Skin lesion or open wound during assessment period [CMS Assessment]   46534-4

LOINC Code


LOINC code46534-4
nameSkin lesion or open wound during assessment period [CMS Assessment]
descriptionIdentifies the presence of a skin lesion or open wound. A lesion is a broad term used to describe an area of pathologically altered tissue. Sores, skin tears, ulcers, rashes, surgical incisions, crusts, etc. are all considered lesions. Other than lesions that end in "ostomy" (e.g., tracheostomy, gastrostomy, etc.) or peripheral IV sites, all other alterations in skin integrity are considered to be lesions. Persistent redness without a break in the skin is considered a lesion.
statusACTIVE

Fully-Specified Name

componentSkin lesion or open wound
propertyFind  =  Finding
timeRptPeriod  =  Reporting period
system^Patient
scaleOrd  =  Ordinal:  Ordered categorical responses, e.g., 1+, 2+, 3+; positive, negative; reactive, indeterminate, nonreactive.
methodCMS Assessment

Additional Names

short name

Basic Attributes

classSURVEY.CMS
type4  Surveys
order vs. observationObservation

Associated Observations

LOINC codes that represent optional associated observation(s) for a clinical observation or laboratory test. A LOINC term may represent a single associated observation or panel containing several associated observations.

Member of these Panels

46462-8Deprecated Outcome and assessment information set (OASIS) form - version B1
57044-0Integumentary status
57044-0Integumentary status
57044-0Integumentary status
57044-0Integumentary status
57044-0Integumentary status
85917-3OASIS C2 - Integumentary status - SOC or ROC during assessment period [CMS Assessment]
85917-3OASIS C2 - Integumentary status - SOC or ROC during assessment period [CMS Assessment]

History/Usage

first released
last updated2.77
last change typeMAJ  - change to name field other than Component;
change reasonRelease 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms

Related Names

Centers for Medicare and Medicaid Assessment
Finding
Findings
Integument
Ordinal
Ql
Qual
Qualitative
Report period
Screen
Survey

Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2024, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.

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