) states: The Payers Section contains data on the patient’s payers, whether a ‘third party’ insurance, self-pay, other payer or guarantor, or some combination. At a minimum, the patient's pertinent current payment sources should be listed. If no payment sources are supplied, the reason shall be supplied as free text in the narrative block (e.g., Not Insured, Payer Unknown, Medicare Pending, etc.).
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.101.1
-- C83-[CT-101-1] - This section SHALL conform to the IHE Payers Section template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7
-- C83-[CT-101-2] - The payers section SHALL include entries from the Insurance Provider module when this information is known
5.08 - Member ID
The identifier assigned by the health plan to the patient who is covered by the health plan. When the patient is the actual member or health plan contract holder (the true subscriber) and not a dependent of the subscriber, it is the same as the Subscriber ID. A related spouse, child, or dependent may not have a unique identification number of their own
No Payer  
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.02 - Person ID
R N N/A N/A 1.02 - Person ID:
An identifier that uniquely identifies the individual to which the exchange refers and connects that document to the individual's personal health record. Potential security risks associated with use of SSN or driver's license for this element suggest that these should not be used routinely.
No Header Issues:
1) Data element #1.02-Person ID is not repeatable, however both the SSN and patient ID number have been selected for the Extract.
2) "Patient Information Entry" is required in the "Personal Information" Component Module. Required data elements for "Patient Information Entry" include #1.02-Person ID, #1.03-Person Address, and #1.04-Person Phone/ e-mail/ URL. OASIS does not support data element #1.04.
Section 2.2.2.5 (Insurance Provider):
See row #18
-- 5.08 - Member ID
      Section #2.2.1.1 (Payers Section):
See row #18
5.08 - Member ID
See row #18
No Payer  
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.07 - Person Date of Birth
R N N/A N/A 1.07 - Person Date of Birth:
The date and time of birth of the individual to which this Exchange refers. The date of birth is typically a key patient identifier variable and used to enable computation of age at the effective date of any other data element. It is assumed to be unique and fixed throughout the patient's lifetime.
No Header  
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.06 – Gender
R N C83 - 2.2.2.1.4 N/A 1.06 – Gender:
Gender is used to refer to administrative sex rather than biological sex and therefore should easily be classified into female and male. It is included in the exchange for purposes of linking to insurance information and other patient identification linkages and the value chosen by the patient should reflect the information under which any insurance or financial information will be filed, as well as the same information given to other healthcare providers, institutions or health data exchange networks.
C154-[DE-1.06-1] Gender SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.1. Administrative Gender Header Issue:
The OASIS data set does not fully support the HITSP value set for "administrative gender" detailed in C-80 Table 2-38. The "Undifferentiated" value is not available in the MDS3.0
Section 2.2.2.1 (Personal Information) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. Additional constraints applicable to this information can be found in the Continuity of Care Document Section 2.5.
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race:
Race is usually a single valued term that may be constant over that patient's lifetime. The coding of race is aligned with public health and other federal reporting standards of the CDC and the Census Bureau. Typically the patient is the source of the content of this element. However, the individual may opt to omit race. In this event, some healthcare organizations that receive the Summary Document may choose to enter an observed race as their current practice for manual registration. Such organization observed race data should be differentiated from patient sourced data in the patient's registration summary
C154-[DE-1.10-1] Race SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.7 Race Header Issue:
The Race value set identified in HITSP/C80 Section 2.2.1.2.7 includes the value "Other Race". This value is not supported by OASIS.
Section 2.2.2.1 (Personal Information):
See row #28
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race:
See row #28
Yes -
See row #28
Header Issue:
See row #28
Section 2.2.2.1 (Personal Information):
See row #28
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race:
See row #28
Yes -
See row #28
Header Issue:
See row #28
Section 2.2.2.1 (Personal Information):
See row #28
-- 1.11 – Ethnicity
O Y C83 - 2.2.2.1.7 N/A 1.11 – Ethnicity:
Ethnicity is a term that extends the concept of race. The coding of ethnicity is aligned with public health and other federal reporting standards of the CDC and the Census Bureau
C154-[DE-1.11-1] Ethnicity SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.2 Ethnicity Header Issue:
See row #28
Section 2.2.2.1 (Personal Information):
See row #28
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race:
See row #28
Yes -
See row #28
Header Issue:
See row #28
Section 2.2.2.1 (Personal Information):
See row #28
-- 1.10 – Race
O Y C83 - 2.2.2.1.6 N/A 1.10 – Race:
See row #28
Yes -
See row #28
Header Issue:
See row #28
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CLINICAL RECORD ITEMS
Section 2.2.2.10 (Information Source) states: This module contains information about the original author to be supplied and for a reference to the original document to be provided. This module may be applied to all other entry Content Modules. See the HL7 Continuity of Care Document Section 5.2 for constraints applicable to this module.
-- 10.01 - Author Time
R N N/A N/A 10.01 - Author Time:
The time at which this information was created
No Header Issue:
In addition to the Author Name, required data elements for the "Information Source" Component Module "Author" include 10.02-Author Time and 10.04-Reference Document ID. The OASIS data specificiations do not capture the Author Name nor a document ID.
Section 2.2.2.10 (Information Source) states: This module contains information about the original author to be supplied and for a reference to the original document to be provided. This module may be applied to all other entry Content Modules. See the HL7 Continuity of Care Document Section 5.2 for constraints applicable to this module.
-- 10.03 - Reference
R N N/A N/A 10.03 - Reference:
A reference to the original document from which this information was obtained
No Header Issue:
Item requires additional review. Present mapping is a forced fit.
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
PATIENT HISTORY AND DIAGNOSES
No appropriate match       Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
No appropriate match   Encounter Issue:
1) There does not appear to be an appropriate Encounter data element for this OASIS item. OASIS question M1000 captures the types of inpatient facilities from which the client was discharged in the past 14 days, but the encounter dates associated with these stays are not captured.
2) Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
The OASIS does not have a corresponding item for 16.01 - Encounter ID.
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.04 - Encounter Date / Time:
The date and time of the Encounter, including duration if pertinent
No Encounter Issue:
1) Need to verify how the preceding inpatient discharge date is captured if the "encounter date/time" data element is not repeatable
2) Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
The OASIS does not have a corresponding item for 16.01 - Encounter ID.
Section 2.2.2.7 (Condition) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.5 for constraints applicable to these data elements. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.7
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section) states:
The Problem List Section contains data on the problems currently being monitored for the patient.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.103
-- C83-[CT-103-1]: The problem list section SHALL include entries from the Condition module
-- C83-[CT-103-2]: This section SHALL conform to the IHE Active Problems Section template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.6
7.04 - Problem Code
This value is a code describing the problem according to a specific vocabulary of problems
C154-[DE-7.04-1] The problem SHALL be coded as specified in HITSP/C80 Section 2.2.3.1.1 Problem Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.7 (Condition):
See row #82
-- 7.04 - Problem Code
O N C83 - 2.2.2.7.5 Section #2.2.1.3 (Problem List Section):
See row #82
7.04 - Problem Code
See row #82
YES -
See row #82
Problems  
Section 2.2.2.17 (Procedure) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.14 for constraints applicable to these data elements.
This section defines a coded entry describing a procedure performed on a patient. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.17.
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section) states:
The List of Surgeries Section provides a list of surgeries the patient has received.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.108
-- C83-[CT-108-1] This section SHALL conform to the IHE Coded List of Surgeries template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.12
-- C83-[CT-108-2] The list of surgeries section SHALL include entries from the Procedure module
17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Issues:
1) Table 2-3 (Content Modules) in the HITSP C32 publication lists C83 Section 2.2.1.8 (List of Surgeries Section) as the "Specification Reference" for the Procedure content module. This poses a potential problem for compliance with C32 specifications as the OASIS items designated for capture in the procedure section of the CCD are treatments and services, but NOT surgeries.
2) Per C83 Section #2.2.2.17, Table 2-22, data elements required for "Procedures" include:
-- 17.01 - Procedure ID
-- 17.03 - Procedure Free Text Type
OASIS does not have a corresponding item for 17.01 - Procedure ID.
Section 2.2.2.7 (Condition) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.5 for constraints applicable to these data elements. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.7
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section) states:
The Problem List Section contains data on the problems currently being monitored for the patient.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.103
-- C83-[CT-103-1]: The problem list section SHALL include entries from the Condition module
-- C83-[CT-103-2]: This section SHALL conform to the IHE Active Problems Section template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.6
7.03 - Problem Name
This is a text description of the problem suffered
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.13 (Immunizations) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.11 for constraints applicable to these data elements. This module contains data describing the patient's immunization history. The HL7 Continuity of Care (CCD) Implementation Guide defines Immunizations using the same data objects and constraints as for Medications. See the HL7 Continuity of Care Document, Sections 3.9 Medications and 3.11 Immunizations; and also the Medication module Section 2.2.2.8 of this construct for constraints applicable to this module.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.13.
-- 13.07 - Free Text Product Name
R N N/A Section #2.2.1.17 (Immunizations Section):
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.117
-- The Immunizations Section contains information describing the immunizations administered to the patient.
-- C83-[CT-117-1] This section SHALL conform to the IHE Immunizations Section, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.23
-- C83-[CT-117-2] The Immunizations Section SHALL include entries from the Immunization module
13.07 - Free Text Product Name:
The name of the substance or product without reference to a specific vendor (e.g., generic or other non-proprietary name). If a Coded Product Name is present, this is the text associated with the coded concept.
C154-[DE-13.07-1] This SHOULD be sufficient for a provider to identify a medication, and MAY include additional information such as strength, dose form, etc. If the name of the product is unknown, the type, purpose or other description MAY be supplied. Immunizations Issue:
Per C83 Section #2.2.2.13, Table 2-18, data elements required for an "Immunization Event Entry" include:
-- 13.01 - Refusal (Indicator)
-- 13.07 - Free Text Product Name
Verify that "Flu Vaccine" is adequate as a "product name"
Section 2.2.2.13 (Immunizations):
See row #196
-- 13.10 - Refusal Reason
R2 N C83 - 2.2.2.13.2 Section #2.2.1.17 (Immunizations Section):
See row #196
13.10 - Refusal Reason:
When an immunization is refused, this provides a coded representation of the reason for refusing the immunization
C154-[DE-13.10-1] The reason for refusal SHALL be coded as specified in HITSP/C80 Section 2.2.3.5.3 No Immunization Reason Immunizations Issue:
1) See row #196
2) The HITSP value set for "No Immunization Reason" detailed in C80 Table 2-90 does not fully support the OASIS responses for this question (i.e., "Received from another health care provider (e.g., physician)", "Received from your agency previously during this year’s flu season", "Not indicated; patient does not meet age/condition guidelines for influenza vaccine").
Section 2.2.2.13 (Immunizations):
See row #196
-- 13.07 - Free Text Product Name
R N N/A Section #2.2.1.17 (Immunizations Section):
See row #196
13.07 - Free Text Product Name:
The name of the substance or product without reference to a specific vendor (e.g., generic or other non-proprietary name). If a Coded Product Name is present, this is the text associated with the coded concept.
C154-[DE-13.07-1] This SHOULD be sufficient for a provider to identify a medication, and MAY include additional information such as strength, dose form, etc. If the name of the product is unknown, the type, purpose or other description MAY be supplied. Immunizations Issue:
Per C83 Section #2.2.2.13, Table 2-18, data elements required for an "Immunization Event Entry" include:
-- 13.01 - Refusal (Indicator)
-- 13.07 - Free Text Product Name
Verify that "Flu Vaccine" is adequate as a "product name"
Section 2.2.2.13 (Immunizations):
See row #196
-- 13.10 - Refusal Reason
R2 N C83 - 2.2.2.13.2 Section #2.2.1.17 (Immunizations Section):
See row #196
13.10 - Refusal Reason:
When an immunization is refused, this provides a coded representation of the reason for refusing the immunization
C154-[DE-13.10-1] The reason for refusal SHALL be coded as specified in HITSP/C80 Section 2.2.3.5.3 No Immunization Reason Immunizations Issue:
1) See row #196
2) The HITSP value set for "No Immunization Reason" detailed in C80 Table 2-90 does not fully support the OASIS responses for this question (i.e., "Patient has received PPV in the past", "Not indicated; patient does not meet age/condition guidelines for influenza vaccine", "None of the above").
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
LIVING ARRANGEMENTS
Section #2.2.2.19 (Social History) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.7 for constraints applicable to these data elements.
-- 19.03 - Social History Free Text
R N N/A Section #2.2.1.26 (Social History Section) states: The Social History Section contains information about the person’s beliefs, home life, community life, work life, hobbies, and risky habits.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.126
-- C83-[CT-126-1] This section SHALL conform to the IHE Social History Section, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.16
-- C83-[CT-126-2] The Social History Section MAY contain entries conforming to the Social History module
19.03 - Social History Free Text
This is a text description of the social history
No Social History  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
SENSORY STATUS
Section #2.2.2.21 (Functional Status) states: No CDA document mappings have been defined at this time. --- --- --- Section #2.2.1.9 (Functional Status) states:
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.109
-- The Functional Status Section provides information about the capability of the patient to perform acts of daily living.
-- C83-[CT-109-1] This section SHALL conform to the Continuity of Care Document Functional Status section described in section 3.4 of the CCD specification, and SHALL contain a templateId element whose root attribute is 2.16.840.1.113883.10.20.1.5
The functional status module contains data defining the patient's functional status with respect to Ambulatory ability, Mental status or competency, Activities of Daily Living, including bathing, dressing, feeding, grooming, Home/living situation having an effect on the health status of the patient or their Ability to care for themselves.
The definition of this Module is for future development.
Functional Status Functional Status Issue:
HITSP has not defined a Content Module nor Data Elements for Functional Status.
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
INTEGUMENTARY STATUS
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
RESPIRATORY STATUS
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section 2.2.2.17 (Procedure) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.14 for constraints applicable to these data elements.
This section defines a coded entry describing a procedure performed on a patient. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.17.
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section) states:
The List of Surgeries Section provides a list of surgeries the patient has received.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.108
-- C83-[CT-108-1] This section SHALL conform to the IHE Coded List of Surgeries template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.12
-- C83-[CT-108-2] The list of surgeries section SHALL include entries from the Procedure module
17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Issues:
1) Table 2-3 (Content Modules) in the HITSP C32 publication lists C83 Section 2.2.1.8 (List of Surgeries Section) as the "Specification Reference" for the Procedure content module. This poses a potential problem for compliance with C32 specifications as the OASIS items designated for capture in the procedure section of the CCD are treatments and services, but NOT surgeries.
2) Per C83 Section #2.2.2.17, Table 2-22, data elements required for "Procedures" include:
-- 17.01 - Procedure ID
-- 17.03 - Procedure Free Text Type
OASIS does not have a corresponding item for 17.01 - Procedure ID.
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CARDIAC STATUS
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
ELIMINATION STATUS
Section 2.2.2.7 (Condition):
See row #175
-- 7.03 - Problem Name
R N C83 - 2.2.2.7.4 Section #2.2.1.3 (Problem List Section):
See row #175
7.03 - Problem Name
See row #175
No Problems  
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
NEURO/EMOTIONAL/BEHAVIORAL STATUS
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
ADL/IADLs
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
MEDICATIONS
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
CARE MANAGEMENT
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
Section #2.2.2.21 (Functional Status):
See Row #237
--- --- --- Section #2.2.1.9 (Functional Status):
See Row #237
See Row #237 --- Functional Status Issue:
See Row #237
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
THERAPY NEED AND PLAN OF CARE
Section #2.2.2.22 (Plan of Care):
-- No CDA document mappings have been defined at this time..
-- The template identifier for this module is 2.16.840.1.113883.3.88.11.83.22.
--- --- --- Section #2.2.1.24 (Plan of Care Section) states: The Plan of Care Section contains information about the expectations for care to be provided including proposed interventions and goals for improving the condition of the patient.
-- A plan of care section varies from the assessment and plan section defined above in that it does not include a physician assessment of the patient condition.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.124
-- C83-[CT-124-1] This section SHALL conform to the IHE Care Plan Section, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.31
-- C83-[CT-124-2] This section SHALL conform to the HL7 History and Physical Note and HL7 Consultation Note requirements for this section, and SHALL contain a templateId element whose root attribute is 2.16.840.1.113883.10.20.2.7
-- C83-[CT-124-3] The Plan of Care Section MAY include entries conforming to the Medication , Immunization, Encounter, and Procedure modules to provide information about the intended care plan
There are no HITSP defined data elements that match this MDS item. --- Plan of Care Issues:
1) HITSP has not defined Entry Content Modules for Plan of Care.
2) HITSP has no defined Plan of Care data elements that support this OASIS item.
Section #2.2.2.22 (Plan of Care):
See row #650
--- --- --- Section #2.2.1.24 (Plan of Care Section)
See row #650
There are no HITSP defined data elements that match this MDS item. --- Plan of Care Issues:
See row #650
Section #2.2.2.22 (Plan of Care):
See row #650
--- --- --- Section #2.2.1.24 (Plan of Care Section)
See row #650
There are no HITSP defined data elements that match this MDS item. --- Plan of Care Issues:
See row #650
Section #2.2.2.22 (Plan of Care):
See row #650
--- --- --- Section #2.2.1.24 (Plan of Care Section)
See row #650
There are no HITSP defined data elements that match this MDS item. --- Plan of Care Issues:
See row #650
Section #2.2.2.22 (Plan of Care):
See row #650
--- --- --- Section #2.2.1.24 (Plan of Care Section)
See row #650
There are no HITSP defined data elements that match this MDS item. --- Plan of Care Issues:
See row #650
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
EMERGENT CARE
No appropriate match       Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
No appropriate match   Encounter Issue:
There does not appear to be an appropriate Encounter data element for this OASIS item. The OASIS questions addressing ER visits (M2300 & M2310) do not include the date(s) of service.
No appropriate match       Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
No appropriate match   Encounter Issue:
There does not appear to be an appropriate Encounter data element for this OASIS item. The OASIS questions addressing ER visits (M2300 & M2310) do not include the date(s) of service.
HITSP C83 DATA MAPPING REQUIREMENTS HITSP C154 DATA DICTIONARY CCD Section Per Review Team Recommendation ISSUES/ NOTES
Data Element Identifier and Name
(per C83 Section #2.2.2.x -- Entry Content Module)
Data Element -- Optionality Data Element -- Repeatable Data Element -- Additional Constraints/ Specifications Rules for Implementing Component in CDA
(per C83 Section #2.2.1.x -- CDA Sections)
Data Element Definition Data Element Constraints
DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY
Section 2.2.2.17 (Procedure) states: Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.14 for constraints applicable to these data elements.
This section defines a coded entry describing a procedure performed on a patient. The template identifier for this module is 2.16.840.1.113883.3.88.11.83.17.
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section) states:
The List of Surgeries Section provides a list of surgeries the patient has received.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.108
-- C83-[CT-108-1] This section SHALL conform to the IHE Coded List of Surgeries template, and SHALL contain a templateId element whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.3.12
-- C83-[CT-108-2] The list of surgeries section SHALL include entries from the Procedure module
17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Issues:
1) Table 2-3 (Content Modules) in the HITSP C32 publication lists C83 Section 2.2.1.8 (List of Surgeries Section) as the "Specification Reference" for the Procedure content module. This poses a potential problem for compliance with C32 specifications as the OASIS items designated for capture in the procedure section of the CCD are treatments and services, but NOT surgeries.
2) Per C83 Section #2.2.2.17, Table 2-22, data elements required for "Procedures" include:
-- 17.01 - Procedure ID
-- 17.03 - Procedure Free Text Type
OASIS does not have a corresponding item for 17.01 - Procedure ID.
Section 2.2.2.17 (Procedure):
See row #702
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section):
See row #702
17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Issues:
See row #702
Section 2.2.2.17 (Procedure):
See row #702
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section):
See row #702
17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Issues:
See row #702
Section 2.2.2.17 (Procedure):
See row #702
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section):
See row #702
17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Issues:
See row #702
Section 2.2.2.17 (Procedure):
See row #702
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section):
See row #702
17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Issues:
See row #702
Section 2.2.2.17 (Procedure):
See row #702
-- 17.03 - Procedure Free Text Type
R N N/A Section #2.2.1.8 (List of Surgeries Section):
See row #702
17.03 - Procedure Free Text Type: Free text describing the Procedure No Procedures Issues:
See row #702
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.09 - Discharge Disposition
O N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.09 - Discharge Disposition
Discharge Disposition (sometimes called “Discharge Status”) is the person's anticipated location or status following the encounter (e.g. death, transfer to home/hospice/snf/AMA) – uses standard claims-based codes
C154-[DE-16.09-1] The Discharge Disposition SHALL be coded as specified in HITSP/C80 Section 2.2.3.9.4 Discharge Disposition Encounter Issue:
Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
OASIS does not have a corresponding item for 16.01 - Encounter ID.
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.09 - Discharge Disposition
O N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.09 - Discharge Disposition
Discharge Disposition (sometimes called “Discharge Status”) is the person's anticipated location or status following the encounter (e.g. death, transfer to home/hospice/snf/AMA) – uses standard claims-based codes
C154-[DE-16.09-1] The Discharge Disposition SHALL be coded as specified in HITSP/C80 Section 2.2.3.9.4 Discharge Disposition Encounter Issue:
Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
OASIS does not have a corresponding item for 16.01 - Encounter ID.
No appropriate match       Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
No appropriate match   Encounter Issue:
There does not appear to be an appropriate Encounter data element for this OASIS item. The OASIS form does not capture encounter dates for the ER visit(s).
No appropriate match       Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
No appropriate match   Encounter Issue:
There does not appear to be an appropriate Encounter data element for this OASIS item. The OASIS form does not capture encounter dates for the ER visit(s).
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.04 - Encounter Date / Time:
The date and time of the Encounter, including duration if pertinent
No Encounter Issue:
1) Need to verify how the preceding inpatient discharge date is captured if the "encounter date/time" data element is not repeatable
2) Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
OASIS does not have a corresponding item for 16.01 - Encounter ID.
Section #2.2.2.16 (Encounter):
Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.15 for constraints applicable to these data elements. The encounter entry contains data describing the interactions between the patient and clinicians. Interaction includes both in-person and non-in-person encounters such as telephone and e-mail communication.
The template identifier for this module is 2.16.840.1.113883.3.88.11.83.16.
-- 16.04 - Encounter Date / Time
R N N/A Section #2.2.1.27 (Encounters Section): The Encounters Section contains information describing the patient history of encounters. At a minimum, current and pertinent historical encounters should be included; a full encounter history may be included.
-- The template identifier for this section is 2.16.840.1.113883.3.88.11.83.127
-- C83-[CT-127-1] This section SHALL conform to the IHE Encounters History Section, and SHALL contain a templateId whose root attribute is 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
-- C83-[CT-127-2] The Encounters Section element SHALL contain entries conforming to the Encounters module
16.04 - Encounter Date / Time:
The date and time of the Encounter, including duration if pertinent
No Encounter Issue:
Per C83 Section #2.2.2.16, Table 2-21, data elements required for an "Encounter Event Entry" include:
-- 16.01 - Encounter ID
-- 16.03 - Encounter Free Text Type
-- 16.04 - Encounter Date / Time
OASIS does not have a corresponding item for 16.01 - Encounter ID.

OASIS Summary -- Model Of Meaning

CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
PATIENT TRACKING     N/A              
M0014_BRANCH_STATE   Branch State TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0016_BRANCH_ID   Branch ID (Optional) TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0018_PHYSICIAN_ID   Primary Referring Physician National Provider ID (NPI) TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0020_PAT_ID   Patient ID Number TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0030_START_CARE_DT   Start of Care Date TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0032_ROC_DT   Resumption of Care Date TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0040_PAT_FNAME   Patient's First Name TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0040_PAT_MI   Patient's Middle Initial TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0040_PAT_LNAME   Patient's Last Name TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0040_PAT_SUFFIX   Patient's Suffix TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0050_PAT_ST   Patient State of Residence TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0060_PAT_ZIP   Patient Zip Code TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0063_MEDICARE_NUM   Medicare Number, Including Suffix TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0064_SSN   Patient's Social Security Number TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0065_MEDICAID_NUM   Medicaid Number TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0066_PAT_BIRTH_DT   Date of Birth TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0069_PAT_GENDER   Gender TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0069_PAT_GENDER 1 Male TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0069_PAT_GENDER 2 Female TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0140_ETHNIC_AI_AN 1 Race/Ethnicity: American Indian or Alaska Native TRUE   *ONC Final Rule (7/28/2010) requires use of the Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, October 30, 1997.  This is not a vocabulary.
*HITSP Component C-32 ( HITSP Summary Documents Using HL7 Continuity of Care Document (CCD)) requires use of the CDC Race and Ethnicity vocabulary for reporting race and ethnicity (see Column Q).
*See DSTU for detailis on representation of Race/Ethnicity data.
ETHNICITY PATTERN     1002-5  
M0140_ETHNIC_ASIAN 2 Race/Ethnicity: Asian TRUE     Ethnicity Pattern     2028-9  
M0140_ETHNIC_BLACK 3 Race/Ethnicity: Black or African-American TRUE     Ethnicity Pattern     2054-5  
M0140_ETHNIC_HISP 4 Race/Ethnicity: Hispanic or Latino TRUE     Ethnicity Pattern     2135-2  
M0140_ETHNIC_NH_PI 5 Race/Ethnicity: Native Hawaiian or Pacific Islander TRUE     Ethnicity Pattern     2076-8  
M0140_ETHNIC_WHITE 6 Race/Ethnicity: White TRUE     Ethnicity Pattern     2106-3  
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
CLINICAL RECORD ITEMS     N/A              
M0090_INFO_COMPLETED_DT   Date Assessment Completed TRUE       406543005 date of visit (observable entity)    
M0100_ASSMT_REASON   Reason for Assessment TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0100_ASSMT_REASON 1 Start of care - further visits planned TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0100_ASSMT_REASON 3 Resumption of care (after inpatient stay) TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0100_ASSMT_REASON 4 Recertification (follow-up) reassessment TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0100_ASSMT_REASON 5 Other follow-up TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0100_ASSMT_REASON 6 Transferred to an inpatient facility - patient not discharged from agency TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0100_ASSMT_REASON 7 Transferred to an inpatient facility - patient discharged from agency TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0100_ASSMT_REASON 8 Death at home TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
M0100_ASSMT_REASON 9 Discharge from agency TRUE       Concept Not Mapped (Reason #1)
This demographic/administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians
     
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
PATIENT HISTORY AND DIAGNOSES     N/A              
M1000   Inpatient discharge facility TRUE   Question row/description added to facilitate message format.          
M1000_DC_LTC_14_DA 1 Past 14 Days: Dschrgd From LTC NH TRUE     Assertion pattern 306561002 discharge from establishment (procedure)    
M1000_DC_SNF_14_DA 2 Past 14 Days: Discharged from Skilled Nursing Facility TRUE     Assertion pattern 306561002 discharge from establishment (procedure)    
M1000_DC_IPPS_14_DA 3 Past 14 Days: Dschrgd From Short Stay Acute Hospital TRUE     Assertion pattern 308283009 discharge from hospital (procedure)    
M1000_DC_LTCH_14_DA 4 Past 14 Days: Dschrgd From Long Term Care Hospital TRUE     Assertion pattern 306561002 discharge from establishment (procedure)    
M1000_DC_IRF_14_DA 5 Past 14 Days: Discharged From Inpatient Rehab Facility TRUE     Assertion pattern 308018004 discharge from rehabilitation service (procedure)    
M1000_DC_PSYCH_14_DA 6 Past 14 Days: Dschrgd From Psychiatric Hospital Or Unit TRUE     Assertion pattern 306607005 discharge from psychiatry service (procedure)    
M1000_DC_OTH_14_DA 7 Past 14 Days: Dschrgd From Other TRUE     Assertion pattern Concept Not Mapped (Reason #5) -
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
     
M1000_DC_NONE_14_DA N/A Past 14 Days: Not Discharged from Inpatient Facility TRUE     Assertion pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M1005_INP_DISCHARGE_DT   Most Recent Inpatient Discharge Date TRUE       442864001 date of discharge (observable entity)    
M1010   Inpatient Diagnosis TRUE   Question row/description added to facilitate message format.          
M1010_14_DAY_INP1_ICD a Inpatient Stay Within Last 14 Days: ICD Code 1 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1010_14_DAY_INP2_ICD b Inpatient Stay Within Last 14 Days: ICD Code 2 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1010_14_DAY_INP3_ICD c Inpatient Stay Within Last 14 Days: ICD Code 3 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1010_14_DAY_INP4_ICD d Inpatient Stay Within Last 14 Days: ICD Code 4 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1010_14_DAY_INP5_ICD e Inpatient Stay Within Last 14 Days: ICD Code 5 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1010_14_DAY_INP6_ICD f Inpatient Stay Within Last 14 Days: ICD Code 6 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1016   Diagnosis Requiring Regimen Change TRUE   Question row/description added to facilitate message format.          
M1016_CHGREG_ICD1 a Regimen Change in Past 14 Days: ICD Code 1 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1016_CHGREG_ICD2 b Regimen Change in Past 14 Days: ICD Code 2 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1016_CHGREG_ICD3 c Regimen Change in Past 14 Days: ICD Code 3 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1016_CHGREG_ICD4 d Regimen Change in Past 14 Days: ICD Code 4 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1016_CHGREG_ICD5 e Regimen Change In Past 14 Days: ICD Code 5 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1016_CHGREG_ICD6 f Regimen Change In Past 14 Days: ICD Code 6 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1020_PRIMARY_DIAG_ICD a Primary Diagnosis ICD Code TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1022_OTH_DIAG1_ICD b Other Diagnosis 1: ICD Code TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1022_OTH_DIAG2_ICD c Other Diagnosis 2: ICD Code TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1022_OTH_DIAG3_ICD d Other Diagnosis 3: ICD Code TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1022_OTH_DIAG4_ICD e Other Diagnosis 4: ICD Code TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1022_OTH_DIAG5_ICD f Other Diagnosis 5: ICD Code TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1024_PMT_DIAG_ICD_A3 a Case Mix Diagnosis: Primary, Column 3 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1024_PMT_DIAG_ICD_B3 b Case Mix Diagnosis: First Secondary, Column 3 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1024_PMT_DIAG_ICD_C3 c Case Mix Diagnosis: Second Secondary, Column 3 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1024_PMT_DIAG_ICD_D3 d Case Mix Diagnosis: Third Secondary, Column 3 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1024_PMT_DIAG_ICD_E3 e Case Mix Diagnosis: Fourth Secondary, Column 3 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1024_PMT_DIAG_ICD_F3 f Case Mix Diagnosis: Fifth Secondary, Column 3 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1024_PMT_DIAG_ICD_A4 a Case Mix Diagnosis: Primary, Column 4 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1024_PMT_DIAG_ICD_B4 b Case Mix Diagnosis: First Secondary, Column 4 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1024_PMT_DIAG_ICD_C4 c Case Mix Diagnosis: Second Secondary, Column 4 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1024_PMT_DIAG_ICD_D4 d Case Mix Diagnosis: Third Secondary, Column 4 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1024_PMT_DIAG_ICD_E4 e Case Mix Diagnosis: Fourth Secondary, Column 4 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1024_PMT_DIAG_ICD_F4 f Case Mix Diagnosis: Fifth Secondary, Column 4 TRUE       Concept Not Mapped (Reason #6) -
Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping
     
M1030   Therapies the patient receives at home TRUE 4 - None of the Above Question row/description added to facilitate message format.          
M1030_THH_IV_INFUSION 1 Therapies Received at Home: Intravenous, Infusion TRUE     Assertion pattern 14152002 intravenous infusion (procedure)    
M1030_THH_PAR_NUTRITION 2 Therapies Received at Home: Parenteral Nutrition TRUE     Assertion pattern 25156005 intravenous feeding of patient (regime/therapy)    
M1030_THH_ENT_NUTRITION 3 Therapies Received at Home: Enteral Nutrition TRUE     Assertion pattern 229912004 enteral feeding (regime/therapy)    
M1032   Risk for hospitalization TRUE 6 - Other
7 - None of the Above
Question row/description added to facilitate message format. QUESTION/ANSWER PATTERN 102485007 personal risk factor (observable entity)    
M1032_HOSP_RISK_RCNT_DCLN 1 Risk For Hospitalization: Recent Decline In Mental, Emotional Or Behavior Status TRUE     Question/Answer pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1032_HOSP_RISK_MLTPL_HOSPZTN 2 Risk For Hospitalization: Multiple Hospitalizations (2 Or More) In Past 12 Mo TRUE     Question/Answer pattern 310537006 previous multiple hospital admissions (finding)    
M1032_HOSP_RISK_HSTRY_FALLS 3 Risk For Hospitalization: History Of Falls (2 Or More Falls Or Any Fall With An Injury) In Past Year TRUE     Question/Answer pattern 428942009 history of fall (situation)    
M1032_HOSP_RISK_5PLUS_MDCTN 4 Risk For Hospitalization: Taking Five Or More Medications TRUE     Question/Answer pattern 182848008 patient on numerous drugs (finding)    
M1032_HOSP_RISK_FRAILTY 5 Risk For Hospitalization: Frailty Indicators TRUE     Question/Answer pattern 248279007 frailty (finding)    
M1034_PTNT_OVRAL_STUS   Patient's Overall Status TRUE 0 - Patient stable
1 - Patient temporarily facing high health risk
UK - Unknown
  QUESTION/ANSWER PATTERN 406221003 health status (observable entity)    
M1034_PTNT_OVRAL_STUS 2 The patient is likely to remain in fragile health and have ongoing high risk(s) of serious complications and death. TRUE     Question/Answer pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1034_PTNT_OVRAL_STUS 3 The patient has serious progressive conditions that could lead to death within a year. TRUE     Question/Answer pattern 300936002 terminal illness (clinical finding)    
M1036   Risk factors, either present or past, likely to affect current health status and/or outcome TRUE 5 - None of the Above
UK - Unknown
Question row/description added to facilitate message format.          
M1036_RSK_SMOKING 1 High Risk Factor: Smoking TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1036_RSK_OBESITY 2 High Risk Factor: Obesity TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1036_RSK_ALCOHOLISM 3 High Risk Factor: Alcoholism TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1036_RSK_DRUGS 4 High Risk Factor: Drugs TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1040_INFLNZ_RCVD_AGNCY   Influenza Vaccine: Did Patient Receive The Influenza Vaccine TRUE 0 - No   ASSERTION PATTERN        
M1040_INFLNZ_RCVD_AGNCY 1 Yes TRUE     Assertion pattern 86198006 influenza vaccination (procedure)   141
M1040_INFLNZ_RCVD_AGNCY NA Does not apply because entire episode of care (SOC/ROC to Transfer/Discharge) is outside this influenza season. TRUE     Assertion pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
    Concept Not Mapped - No comparable CVX concept is available.
M1045_INFLNZ_RSN_NOT_RCVD   Influenza Vaccine: Reason Not Received In Agency TRUE 7 - None of the Above   QUESTION/ANSWER PATTERN 429684009 reason for nonvaccination (observable entity)   Concept Not Mapped - No comparable CVX concept is available.
M1045_INFLNZ_RSN_NOT_RCVD 1 Received from another health care provider (e.g., physician) TRUE     Question/Answer pattern 425457005 history of vaccination (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 2 Received from your agency previously during this year's flu season TRUE     Question/Answer pattern 425457005 history of vaccination (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 3 Offered and declined TRUE     Question/Answer pattern 315640000 influenza vaccination declined (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 4 Assessed and determined to have medical contraindication(s) TRUE     Question/Answer pattern 390796006 influenza vaccination contraindicated (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 5 Not indicated; patient does not meet age/condition guidelines for influenza vaccine TRUE     Question/Answer pattern 407573008 influenza vaccination not indicated (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 6 Inability to obtain vaccine due to declared shortage TRUE     Question/Answer pattern Concept Not Mapped (Reason #2)  -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M1050_PPV_RCVD_AGNCY   Pneumococcal Vaccine: Did Patient Receive The Pneumococcal Vaccine TRUE 0 - No   ASSERTION PATTERN        
M1050_PPV_RCVD_AGNCY 1 Yes TRUE     Assertion pattern 12866006 pneumococcal vaccination (procedure)   Concept Not Mapped - CVX cod 109 (pneumococcal vaccine, unspecified formulation) was inactivated 9/30/2010.  The three active codes for pneumococcal vaccine specify the valent (13, 7 or 23).  Information on the valent is not available in the OASIS questionnaire.
M1055_PPV_RSN_NOT_RCVD_AGNCY   Pneumococcal Vaccine: Reason Not Received In Agency TRUE 5 - None of the Above   QUESTION/ANSWER PATTERN 429684009 reason for nonvaccination (observable entity)   Concept Not Mapped - No comparable CVX concept is available.
M1055_PPV_RSN_NOT_RCVD_AGNCY 1 Patient has received PPV in the past TRUE     Question/Answer pattern 425457005 history of vaccination (situation)    
M1055_PPV_RSN_NOT_RCVD_AGNCY 2 Offered and declined TRUE     Question/Answer pattern 401086001 pneumococcal vaccination declined (situation)    
M1055_PPV_RSN_NOT_RCVD_AGNCY 3 Assessed and determined to have medical contraindication(s) TRUE     Question/Answer pattern 390795005 pneumococcal vaccination contraindicated (situation)    
M1055_PPV_RSN_NOT_RCVD_AGNCY 4 Not indicated; patient does not meet age/condition guidelines for PPV TRUE     Question/Answer pattern 415119001 pneumococcal vaccination not indicated (situation)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
LIVING ARRANGEMENTS     N/A              
M1100_PTNT_LVG_STUTN   Patient Living Situation TRUE     QUESTION/ANSWER PATTERN 224209007 residence and accommodation circumstances (observable entity)    
M1100_PTNT_LVG_STUTN 1 Patient Lives Alone - Around the clock TRUE     Question/Answer pattern 105529008 lives alone (finding)    
M1100_PTNT_LVG_STUTN 2 Patient Lives Alone - Regular daytime TRUE     Question/Answer pattern 105529008 lives alone (finding)    
M1100_PTNT_LVG_STUTN 3 Patient Lives Alone - Regular nighttime TRUE     Question/Answer pattern 105529008 lives alone (finding)    
M1100_PTNT_LVG_STUTN 4 Patient Lives Alone - Occasional / short-term assistance TRUE     Question/Answer pattern 105529008 lives alone (finding)    
M1100_PTNT_LVG_STUTN 5 Patient Lives Alone - No assistance available TRUE     Question/Answer pattern 105529008 lives alone (finding)    
M1100_PTNT_LVG_STUTN 6 Patient Lives with Other Person - Around the clock TRUE     Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100_PTNT_LVG_STUTN 7 Patient Lives with Other Person - Regular daytime TRUE     Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100_PTNT_LVG_STUTN 8 Patient Lives with Other Person - Regular nighttime TRUE     Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100_PTNT_LVG_STUTN 9 Patient Lives with Other Person - Occasional / short-term assistance TRUE     Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100_PTNT_LVG_STUTN 10 Patient Lives with Other Person - No assistance available TRUE     Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100_PTNT_LVG_STUTN 11 Patient Lives in Congregrate Situation - Around the clock TRUE     Question/Answer pattern 105530003 living in residential institution (finding)    
M1100_PTNT_LVG_STUTN 12 Patient Lives in Congregrate Situation - Regular daytime TRUE     Question/Answer pattern 105530003 living in residential institution (finding)    
M1100_PTNT_LVG_STUTN 13 Patient Lives in Congregrate Situation - Regular nighttime TRUE     Question/Answer pattern 105530003 living in residential institution (finding)    
M1100_PTNT_LVG_STUTN 14 Patient Lives in Congregrate Situation - Occasional / short-term assistance TRUE     Question/Answer pattern 105530003 living in residential institution (finding)    
M1100_PTNT_LVG_STUTN 15 Patient Lives in Congregrate Situation - No assistance available TRUE     Question/Answer pattern 105530003 living in residential institution (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
SENSORY STATUS     N/A              
M1200_VISION   Sensory Status: Vision TRUE 0 - Normal vision   QUESTION/ANSWER PATTERN 405183003 sensory function status: vision (observable entity)    
M1200_VISION 1 Partially impaired: cannot see medication labels or newsprint, but can see obstacles in path, and the surrounding layout; can count fingers at arm's length. TRUE     Question/Answer pattern 424883003 Difficulty seeing small print (finding)    
M1200_VISION 2 Severely impaired: cannot locate objects without hearing or touching them or patient nonresponsive. TRUE     Question/Answer pattern 267727004 blind or low vision - both eyes (disorder)    
M1210_HEARG_ABLTY   Ability To Hear TRUE 0 - Adequates
UK - Unable to assess hearing
  QUESTION/ANSWER PATTERN 364019009 ability to hear (observable entity)    
M1210_HEARG_ABLTY 1 Mildly to Moderately Impaired: difficulty hearing in some environments or speaker may need to increase volume or speak distinctly. TRUE     Question/Answer pattern 162340000 Hearing difficulty (finding)    
M1210_HEARG_ABLTY 2 Severely Impaired: absence of useful hearing. TRUE     Question/Answer pattern 15188001 hearing loss (disorder)    
M1220_UNDRSTG_VERBAL_CNTNT   Understanding Of Verbal Content In Patient's Own Language TRUE 0 - Understands
UK - Unable to assess understanding
  QUESTION/ANSWER PATTERN 395660004 ability to comprehend concepts (observable entity)    
M1220_UNDRSTG_VERBAL_CNTNT 1 Usually Understands: understands most conversations, but misses some part/intent of message.  Requires cues at times to understand. TRUE     Question/Answer pattern 64270008 disturbance of understanding (finding)    
M1220_UNDRSTG_VERBAL_CNTNT 2 Sometimes Understands: understands only basic conversations or simple, direct phrases.  Frequently requires cues to understand. TRUE     Question/Answer pattern 422501005 abnormal ability to understand (finding)    
M1220_UNDRSTG_VERBAL_CNTNT 3 Rarely/Never Understands TRUE     Question/Answer pattern 53314000 akatamathesia (finding)    
M1230_SPEECH   Sensory Status: Speech TRUE 0 - Expresses complex ideas, feelings, and needs clearly   QUESTION/ANSWER PATTERN 288598006 ability to use verbal communication (observable entity)    
M1230_SPEECH 1 Minimal difficulty in expressing ideas and needs (may take extra time; makes occasional errors in word choice, grammar or speech intelligibility; needs minimal prompting or assistance). TRUE     Question/Answer pattern 286659003 difficulty expressing self (finding)    
M1230_SPEECH 2 Expresses simple ideas or needs with moderate difficulty (needs prompting or assistance, errors in word choice, organization or speech intelligibility). Speaks in phrases or short sentences. TRUE     Question/Answer pattern 286410009 difficulty speaking intelligibly (finding)    
M1230_SPEECH 3 Has severe difficulty expressing basic ideas or needs and requires maximal assistance or guessing by listener. Speech limited to single words or short phrases. TRUE     Question/Answer pattern 288614000 difficulty using words (finding)    
M1230_SPEECH 4 Unable to express basic needs even with maximal prompting or assistance but is not comatose or unresponsive (e.g., speech is nonsensical or unintelligible). TRUE     Question/Answer pattern 286409004 does not speak intelligibly (finding)    
M1230_SPEECH 5 Patient nonresponsive or unable to speak. TRUE     Question/Answer pattern 286369003 unable to speak (finding)    
M1242_PAIN_FREQ_ACTVTY_MVMT   Frequency Of Pain Interfering With Patient's Activity Or Movement TRUE 0 - Patient has no pain   QUESTION/ANSWER PATTERN 405160001 pain level: disruptive effects (observable entity)    
M1242_PAIN_FREQ_ACTVTY_MVMT 1 Patient has pain that does not interfere with activity or movement TRUE     Question/Answer pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1242_PAIN_FREQ_ACTVTY_MVMT 2 Less often than daily TRUE     Question/Answer pattern Concept Not Mapped (Reason #2)  -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M1242_PAIN_FREQ_ACTVTY_MVMT 3 Daily, but not constantly TRUE     Question/Answer pattern 162455005 has the symptom daily (finding)    
M1242_PAIN_FREQ_ACTVTY_MVMT 4 All of the time TRUE     Question/Answer pattern 162449000 symptom is continuous (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
INTEGUMENTARY STATUS     N/A              
M1302_RISK_OF_PRSR_ULCR   Does This Patient Have A Risk Of Developing PUs TRUE 0 - No   ASSERTION PATTERN        
M1302_RISK_OF_PRSR_ULCR 1 Yes TRUE     Assertion pattern 285304000 at risk of pressure sore (finding)    
M1306_UNHLD_STG2_PRSR_ULCR   Patient Has At Least 1 Unhealed PU At Stage 2 Or Higher TRUE 0 - No   ASSERTION PATTERN        
M1306_UNHLD_STG2_PRSR_ULCR 1 Yes TRUE     Assertion pattern 399912005 pressure sore (disorder)    
M1308_NBR_PRSULC_STG2 a No. Pressure Ulcers - Stage 2 TRUE 0     264892003 number of pressure sores (observable entity)    
M1308_NBR_STG2_AT_SOC_ROC   Number PU Stage 2 At SOC/ROC TRUE 0     Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1308_NBR_PRSULC_STG3 b No. Pressure Ulcers - Stage 3 TRUE 0     264892003 number of pressure sores (observable entity)    
M1308_NBR_STG3_AT_SOC_ROC   Number PU Stage 3 At SOC/ROC TRUE 0     Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1308_NBR_PRSULC_STG4 c No. Pressure Ulcers - Stage 4 TRUE 0     264892003 number of pressure sores (observable entity)    
M1308_NBR_STG4_AT_SOC_ROC   Number PU Stage 4 At SOC/ROC TRUE 0     Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1308_NSTG_DRSG d1 Unstageable Due To Non-removable Dressing Or Device TRUE 0     264892003 number of pressure sores (observable entity)    
M1308_NSTG_DRSG_SOC_ROC   Unstageable Due To Non-removable Dressing Or Device At SOC/ROC TRUE 0     Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1308_NSTG_CVRG d2 Unstageable Due To Coverage By Slough Or Eschar TRUE 0     264892003 number of pressure sores (observable entity)    
M1308_NSTG_CVRG_SOC_ROC   Unstageable Due To Coverage By Slough Or Eschar At SOC/ROC TRUE 0     Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1308_NSTG_DEEP_TISUE d3 Unstageable Due To Suspected Deep Tissue Injury In Evolution TRUE 0     264892003 number of pressure sores (observable entity)    
M1308_NSTG_DEEP_TISUE_SOC_ROC   Unstageable Due To Suspected Deep Tissue Injury In Evolution At SOC/ROC TRUE 0     Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1310_PRSR_ULCR_LNGTH   Head To Toe Length Of Stage III Or IV Pu With Largest Area TRUE       401238003 length of wound (observable entity)    
M1312_PRSR_ULCR_WDTH   Width At Right Angles Of Stage III Or IV Pu With Largest Area TRUE       401239006 width of wound (observable entity)    
M1314_PRSR_ULCR_DEPTH   Depth Of Stage III Or IV Pu With Largest Area TRUE       425094009 depth of wound (observable entity)    
M1320_STUS_PRBLM_PRSR_ULCR   Status Of Most Problematic Pressure Ulcer TRUE     QUESTION/ANSWER PATTERN 406214003 wound healing status (observable entity)    
M1320_STUS_PRBLM_PRSR_ULCR 0 Newly epithelialized TRUE     Question/Answer pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1320_STUS_PRBLM_PRSR_ULCR 1 Fully granulating TRUE     Question/Answer pattern 225541009 granulation of tissue (finding)    
M1320_STUS_PRBLM_PRSR_ULCR 2 Early/partial granulation TRUE     Question/Answer pattern 225541009 granulation of tissue (finding)    
M1320_STUS_PRBLM_PRSR_ULCR 3 Not healing TRUE     Question/Answer pattern 271618001 impaired wound healing (finding)    
M1322_NBR_PRSULC_STG1   No. Pressure Ulcers - Stage 1 TRUE 0   QUESTION/ANSWER PATTERN 264892003 number of pressure sores (observable entity)    
M1322_NBR_PRSULC_STG1 1 One TRUE     Question/Answer pattern 38112003 one (qualifier value)    
M1322_NBR_PRSULC_STG1 2 Two TRUE     Question/Answer pattern 19338005 two (qualifier value)    
M1322_NBR_PRSULC_STG1 3 Three TRUE     Question/Answer pattern 79605009 three (qualifier value)    
M1322_NBR_PRSULC_STG1 4 Four or more TRUE     Question/Answer pattern 9362000 four (qualifier value)    
M1332_NUM_STAS_ULCR   No. Stasis Ulcers TRUE     QUESTION/ANSWER PATTERN 264893008 number of ulcers (observable entity)    
M1332_NUM_STAS_ULCR 1 One TRUE     Question/Answer pattern 38112003 one (qualifier value)    
M1332_NUM_STAS_ULCR 2 Two TRUE     Question/Answer pattern 19338005 two (qualifier value)    
M1332_NUM_STAS_ULCR 3 Three TRUE     Question/Answer pattern 79605009 three (qualifier value)    
M1332_NUM_STAS_ULCR 4 Four or more TRUE     Question/Answer pattern 9362000 four (qualifier value)    
M1334_STUS_PRBLM_STAS_ULCR   Status Of Most Problematic Stasis Ulcer TRUE     QUESTION/ANSWER PATTERN 406214003 wound healing status (observable entity)    
M1334_STUS_PRBLM_STAS_ULCR 0 Newly epithelialized TRUE     Question/Answer pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1334_STUS_PRBLM_STAS_ULCR 1 Fully granulating TRUE     Question/Answer pattern 225541009 granulation of tissue (finding)    
M1334_STUS_PRBLM_STAS_ULCR 2 Early/partial granulation TRUE     Question/Answer pattern 225541009 granulation of tissue (finding)    
M1334_STUS_PRBLM_STAS_ULCR 3 Not healing TRUE     Question/Answer pattern 271618001 impaired wound healing (finding)    
M1340_SRGCL_WND_PRSNT   Does This Patient Have A Surgical Wound TRUE 0 - No   ASSERTION PATTERN        
M1340_SRGCL_WND_PRSNT 1 Yes, patient has at least one (observable) surgical wound TRUE     Assertion pattern 419635000 surgical wound finding (finding)    
M1340_SRGCL_WND_PRSNT 2 Surgical wound known but not observable due to non-removable dressing [ Go to M1350 ] TRUE     Assertion pattern 419635000 surgical wound finding (finding)    
M1342_STUS_PRBLM_SRGCL_WND   Status Of Most Problematic Surgical Wound TRUE     QUESTION/ANSWER PATTERN 406214003 wound healing status (observable entity)    
M1342_STUS_PRBLM_SRGCL_WND 0 Newly epithelialized TRUE     Question/Answer pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1342_STUS_PRBLM_SRGCL_WND 1 Fully granulating TRUE     Question/Answer pattern 225541009 granulation of tissue (finding)    
M1342_STUS_PRBLM_SRGCL_WND 2 Early/partial granulation TRUE     Question/Answer pattern 225541009 granulation of tissue (finding)    
M1342_STUS_PRBLM_SRGCL_WND 3 Not healing TRUE     Question/Answer pattern 271618001 impaired wound healing (finding)    
M1350_LESION_OPEN_WND   Has Skin Lesion Or Open Wound TRUE 0 - No   ASSERTION PATTERN        
M1350_LESION_OPEN_WND 1 Yes TRUE     Assertion pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
RESPIRATORY STATUS     N/A              
M1400_WHEN_DYSPNEIC   When Dyspneic TRUE 0 - Patient is not short of breath   QUESTION/ANSWER PATTERN 248546008 ease of respiration (observable entity)    
M1400_WHEN_DYSPNEIC 1 When walking more than 20 feet, climbing stairs TRUE     Question/Answer pattern 390871002 breathless - strenuous exertion (finding)    
M1400_WHEN_DYSPNEIC 2 With moderate exertion (e.g., while dressing, using commode or bedpan, walking distances less than 20 feet) TRUE     Question/Answer pattern 161939006 breathless - moderate exertion (clinical finding)    
M1400_WHEN_DYSPNEIC 3 With minimal exertion (e.g., while eating, talking, or performing other ADLs) or with agitation TRUE     Question/Answer pattern 161940008 breathless - mild exertion (finding)    
M1400_WHEN_DYSPNEIC 4 At rest (during day or night) TRUE     Question/Answer pattern 161941007 dyspnea at rest (finding)    
M1410   Respiratory treatments utilized at home: TRUE 4 - None of the Above Question row/description added to facilitate message format.          
M1410_RESPTX_OXYGEN 1 Respiratory Treatments: Oxygen TRUE     Assertion Pattern 57485005 oxygen therapy (procedure)    
M1410_RESPTX_VENTILATOR 2 Respiratory Treatments: Ventilator TRUE     Assertion Pattern 40617009 artificial respiration (procedure)    
M1410_RESPTX_AIRPRESS 3 Respiratory Treatments: Airway Pressure TRUE     Assertion Pattern 243141005 mechanically assisted spontaneous ventilation (procedure)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
CARDIAC STATUS     N/A              
M1500_SYMTM_HRT_FAILR_PTNTS   Symptoms In Heart Failure Patients TRUE 0 - No
NA - Patient does not have diagnosis of heart failure
  ASSERTION PATTERN        
M1500_SYMTM_HRT_FAILR_PTNTS 1 Yes TRUE     Assertion Pattern 84114007 heart failure (disorder)    
M1500_SYMTM_HRT_FAILR_PTNTS 2 Not assessed TRUE     Assertion Pattern Concept Not Mapped (Reason #4) -
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
     
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
ELIMINATION STATUS     N/A/              
M1600_UTI   Treated for Urinary Tract Infection in Past 14 Days TRUE 0 - No
UK - Unknown
  ASSERTION PATTERN        
M1600_UTI 1 Yes TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1600_UTI NA Patient on prophylactic treatment TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1610_UR_INCONT   Urinary Incontinence or Urinary Catheter Present TRUE     QUESTION/ANSWER PATTERN 406218000 urinary continence status (observable entity)    
M1610_UR_INCONT 0 No incontinence or catheter (includes anuria or ostomy for urinary drainage) TRUE     Question/Answer pattern 45850009 continent of urine (finding)    
M1610_UR_INCONT 1 Patient is incontinent TRUE     Question/Answer pattern 165232002 urinary incontinence (finding)    
M1610_UR_INCONT 2 Patient requires a urinary catheter (i.e., external, indwelling, intermittent, suprapubic) TRUE     Question/Answer pattern 410024004 catheterization of urinary bladder (procedure)    
M1615_INCNTNT_TIMING   When Urinary Incontinence Occurs TRUE     QUESTION/ANSWER PATTERN 422058003 number of urinary incontinence episodes (observable entity)    
M1615_INCNTNT_TIMING 0 Timed-voiding defers incontinence TRUE     Question/Answer pattern 386401000 prompted voiding (procedure)    
M1615_INCNTNT_TIMING 1 Occasional stress incontinence TRUE     Question/Answer pattern 22220005 genuine stress incontinence (finding)    
M1615_INCNTNT_TIMING 2 During the night only TRUE     Question/Answer pattern 8009008 nocturnal enuresis (finding)    
M1615_INCNTNT_TIMING 3 During the day only TRUE     Question/Answer pattern 307143006 during day (qualifier value)    
M1615_INCNTNT_TIMING 4 During the day and night TRUE     Question/Answer pattern 224943009 night and day (qualifier value)    
M1620_BWL_INCONT   Bowel Incontinence Frequency TRUE     QUESTION/ANSWER PATTERN 422291001 number of bowel incontinence episodes (observable entity)    
M1620_BWL_INCONT 0 Very rarely or never has bowel incontinence TRUE     Question/Answer pattern 24029004 bowels: fully continent (finding)    
M1620_BWL_INCONT 1 Less than once weekly TRUE     Question/Answer pattern 165230005 bowels: occasional accident (finding)    
M1620_BWL_INCONT 2 One to three times weekly TRUE     Question/Answer pattern 70232002 frequent (qualifier value)    
M1620_BWL_INCONT 3 Four to six times weekly TRUE     Question/Answer pattern 27732004 high frequency (qualifier value)    
M1620_BWL_INCONT 4 On a daily basis TRUE     Question/Answer pattern 69620002 daily (qualifier value)    
M1620_BWL_INCONT 5 More often than once daily TRUE     Question/Answer pattern 69620002 daily (qualifier value)    
M1620_BWL_INCONT NA Patient has ostomy for bowel elimination TRUE     Question/Answer pattern 225577002 stoma finding (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
NEURO/ EMOTIONAL/ BEHAVIORAL STATUS     N/A              
M1700_COG_FUNCTION   Cognitive Functioning TRUE 0 - Alert/oriented   QUESTION/ANSWER PATTERN 311465003 cognitive functions (observable entity)    
M1700_COG_FUNCTION 1 Requires prompting (cueing, repetition, reminders) only under stressful or unfamiliar conditions. TRUE     Question/Answer pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1700_COG_FUNCTION 2 Requires assistance/direction in specific situations (e.g., all tasks involving shifting of attention) or consistently requires low stimulus environmnt due to distractibility. TRUE     Question/Answer pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1700_COG_FUNCTION 3 Requires considerable assist in routine situations. Is not alert and oriented or is unable to shift attention and recall directions more than half the time. TRUE     Question/Answer pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1700_COG_FUNCTION 4 Totally dependent due to disturbances such as constant disorientation, coma, persistent vegetative state, or delirium. TRUE     Question/Answer pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1710_WHEN_CONFUSED   When Confused (Reported or Observed) TRUE 0 - Never   QUESTION/ANSWER PATTERN 363871006 mental state (observable entity)    
M1710_WHEN_CONFUSED 1 In new or complex situations only TRUE     Question/Answer pattern 281793005 intermittent confusion (finding)    
M1710_WHEN_CONFUSED 2 On awakening or at night only TRUE     Question/Answer pattern 281793005 intermittent confusion (finding)    
M1710_WHEN_CONFUSED 3 During the day and evening, but not constantly TRUE     Question/Answer pattern 281793005 intermittent confusion (finding)    
M1710_WHEN_CONFUSED 4 Constantly TRUE     Question/Answer pattern 40917007 clouded consciousness (finding)    
M1710_WHEN_CONFUSED NA Patient nonresponsive TRUE     Question/Answer pattern 422768004 unresponsive (finding)    
M1720_WHEN_ANXIOUS   When Anxious (Reported or Observed) TRUE 0 - None of the time   QUESTION/ANSWER PATTERN 405051006 level of anxiety (observable entity)    
M1720_WHEN_ANXIOUS 1 Less often than daily TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M1720_WHEN_ANXIOUS 2 Daily, but not constantly TRUE     Question/Answer pattern 69620002 daily (qualifier value)    
M1720_WHEN_ANXIOUS 3 All of the time TRUE     Question/Answer pattern 255238004 continuous (qualifier value)    
M1720_WHEN_ANXIOUS NA Patient nonresponsive TRUE     Question/Answer pattern 422768004 unresponsive (finding)    
M1730_STDZ_DPRSN_SCRNG   Has The Patient Been Screened For Depression Using Stdzed Screen Tool TRUE     ASSERTION PATTERN        
M1730_STDZ_DPRSN_SCRNG 1 Yes, patient was screened using the PHQ-2©* scale. (Instructions for this two-question tool: Ask patient: “Over the last two weeks, how often have you been bothered by any of the following problems”) TRUE     Assertion pattern 171207006 depression screening (procedure)    
M1730_PHQ2_LACK_INTRST 1a PHQ2 Pfizer Little Interest Or Pleasure In Doing Things TRUE     QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1730_PHQ2_LACK_INTRST 1a-0 Not at all (0 - 1 days) TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M1730_PHQ2_LACK_INTRST 1a-1 Several days (2-6 days) TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M1730_PHQ2_LACK_INTRST 1a-2 More than half of the days (7-11 days) TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M1730_PHQ2_LACK_INTRST 1a-3 Nearly every day (12-14 days) TRUE     Question/Answer pattern 69620002 daily (qualifier value)    
M1730_PHQ2_LACK_INTRST 1a-NA Unable to respond TRUE     Question/Answer pattern 422768004 unresponsive (finding)    
M1730_PHQ2_DPRSN 1b PHQ2 Pfizer Feeling Down, Depressed Or Hopeless TRUE     QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M1730_PHQ2_DPRSN 1b-0 Not at all (0 - 1 days) TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M1730_PHQ2_DPRSN 1b-1 Several days (2-6 days) TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M1730_PHQ2_DPRSN 1b-2 More than half of the days (7-11 days) TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M1730_PHQ2_DPRSN 1b-3 Nearly every day (12-14 days) TRUE     Question/Answer pattern 69620002 daily (qualifier value)    
M1730_PHQ2_DPRSN 1b-NA Unable to respond TRUE     Question/Answer pattern 422768004 unresponsive (finding)    
M1730_STDZ_DPRSN_SCRNG 2 Yes, with a different standardized assessment-and the patient meets criteria for further evaluation for depression. TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M1740   Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): TRUE 7 - None of the Above Question row/description added to facilitate message format.          
M1740_BD_MEM_DEFICIT 1 Behavior Demonstrated: Memory Deficit TRUE     Assertion Pattern 386807006 memory impairment (finding)    
M1740_BD_IMP_DECISN 2 Behavior Demonstrated: Impaired Decision-making TRUE     Assertion Pattern 247585004 difficulty making decisions (finding)    
M1740_BD_VERBAL 3 Behavior Demonstrated: Verbal Disruption TRUE     Assertion Pattern 284616006 verbally threatening behavior (finding)    
M1740_BD_PHYSICAL 4 Behavior Demonstrated: Physical Aggression TRUE     Assertion Pattern 284615005 physically threatening behavior (finding)    
M1740_BD_SOC_INAPPRO 5 Behavior Demonstrated: Socially Inappropriate TRUE     Assertion Pattern 112082005 inappropriate behavior (finding)    
M1740_BD_DELUSIONS 6 Behavior Demonstrated: Delusions TRUE     Assertion Pattern 2073000 delusions (finding)    
M1745_BEH_PROB_FREQ   Frequency of Behavior Problems TRUE 0 - Never   QUESTION/ANSWER PATTERN 162458007 / 54319003 symptom frequency (observable entity) & disruptive behavior disorder (disorder)    
M1745_BEH_PROB_FREQ 1 Less than once a month TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M1745_BEH_PROB_FREQ 2 Once a month TRUE     Question/Answer pattern 162458007 has the symptom monthly (finding)    
M1745_BEH_PROB_FREQ 3 Several times each month TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M1745_BEH_PROB_FREQ 4 Several times a week TRUE     Question/Answer pattern 162457002 has the symptom weekly (finding)    
M1745_BEH_PROB_FREQ 5 At least daily TRUE     Question/Answer pattern 162455005 has the symptom daily (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
ADL/IADLs     N/A              
M1800_CUR_GROOMING   Current: Grooming TRUE     QUESTION/ANSWER PATTERN 165225006 ability to perform grooming activity (observable entity)    
M1800_CUR_GROOMING 0 Able to groom self unaided, with or without the use of assistive devices or adapted methods. TRUE     Question/Answer pattern 284856006 able to perform grooming activity (finding)    
M1800_CUR_GROOMING 1 Grooming utensils must be placed within reach before able to complete grooming activities. TRUE     Question/Answer pattern 225964003 assisting with personal hygiene (procedure)    
M1800_CUR_GROOMING 2 Someone must assist the patient to groom self. TRUE     Question/Answer pattern 284857002 unable to perform grooming activity (finding)    
M1800_CUR_GROOMING 3 Patient depends entirely upon someone else for grooming needs. TRUE     Question/Answer pattern 165226007 dependent for grooming (finding)    
M1810_CUR_DRESS_UPPER   Current: Dress Upper Body TRUE     QUESTION/ANSWER PATTERN 284967006 ability to perform dressing activity (observable entity)    
M1810_CUR_DRESS_UPPER 0 Able to get clothes out of closets and drawers, put them on and remove them from the upper body without assistance. TRUE     Question/Answer pattern 129035000 independent with dressing (finding)    
M1810_CUR_DRESS_UPPER 1 Able to dress upper body without assistance if clothing is laid out or handed to the patient. TRUE     Question/Answer pattern 129039006 needs help with dressing (finding)    
M1810_CUR_DRESS_UPPER 2 Someone must help the patient put on upper body clothing. TRUE     Question/Answer pattern 424445006 difficulty with dressing upper body (finding)    
M1810_CUR_DRESS_UPPER 3 Patient depends entirely upon another person to dress the upper body. TRUE     Question/Answer pattern 284969009 unable to perform dressing activity (finding)    
M1820_CUR_DRESS_LOWER   Current: Dress Lower Body TRUE     QUESTION/ANSWER PATTERN 284967006 ability to perform dressing activity (observable entity)    
M1820_CUR_DRESS_LOWER 0 Able to obtain, put on, and remove clothing and shoes without assistance. TRUE     Question/Answer pattern 129035000 independent with dressing (finding)    
M1820_CUR_DRESS_LOWER 1 Able to dress lower body without assistance if clothing and shoes are laid out or handed to the patient. TRUE     Question/Answer pattern 129039006 needs help with dressing (finding)    
M1820_CUR_DRESS_LOWER 2 Someone must help the patient put on undergarments, slacks, socks or nylons, and shoes. TRUE     Question/Answer pattern 425353005 difficulty with dressing lower body (finding)    
M1820_CUR_DRESS_LOWER 3 Patient depends entirely upon another person to dress lower body. TRUE     Question/Answer pattern 284969009 unable to perform dressing activity (finding)    
M1830_CRNT_BATHG   Current: Bathing TRUE     QUESTION/ANSWER PATTERN 284797005 ability to perform bathing activity (observable entity)    
M1830_CRNT_BATHG 0 Able to bathe self in shower or tub independently, including getting in and out of tub/shower. TRUE     Question/Answer pattern 129041007 independent bathing (finding)    
M1830_CRNT_BATHG 1 With the use of devices, is able to bathe self in shower or tub independently, including getting in and out of the tub/shower. TRUE     Question/Answer pattern 284798000 able to perform bathing activity (finding)    
M1830_CRNT_BATHG 2 Able to bathe in shower or tub with the intermittent assistance of another person: (a) for intermittent supervision or encouragement or reminders, OR (b) to get in and out of the shower or tub, OR (c) for washing difficult to reach areas. TRUE     Question/Answer pattern 129040008 bathing assisted (finding)    
M1830_CRNT_BATHG 3 Able to participate in bathing self in shower or tub, but requires presence of another person throughout the bath for assistance or supervision. TRUE     Question/Answer pattern 129040008 bathing assisted (finding)    
M1830_CRNT_BATHG 4 Unable to use the shower or tub, but able to bathe self independently with or without the use of devices at the sink, in chair, or on commode. TRUE     Question/Answer pattern 129040008 bathing assisted (finding)    
M1830_CRNT_BATHG 5 Unable to use the shower or tub, but able to participate in bathing self in bed, at the sink, in bedside chair, or on commode, with the assistance or supervision of another person throughout the bath. TRUE     Question/Answer pattern 129040008 bathing assisted (finding)    
M1830_CRNT_BATHG 6 Unable to participate effectively in bathing and is bathed totally by another person. TRUE     Question/Answer pattern 129043005 dependent for bathing (finding)    
M1840_CUR_TOILTG   Current: Toileting TRUE     QUESTION/ANSWER PATTERN 301537008 ability to get on and off toilet (observable entity)    
M1840_CUR_TOILTG 0 Able to get to and from the toilet and transfer independently with or without a device. TRUE     Question/Answer pattern 301538003 able to get on and off toilet (finding)    
M1840_CUR_TOILTG 1 When reminded, assisted, or supervised by another person, able to get to and from the toilet and transfer. TRUE     Question/Answer pattern 301538003 able to get on and off toilet (finding)    
M1840_CUR_TOILTG 2 Unable to get to and from the toilet but is able to use a bedside commode (with or without assistance). TRUE     Question/Answer pattern 301539006 unable to get on and off toilet (finding)    
M1840_CUR_TOILTG 3 Unable to get to and from the toilet or bedside commode but is able to use a bedpan/urinal independently. TRUE     Question/Answer pattern 301539006 unable to get on and off toilet (finding)    
M1840_CUR_TOILTG 4 Is totally dependent in toileting. TRUE     Question/Answer pattern 129078005 dependent in toilet (finding)    
M1845_CUR_TOILTG_HYGN   Current: Toileting Hygiene TRUE     QUESTION/ANSWER PATTERN 284899001 ability to perform toileting activities (observable entity)    
M1845_CUR_TOILTG_HYGN 0 Able to manage toileting hygiene and clothing management without assistance. TRUE     Question/Answer pattern 284900006 able to perform toileting activities (finding)    
M1845_CUR_TOILTG_HYGN 1 Able to manage toileting hygiene and clothing management without assistance if supplies/implements are laid out for the patient. TRUE     Question/Answer pattern 284900006 able to perform toileting activities (finding)    
M1845_CUR_TOILTG_HYGN 2 Someone must help the patient to maintain toileting hygiene and/or adjust clothing. TRUE     Question/Answer pattern 284905001 difficulty performing toileting activities (finding)    
M1845_CUR_TOILTG_HYGN 3 Patient depends entirely upon another person to maintain toileting hygiene. TRUE     Question/Answer pattern 284901005 unable to perform toileting activities (finding)    
M1850_CUR_TRNSFRNG   Current: Transferring TRUE     QUESTION/ANSWER PATTERN 364666007 ability to transfer location (observable entity)    
M1850_CUR_TRNSFRNG 0 Able to independently transfer. TRUE     Question/Answer pattern 129079002 transfer independent (finding)    
M1850_CUR_TRNSFRNG 1 Able to transfer with minimal human assistance or with use of an assistive device. TRUE     Question/Answer pattern 129047006 transfer assisted (finding)    
M1850_CUR_TRNSFRNG 2 Able to bear weight and pivot during the transfer process but unable to transfer self. TRUE     Question/Answer pattern 302264008 transfer assisted (finding)    
M1850_CUR_TRNSFRNG 3 Unable to transfer self and is unable to bear weight or pivot when transferred by another person. TRUE     Question/Answer pattern 302264008 unable to transfer (finding)    
M1850_CUR_TRNSFRNG 4 Bedfast, unable to transfer but is able to turn and position self in bed. TRUE     Question/Answer pattern 301681008 able to move in bed (finding)    
M1850_CUR_TRNSFRNG 5 Bedfast, unable to transfer and is unable to turn and position self. TRUE     Question/Answer pattern 301682001 unable to move in bed (finding)    
M1860_CRNT_AMBLTN   Current: Ambulation TRUE     QUESTION/ANSWER PATTERN 282097004 ability to walk (observable entity)    
M1860_CRNT_AMBLTN 0 Able to independently walk on even and uneven surfaces and negotiate stairs with or without railings (i.e., needs no human assistance or assistive device). TRUE     Question/Answer pattern 165245003 independent walking (finding)    
M1860_CRNT_AMBLTN 1 With the use of a one-handed device (e.g. cane, single crutch, hemi-walker), able to independently walk on even and uneven surfaces and negotiate stairs with or without railings. TRUE     Question/Answer pattern 371157007 has difficulty doing (qualifier value)    
M1860_CRNT_AMBLTN 2 Requires use of a two-handed device (e.g., walker or crutches) to walk alone on a level surface and/or requires human supervision or assistance to negotiate stairs or steps or uneven surfaces. TRUE     Question/Answer pattern 371157007 has difficulty doing (qualifier value)    
M1860_CRNT_AMBLTN 3 Able to walk only with the supervision or assistance of another person at all times. TRUE     Question/Answer pattern 371152001 assisted (qualifier value)    
M1860_CRNT_AMBLTN 4 Chairfast, unable to ambulate but is able to wheel self independently. TRUE     Question/Answer pattern 165243005 independent in wheelchair (finding)    
M1860_CRNT_AMBLTN 5 Chairfast, unable to ambulate and is unable to wheel self. TRUE     Question/Answer pattern 413121008 dependent on helper pushing wheelchair (finding)    
M1860_CRNT_AMBLTN 6 Bedfast, unable to ambulate or be up in a chair. TRUE     Question/Answer pattern 160685001 bed-ridden (finding)    
M1870_CUR_FEEDING   Current: Feeding TRUE     QUESTION/ANSWER PATTERN 165221002 feeding ability (observable entity)    
M1870_CUR_FEEDING 0 Able to independently feed self. TRUE     Question/Answer pattern 165224005 independent feeding (finding)    
M1870_CUR_FEEDING 1 Able to feed self independently but requires: (a) meal set-up; OR (b) intermittent assistance or supervision from another person; OR (c) a liquid, pureed or ground meat diet. TRUE     Question/Answer pattern 371157007 has difficulty doing (qualifier value)    
M1870_CUR_FEEDING 2 Unable to feed self and must be assisted or supervised throughout the meal/snack. TRUE     Question/Answer pattern 371152001 assisted (qualifier value)    
M1870_CUR_FEEDING 3 Able to take in nutrients orally and receives supplemental nutrients through a nasogastric tube or gastrostomy. TRUE     Question/Answer pattern 83813007 tube feeding diet (finding)    
M1870_CUR_FEEDING 4 Unable to take in nutrients orally and is fed nutrients through a nasogastric tube or gastrostomy. TRUE     Question/Answer pattern 83813007 tube feeding diet (finding)    
M1870_CUR_FEEDING 5 Unable to take in nutrients orally or by tube feeding. TRUE     Question/Answer pattern 288885009 unable to eat (finding)    
M1880_CUR_PREP_LT_MEALS   Current: Prepare Light Meals TRUE 0 - Able to independently prepare all light meals   QUESTION/ANSWER PATTERN 286488009 ability to prepare meal (observable entity)    
M1880_CUR_PREP_LT_MEALS 1 Unable to prepare light meals on a regular basis due to physical, cognitive, or mental limitations. TRUE     Question/Answer pattern 286490005 unable to prepare meal (finding)    
M1880_CUR_PREP_LT_MEALS 2 Unable to prepare any light meals or reheat any delivered meals. TRUE     Question/Answer pattern 286490005 unable to prepare meal (finding)    
M1890_CUR_PHONE_USE   Current: Telephone Use TRUE 0 - Able to dial numbers and answer calls appropriately and as desired.   QUESTION/ANSWER PATTERN 300730001 ability to use telephone (observable entity)    
M1890_CUR_PHONE_USE 1 Able to use a specially adapted telephone (i.e., large numbers on the dial, teletype phone for the deaf) and call essential numbers. TRUE     Question/Answer pattern 300731002 able to use telephone (finding)    
M1890_CUR_PHONE_USE 2 Able to answer the telephone and carry on a normal conversation but has difficulty with placing calls. TRUE     Question/Answer pattern 300736007 difficulty using telephone (finding)    
M1890_CUR_PHONE_USE 3 Able to answer the telephone only some of the time or is able to carry on only a limited conversation. TRUE     Question/Answer pattern 300736007 difficulty using telephone (finding)    
M1890_CUR_PHONE_USE 4 UNABLE to answer the telephone at all but can listen if assisted with equipment. TRUE     Question/Answer pattern 129071004 telephone dependent (finding)    
M1890_CUR_PHONE_USE 5 Totally unable to use the telephone. TRUE     Question/Answer pattern 300733004 unable to use telephone (finding)    
M1890_CUR_PHONE_USE NA Patient does not have a telephone. TRUE     Question/Answer pattern Concept Not Mapped (Reason #4) -
Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD
     
M1910_MLT_FCTR_FALL_RISK_ASMT   Has Patient Had A Multi-factor Fall Risk Assessment? TRUE 0 - No multi-factor falls risk assessment conducted
1 - Yes, and it does not indicate a risk for falls
  QUESTION/ANSWER PATTERN 414191008 fall risk assessment (procedure)    
M1910_MLT_FCTR_FALL_RISK_ASMT 2 Yes, and it indicates a risk for falls. TRUE     Question/Answer pattern 129839007 at risk for falls (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
MEDICATIONS     N/A              
M2020_CRNT_MGMT_ORAL_MDCTN   Current: Management Of Oral Medications TRUE 0 - Able to independently take the correct oral medication(s) and proper dosage(s) at the correct times.
NA - No oral medications prescribed.
  QUESTION/ANSWER PATTERN 404982001 ability to self-administer non-parenteral medication (observable entity)    
M2020_CRNT_MGMT_ORAL_MDCTN 1 Able to take medication(s) at the correct times if: (a) individual dosages are prepared in advance by another person; OR (b) another person develops a drug diary or chart. TRUE     Question/Answer pattern 285038001 difficulty managing medication (finding)    
M2020_CRNT_MGMT_ORAL_MDCTN 2 Able to take medication(s) at the correct times if given reminders by another person at the appropriate times TRUE     Question/Answer pattern 285038001 difficulty managing medication (finding)    
M2020_CRNT_MGMT_ORAL_MDCTN 3 Unable to take medication unless administered by another person. TRUE     Question/Answer pattern 408366001 unable to use medication (finding)    
M2030_CRNT_MGMT_INJCTN_MDCTN   Current: Management Of Injectable Medications TRUE     QUESTION/ANSWER PATTERN 404983006 ability to self-administer parenteral medication (observable entity)    
M2030_CRNT_MGMT_INJCTN_MDCTN 1 Able to take injectable medication(s) at the correct times if: (a) individual syringes are prepared in advance by another person; OR (b) another person develops a drug diary or chart. TRUE     Question/Answer pattern 285038001 difficulty managing medication (finding)    
M2030_CRNT_MGMT_INJCTN_MDCTN 2 Able to take medication(s) at the correct times if given reminders by another person based on the frequency of the injection TRUE     Question/Answer pattern 285038001 difficulty managing medication (finding)    
M2030_CRNT_MGMT_INJCTN_MDCTN 3 Unable to take injectable medication unless administered by another person. TRUE     Question/Answer pattern 408366001 unable to use medication (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
CARE MANAGEMENT     N/A              
M2100_CARE_TYPE_SRC_ADL a Care Mgmt, Types And Sources Of Assist: ADL TRUE 0 - No assistance needed in this area   QUESTION/ANSWER PATTERN 413634008 basic activity of daily living (observable entity)    
M2100_CARE_TYPE_SRC_ADL a-1 Caregiver(s) currently provide assistance TRUE     Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_ADL a-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_ADL a-3 Caregiver(s) not likely to provide assistance TRUE     Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_ADL a-4 Unclear if Caregiver(s) will provide assistance TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M2100_CARE_TYPE_SRC_ADL a-5 Assistance needed, but no Caregiver(s) available TRUE     Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_IADL b Care Mgmt, Types And Sources Of Assist: IADL TRUE 0 - No assistance needed in this area   QUESTION/ANSWER PATTERN 414514009 instrumental activity of daily living (observable entity)    
M2100_CARE_TYPE_SRC_IADL b-1 Caregiver(s) currently provide assistance TRUE     Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_IADL b-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_IADL b-3 Caregiver(s) not likely to provide assistance TRUE     Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_IADL b-4 Unclear if Caregiver(s) will provide assistance TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M2100_CARE_TYPE_SRC_IADL b-5 Assistance needed, but no Caregiver(s) available TRUE     Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_MDCTN c Care Mgmt, Types And Sources Of Assist: Medication Admin TRUE 0 - No assistance needed in this area   QUESTION/ANSWER PATTERN 285033005 ability to manage medication (observable entity)    
M2100_CARE_TYPE_SRC_MDCTN c-1 Caregiver(s) currently provide assistance TRUE     Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_MDCTN c-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_MDCTN c-3 Caregiver(s) not likely to provide assistance TRUE     Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_MDCTN c-4 Unclear if Caregiver(s) will provide assistance TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M2100_CARE_TYPE_SRC_MDCTN c-5 Assistance needed, but no Caregiver(s) available TRUE     Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_PRCDR d Care Mgmt, Types And Sources Of Assist: Med Procs Tx TRUE 0 - No assistance needed in this area   QUESTION/ANSWER PATTERN 304897000 ability to comply with treatment (observable entity)    
M2100_CARE_TYPE_SRC_PRCDR d-1 Caregiver(s) currently provide assistance TRUE     Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_PRCDR d-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_PRCDR d-3 Caregiver(s) not likely to provide assistance TRUE     Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_PRCDR d-4 Unclear if Caregiver(s) will provide assistance TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M2100_CARE_TYPE_SRC_PRCDR d-5 Assistance needed, but no Caregiver(s) available TRUE     Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_EQUIP e Care Mgmt, Types And Sources Of Assist: Equipment TRUE 0 - No assistance needed in this area   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #2)  -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M2100_CARE_TYPE_SRC_EQUIP e-1 Caregiver(s) currently provide assistance TRUE     Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_EQUIP e-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_EQUIP e-3 Caregiver(s) not likely to provide assistance TRUE     Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_EQUIP e-4 Unclear if Caregiver(s) will provide assistance TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M2100_CARE_TYPE_SRC_EQUIP e-5 Assistance needed, but no Caregiver(s) available TRUE     Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_SPRVSN f Care Mgmt, Types And Sources Of Assist: Supervision And Safety TRUE 0 - No assistance needed in this area   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M2100_CARE_TYPE_SRC_SPRVSN f-1 Caregiver(s) currently provide assistance TRUE     Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_SPRVSN f-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_SPRVSN f-3 Caregiver(s) not likely to provide assistance TRUE     Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_SPRVSN f-4 Unclear if Caregiver(s) will provide assistance TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M2100_CARE_TYPE_SRC_SPRVSN f-5 Assistance needed, but no Caregiver(s) available TRUE     Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_ADVCY g Care Mgmt, Types And Sources Of Assist: Advocacy Or Facilitation TRUE 0 - No assistance needed in this area   QUESTION/ANSWER PATTERN 372038002 advocacy (regime/therapy)    
M2100_CARE_TYPE_SRC_ADVCY g-1 Caregiver(s) currently provide assistance TRUE     Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_ADVCY g-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_ADVCY g-3 Caregiver(s) not likely to provide assistance TRUE     Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_ADVCY g-4 Unclear if Caregiver(s) will provide assistance TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M2100_CARE_TYPE_SRC_ADVCY g-5 Assistance needed, but no Caregiver(s) available TRUE     Question/Answer pattern 276039008 no carer (finding)    
M2110_ADL_IADL_ASTNC_FREQ   How Often Recv ADL Or IADL Assistance From Any TRUE 5 - No assistance received
UK - Unknown
  QUESTION/ANSWER PATTERN 105389006 personal care assistance at home (procedure)    
M2110_ADL_IADL_ASTNC_FREQ 1 At least daily TRUE     Question/Answer pattern 69620002 daily (qualifier value)    
M2110_ADL_IADL_ASTNC_FREQ 2 Three or more times per week TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M2110_ADL_IADL_ASTNC_FREQ 3 One to two times per week TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M2110_ADL_IADL_ASTNC_FREQ 4 Received, but less often than weekly TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
THERAPY NEED AND PLAN OF CARE     N/A              
M2250_PLAN_SMRY_DBTS_FT_CARE b Plan Of Care Synopsis: Diabetic Foot Care TRUE 0 - No
NA - Patient is not diabetic or is bilateral amputee
  ASSERTION PATTERN        
M2250_PLAN_SMRY_DBTS_FT_CARE b-1 Yes TRUE     Assertion pattern 385957006 foot care management (procedure)    
M2250_PLAN_SMRY_FALL_PRVNT c Plan Of Care Synopsis: Falls Prevention Interventions TRUE 0 - No
NA - Patient is not assessed to be at risk for falls
  ASSERTION PATTERN        
M2250_PLAN_SMRY_FALL_PRVNT c-1 Yes TRUE     Assertion pattern 386296001 fall prevention (procedure)    
M2250_PLAN_SMRY_DPRSN_INTRVTN d Plan Of Care Synopsis: Depression Interventions TRUE 0 - No
NA - Patient is not assessed to be at risk for falls
  ASSERTION PATTERN        
M2250_PLAN_SMRY_DPRSN_INTRVTN d-1 Yes TRUE     Assertion pattern 401174001 depression management program (regime/therapy)    
M2250_PLAN_SMRY_PRSULC_PRVNT f Plan Of Care Synopsis: PU Prevention TRUE 0 - No
NA - Patient is not assessed to be at risk for pressure ulcers
  ASSERTION PATTERN        
M2250_PLAN_SMRY_PRSULC_PRVNT f-1 Yes TRUE     Assertion pattern 225996006 pressure sore prevention (procedure)    
M2250_PLAN_SMRY_PRSULC_TRTMT g Plan Of Care Synopsis: PU Moist Treatment TRUE 0 - No
NA - Patient has no pressure ulcers with need for moist wound healing
  ASSERTION PATTERN        
M2250_PLAN_SMRY_PRSULC_TRTMT g-1 Yes TRUE     Assertion pattern 225357008 pressure sore care (regime/therapy)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
EMERGENT CARE     N/A              
M2300_EMER_USE_AFTR_LAST_ASMT   Emergent Care: Use Since Last Oasis Data Collection TRUE 0 - No
UK - Unknown
  ASSERTION PATTERN        
M2300_EMER_USE_AFTR_LAST_ASMT 1 Yes, used hospital emergency department WITHOUT hospital admission TRUE     Assertion Pattern 50331008 emergency room admission, followed by release (procedure)    
M2300_EMER_USE_AFTR_LAST_ASMT 2 Yes, used hospital emergency department WITH hospital admission TRUE     Assertion Pattern 183452005 emergency hospital admission (procedure)    
M2310   Reason for emergent care TRUE 19 - Other than above reasons
UK - Reason Unknown
Question row/description added to facilitate message format. ASSERTION PATTERN        
M2310_ECR_MEDICATION 1 Emergent Care Reason: Medication TRUE     Assertion Pattern 62014003 adverse reaction to drug (disorder)    
M2310_ECR_INJRY_BY_FALL 2 Emergent Care Reason: Injury Caused By Fall TRUE     Assertion Pattern 398117008 falling injury (disorder)    
M2310_ECR_RSPRTRY_INFCTN 3 Emergent Care Reason: Respiratory Infection TRUE     Assertion Pattern 275498002 respiratory tract infection (disorder)    
M2310_ECR_RSPRTRY_OTHR 4 Emergent Care Reason: Respiratory Other TRUE     Assertion Pattern Concept Not Mapped (Reason #5) -
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
     
M2310_ECR_HRT_FAILR 5 Emergent Care Reason: Heart Failure TRUE     Assertion Pattern 84114007 heart failure (disorder)    
M2310_ECR_CRDC_DSRTHM 6 Emergent Care Reason: Cardiac Dysrhythmia TRUE     Assertion Pattern 44808001 conduction disorder of the heart (disorder)    
M2310_ECR_MI_CHST_PAIN 7 Emergent Care Reason: Myocardial Infarction Or Chest Pain TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M2310_ECR_OTHR_HRT_DEASE 8 Emergent Care Reason: Other Heart Disease TRUE     Assertion Pattern Concept Not Mapped (Reason #5) -
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
     
M2310_ECR_STROKE_TIA 9 Emergent Care Reason: Stroke (CVA) Or TIA TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M2310_ECR_HYPOGLYC 10 Emergent Care Reason: Hypoglycemia TRUE     Assertion Pattern 302866003 hypoglycemia (disorder)    
M2310_ECR_GI_PRBLM 11 Emergent Care: GI Bleeding, Obstruction, Constipation, Impaction TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M2310_ECR_DHYDRTN_MALNTR 12 Emergent Care Reason: Dehydration, Malnutrition TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M2310_ECR_UTI 13 Emergent Care Reason: Urinary Track Infection TRUE     Assertion Pattern 68566005 urinary tract infectious disease (disorder)    
M2310_ECR_CTHTR_CMPLCTN 14 Emergent Care Reason: IV Catheter-related Infection Or Complication TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M2310_ECR_WND_INFCTN_DTRORTN 15 Emergent Care Reason: Wound Infection Or Deterioration TRUE     Assertion Pattern 271618001 impaired wound healing (finding)    
M2310_ECR_UNCNTLD_PAIN 16 Emergent Care Reason: Uncontrolled Pain TRUE     Assertion Pattern 39565009 pain crisis (finding)    
M2310_ECR_MENTL_BHVRL_PRBLM 17 Emergent Care Reason: Acute Mental/Behavioral Health Problem TRUE     Assertion Pattern 413307004 mental health problem (finding)    
M2310_ECR_DVT_PULMNRY 18 Emergent Care Reason: Deep Vein Thrombosis, Pulmonary Embolus TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY     N/A              
M2400_INTRVTN_SMRY_DBTS_FT a Intervention Synopsis: Diabetic Foot Care TRUE 0 - No
NA - Patient is not diabetic or is bilateral amputee
  ASSERTION PATTERN        
M2400_INTRVTN_SMRY_DBTS_FT a-1 Yes TRUE     Assertion pattern 385957006 foot care management (procedure)    
M2400_INTRVTN_SMRY_FALL_PRVNT b Intervention Synopsis: Falls Prevention Intervention TRUE 0 - No
NA - Formal multi-factor Fall Risk Assessment indicates the patient was not at risk for falls since the last OASIS assessment
  ASSERTION PATTERN        
M2400_INTRVTN_SMRY_FALL_PRVNT b-1 Yes TRUE     Assertion pattern 386296001 fall prevention (procedure)    
M2400_INTRVTN_SMRY_DPRSN c Intervention Synopsis: Depression Intervention TRUE 0 - No
NA - Formal assessment indicates patient did not meet criteria for depression AND patient did not have diagnosis of depression since the last OASIS assessment
  ASSERTION PATTERN        
M2400_INTRVTN_SMRY_DPRSN c-1 Yes TRUE     Assertion pattern 401174001 depression management program (regime/therapy)    
M2400_INTRVTN_SMRY_PAIN_MNTR d Intervention Synopsis: Intervention To Monitor And Mitigate Pain TRUE 0 - No
NA - Formal assessment did not indicate pain since the last OASIS assessment
  ASSERTION PATTERN        
M2400_INTRVTN_SMRY_PAIN_MNTR d-1 Yes TRUE     Assertion pattern 278414003 pain management (procedure)    
M2400_INTRVTN_SMRY_PRSULC_PRVN e Intervention Synopsis: Intervention To Prevent Pressure Ulcers TRUE 0 - No
NA - Formal assessment indicates the patient was not at risk of pressure ulcers since the last OASIS assessment
  ASSERTION PATTERN        
M2400_INTRVTN_SMRY_PRSULC_PRVN e-1 Yes TRUE     Assertion pattern 225996006 pressure sore prevention (procedure)    
M2400_INTRVTN_SMRY_PRSULC_WET f Intervention Synopsis: Pressure Ulcer Treatment Based On Moist Wound Treatment TRUE 0 - No
NA - Dressings that support the principles of moist wound healing not indicated for this patient’s pressure ulcers OR patient has no pressure ulcers with need for moist wound healing
  ASSERTION PATTERN        
M2400_INTRVTN_SMRY_PRSULC_WET f-1 Yes TRUE     Assertion pattern 225357008 pressure sore care (regime/therapy)    
M2410_INPAT_FACILITY   Inpatient Facility TRUE NA - No inpatient facility admission   QUESTION/ANSWER PATTERN 306101007 referral to establishment (procedure)    
M2410_INPAT_FACILITY 1 Hospital TRUE     Question/Answer pattern 32485007 hospital admission (procedure)    
M2410_INPAT_FACILITY 2 Rehabilitation facility TRUE     Question/Answer pattern 305382000 admission to rehabilitation department (procedure)    
M2410_INPAT_FACILITY 3 Nursing home TRUE     Question/Answer pattern 304567001 admission for long-term care (procedure)    
M2410_INPAT_FACILITY 4 Hospice TRUE     Question/Answer pattern 305336008 admission to hospice (procedure)    
M2420_DSCHRG_DISP   Discharge Disposition TRUE 4 - Unknown because patient moved to a geographic location not served by this agency
UK - Other Unknown
  QUESTION/ANSWER PATTERN 107726003 patient disposition (procedure)    
M2420_DSCHRG_DISP 1 Patient remained in the community (without formal assistive services) TRUE     Question/Answer pattern 31879006 lives in a community (finding)    
M2420_DSCHRG_DISP 2 Patient remained in the community (with formal assistive services) TRUE     Question/Answer pattern 160725005 lives alone - help available (finding)    
M2420_DSCHRG_DISP 3 Patient transferred to a non-institutional hospice TRUE     Question/Answer pattern Concept Not Mapped (Reason #2) -
No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping
     
M2430   Reason for hospitalization TRUE 20 - Other than above reasons
UK - Reason Unknown
Question row/description added to facilitate message format.          
M2430_HOSP_MED 1 Hospitalized: Medication TRUE     Assertion Pattern 62014003 adverse reaction to drug (disorder)    
M2430_HOSP_INJRY_BY_FALL 2 Hospitalized: Injury Caused By Fall TRUE     Assertion Pattern 398117008 falling injury (disorder)    
M2430_HOSP_RSPRTRY_INFCTN 3 Hospitalized: Respiratory TRUE     Assertion Pattern 275498002 respiratory tract infection (disorder)    
M2430_HOSP_RSPRTRY_OTHR 4 Hospitalized: Other Respiratory TRUE     Assertion Pattern Concept Not Mapped (Reason #5) -
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
     
M2430_HOSP_HRT_FAILR 5 Hospitalized: Heart Failure TRUE     Assertion Pattern 84114007 heart failure (disorder)    
M2430_HOSP_CRDC_DSRTHM 6 Hospitalized: Cardiac Dysrhythmia TRUE     Assertion Pattern 44808001 conduction disorder of the heart (disorder)    
M2430_HOSP_MI_CHST_PAIN 7 Hospitalized: Myocardial Infarction Or Chest Pain TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M2430_HOSP_OTHR_HRT_DEASE 8 Hospitalized: Other Heart Disease TRUE     Assertion Pattern Concept Not Mapped (Reason #5) -
Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT
     
M2430_HOSP_STROKE_TIA 9 Hospitalized: Stroke (CVA) Or TIA TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M2430_HOSP_HYPOGLYC 10 Hospitalized: Hypoglycemia TRUE     Assertion Pattern 302866003 hypoglycemia (disorder)    
M2430_HOSP_GI_PRBLM 11 Hospitalized: GI Bleeding, Obstruction, Constipation, Impaction TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M2430_HOSP_DHYDRTN_MALNTR 12 Hospitalized: Dehydration, Malnutrition TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M2430_HOSP_UR_TRACT 13 Hospitalized: Urinary Tract TRUE     Assertion Pattern 68566005 urinary tract infectious disease (disorder)    
M2430_HOSP_CTHTR_CMPLCTN 14 Hospitalized: IV Catheter Related Infection Or Complication TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M2430_HOSP_WND_INFCTN 15 Hospitalized: Wound Infection Or Deterioration TRUE     Assertion Pattern 271618001 impaired wound healing (finding)    
M2430_HOSP_PAIN 16 Hospitalized: Pain TRUE     Assertion Pattern 39565009 pain crisis (finding)    
M2430_HOSP_MENTL_BHVRL_PRBLM 17 Hospitalized: Acute Mental/Behavior Health Problem TRUE     Assertion Pattern 413307004 mental health problem (finding)    
M2430_HOSP_DVT_PULMNRY 18 Hospitalized: Deep vein thrombosis, Pulmonary embolus TRUE     Assertion Pattern Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     
M2430_HOSP_SCHLD_TRTMT 19 Hospitalized: Scheduled Treatment Or Procedure TRUE     Assertion Pattern 304566005 admission for treatment (procedure)    
M2440   Reason for nursing home admission TRUE 6 - Other
UK - Unknown
Question row/description added to facilitate message format. QUESTION/ANSWER PATTERN 25675004 patient transfer to skilled nursing facility (SNF) (procedure)    
M2440_NH_THERAPY 1 Admitted to Nursing Home: Therapy TRUE     Question/Answer pattern 276239002 therapy (regime/therapy)    
M2440_NH_RESPITE 2 Admitted to Nursing Home: Respite TRUE     Question/Answer pattern 105386004 respite care of patient (regime/therapy)    
M2440_NH_HOSPICE 3 Admitted to Nursing Home: Hospice TRUE     Question/Answer pattern 385763009 hospice care (regime/therapy)    
M2440_NH_PERMANENT 4 Admitted to Nursing Home: Permanent Placement TRUE     Question/Answer pattern 304567001 admission for long-term care (procedure)    
M2440_NH_UNSAFE_HOME 5 Admitted to Nursing Home: Unsafe at Home TRUE     Question/Answer pattern 225861007 unsafe to be left alone (finding)    
M0903_LAST_HOME_VISIT   Date of Last Home Visit TRUE       406543005 date of visit (observable entity)    
M0906_DC_TRAN_DTH_DT   Discharge, Transfer, Death Date TRUE       Concept Not Mapped (Reason #3) -
Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination
     

OASIS Summary -- Model Of Use

CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
PATIENT TRACKING     N/A          
M0014_BRANCH_STATE   Branch State TRUE     46494-1    
M0016_BRANCH_ID   Branch ID (Optional) TRUE     46495-8    
M0018_PHYSICIAN_ID   Primary Referring Physician National Provider ID (NPI) TRUE     44954-6    
M0020_PAT_ID   Patient ID Number TRUE     46496-6    
M0030_START_CARE_DT   Start of Care Date TRUE     46497-4    
M0032_ROC_DT   Resumption of Care Date TRUE     46498-2    
M0040_PAT_FNAME   Patient's First Name TRUE     45392-8    
M0040_PAT_MI   Patient's Middle Initial TRUE     45393-6    
M0040_PAT_LNAME   Patient's Last Name TRUE     45394-4    
M0040_PAT_SUFFIX   Patient's Suffix TRUE     45395-1    
M0050_PAT_ST   Patient State of Residence TRUE     46499-0    
M0060_PAT_ZIP   Patient Zip Code TRUE     45401-7    
M0063_MEDICARE_NUM   Medicare Number, Including Suffix TRUE     45397-7    
M0064_SSN   Patient's Social Security Number TRUE     45396-9    
M0065_MEDICAID_NUM   Medicaid Number TRUE     45400-9    
M0066_PAT_BIRTH_DT   Date of Birth TRUE     21112-8    
M0069_PAT_GENDER   Gender TRUE     46607-8    
M0069_PAT_GENDER 1 Male TRUE     46607-8 LA2-8 1.3.6.1.4.1.12009.10.1.138
M0069_PAT_GENDER 2 Female TRUE     46607-8 LA3-6 1.3.6.1.4.1.12009.10.1.138
M0140_ETHNIC_AI_AN 1 Race/Ethnicity: American Indian or Alaska Native TRUE         2.16.840.1.113883.1.11.15836
M0140_ETHNIC_ASIAN 2 Race/Ethnicity: Asian TRUE         2.16.840.1.113883.1.11.15836
M0140_ETHNIC_BLACK 3 Race/Ethnicity: Black or African-American TRUE         2.16.840.1.113883.1.11.15836
M0140_ETHNIC_HISP 4 Race/Ethnicity: Hispanic or Latino TRUE         2.16.840.1.113883.1.11.15836
M0140_ETHNIC_NH_PI 5 Race/Ethnicity: Native Hawaiian or Pacific Islander TRUE         2.16.840.1.113883.1.11.15836
M0140_ETHNIC_WHITE 6 Race/Ethnicity: White TRUE         2.16.840.1.113883.1.11.15836
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
CLINICAL RECORD ITEMS     N/A          
M0090_INFO_COMPLETED_DT   Date Assessment Completed TRUE     46501-3    
M0100_ASSMT_REASON   Reason for Assessment TRUE     57200-8    
M0100_ASSMT_REASON 1 Start of care - further visits planned TRUE     57200-8 LA6390-4 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 3 Resumption of care (after inpatient stay) TRUE     57200-8 LA6366-4 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 4 Recertification (follow-up) reassessment TRUE     57200-8 LA6355-7 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 5 Other follow-up TRUE     57200-8 LA6312-8 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 6 Transferred to an inpatient facility - patient not discharged from agency TRUE     57200-8 LA6402-7 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 7 Transferred to an inpatient facility - patient discharged from agency TRUE     57200-8 LA6401-9 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 8 Death at home TRUE     57200-8 LA6179-1 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 9 Discharge from agency TRUE     57200-8 LA6184-1 1.3.6.1.4.1.12009.10.1.78
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
PATIENT HISTORY AND DIAGNOSES     N/A          
M1000   Inpatient discharge facility TRUE   Question row added to facilitate message format. 57204-0    
M1000_DC_LTC_14_DA 1 Past 14 Days: Dschrgd From LTC NH TRUE     57204-0 LA12115-4 1.3.6.1.4.1.12009.10.1.81
M1000_DC_SNF_14_DA 2 Past 14 Days: Discharged from Skilled Nursing Facility TRUE     57204-0 LA10080-2 1.3.6.1.4.1.12009.10.1.81
M1000_DC_IPPS_14_DA 3 Past 14 Days: Dschrgd From Short Stay Acute Hospital TRUE     57204-0 LA12117-0 1.3.6.1.4.1.12009.10.1.81
M1000_DC_LTCH_14_DA 4 Past 14 Days: Dschrgd From Long Term Care Hospital TRUE     57204-0 LA10000-0 1.3.6.1.4.1.12009.10.1.81
M1000_DC_IRF_14_DA 5 Past 14 Days: Discharged From Inpatient Rehab Facility TRUE     57204-0 LA9986-6 1.3.6.1.4.1.12009.10.1.81
M1000_DC_PSYCH_14_DA 6 Past 14 Days: Dschrgd From Psychiatric Hospital Or Unit TRUE     57204-0 LA10065-3 1.3.6.1.4.1.12009.10.1.81
M1000_DC_OTH_14_DA 7 Past 14 Days: Dschrgd From Other TRUE   This is handled in the CDA by making "Other" a null, and including the text response in the <originalText> field 57204-0 LA6310-2 1.3.6.1.4.1.12009.10.1.81
M1000_DC_NONE_14_DA N/A Past 14 Days: Not Discharged from Inpatient Facility TRUE     57204-0 LA6342-5 1.3.6.1.4.1.12009.10.1.81
M1005_INP_DISCHARGE_DT   Most Recent Inpatient Discharge Date TRUE     46503-9    
M1010   Inpatient Diagnosis TRUE   Question row added to facilitate message format.      
M1010_14_DAY_INP1_ICD a Inpatient Stay Within Last 14 Days: ICD Code 1 TRUE     46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP2_ICD b Inpatient Stay Within Last 14 Days: ICD Code 2 TRUE     46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP3_ICD c Inpatient Stay Within Last 14 Days: ICD Code 3 TRUE     46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP4_ICD d Inpatient Stay Within Last 14 Days: ICD Code 4 TRUE     46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP5_ICD e Inpatient Stay Within Last 14 Days: ICD Code 5 TRUE     46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP6_ICD f Inpatient Stay Within Last 14 Days: ICD Code 6 TRUE     46504-7   2.16.840.1.113883.6.103
M1016   Diagnosis Requiring Regimen Change TRUE   Question row added to facilitate message format.      
M1016_CHGREG_ICD1 a Regimen Change in Past 14 Days: ICD Code 1 TRUE     46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD2 b Regimen Change in Past 14 Days: ICD Code 2 TRUE     46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD3 c Regimen Change in Past 14 Days: ICD Code 3 TRUE     46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD4 d Regimen Change in Past 14 Days: ICD Code 4 TRUE     46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD5 e Regimen Change In Past 14 Days: ICD Code 5 TRUE     46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD6 f Regimen Change In Past 14 Days: ICD Code 6 TRUE     46507-0   2.16.840.1.113883.6.103
M1020_PRIMARY_DIAG_ICD a Primary Diagnosis ICD Code TRUE     46511-2   2.16.840.1.113883.6.103
M1022_OTH_DIAG1_ICD b Other Diagnosis 1: ICD Code TRUE     46513-8   2.16.840.1.113883.6.103
M1022_OTH_DIAG2_ICD c Other Diagnosis 2: ICD Code TRUE     46515-3   2.16.840.1.113883.6.103
M1022_OTH_DIAG3_ICD d Other Diagnosis 3: ICD Code TRUE     46517-9   2.16.840.1.113883.6.103
M1022_OTH_DIAG4_ICD e Other Diagnosis 4: ICD Code TRUE     46519-5   2.16.840.1.113883.6.103
M1022_OTH_DIAG5_ICD f Other Diagnosis 5: ICD Code TRUE     46521-1   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_A3 a Case Mix Diagnosis: Primary, Column 3 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_B3 b Case Mix Diagnosis: First Secondary, Column 3 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_C3 c Case Mix Diagnosis: Second Secondary, Column 3 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_D3 d Case Mix Diagnosis: Third Secondary, Column 3 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_E3 e Case Mix Diagnosis: Fourth Secondary, Column 3 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_F3 f Case Mix Diagnosis: Fifth Secondary, Column 3 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_A4 a Case Mix Diagnosis: Primary, Column 4 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_B4 b Case Mix Diagnosis: First Secondary, Column 4 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_C4 c Case Mix Diagnosis: Second Secondary, Column 4 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_D4 d Case Mix Diagnosis: Third Secondary, Column 4 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_E4 e Case Mix Diagnosis: Fourth Secondary, Column 4 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_F4 f Case Mix Diagnosis: Fifth Secondary, Column 4 TRUE     49561-4   2.16.840.1.113883.6.103
M1030   Therapies the patient receives at home TRUE 4 - None of the Above Question row added to facilitate message format. 46466-9    
M1030_THH_IV_INFUSION 1 Therapies Received at Home: Intravenous, Infusion TRUE     46466-9 LA6244-3 1.3.6.1.4.1.12009.10.1.142
M1030_THH_PAR_NUTRITION 2 Therapies Received at Home: Parenteral Nutrition TRUE     46466-9 LA6321-9 1.3.6.1.4.1.12009.10.1.142
M1030_THH_ENT_NUTRITION 3 Therapies Received at Home: Enteral Nutrition TRUE     46466-9 LA6194-0 1.3.6.1.4.1.12009.10.1.142
M1032   Risk for hospitalization TRUE 6 - Other
7 - None of the Above
Question row added to facilitate message format. 57319-6    
M1032_HOSP_RISK_RCNT_DCLN 1 Risk For Hospitalization: Recent Decline In Mental, Emotional Or Behavior Status TRUE     57319-6 LA12130-3 1.3.6.1.4.1.12009.10.1.83
M1032_HOSP_RISK_MLTPL_HOSPZTN 2 Risk For Hospitalization: Multiple Hospitalizations (2 Or More) In Past 12 Mo TRUE     57319-6 LA12131-1 1.3.6.1.4.1.12009.10.1.83
M1032_HOSP_RISK_HSTRY_FALLS 3 Risk For Hospitalization: History Of Falls (2 Or More Falls Or Any Fall With An Injury) In Past Year TRUE     57319-6 LA12132-9 1.3.6.1.4.1.12009.10.1.83
M1032_HOSP_RISK_5PLUS_MDCTN 4 Risk For Hospitalization: Taking Five Or More Medications TRUE     57319-6 LA12133-7 1.3.6.1.4.1.12009.10.1.83
M1032_HOSP_RISK_FRAILTY 5 Risk For Hospitalization: Frailty Indicators TRUE     57319-6 LA12134-5 1.3.6.1.4.1.12009.10.1.83
M1034_PTNT_OVRAL_STUS   Patient's Overall Status TRUE 0 - Patient stable
1 - Patient temporarily facing high health risk
UK - Unknown
  57206-5    
M1034_PTNT_OVRAL_STUS 2 The patient is likely to remain in fragile health and have ongoing high risk(s) of serious complications and death. TRUE     57206-5 LA12139-4 1.3.6.1.4.1.12009.10.1.84
M1034_PTNT_OVRAL_STUS 3 The patient has serious progressive conditions that could lead to death within a year. TRUE     57206-5 LA10096-8 1.3.6.1.4.1.12009.10.1.84
M1036   Risk factors, either present or past, likely to affect current health status and/or outcome TRUE 5 - None of the Above
UK - Unknown
Question row added to facilitate message format. 57207-3    
M1036_RSK_SMOKING 1 High Risk Factor: Smoking TRUE     57207-3 LA8928-9 1.3.6.1.4.1.12009.10.1.85
M1036_RSK_OBESITY 2 High Risk Factor: Obesity TRUE     57207-3 LA6301-1 1.3.6.1.4.1.12009.10.1.85
M1036_RSK_ALCOHOLISM 3 High Risk Factor: Alcoholism TRUE     57207-3 LA6152-8 1.3.6.1.4.1.12009.10.1.85
M1036_RSK_DRUGS 4 High Risk Factor: Drugs TRUE     57207-3 LA6189-0 1.3.6.1.4.1.12009.10.1.85
M1040_INFLNZ_RCVD_AGNCY   Influenza Vaccine: Did Patient Receive The Influenza Vaccine TRUE 0 - No   57208-1    
M1040_INFLNZ_RCVD_AGNCY 1 Yes TRUE     57208-1 LA33-6 1.3.6.1.4.1.12009.10.1.86
M1040_INFLNZ_RCVD_AGNCY NA Does not apply because entire episode of care (SOC/ROC to Transfer/Discharge) is outside this influenza season. TRUE     57208-1 LA12150-1 1.3.6.1.4.1.12009.10.1.86
M1045_INFLNZ_RSN_NOT_RCVD   Influenza Vaccine: Reason Not Received In Agency TRUE 7 - None of the Above   57209-9    
M1045_INFLNZ_RSN_NOT_RCVD 1 Received from another health care provider (e.g., physician) TRUE     57209-9 LA12151-9 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 2 Received from your agency previously during this year's flu season TRUE     57209-9 LA12152-7 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 3 Offered and declined TRUE     57209-9 LA186-9 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 4 Assessed and determined to have medical contraindication(s) TRUE     57209-9 LA12154-3 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 5 Not indicated; patient does not meet age/condition guidelines for influenza vaccine TRUE     57209-9 LA12155-0 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 6 Inability to obtain vaccine due to declared shortage TRUE     57209-9 LA12156-8 1.3.6.1.4.1.12009.10.1.87
M1050_PPV_RCVD_AGNCY   Pneumococcal Vaccine: Did Patient Receive The Influenza Vaccine TRUE 0 - No   57210-7    
M1050_PPV_RCVD_AGNCY 1 Yes TRUE     57210-7 LA33-6 1.3.6.1.4.1.12009.10.1.62
M1055_PPV_RSN_NOT_RCVD_AGNCY   Pneumococcal Vaccine: Reason Not Received In Agency TRUE 5 - None of the Above   57211-5    
M1055_PPV_RSN_NOT_RCVD_AGNCY 1 Patient has received PPV in the past TRUE     57211-5 LA12158-4 1.3.6.1.4.1.12009.10.1.88
M1055_PPV_RSN_NOT_RCVD_AGNCY 2 Offered and declined TRUE     57211-5 LA186-9 1.3.6.1.4.1.12009.10.1.88
M1055_PPV_RSN_NOT_RCVD_AGNCY 3 Assessed and determined to have medical contraindication(s) TRUE     57211-5 LA12154-3 1.3.6.1.4.1.12009.10.1.88
M1055_PPV_RSN_NOT_RCVD_AGNCY 4 Not indicated; patient does not meet age/condition guidelines for PPV TRUE     57211-5 LA12161-8 1.3.6.1.4.1.12009.10.1.88
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
LIVING ARRANGEMENTS     N/A          
M1100_PTNT_LVG_STUTN   Patient Living Situation TRUE     57212-3    
M1100_PTNT_LVG_STUTN 1 Patient Lives Alone - Around the clock TRUE     57212-3 LA12163-4 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 2 Patient Lives Alone - Regular daytime TRUE     57212-3 LA12164-2 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 3 Patient Lives Alone - Regular nighttime TRUE     57212-3 LA12165-9 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 4 Patient Lives Alone - Occasional / short-term assistance TRUE     57212-3 LA12166-7 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 5 Patient Lives Alone - No assistance available TRUE     57212-3 LA12167-5 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 6 Patient Lives with Other Person - Around the clock TRUE     57213-1 LA12163-4 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 7 Patient Lives with Other Person - Regular daytime TRUE     57213-1 LA12164-2 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 8 Patient Lives with Other Person - Regular nighttime TRUE     57213-1 LA12165-9 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 9 Patient Lives with Other Person - Occasional / short-term assistance TRUE     57213-1 LA12166-7 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 10 Patient Lives with Other Person - No assistance available TRUE     57213-1 LA12167-5 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 11 Patient Lives in Congregrate Situation - Around the clock TRUE     57214-9 LA12163-4 1.3.6.1.4.1.12009.10.1.68
M1100_PTNT_LVG_STUTN 12 Patient Lives in Congregrate Situation - Regular daytime TRUE     57214-9 LA12164-2 1.3.6.1.4.1.12009.10.1.68
M1100_PTNT_LVG_STUTN 13 Patient Lives in Congregrate Situation - Regular nighttime TRUE     57214-9 LA12165-9 1.3.6.1.4.1.12009.10.1.68
M1100_PTNT_LVG_STUTN 14 Patient Lives in Congregrate Situation - Occasional / short-term assistance TRUE     57214-9 LA12166-7 1.3.6.1.4.1.12009.10.1.68
M1100_PTNT_LVG_STUTN 15 Patient Lives in Congregrate Situation - No assistance available TRUE     57214-9 LA12167-5 1.3.6.1.4.1.12009.10.1.68
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
SENSORY STATUS     N/A          
M1200_VISION   Sensory Status: Vision TRUE 0 - Normal vision   57215-6    
M1200_VISION 1 Partially impaired: cannot see medication labels or newsprint, but can see obstacles in path, and the surrounding layout; can count fingers at arm's length. TRUE     57215-6 LA12169-1 1.3.6.1.4.1.12009.10.1.90
M1200_VISION 2 Severely impaired: cannot locate objects without hearing or touching them or patient nonresponsive. TRUE     57215-6 LA6375-5 1.3.6.1.4.1.12009.10.1.90
M1210_HEARG_ABLTY   Ability To Hear TRUE 0 - Adequates
UK - Unable to assess hearing
  57216-4    
M1210_HEARG_ABLTY 1 Mildly to Moderately Impaired: difficulty hearing in some environments or speaker may need to increase volume or speak distinctly. TRUE     57216-4 LA12124-6 1.3.6.1.4.1.12009.10.1.91
M1210_HEARG_ABLTY 2 Severely Impaired: absence of useful hearing. TRUE     57216-4 LA12125-3 1.3.6.1.4.1.12009.10.1.91
M1220_UNDRSTG_VERBAL_CNTNT   Understanding Of Verbal Content In Patient's Own Language TRUE 0 - Understands
UK - Unable to assess understanding
  57217-2    
M1220_UNDRSTG_VERBAL_CNTNT 1 Usually Understands: understands most conversations, but misses some part/intent of message.  Requires cues at times to understand. TRUE     57217-2 LA12176-6 1.3.6.1.4.1.12009.10.1.92
M1220_UNDRSTG_VERBAL_CNTNT 2 Sometimes Understands: understands only basic conversations or simple, direct phrases. Frequently requires cues to understand. TRUE     57217-2 LA12177-4 1.3.6.1.4.1.12009.10.1.92
M1220_UNDRSTG_VERBAL_CNTNT 3 Rarely/Never Understands TRUE     57217-2 LA81-5 1.3.6.1.4.1.12009.10.1.92
M1230_SPEECH   Sensory Status: Speech TRUE 0 - Expresses complex ideas, feelings, and needs clearly   57218-0    
M1230_SPEECH 1 Minimal difficulty in expressing ideas and needs (may take extra time; makes occasional errors in word choice, grammar or speech intelligibility; needs minimal prompting or assistance). TRUE     1 LA12181-6 1.3.6.1.4.1.12009.10.1.93
M1230_SPEECH 2 Expresses simple ideas or needs with moderate difficulty (needs prompting or assistance, errors in word choice, organization or speech intelligibility). Speaks in phrases or short sentences. TRUE     2 LA12182-4 1.3.6.1.4.1.12009.10.1.93
M1230_SPEECH 3 Has severe difficulty expressing basic ideas or needs and requires maximal assistance or guessing by listener. Speech limited to single words or short phrases. TRUE     3 LA12183-2 1.3.6.1.4.1.12009.10.1.93
M1230_SPEECH 4 Unable to express basic needs even with maximal prompting or assistance but is not comatose or unresponsive (e.g., speech is nonsensical or unintelligible). TRUE     4 LA12184-0 1.3.6.1.4.1.12009.10.1.93
M1230_SPEECH 5 Patient nonresponsive or unable to speak. TRUE     5 LA6336-7 1.3.6.1.4.1.12009.10.1.93
M1242_PAIN_FREQ_ACTVTY_MVMT   Frequency Of Pain Interfering With Patient's Activity Or Movement TRUE 0 - Patient has no pain   57220-6    
M1242_PAIN_FREQ_ACTVTY_MVMT 1 Patient has pain that does not interfere with activity or movement TRUE     57220-6 LA12190-7 1.3.6.1.4.1.12009.10.1.95
M1242_PAIN_FREQ_ACTVTY_MVMT 2 Less often than daily TRUE     57220-6 LA6249-2 1.3.6.1.4.1.12009.10.1.95
M1242_PAIN_FREQ_ACTVTY_MVMT 3 Daily, but not constantly TRUE     57220-6 LA6177-5 1.3.6.1.4.1.12009.10.1.95
M1242_PAIN_FREQ_ACTVTY_MVMT 4 All of the time TRUE     57220-6 LA6154-4 1.3.6.1.4.1.12009.10.1.95
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
INTEGUMENTARY STATUS     N/A          
M1302_RISK_OF_PRSR_ULCR   Does This Patient Have A Risk Of Developing PUs TRUE 0 - No   57280-0    
M1302_RISK_OF_PRSR_ULCR 1 Yes TRUE     57280-0 LA33-6 1.3.6.1.4.1.12009.10.1.62
M1306_UNHLD_STG2_PRSR_ULCR   Patient Has At Least 1 Unhealed PU At Stage 2 Or Higher TRUE 0 - No   57307-1    
M1306_UNHLD_STG2_PRSR_ULCR 1 Yes TRUE     57307-1 LA33-6 1.3.6.1.4.1.12009.10.1.62
M1308_NBR_PRSULC_STG2 a No. Pressure Ulcers - Stage 2 TRUE 0   55124-2    
M1308_NBR_STG2_AT_SOC_ROC   Number PU Stage 2 At SOC/ROC TRUE 0   54886-7    
M1308_NBR_PRSULC_STG3 b No. Pressure Ulcers - Stage 3 TRUE 0   55125-9    
M1308_NBR_STG3_AT_SOC_ROC   Number PU Stage 3 At SOC/ROC TRUE 0   54887-5    
M1308_NBR_PRSULC_STG4 c No. Pressure Ulcers - Stage 4 TRUE 0   55126-7    
M1308_NBR_STG4_AT_SOC_ROC   Number PU Stage 4 At SOC/ROC TRUE 0   54890-9    
M1308_NSTG_DRSG d1 Unstageable Due To Non-removable Dressing Or Device TRUE 0   54893-3    
M1308_NSTG_DRSG_SOC_ROC   Unstageable Due To Non-removable Dressing Or Device At SOC/ROC TRUE 0   54894-1    
M1308_NSTG_CVRG d2 Unstageable Due To Coverage By Slough Or Eschar TRUE 0   54946-9    
M1308_NSTG_CVRG_SOC_ROC   Unstageable Due To Coverage By Slough Or Eschar At SOC/ROC TRUE 0   54947-7    
M1308_NSTG_DEEP_TISUE d3 Unstageable Due To Suspected Deep Tissue Injury In Evolution TRUE 0   54950-1    
M1308_NSTG_DEEP_TISUE_SOC_ROC   Unstageable Due To Suspected Deep Tissue Injury In Evolution At SOC/ROC TRUE 0   54951-9    
M1310_PRSR_ULCR_LNGTH   Head To Toe Length Of Stage III Or IV Pu With Largest Area TRUE     57226-3    
M1312_PRSR_ULCR_WDTH   Width At Right Angles Of Stage III Or IV Pu With Largest Area TRUE     52729-1    
M1314_PRSR_ULCR_DEPTH   Depth Of Stage III Or IV Pu With Largest Area TRUE     57228-9    
M1320_STUS_PRBLM_PRSR_ULCR   Status Of Most Problematic Pressure Ulcer TRUE     57229-7    
M1320_STUS_PRBLM_PRSR_ULCR 0 Newly epithelialized TRUE     57229-7 LA12197-2 1.3.6.1.4.1.12009.10.1.98
M1320_STUS_PRBLM_PRSR_ULCR 1 Fully granulating TRUE     57229-7 LA6203-9 1.3.6.1.4.1.12009.10.1.98
M1320_STUS_PRBLM_PRSR_ULCR 2 Early/partial granulation TRUE     57229-7 LA6193-2 1.3.6.1.4.1.12009.10.1.98
M1320_STUS_PRBLM_PRSR_ULCR 3 Not healing TRUE     57229-7 LA6300-3 1.3.6.1.4.1.12009.10.1.98
M1322_NBR_PRSULC_STG1   No. Pressure Ulcers - Stage 1 TRUE 0   46536-9    
M1322_NBR_PRSULC_STG1 1 One TRUE     46536-9 LA6306-0 1.3.6.1.4.1.12009.10.1.143
M1322_NBR_PRSULC_STG1 2 Two TRUE     46536-9 LA6404-3 1.3.6.1.4.1.12009.10.1.143
M1322_NBR_PRSULC_STG1 3 Three TRUE     46536-9 LA6395-3 1.3.6.1.4.1.12009.10.1.143
M1322_NBR_PRSULC_STG1 4 Four or more TRUE     46536-9 LA6200-5 1.3.6.1.4.1.12009.10.1.143
M1332_NUM_STAS_ULCR   No. Stasis Ulcers TRUE     57233-9    
M1332_NUM_STAS_ULCR 1 One TRUE     57233-9 LA6306-0 1.3.6.1.4.1.12009.10.1.102
M1332_NUM_STAS_ULCR 2 Two TRUE     57233-9 LA6404-3 1.3.6.1.4.1.12009.10.1.102
M1332_NUM_STAS_ULCR 3 Three TRUE     57233-9 LA6395-3 1.3.6.1.4.1.12009.10.1.102
M1332_NUM_STAS_ULCR 4 Four or more TRUE     57233-9 LA6200-5 1.3.6.1.4.1.12009.10.1.102
M1334_STUS_PRBLM_STAS_ULCR   Status Of Most Problematic Stasis Ulcer TRUE     57234-7    
M1334_STUS_PRBLM_STAS_ULCR 0 Newly epithelialized TRUE     57234-7 LA12197-2 1.3.6.1.4.1.12009.10.1.103
M1334_STUS_PRBLM_STAS_ULCR 1 Fully granulating TRUE     57234-7 LA6203-9 1.3.6.1.4.1.12009.10.1.103
M1334_STUS_PRBLM_STAS_ULCR 2 Early/partial granulation TRUE     57234-7 LA6193-2 1.3.6.1.4.1.12009.10.1.103
M1334_STUS_PRBLM_STAS_ULCR 3 Not healing TRUE     57234-7 LA6300-3 1.3.6.1.4.1.12009.10.1.103
M1340_SRGCL_WND_PRSNT   Does This Patient Have A Surgical Wound TRUE 0 - No   57235-4    
M1340_SRGCL_WND_PRSNT 1 Yes, patient has at least one (observable) surgical wound TRUE     57235-4 LA12633-6 1.3.6.1.4.1.12009.10.1.69
M1340_SRGCL_WND_PRSNT 2 Surgical wound known but not observable due to non-removable dressing [ Go to M1350 ] TRUE     57235-4 LA12634-4 1.3.6.1.4.1.12009.10.1.69
M1342_STUS_PRBLM_SRGCL_WND   Status Of Most Problematic Surgical Wound TRUE     57236-2    
M1342_STUS_PRBLM_SRGCL_WND 0 Newly epithelialized TRUE     57236-2 LA12197-2 1.3.6.1.4.1.12009.10.1.103
M1342_STUS_PRBLM_SRGCL_WND 1 Fully granulating TRUE     57236-2 LA6203-9 1.3.6.1.4.1.12009.10.1.103
M1342_STUS_PRBLM_SRGCL_WND 2 Early/partial granulation TRUE     57236-2 LA6193-2 1.3.6.1.4.1.12009.10.1.103
M1342_STUS_PRBLM_SRGCL_WND 3 Not healing TRUE     57236-2 LA6300-3 1.3.6.1.4.1.12009.10.1.103
M1350_LESION_OPEN_WND   Has Skin Lesion Or Open Wound TRUE 0 - No   46534-4    
M1350_LESION_OPEN_WND 1 Yes TRUE     46534-4 LA33-6 1.3.6.1.4.1.12009.10.1.62
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
RESPIRATORY STATUS     N/A          
M1400_WHEN_DYSPNEIC   When Dyspneic TRUE 0 - Patient is not short of breath   57237-0    
M1400_WHEN_DYSPNEIC 1 When walking more than 20 feet, climbing stairs TRUE     57237-0 LA6443-1 1.3.6.1.4.1.12009.10.1.104
M1400_WHEN_DYSPNEIC 2 With moderate exertion (e.g., while dressing, using commode or bedpan, walking distances less than 20 feet) TRUE     57237-0 LA6446-4 1.3.6.1.4.1.12009.10.1.104
M1400_WHEN_DYSPNEIC 3 With minimal exertion (e.g., while eating, talking, or performing other ADLs) or with agitation TRUE     57237-0 LA6445-6 1.3.6.1.4.1.12009.10.1.104
M1400_WHEN_DYSPNEIC 4 At rest (during day or night) TRUE     57237-0 LA6158-5 1.3.6.1.4.1.12009.10.1.104
M1410   Respiratory treatments utilized at home: TRUE 4 - None of the Above Question row added to facilitate message format. 57238-8    
M1410_RESPTX_OXYGEN 1 Respiratory Treatments: Oxygen TRUE     57238-8 LA6319-3 1.3.6.1.4.1.12009.10.1.105
M1410_RESPTX_VENTILATOR 2 Respiratory Treatments: Ventilator TRUE     57238-8 LA6438-1 1.3.6.1.4.1.12009.10.1.105
M1410_RESPTX_AIRPRESS 3 Respiratory Treatments: Airway Pressure TRUE     57238-8 LA12231-9 1.3.6.1.4.1.12009.10.1.105
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
CARDIAC STATUS     N/A          
M1500_SYMTM_HRT_FAILR_PTNTS   Symptoms In Heart Failure Patients TRUE 0 - No
NA - Patient does not have diagnosis of heart failure
  57239-6    
M1500_SYMTM_HRT_FAILR_PTNTS 1 Yes TRUE     57239-6 LA33-6 1.3.6.1.4.1.12009.10.1.106
M1500_SYMTM_HRT_FAILR_PTNTS 2 Not assessed TRUE     57239-6 LA9348-9 1.3.6.1.4.1.12009.10.1.106
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
ELIMINATION STATUS     N/A          
M1600_UTI   Treated for Urinary Tract Infection in Past 14 Days TRUE 0 - No
UK - Unknown
  46552-6    
M1600_UTI 1 Yes TRUE     46552-6 LA33-6 1.3.6.1.4.1.12009.10.1.144
M1600_UTI NA Patient on prophylactic treatment TRUE     46552-6 LA6337-5 1.3.6.1.4.1.12009.10.1.144
M1610_UR_INCONT   Urinary Incontinence or Urinary Catheter Present TRUE     46553-4    
M1610_UR_INCONT 0 No incontinence or catheter (includes anuria or ostomy for urinary drainage) TRUE     46553-4 LA6278-1 1.3.6.1.4.1.12009.10.1.145
M1610_UR_INCONT 1 Patient is incontinent TRUE     46553-4 LA6332-6 1.3.6.1.4.1.12009.10.1.145
M1610_UR_INCONT 2 Patient requires a urinary catheter (i.e., external, indwelling, intermittent, suprapubic) TRUE     46553-4 LA6339-1 1.3.6.1.4.1.12009.10.1.145
M1615_INCNTNT_TIMING   When Urinary Incontinence Occurs TRUE     57241-2    
M1615_INCNTNT_TIMING 0 Timed-voiding defers incontinence TRUE     57241-2 LA6397-9 1.3.6.1.4.1.12009.10.1.108
M1615_INCNTNT_TIMING 1 Occasional stress incontinence TRUE     57241-2 LA12244-2 1.3.6.1.4.1.12009.10.1.108
M1615_INCNTNT_TIMING 2 During the night only TRUE     57241-2 LA6192-4 1.3.6.1.4.1.12009.10.1.108
M1615_INCNTNT_TIMING 3 During the day only TRUE     57241-2 LA12246-7 1.3.6.1.4.1.12009.10.1.108
M1615_INCNTNT_TIMING 4 During the day and night TRUE     57241-2 LA6191-6 1.3.6.1.4.1.12009.10.1.108
M1620_BWL_INCONT   Bowel Incontinence Frequency TRUE     46587-2    
M1620_BWL_INCONT 0 Very rarely or never has bowel incontinence TRUE     46587-2 LA6440-7 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 1 Less than once weekly TRUE     46587-2 LA6252-6 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 2 One to three times weekly TRUE     46587-2 LA6307-8 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 3 Four to six times weekly TRUE     46587-2 LA6201-3 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 4 On a daily basis TRUE     46587-2 LA6302-9 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 5 More often than once daily TRUE     46587-2 LA6263-3 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT NA Patient has ostomy for bowel elimination TRUE     46587-2 LA6330-0 1.3.6.1.4.1.12009.10.1.146
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
NEURO/ EMOTIONAL/ BEHAVIORAL STATUS     N/A          
M1700_COG_FUNCTION   Cognitive Functioning TRUE 0 - Alert/oriented   46589-8    
M1700_COG_FUNCTION 1 Requires prompting (cueing, repetition, reminders) only under stressful or unfamiliar conditions. TRUE     46589-8 LA6362-3 1.3.6.1.4.1.12009.10.1.148
M1700_COG_FUNCTION 2 Requires assistance/direction in specific situations (e.g., all tasks involving shifting of attention) or consistently requires low stimulus environmnt due to distractibility. TRUE     46589-8 LA6359-9 1.3.6.1.4.1.12009.10.1.148
M1700_COG_FUNCTION 3 Requires considerable assist in routine situations. Is not alert and oriented or is unable to shift attention and recall directions more than half the time. TRUE     46589-8 LA6360-7 1.3.6.1.4.1.12009.10.1.148
M1700_COG_FUNCTION 4 Totally dependent due to disturbances such as constant disorientation, coma, persistent vegetative state, or delirium. TRUE     46589-8 LA6399-5 1.3.6.1.4.1.12009.10.1.148
M1710_WHEN_CONFUSED   When Confused (Reported or Observed) TRUE 0 - Never   58104-1    
M1710_WHEN_CONFUSED 1 In new or complex situations only TRUE     58104-1 LA6231-0 1.3.6.1.4.1.12009.10.1.137
M1710_WHEN_CONFUSED 2 On awakening or at night only TRUE     58104-1 LA6303-7 1.3.6.1.4.1.12009.10.1.137
M1710_WHEN_CONFUSED 3 During the day and evening, but not constantly TRUE     58104-1 LA6190-8 1.3.6.1.4.1.12009.10.1.137
M1710_WHEN_CONFUSED 4 Constantly TRUE     58104-1 LA6174-2 1.3.6.1.4.1.12009.10.1.137
M1710_WHEN_CONFUSED NA Patient nonresponsive TRUE     58104-1 LA6335-9 1.3.6.1.4.1.12009.10.1.137
M1720_WHEN_ANXIOUS   When Anxious (Reported or Observed) TRUE 0 - None of the time   46591-4    
M1720_WHEN_ANXIOUS 1 Less often than daily TRUE     46591-4 LA6249-2 1.3.6.1.4.1.12009.10.1.149
M1720_WHEN_ANXIOUS 2 Daily, but not constantly TRUE     46591-4 LA6177-5 1.3.6.1.4.1.12009.10.1.149
M1720_WHEN_ANXIOUS 3 All of the time TRUE     46591-4 LA6154-4 1.3.6.1.4.1.12009.10.1.149
M1720_WHEN_ANXIOUS NA Patient nonresponsive TRUE     46591-4 LA6335-9 1.3.6.1.4.1.12009.10.1.149
M1730_STDZ_DPRSN_SCRNG   Has The Patient Been Screened For Depression Using Stdzed Screen Tool TRUE     57242-0    
M1730_STDZ_DPRSN_SCRNG 1 Yes, patient was screened using the PHQ-2©* scale. (Instructions for this two-question tool: Ask patient: “Over the last two weeks, how often have you been bothered by any of the following problems”) TRUE     57242-0 LA12254-1 1.3.6.1.4.1.12009.10.1.110
M1730_PHQ2_LACK_INTRST 1a PHQ2 Pfizer Little Interest Or Pleasure In Doing Things TRUE     44250-9    
M1730_PHQ2_LACK_INTRST 1a-0 Not at all (0 - 1 days) TRUE     44250-9 LA6568-5 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_LACK_INTRST 1a-1 Several days (2-6 days) TRUE     44250-9 LA6569-3 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_LACK_INTRST 1a-2 More than half of the days (7-11 days) TRUE     44250-9 LA6570-1 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_LACK_INTRST 1a-3 Nearly every day (12-14 days) TRUE     44250-9 LA6571-9 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_LACK_INTRST 1a-NA Unable to respond TRUE          
M1730_PHQ2_DPRSN 1b PHQ2 Pfizer Feeling Down, Depressed Or Hopeless TRUE     44255-8    
M1730_PHQ2_DPRSN 1b-0 Not at all (0 - 1 days) TRUE     44255-8 LA6568-5 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_DPRSN 1b-1 Several days (2-6 days) TRUE     44255-8 LA6569-3 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_DPRSN 1b-2 More than half of the days (7-11 days) TRUE     44255-8 LA6570-1 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_DPRSN 1b-3 Nearly every day (12-14 days) TRUE     44255-8 LA6571-9 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_DPRSN 1b-NA Unable to respond TRUE          
M1730_STDZ_DPRSN_SCRNG 2 Yes, with a different standardized assessment-and the patient meets criteria for further evaluation for depression. TRUE     57242-0 LA12255-8 1.3.6.1.4.1.12009.10.1.110
M1740   Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): TRUE 7 - None of the Above Question row added to facilitate message format. 46473-5    
M1740_BD_MEM_DEFICIT 1 Behavior Demonstrated: Memory Deficit TRUE     46473-5 LA6260-9 1.3.6.1.4.1.12009.10.1.150
M1740_BD_IMP_DECISN 2 Behavior Demonstrated: Impaired Decision-making TRUE     46473-5 LA6228-6 1.3.6.1.4.1.12009.10.1.150
M1740_BD_VERBAL 3 Behavior Demonstrated: Verbal Disruption TRUE     46473-5 LA6439-9 1.3.6.1.4.1.12009.10.1.150
M1740_BD_PHYSICAL 4 Behavior Demonstrated: Physical Aggression TRUE     46473-5 LA6347-4 1.3.6.1.4.1.12009.10.1.150
M1740_BD_SOC_INAPPRO 5 Behavior Demonstrated: Socially Inappropriate TRUE     46473-5 LA6187-4 1.3.6.1.4.1.12009.10.1.150
M1740_BD_DELUSIONS 6 Behavior Demonstrated: Delusions TRUE     46473-5 LA6181-7 1.3.6.1.4.1.12009.10.1.150
M1745_BEH_PROB_FREQ   Frequency of Behavior Problems TRUE 0 - Never   46592-2    
M1745_BEH_PROB_FREQ 1 Less than once a month TRUE     46592-2 LA6251-8 1.3.6.1.4.1.12009.10.1.151
M1745_BEH_PROB_FREQ 2 Once a month TRUE     46592-2 LA6304-5 1.3.6.1.4.1.12009.10.1.151
M1745_BEH_PROB_FREQ 3 Several times each month TRUE     46592-2 LA6374-8 1.3.6.1.4.1.12009.10.1.151
M1745_BEH_PROB_FREQ 4 Several times a week TRUE     46592-2 LA6371-4 1.3.6.1.4.1.12009.10.1.151
M1745_BEH_PROB_FREQ 5 At least daily TRUE     46592-2 LA6157-7 1.3.6.1.4.1.12009.10.1.151
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
ADL/IADLs     N/A          
M1800_CUR_GROOMING   Current: Grooming TRUE     46595-5    
M1800_CUR_GROOMING 0 Able to groom self unaided, with or without the use of assistive devices or adapted methods. TRUE     46595-5 LA6131-2 1.3.6.1.4.1.12009.10.1.152
M1800_CUR_GROOMING 1 Grooming utensils must be placed within reach before able to complete grooming activities. TRUE     46595-5 LA6207-0 1.3.6.1.4.1.12009.10.1.152
M1800_CUR_GROOMING 2 Someone must assist the patient to groom self. TRUE     46595-5 LA6379-7 1.3.6.1.4.1.12009.10.1.152
M1800_CUR_GROOMING 3 Patient depends entirely upon someone else for grooming needs. TRUE     46595-5 LA6326-8 1.3.6.1.4.1.12009.10.1.152
M1810_CUR_DRESS_UPPER   Current: Dress Upper Body TRUE     46597-1    
M1810_CUR_DRESS_UPPER 0 Able to get clothes out of closets and drawers, put them on and remove them from the upper body without assistance. TRUE     46597-1 LA6129-6 1.3.6.1.4.1.12009.10.1.153
M1810_CUR_DRESS_UPPER 1 Able to dress upper body without assistance if clothing is laid out or handed to the patient. TRUE     46597-1 LA6127-0 1.3.6.1.4.1.12009.10.1.153
M1810_CUR_DRESS_UPPER 2 Someone must help the patient put on upper body clothing. TRUE     46597-1 LA6381-3 1.3.6.1.4.1.12009.10.1.153
M1810_CUR_DRESS_UPPER 3 Patient depends entirely upon another person to dress the upper body. TRUE     46597-1 LA6325-0 1.3.6.1.4.1.12009.10.1.153
M1820_CUR_DRESS_LOWER   Current: Dress Lower Body TRUE     46599-7    
M1820_CUR_DRESS_LOWER 0 Able to obtain, put on, and remove clothing and shoes without assistance. TRUE     46599-7 LA6138-7 1.3.6.1.4.1.12009.10.1.154
M1820_CUR_DRESS_LOWER 1 Able to dress lower body without assistance if clothing and shoes are laid out or handed to the patient. TRUE     46599-7 LA6126-2 1.3.6.1.4.1.12009.10.1.154
M1820_CUR_DRESS_LOWER 2 Someone must help the patient put on undergarments, slacks, socks or nylons, and shoes. TRUE     46599-7 LA6380-5 1.3.6.1.4.1.12009.10.1.154
M1820_CUR_DRESS_LOWER 3 Patient depends entirely upon another person to dress lower body. TRUE     46599-7 LA6324-3 1.3.6.1.4.1.12009.10.1.154
M1830_CRNT_BATHG   Current: Bathing TRUE     57243-8    
M1830_CRNT_BATHG 0 Able to bathe self in shower or tub independently, including getting in and out of tub/shower. TRUE     57243-8 LA12264-0 1.3.6.1.4.1.12009.10.1.112
M1830_CRNT_BATHG 1 With the use of devices, is able to bathe self in shower or tub independently, including getting in and out of the tub/shower. TRUE     57243-8 LA12265-7 1.3.6.1.4.1.12009.10.1.112
M1830_CRNT_BATHG 2 Able to bathe in shower or tub with the intermittent assistance of another person: (a) for intermittent supervision or encouragement or reminders, OR (b) to get in and out of the shower or tub, OR (c) for washing difficult to reach areas. TRUE     57243-8 LA12266-5 1.3.6.1.4.1.12009.10.1.112
M1830_CRNT_BATHG 3 Able to participate in bathing self in shower or tub, but requires presence of another person throughout the bath for assistance or supervision. TRUE     57243-8 LA12267-3 1.3.6.1.4.1.12009.10.1.112
M1830_CRNT_BATHG 4 Unable to use the shower or tub, but able to bathe self independently with or without the use of devices at the sink, in chair, or on commode. TRUE     57243-8 LA12268-1 1.3.6.1.4.1.12009.10.1.112
M1830_CRNT_BATHG 5 Unable to use the shower or tub, but able to participate in bathing self in bed, at the sink, in bedside chair, or on commode, with the assistance or supervision of another person throughout the bath. TRUE     57243-8 LA12269-9 1.3.6.1.4.1.12009.10.1.112
M1830_CRNT_BATHG 6 Unable to participate effectively in bathing and is bathed totally by another person. TRUE     57243-8 LA12270-7 1.3.6.1.4.1.12009.10.1.112
M1840_CUR_TOILTG   Current: Toileting TRUE     57244-6    
M1840_CUR_TOILTG 0 Able to get to and from the toilet and transfer independently with or without a device. TRUE     57244-6 LA12271-5 1.3.6.1.4.1.12009.10.1.113
M1840_CUR_TOILTG 1 When reminded, assisted, or supervised by another person, able to get to and from the toilet and transfer. TRUE     57244-6 LA12272-3 1.3.6.1.4.1.12009.10.1.113
M1840_CUR_TOILTG 2 Unable to get to and from the toilet but is able to use a bedside commode (with or without assistance). TRUE     57244-6 LA6415-9 1.3.6.1.4.1.12009.10.1.113
M1840_CUR_TOILTG 3 Unable to get to and from the toilet or bedside commode but is able to use a bedpan/urinal independently. TRUE     57244-6 LA6416-7 1.3.6.1.4.1.12009.10.1.113
M1840_CUR_TOILTG 4 Is totally dependent in toileting. TRUE     57244-6 LA6245-0 1.3.6.1.4.1.12009.10.1.113
M1845_CUR_TOILTG_HYGN   Current: Toileting Hygiene TRUE     57245-3    
M1845_CUR_TOILTG_HYGN 0 Able to manage toileting hygiene and clothing management without assistance. TRUE     57245-3 LA12276-4 1.3.6.1.4.1.12009.10.1.114
M1845_CUR_TOILTG_HYGN 1 Able to manage toileting hygiene and clothing management without assistance if supplies/implements are laid out for the patient. TRUE     57245-3 LA12277-2 1.3.6.1.4.1.12009.10.1.114
M1845_CUR_TOILTG_HYGN 2 Someone must help the patient to maintain toileting hygiene and/or adjust clothing. TRUE     57245-3 LA12278-0 1.3.6.1.4.1.12009.10.1.114
M1845_CUR_TOILTG_HYGN 3 Patient depends entirely upon another person to maintain toileting hygiene. TRUE     57245-3 LA12279-8 1.3.6.1.4.1.12009.10.1.114
M1850_CUR_TRNSFRNG   Current: Transferring TRUE     57246-1    
M1850_CUR_TRNSFRNG 0 Able to independently transfer. TRUE     57246-1 LA6136-1 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 1 Able to transfer with minimal human assistance or with use of an assistive device. TRUE     57246-1 LA12281-4 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 2 Able to bear weight and pivot during the transfer process but unable to transfer self. TRUE     57246-1 LA12282-2 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 3 Unable to transfer self and is unable to bear weight or pivot when transferred by another person. TRUE     57246-1 LA6426-6 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 4 Bedfast, unable to transfer but is able to turn and position self in bed. TRUE     57246-1 LA6161-9 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 5 Bedfast, unable to transfer and is unable to turn and position self. TRUE     57246-1 LA6160-1 1.3.6.1.4.1.12009.10.1.115
M1860_CRNT_AMBLTN   Current: Ambulation TRUE     57247-9    
M1860_CRNT_AMBLTN 0 Able to independently walk on even and uneven surfaces and negotiate stairs with or without railings (i.e., needs no human assistance or assistive device). TRUE     57247-9 LA12286-3 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 1 With the use of a one-handed device (e.g. cane, single crutch, hemi-walker), able to independently walk on even and uneven surfaces and negotiate stairs with or without railings. TRUE     57247-9 LA12287-1 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 2 Requires use of a two-handed device (e.g., walker or crutches) to walk alone on a level surface and/or requires human supervision or assistance to negotiate stairs or steps or uneven surfaces. TRUE     57247-9 LA12288-9 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 3 Able to walk only with the supervision or assistance of another person at all times. TRUE     57247-9 LA6147-8 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 4 Chairfast, unable to ambulate but is able to wheel self independently. TRUE     57247-9 LA6171-8 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 5 Chairfast, unable to ambulate and is unable to wheel self. TRUE     57247-9 LA6170-0 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 6 Bedfast, unable to ambulate or be up in a chair. TRUE     57247-9 LA6159-3 1.3.6.1.4.1.12009.10.1.116
M1870_CUR_FEEDING   Current: Feeding TRUE     57248-7    
M1870_CUR_FEEDING 0 Able to independently feed self. TRUE     57248-7 LA6133-8 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 1 Able to feed self independently but requires: (a) meal set-up; OR (b) intermittent assistance or supervision from another person; OR (c) a liquid, pureed or ground meat diet. TRUE     57248-7 LA12294-7 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 2 Unable to feed self and must be assisted or supervised throughout the meal/snack. TRUE     57248-7 LA6414-2 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 3 Able to take in nutrients orally and receives supplemental nutrients through a nasogastric tube or gastrostomy. TRUE     57248-7 LA6142-9 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 4 Unable to take in nutrients orally and is fed nutrients through a nasogastric tube or gastrostomy. TRUE     57248-7 LA6422-5 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 5 Unable to take in nutrients orally or by tube feeding. TRUE     57248-7 LA6423-3 1.3.6.1.4.1.12009.10.1.117
M1880_CUR_PREP_LT_MEALS   Current: Prepare Light Meals TRUE 0 - Able to independently prepare all light meals   57249-5    
M1880_CUR_PREP_LT_MEALS 1 Unable to prepare light meals on a regular basis due to physical, cognitive, or mental limitations. TRUE     57249-5 LA6420-9 1.3.6.1.4.1.12009.10.1.118
M1880_CUR_PREP_LT_MEALS 2 Unable to prepare any light meals or reheat any delivered meals. TRUE     57249-5 LA6419-1 1.3.6.1.4.1.12009.10.1.118
M1890_CUR_PHONE_USE   Current: Telephone Use TRUE 0 - Able to dial numbers and answer calls appropriately and as desired.   46569-0    
M1890_CUR_PHONE_USE 1 Able to use a specially adapted telephone (i.e., large numbers on the dial, teletype phone for the deaf) and call essential numbers. TRUE     46569-0 LA6146-0 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE 2 Able to answer the telephone and carry on a normal conversation but has difficulty with placing calls. TRUE     46569-0 LA6121-3 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE 3 Able to answer the telephone only some of the time or is able to carry on only a limited conversation. TRUE     46569-0 LA6122-1 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE 4 UNABLE to answer the telephone at all but can listen if assisted with equipment. TRUE     46569-0 LA6409-2 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE 5 Totally unable to use the telephone. TRUE     46569-0 LA6400-1 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE NA Patient does not have a telephone. TRUE     46569-0 LA6327-6 1.3.6.1.4.1.12009.10.1.155
M1910_MLT_FCTR_FALL_RISK_ASMT   Has Patient Had A Multi-factor Fall Risk Assessment? TRUE 0 - No multi-factor falls risk assessment conducted
1 - Yes, and it does not indicate a risk for falls
  57254-5    
M1910_MLT_FCTR_FALL_RISK_ASMT 2 Yes, and it indicates a risk for falls. TRUE     57254-5 LA12307-7 1.3.6.1.4.1.12009.10.1.120
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
MEDICATIONS     N/A          
M2020_CRNT_MGMT_ORAL_MDCTN   Current: Management Of Oral Medications TRUE 0 - Able to independently take the correct oral medication(s) and proper dosage(s) at the correct times.
NA - No oral medications prescribed.
  57285-9    
M2020_CRNT_MGMT_ORAL_MDCTN 1 Able to take medication(s) at the correct times if: (a) individual dosages are prepared in advance by another person; OR (b) another person develops a drug diary or chart. TRUE     57285-9 LA12322-6 1.3.6.1.4.1.12009.10.1.125
M2020_CRNT_MGMT_ORAL_MDCTN 2 Able to take medication(s) at the correct times if given reminders by another person at the appropriate times TRUE     57285-9 LA12323-4 1.3.6.1.4.1.12009.10.1.125
M2020_CRNT_MGMT_ORAL_MDCTN 3 Unable to take medication unless administered by another person. TRUE     57285-9 LA12324-2 1.3.6.1.4.1.12009.10.1.125
M2030_CRNT_MGMT_INJCTN_MDCTN   Current: Management Of Injectable Medications TRUE     57284-2    
M2030_CRNT_MGMT_INJCTN_MDCTN 1 Able to take injectable medication(s) at the correct times if: (a) individual syringes are prepared in advance by another person; OR (b) another person develops a drug diary or chart. TRUE     57284-2 LA12327-5 1.3.6.1.4.1.12009.10.1.126
M2030_CRNT_MGMT_INJCTN_MDCTN 2 Able to take medication(s) at the correct times if given reminders by another person based on the frequency of the injection TRUE     57284-2 LA12328-3 1.3.6.1.4.1.12009.10.1.126
M2030_CRNT_MGMT_INJCTN_MDCTN 3 Unable to take injectable medication unless administered by another person. TRUE     57284-2 LA12329-1 1.3.6.1.4.1.12009.10.1.126
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
CARE MANAGEMENT     N/A          
M2100_CARE_TYPE_SRC_ADL a Care Mgmt, Types And Sources Of Assist: ADL TRUE 0 - No assistance needed in this area   57260-2    
M2100_CARE_TYPE_SRC_ADL a-1 Caregiver(s) currently provide assistance TRUE     57260-2 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADL a-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57260-2 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADL a-3 Caregiver(s) not likely to provide assistance TRUE     57260-2 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADL a-4 Unclear if Caregiver(s) will provide assistance TRUE     57260-2 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADL a-5 Assistance needed, but no Caregiver(s) available TRUE     57260-2 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b Care Mgmt, Types And Sources Of Assist: IADL TRUE 0 - No assistance needed in this area   57261-0    
M2100_CARE_TYPE_SRC_IADL b-1 Caregiver(s) currently provide assistance TRUE     57261-0 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57261-0 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b-3 Caregiver(s) not likely to provide assistance TRUE     57261-0 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b-4 Unclear if Caregiver(s) will provide assistance TRUE     57261-0 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b-5 Assistance needed, but no Caregiver(s) available TRUE     57261-0 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c Care Mgmt, Types And Sources Of Assist: Medication Admin TRUE 0 - No assistance needed in this area   57262-8    
M2100_CARE_TYPE_SRC_MDCTN c-1 Caregiver(s) currently provide assistance TRUE     57262-8 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57262-8 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c-3 Caregiver(s) not likely to provide assistance TRUE     57262-8 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c-4 Unclear if Caregiver(s) will provide assistance TRUE     57262-8 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c-5 Assistance needed, but no Caregiver(s) available TRUE     57262-8 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d Care Mgmt, Types And Sources Of Assist: Med Procs Tx TRUE 0 - No assistance needed in this area   57263-6    
M2100_CARE_TYPE_SRC_PRCDR d-1 Caregiver(s) currently provide assistance TRUE     57263-6 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57263-6 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d-3 Caregiver(s) not likely to provide assistance TRUE     57263-6 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d-4 Unclear if Caregiver(s) will provide assistance TRUE     57263-6 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d-5 Assistance needed, but no Caregiver(s) available TRUE     57263-6 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e Care Mgmt, Types And Sources Of Assist: Equipment TRUE 0 - No assistance needed in this area   57264-4    
M2100_CARE_TYPE_SRC_EQUIP e-1 Caregiver(s) currently provide assistance TRUE     57264-4 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57264-4 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e-3 Caregiver(s) not likely to provide assistance TRUE     57264-4 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e-4 Unclear if Caregiver(s) will provide assistance TRUE     57264-4 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e-5 Assistance needed, but no Caregiver(s) available TRUE     57264-4 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f Care Mgmt, Types And Sources Of Assist: Supervision And Safety TRUE 0 - No assistance needed in this area   57265-1    
M2100_CARE_TYPE_SRC_SPRVSN f-1 Caregiver(s) currently provide assistance TRUE     57265-1 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57265-1 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f-3 Caregiver(s) not likely to provide assistance TRUE     57265-1 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f-4 Unclear if Caregiver(s) will provide assistance TRUE     57265-1 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f-5 Assistance needed, but no Caregiver(s) available TRUE     57265-1 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g Care Mgmt, Types And Sources Of Assist: Advocacy Or Facilitation TRUE 0 - No assistance needed in this area   57266-9    
M2100_CARE_TYPE_SRC_ADVCY g-1 Caregiver(s) currently provide assistance TRUE     57266-9 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57266-9 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g-3 Caregiver(s) not likely to provide assistance TRUE     57266-9 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g-4 Unclear if Caregiver(s) will provide assistance TRUE     57266-9 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g-5 Assistance needed, but no Caregiver(s) available TRUE     57266-9 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2110_ADL_IADL_ASTNC_FREQ   How Often Recv ADL Or IADL Assistance From Any TRUE 5 - No assistance received
UK - Unknown
  57267-7    
M2110_ADL_IADL_ASTNC_FREQ 1 At least daily TRUE     57267-7 LA6157-7 1.3.6.1.4.1.12009.10.1.129
M2110_ADL_IADL_ASTNC_FREQ 2 Three or more times per week TRUE     57267-7 LA6396-1 1.3.6.1.4.1.12009.10.1.129
M2110_ADL_IADL_ASTNC_FREQ 3 One to two times per week TRUE     57267-7 LA6308-6 1.3.6.1.4.1.12009.10.1.129
M2110_ADL_IADL_ASTNC_FREQ 4 Received, but less often than weekly TRUE     57267-7 LA12344-0 1.3.6.1.4.1.12009.10.1.129
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
THERAPY NEED AND PLAN OF CARE     N/A          
M2250_PLAN_SMRY_DBTS_FT_CARE b Plan Of Care Synopsis: Diabetic Foot Care TRUE 0 - No
NA - Patient is not diabetic or is bilateral amputee
  57270-1    
M2250_PLAN_SMRY_DBTS_FT_CARE b-1 Yes TRUE     57270-1 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_FALL_PRVNT c Plan Of Care Synopsis: Falls Prevention Interventions TRUE 0 - No
NA - Patient is not assessed to be at risk for falls
  57271-9    
M2250_PLAN_SMRY_FALL_PRVNT c-1 Yes TRUE     57271-9 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_DPRSN_INTRVTN d Plan Of Care Synopsis: Depression Interventions TRUE 0 - No
NA - Patient is not assessed to be at risk for falls
  57272-7    
M2250_PLAN_SMRY_DPRSN_INTRVTN d-1 Yes TRUE     57272-7 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PRSULC_PRVNT f Plan Of Care Synopsis: PU Prevention TRUE 0 - No
NA - Patient is not assessed to be at risk for pressure ulcers
  57274-3    
M2250_PLAN_SMRY_PRSULC_PRVNT f-1 Yes TRUE     57274-3 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PRSULC_TRTMT g Plan Of Care Synopsis: PU Moist Treatment TRUE 0 - No
NA - Patient has no pressure ulcers with need for moist wound healing
  57275-0    
M2250_PLAN_SMRY_PRSULC_TRTMT g-1 Yes TRUE     57275-0 LA33-6 1.3.6.1.4.1.12009.10.1.130
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
EMERGENT CARE     N/A          
M2300_EMER_USE_AFTR_LAST_ASMT   Emergent Care: Use Since Last Oasis Data Collection TRUE 0 - No
UK - Unknown
  57276-8    
M2300_EMER_USE_AFTR_LAST_ASMT 1 Yes, used hospital emergency department WITHOUT hospital admission TRUE     1 LA12351-5 1.3.6.1.4.1.12009.10.1.131
M2300_EMER_USE_AFTR_LAST_ASMT 2 Yes, used hospital emergency department WITH hospital admission TRUE     2 LA12352-3 1.3.6.1.4.1.12009.10.1.131
M2310   Reason for emergent care TRUE 19 - Other than above reasons
UK - Reason Unknown
Question row added to facilitate message format. 57277-6    
M2310_ECR_MEDICATION 1 Emergent Care Reason: Medication TRUE     57277-6 LA6229-4 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_INJRY_BY_FALL 2 Emergent Care Reason: Injury Caused By Fall TRUE     57277-6 LA12355-6 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_RSPRTRY_INFCTN 3 Emergent Care Reason: Respiratory Infection TRUE     57277-6 LA12356-4 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_RSPRTRY_OTHR 4 Emergent Care Reason: Respiratory Other TRUE     57277-6 LA12357-2 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_HRT_FAILR 5 Emergent Care Reason: Heart Failure TRUE     57277-6 LA12358-0 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_CRDC_DSRTHM 6 Emergent Care Reason: Cardiac Dysrhythmia TRUE     57277-6 LA12359-8 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_MI_CHST_PAIN 7 Emergent Care Reason: Myocardial Infarction Or Chest Pain TRUE     57277-6 LA12360-6 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_OTHR_HRT_DEASE 8 Emergent Care Reason: Other Heart Disease TRUE     57277-6 LA12361-4 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_STROKE_TIA 9 Emergent Care Reason: Stroke (CVA) Or TIA TRUE     57277-6 LA12362-2 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_HYPOGLYC 10 Emergent Care Reason: Hypoglycemia TRUE     57277-6 LA6223-7 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_GI_PRBLM 11 Emergent Care: GI Bleeding, Obstruction, Constipation, Impaction TRUE     57277-6 LA12364-8 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_DHYDRTN_MALNTR 12 Emergent Care Reason: Dehydration, Malnutrition TRUE     57277-6 LA12365-5 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_UTI 13 Emergent Care Reason: Urinary Track Infection TRUE     57277-6 LA6437-3 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_CTHTR_CMPLCTN 14 Emergent Care Reason: IV Catheter-related Infection Or Complication TRUE     57277-6 LA12367-1 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_WND_INFCTN_DTRORTN 15 Emergent Care Reason: Wound Infection Or Deterioration TRUE     57277-6 LA12368-9 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_UNCNTLD_PAIN 16 Emergent Care Reason: Uncontrolled Pain TRUE     57277-6 LA6430-8 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_MENTL_BHVRL_PRBLM 17 Emergent Care Reason: Acute Mental/Behavioral Health Problem TRUE     57277-6 LA12370-5 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_DVT_PULMNRY 18 Emergent Care Reason: Deep Vein Thrombosis, Pulmonary Embolus TRUE     57277-6 LA6180-9 1.3.6.1.4.1.12009.10.1.132
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY     N/A          
M2400_INTRVTN_SMRY_DBTS_FT a Intervention Synopsis: Diabetic Foot Care TRUE 0 - No
NA - Patient is not diabetic or is bilateral amputee
  57270-1    
M2400_INTRVTN_SMRY_DBTS_FT a-1 Yes TRUE     57270-1 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_FALL_PRVNT b Intervention Synopsis: Falls Prevention Intervention TRUE 0 - No
NA - Formal multi-factor Fall Risk Assessment indicates the patient was not at risk for falls since the last OASIS assessment
  57271-9    
M2400_INTRVTN_SMRY_FALL_PRVNT b-1 Yes TRUE     57271-9 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_DPRSN c Intervention Synopsis: Depression Intervention TRUE 0 - No
NA - Formal assessment indicates patient did not meet criteria for depression AND patient did not have diagnosis of depression since the last OASIS assessment
  57272-7    
M2400_INTRVTN_SMRY_DPRSN c-1 Yes TRUE     57272-7 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PAIN_MNTR d Intervention Synopsis: Intervention To Monitor And Mitigate Pain TRUE 0 - No
NA - Formal assessment did not indicate pain since the last OASIS assessment
  57273-5    
M2400_INTRVTN_SMRY_PAIN_MNTR d-1 Yes TRUE     57273-5 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PRSULC_PRVN e Intervention Synopsis: Intervention To Prevent Pressure Ulcers TRUE 0 - No
NA - Formal assessment indicates the patient was not at risk of pressure ulcers since the last OASIS assessment
  57274-3    
M2400_INTRVTN_SMRY_PRSULC_PRVN e-1 Yes TRUE     57274-3 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PRSULC_WET f Intervention Synopsis: Pressure Ulcer Treatment Based On Moist Wound Treatment TRUE 0 - No
NA - Dressings that support the principles of moist wound healing not indicated for this patient’s pressure ulcers OR patient has no pressure ulcers with need for moist wound healing
  57275-0    
M2400_INTRVTN_SMRY_PRSULC_WET f-1 Yes TRUE     57275-0 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2410_INPAT_FACILITY   Inpatient Facility TRUE NA - No inpatient facility admission   46578-1    
M2410_INPAT_FACILITY 1 Hospital TRUE     46578-1 LA6218-7 1.3.6.1.4.1.12009.10.1.156
M2410_INPAT_FACILITY 2 Rehabilitation facility TRUE     46578-1 LA6357-3 1.3.6.1.4.1.12009.10.1.156
M2410_INPAT_FACILITY 3 Nursing home TRUE     46578-1 LA27-8 1.3.6.1.4.1.12009.10.1.156
M2410_INPAT_FACILITY 4 Hospice TRUE     46578-1 LA6216-1 1.3.6.1.4.1.12009.10.1.156
M2420_DSCHRG_DISP   Discharge Disposition TRUE 4 - Unknown because patient moved to a geographic location not served by this agency
UK - Other Unknown
  57278-4    
M2420_DSCHRG_DISP 1 Patient remained in the community (without formal assistive services) TRUE     57278-4 LA12374-7 1.3.6.1.4.1.12009.10.1.133
M2420_DSCHRG_DISP 2 Patient remained in the community (with formal assistive services) TRUE     57278-4 LA12375-4 1.3.6.1.4.1.12009.10.1.133
M2420_DSCHRG_DISP 3 Patient transferred to a non-institutional hospice TRUE     57278-4 LA12376-2 1.3.6.1.4.1.12009.10.1.133
M2430   Reason for hospitalization TRUE 20 - Other than above reasons
UK - Reason Unknown
Question row added to facilitate message format. 57279-2    
M2430_HOSP_MED 1 Hospitalized: Medication TRUE     57279-2 LA6229-4 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_INJRY_BY_FALL 2 Hospitalized: Injury Caused By Fall TRUE     57279-2 LA12355-6 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_RSPRTRY_INFCTN 3 Hospitalized: Respiratory TRUE     57279-2 LA12356-4 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_RSPRTRY_OTHR 4 Hospitalized: Other Respiratory TRUE     57279-2 LA12357-2 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_HRT_FAILR 5 Hospitalized: Heart Failure TRUE     57279-2 LA12358-0 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_CRDC_DSRTHM 6 Hospitalized: Cardiac Dysrhythmia TRUE     57279-2 LA12359-8 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_MI_CHST_PAIN 7 Hospitalized: Myocardial Infarction Or Chest Pain TRUE     57279-2 LA12360-6 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_OTHR_HRT_DEASE 8 Hospitalized: Other Heart Disease TRUE     57279-2 LA12361-4 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_STROKE_TIA 9 Hospitalized: Stroke (CVA) Or TIA TRUE     57279-2 LA12362-2 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_HYPOGLYC 10 Hospitalized: Hypoglycemia TRUE     57279-2 LA6223-7 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_GI_PRBLM 11 Hospitalized: GI Bleeding, Obstruction, Constipation, Impaction TRUE     57279-2 LA12364-8 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_DHYDRTN_MALNTR 12 Hospitalized: Dehydration, Malnutrition TRUE     57279-2 LA12365-5 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_UR_TRACT 13 Hospitalized: Urinary Tract TRUE     57279-2 LA6437-3 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_CTHTR_CMPLCTN 14 Hospitalized: IV Catheter Related Infection Or Complication TRUE     57279-2 LA12367-1 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_WND_INFCTN 15 Hospitalized: Wound Infection Or Deterioration TRUE     57279-2 LA12368-9 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_PAIN 16 Hospitalized: Pain TRUE     57279-2 LA6430-8 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_MENTL_BHVRL_PRBLM 17 Hospitalized: Acute Mental/Behavior Health Problem TRUE     57279-2 LA12370-5 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_DVT_PULMNRY 18 Hospitalized: Deep vein thrombosis, Pulmonary embolus TRUE     57279-2 LA6180-9 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_SCHLD_TRTMT 19 Hospitalized: Scheduled Treatment Or Procedure TRUE     57279-2 LA12397-8 1.3.6.1.4.1.12009.10.1.134
M2440   Reason for nursing home admission TRUE 6 - Other
UK - Unknown
Question row added to facilitate message format. 46477-6    
M2440_NH_THERAPY 1 Admitted to Nursing Home: Therapy TRUE     46477-6 LA6393-8 1.3.6.1.4.1.12009.10.1.157
M2440_NH_RESPITE 2 Admitted to Nursing Home: Respite TRUE     46477-6 LA6365-6 1.3.6.1.4.1.12009.10.1.157
M2440_NH_HOSPICE 3 Admitted to Nursing Home: Hospice TRUE     46477-6 LA6217-9 1.3.6.1.4.1.12009.10.1.157
M2440_NH_PERMANENT 4 Admitted to Nursing Home: Permanent Placement TRUE     46477-6 LA6345-8 1.3.6.1.4.1.12009.10.1.157
M2440_NH_UNSAFE_HOME 5 Admitted to Nursing Home: Unsafe at Home TRUE     46477-6 LA6434-0 1.3.6.1.4.1.12009.10.1.157
M0903_LAST_HOME_VISIT   Date of Last Home Visit TRUE     46581-5    
M0906_DC_TRAN_DTH_DT   Discharge, Transfer, Death Date TRUE     46582-3    

Appendix M: Terms and Acronyms

The following is a list of terms and acronyms used through the main report and accompanying appendices.

  Term/Acronym     Description  
6MWT   Six Minute Walk Test  
 
AAPM&R   American Academy of Physical Medicine and Rehabilitation  
ACA   Patient Protection and Affordable Care Act (or Affordable Care Act)  
ACO   Accountable Care Organization  
ACRM   American Congress of Rehabilitation Medicine  
ACTB   Authorized Certification and Testing Bodies for Meaningful Use (http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&objID=3120)
ADL   Activity of Daily Living  
ADR   Adverse Drug Reaction  
AHIMA   American Health Information Management Association  
AHRQ   Agency for Healthcare Research and Quality  
AL   Assisted Living  
AMRPA   American Medical Rehabilitation Providers Association  
ANSI   American National Standards Institute  
ARRA   American Recovery and Reinvestment Act  
ASIA   American Spinal Injury Association  
ASPE   HHS Office of the Assistant Secretary for Planning and Evaluation
ASTM   American Society for Testing and Materials  
ATCB   Authorized Testing and Certification Body  
 
BBA   Balanced Budget Amendment  
BBRA   Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act  
BBS   Berg Balance Scale  
BETOS   Berenson and Eggers Type Of Service  
BIMS   Brief Interview for Mental Status  
BIPA   Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act  
BPH   Benign Prostate Hyperplasia  
 
CAA   CARE Area Assessment  
CAD   Coronary Artery Disease  
CAM   Confusion Assessment Method  
CAP   Clinical Assessment Protocol  
CARE   Continuity Assessment Record and Evaluation  
CCD   Continuity of Care Document  
CCHIT   Certification Commission for Health IT  
CCR   Continuity of Care Record  
CDA   Clinical Document Architecture  
CDA R2   Clinical Document Architecture Release 2  
CDC   HHS Centers for Disease Control and Prevention  
CES   Center for Epidemiologic Studies  
CES-D   Center for Epidemiologic Studies Depression Scale  
CFR   Code of Federal Regulations  
CHESS Scale   Changes in Health, End-stage disease, and Signs and Symptoms Scale  
CHI   Consolidated Health Informatics  
CID   Concept ID  
CIHI   Canadian Institute for Health Information  
CMAI   Cohen-Mansfield Agitation Inventory  
CMS   HHS Centers for Medicare and Medicaid Services  
CoP   Conditions of Participation  
COPD   Chronic Obstructive Pulmonary Disease  
CORE   Colorado Outcome Reporting and Enhancement  
CORHIO   Colorado Regional Health Information Organization  
CPS   Cognitive Performance Scale  
CVA   Cerebrovascular Accident  
CVX   Codes for Vaccine Administered  
 
Direct Project   The Direct Project, launched in March 2010, is developing standards and services required to enable secure, directed health information exchange at a more local and less complex level among trusted providers in support of stage 1 Meaningful Use incentive requirements (e.g., a primary care provider sending a referral or care summary to a local specialist electronically, or a physician requesting lab tests electronically). (http://directproject.org/)  
DM   Diabetes Mellitus  
DRA   Deficit Reduction Act  
DRS   Depression Rating Scale  
DSTU   Draft Standard for Trial Use  
DVT   Deep Venous Thrombosis  
 
EH   Eligible Hospital  
EHR   Electronic Health Record  
EMR   Electronic Medical Record  
EP Eligible Professional  
EPESE Battery   Established Populations for Epidemiologic Studies of the Elderly Battery  
ER   Emergency Room  
 
FACA   Federal Advisory Committee  
FAR   Federal Acquisition Regulation  
FHA   Federal Health Architecture  
FIM   Functional Independence Measure  
FR   Federal Register  
FRG   Functional Related Group  
FSN   Fully Specified Name  
 
GEC   Geriatrics and Extended Care  
GERD   Gastroesophageal Reflux Disease  
 
HC   Home Care  
HCFA   HHS Health Care Financing Administration (now CMS)  
HHA   Home Health Agency  
HHS   U.S. Department of Health and Human Services  
HIE   Health Information Exchange  
HIEO   Health Information Exchange Organization  
HIEP   Health Information Exchange Project  
HIO   Health Information Organization  
HIPAA   Health Insurance Portability and Accountability Act  
HIT (or Health IT)  Health Information Technology  
HITECH Act   Health Information Technology for Economic and Clinical Health Act  
HITPC   Health IT Policy Council  
HITSP   Health Information Technology Standards Panel  
HL7   Health Level 7 (or Seven)  
HOS   Medicare Health Outcomes Survey  
HQMF   Health Quality Measures Format  
HRCA   Hebrew Rehabilitation Center for Aged  
HSR&D   VHA Health Services Research and Development  
 
ICD   International Classification of Diseases  
IDS   Integrated Delivery System  
IG   Implementation Guide  
IHE   Integrating the Healthcare Enterprise  
IHTSDO   International Health Terminology Standards Development Organization  
IMPACT Program Improving Massachusetts Post-Acute Care Transfers Program  
Interoperability   Ability to exchange and use information between EHR systems.  Systems can interact and work together.
interRAI   International Resident Assessment Instrument  
IOM   Institute of Medicine  
IP   Intellectual Property  
IRF   Inpatient Rehabilitation Facility  
IRF-PAI   Inpatient Rehabilitation Facility - Patient Assessment Instrument  
IT   Information Technology  
 
JAMIA   Journal of the American Medical Informatics Association  
 
KeyHIE   Keystone Health Information Exchange  
 
LCCWG   Longitudinal Coordination of Care Workgroup  
LOINC   Logical Observation Identifiers Names and Code  
LTC   Long-Term Care  
LTCF   Long-Term Care Facilities  
LTCH   Long-Term Care Hospital  
LTCI   Long-Term Care Insurance  
LTPAC   Long-Term and Post-Acute Care (or Post-Acute and Long-Term Care)  
 
MDCN   Medicare Data Collection Network  
MDQ   Mood Disorder Questionnaire  
MDRO   Multidrug Resistant Organism  
MDS   Minimum Data Set  
Meaningful Use   The incentives under HITECH are available to eligible professionals and hospitals for their “meaningful use” of certified EHRs (i.e., for e-prescribing; health information exchange to improve quality of care, such as care coordination; and reporting of quality measures).  
MedPAC   Medicare Payment Advisory Commission  
MMSEA   Medicare, Medicaid, and SCHIP Extension Act  
MoM   Model of Meaning  
MOU (or MoU)   Memorandum of Understanding  
Model of Use  
MR/DD   Mental Retardation and Other Developmental Disabilities  
MS   Multiple Sclerosis  
MU   Meaningful Use  
 
NARF   National Association of Rehabilitation Facilities  
NCHS   National Center for Health Statistics  
NCIRD   National Center of Immunization and Respiratory Diseases  
NCPDP   National Council for Prescription Drug Programs  
NCPDP SCRIPT   National Council for Prescription Drug Programs Script (prescription script) Standard  
NCVHS   National Committee on Vital and Health Statistics  
NGA   National Governors Association  
NLM   National Library of Medicine  
NQF   National Quality Forum  
NwHIN   Nationwide Health Information Technology Infrastructure  
 
OASIS   Outcome and Assessment Information Set  
OBQI   Outcome-Based Quality Improvement  
OBRA   Omnibus Budget Reconciliation Act  
OMB   U.S. Office of Management and Budget  
ONC   Office of the National Coordinator for Health Information Technology  
ONC-ACTB   Office of the National Coordinator for Health Information Technology - Authorized Certification and Testing Body  
 
PAC   Post-Acute Care  
PAI   Patient Assessment Instrument  
PHMR   Personal Healthcare Monitoring Report  
PHQ   Patient Health Questionnaire  
POMA   Tinettis Performance Oriented Mobility Assessment  
PPS   Prospective Payment System  
PQRI   Physician Quality Reporting System  
PTSD   Post-Traumatic Stress Disorder  
PVD   Peripheral Vascular Disease  
 
QIO   Quality Improvement Organization  
QRDA   Quality Reporting Document Architecture  
 
RA   Rheumatoid Arthritis  
RAI   Resident Assessment Instrument  
RAP   Resident Assessment Protocol  
RELMA   Regenstrief LOINC Mapping Assistant  
RFP   Request for Proposal  
RIM   Reference Information Model  
RMIM   Refined Message Information Model  
RTI   Research Triangle  
RUG   Resource Utilization Group  
 
S&I Framework   Standards and Interoperability Framework  
S&I Initiative  Standards and Interoperability Initiative  
SAAM   Semi-Annual Assessment of Members  
SCHIP   State Children’s Health Insurance Program  
SDE   State Designated Entity  
SDO   Standards Development Organization  
SDTC   Structured Document Technical Committee  
SMHP   State Medicaid HIT Plan  
SNF   Skilled Nursing Facility  
SNOMED   Systematized Nomenclature of Medicine  
SNOMED-CT   Systematized Nomenclature of Medicine - Clinical Terms  
STRIVE   Staff Time and Resource Intensity Verification  
SWG   Sub-Workgroup  
 
TBI   Traumatic Brain Injury  
TEFRA   Tax Equity and Fiscal Responsibility Act  
ToC   Transitions of Care  
 
UBFA   University of Buffalo Foundation Activities, Inc.  
UCHSC   University of Colorado Center for Health Services Research  
UDS   Uniform Data System  
UDSmr   University National Data System for Medical Rehabilitation  
UMLS   Unified Medical Language System  
UPMC   University of Pittsburgh Medical Center  
USPTO   U.S. Patent and Trademark Office  
UTI   Urinary Tract Infection  
UTF   Universal Transfer Form  
 
VA   U.S. Department of Veterans Affairs  
VA GEC   VA Geriatrics and Extended Care  
VES   Vulnerable Elders Survey  
VHA   Veterans Health Administration  
VNSNY   Visiting Nurse Services of New York  
 
XML   Extensive Markup Language (rules for encoding document to be machine-readable)  
XSD   XML Schema Document  

References

2011 CCHIT Certification for Long Term and Post Acute Care. http://www.cchit.org/certify/2011/cchit-certified-2011-long-term-post-acute-care-ltpac-ehr.

A Roadmap for Health IT in Long Term and Post Acute Care (LTPAC), 2010-2012. LTPAC Health IT Collaborative. AHIMA. http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_047579.pdf.

AHA Trend Watch: Maximizing the Value of Post-Acute Care. American Hospital Association. November 2010.

Federal HIT Strategic Plan: http://healthit.hhs.gov/portal/server.pt?open=512&objID=1211&parentname=CommunityPage&parentid=2&mode=2.

Gage, B., et al. Examining Post Acute Care Relationships in an Integrated Hospital System. ASPE/HHS. February 2009. http://aspe.hhs.gov/health/reports/09/pacihs/index.shtml.

Handler, S.M., Hanlon, J.T., Perera, S., Saul, M.I., Fridsma, D.B., Visweswaran, S., Studenski, S.A., Roumani, Y.F., Castle, N.G., Nace, D.A., Becich, M.J. "Assessing the performance characteristics of signals used by a Clinical Event Monitor to detect adverse drug reactions in the nursing home." Annual Symposium Proceedings/AMIA Symposium. 2008.

Mor, V., Intrator, O., Feng, Z., Grabowski, D.C. 2010. "The Revolving Door of Rehospitalization from Skilled Nursing Facilities." Health Affairs 29(1).

ONC Meaningful Use Resources. http://healthit.hhs.gov/portal/server.pt?open=512&objID=2996&mode=2.

ONC Beacon Community Program. http://healthit.hhs.gov/portal/server.pt?open=512&objID=1805&parentname=CommunityPage&parentid=2&mode=2&cached=true.

Overview of the Medicare Post Acute Care Payment Reform Initiative. RTI International. https://www.cms.gov/DemoProjectsEvalRpts/downloads/PACPR_RTI_CMS_PAC_PRD_Overview.pdf.

Patient Protection and Affordable Care Act (ACA). Public Law 111-148 and Public Law 111-152. http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_public_laws&docid=f:publ148.111.pdf.

Resnick, H.E., Alwan, M. "Use of Health Information Technology in Home Health and Hospice Agencies: United States, 2007." Journal of the American Medical Informatics Association (JAMIA), 2010; 17: 389-395. Abstract available online at: http://jamia.bmj.com/content/17/4/389.abstract.

Resnick, H.E., Manard, B.B., Stone, R.I., Alwan, M. "Use of Electronic Information Systems in Nursing Homes: United States, 2004." Journal of the American Medical Informatics Association (JAMIA), 2009; 16: 179-186. Abstract available online at: http://jamia.bmj.com/content/16/2/179.abstract.

Notes

  1. Mor, V., Intrator, O., Feng, Z., Grabowski, D.C. "The Revolving Door of Rehospitalization From Skilled Nursing Facilities," Health Affairs 29(1): 57-64. 2010.

  2. Jenicks, S., Jack, B., Field, T. "Managing Patient Care Transitions: How Health IT Can Reduce Unnecessary Rehospitalization." AHRQ, A National Web Conference on Transitions in Care. February 24, 2010. http://healthit.ahrq.gov/portal/server.pt?open=514&objID=5553&mode=2&holderDisplayURL=http://wci-pubcontent/publish/communities/a_e/events/events/events/a_national_web_conference_on_transitions_in_care.html.

  3. Meaningful Use: The incentives under HITECH are available to eligible professionals and hospitals for their "meaningful use" of certified EHRs (i.e., for e-prescribing; HIE to improve quality of care, such as care coordination; and reporting of quality measures). http://healthit.hhs.gov/portal/server.pt?open=512&objID=2996&mode=2.

  4. Harvell, J. "Consolidated Health Informatics Update." Presentation to the NCVHS. October 11, 2006. http://ncvhs.hhs.gov/061011p2a.pdf.

  5. Federal HIT Strategic Plan available at http://healthit.hhs.gov/portal/server.pt?open=512&objID=1211&parentname=CommunityPage&parentid=2&mode=2.

  6. Federal HIT Strategic Plan. Pages 13-16. http://web.mediacdt.com/onc-emerg/FINAL-Federal-Health-IT-Strategic-Plan-0911.pdf.

  7. ONC awarded 56 grants to states and state designated entities (SDEs) to support state HIE activities. In January 2011,ONC supplemented grants to four states by making available approximately $7 million to advance HIE activities on behalf of nursing home and home health agency providers. ONC also awarded 17 Beacon Community grants to advance innovative HIE activities. Two of the Beacon Community programs include a focus on nursing homes and/or home health agency providers.

  8. Hogan, E., Daniels, J. "The Many Meaningful Uses of Health Information Technology." Health IT Buzz. May 18, 2011. http://www.healthit.gov/buzz-blog/meaningful-use/meaningful-health-information-technology/.

  9. ONC Beacon Community Program. http://healthit.hhs.gov/portal/server.pt?open=512&objID=1805&parentname=CommunityPage&parentid=2&mode=2&cached=true.

  10. AHA Trend Watch: Maximizing the Value of Post-Acute Care. American Hospital Association. November 2010.

  11. Mor, V., Intrator, O., Feng, Z., Grabowski, D.C. "The Revolving Door of Rehospitalization from Skilled Nursing Facilities." Health Affairs, 2010, 29(1): 57-64.

  12. Medicare Payment Advisory Commission (MedPAC). A Data Book: Healthcare Spending and the Medicare Program. Washington, DC: MedPAC, 2006a. http://www.medpac.gov.

  13. Lourde, K. "Ramping Up for Higher Acuity: Nursing Facilities Respond to the Need for Reducing Rehospitalizations." Provider, January 2011: 21-31.

  14. Overview of the Medicare Post Acute Care Payment Reform Initiative. RTI International. https://www.cms.gov/DemoProjectsEvalRpts/downloads/PACPR_RTI_CMS_PAC_PRD_Overview.pdf.

  15. Affordable Care Act. Public Law 111-148 and Public Law 111-152. Section 3023. National Pilot Program on Payment Bundling.

  16. Degenholtz, H. June 10, 2011 presentation ASPE Meeting.

  17. A Roadmap for Health IT in Long Term and Post Acute Care (LTPAC), 2010-2012. LTPAC Health IT Collaborative. AHIMA. http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_047579.pdf.

  18. Ibid.  

  19. Establishment of the Permanent Certification Program for Health Information Technology. 45 CFR Part 70. 2011.

  20. The CCHIT is the only entity to date that has established criteria for LTPAC EHR products.

  21. Harvell, J. Moving LTPAC Providers in the Nationwide Health IT Infrastructure Boardroom Session at the 2011 LTPAC HIT Summit. June 2011.

  22. 2011 CCHIT Certification for Long Term and Post Acute Care. http://www.cchit.org/certify/2011/cchit-certified-2011-long-term-post-acute-care-ltpac-ehr.

  23. ONC-ATCB ONC Certified Technology. CCHIT. Accessed at: http://www.cchit.org/products/onc-atcb/all/2000.

  24. A Roadmap for Health IT in Long Term and Post Acute Care (LTPAC), 2010-2012. LTPAC Health IT Collaborative. AHIMA. http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_047579.pdf.

  25. LCCWG, LTPAC WG Roadmap. ONC Standards & Interoperability Framework. http://wiki.siframework.org/LTPAC+WG+Roadmap.

  26. Massachusetts IMPACT presentation to the S&I ToC LTPAC WKGRP: http://wiki.siframework.org/file/view/IMPACT%20High%20Level%20Process%20Flow_Terry%20OMalley_1011.pdf.

  27. Handler, S.M., Hanlon, J.T., Perera, S., Rourmani, Y.F., Nace, D.A., Fridsma, D.B., Saul, M.I., Castle, N.G., Studenski, S.A. "Consensus List of Signals to Detect Potential Adverse Drug Reactions in Nursing Homes." JAGS, 2008, 56: 808-815.

  28. Work is needed to develop a standardized implementation guide for this electronic medication monitoring clinical decision support tool.

  29. See http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=38.

  30. S&I Framework LCCWG, Patient Assessment Summary Document Sub-Workgroup Charter: http://wiki.siframework.org/Patient+Assessment+Summary+SWG+Charter.

  31. S&I Framework LCCWG, Longitudinal Care Plan Sub-Workgroup Charter: http://wiki.siframework.org/Patient+Assessment+Summary+SWG+Charter.

  32. S&I Framework LCCWG, LTPAC Care Transitions Sub-Workgroup Charter: http://wiki.siframework.org/Exchange+of+LTPAC+Care+Transition+Data+SWG+Charter.

  33. State Health Information Exchange Cooperative Agreement Program. http://statehieresources.org/.

  34. State Health Information Exchange Cooperative Agreement Program. http://statehieresources.org/.

  35. Health Information Exchange Challenge Grant Program. http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&objID=3378.

  36. Beacon Community Cooperative Agreement Program. http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&objID=3378.

  37. CMS SMHP. https://www.cms.gov/MLNProducts/downloads/STATE_MEDICAID_HIT_PLAN_SMHP.pdf.

  38. ONC Vulnerable Populations and HIE Report. Available on the State HIE Resources website at: http://statehieresources.org/wp-content/uploads/2010/12/Vulnerable_Populations_and_HIE.pdf.

  39. NGA Center for Best Practices. Issue Brief: Health Information Technology Integration in Long-Term Care: Challenges, Best Practices, and Solutions for States. 2011.

  40. NGA Center for Best Practices. Issue Brief: Health Information Technology Integration in Long-Term Care: Challenges, Best Practices, and Solutions for States. 2011.

  41. Summary Report from NGA State Alliance for E-Health Regional State Health IT Consultations. July-August 2011.

  42. NGA Center for Best Practices. Issue Brief: health Information Technology Integration in Long-Term Care: Challenges, Best Practices, and Solutions for States. 2011.

  43. State and Regional HIE Initiatives Town Hall at the 2011 LTPAC HIT Summit. June 2011.

  44. Putting the IT in TransITions. http://xnet.kp.org/newscenter/pressreleases/nat/2011/101111caretransitions.html.

  45. NGA Center for Best Practices. Issue Brief: Health Information Technology Integration in Long-Term Care: Challenges, Best Practices, and Solutions for States. 2011.

  46. LTPAC Health IT Collaborative is a consortium of public and private representatives that advance HIT for the LTPAC community of providers. http://www.ltpachealthit.org.

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