LOINC Home

{component}   LP432695-7

Survey instruments   LP29696-9

Survey terms not yet categorized   LP248772-8

Patient demographics - end stage renal disease form 2728   67871-4

LOINC Code


LOINC code67871-4
namePatient demographics - end stage renal disease form 2728
statusTRIAL

Fully-Specified Name

componentPatient demographics - end stage renal disease form 2728
property-
timePt  =  Point in time:  To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.
system^Patient
scale-
method

Additional Names

short name

Basic Attributes

classPANEL.SURVEY.ESRD
type4  Surveys

Panel Components

56799-0Address
68997-6City
46499-0State of residence
45401-7Postal code [Location]
42077-8Patient phone number
46098-0Sex
54133-4Ethnicity [USSG-FHT]
68329-2Country of origin
54134-2Race [USSG-FHT]
67884-7Tribal enrollment
67872-2Medicare end stage renal disease coverage requested
52556-8Payment sources
8302-2Body height
8340-2Dry body weight Estimated
67873-0Cause of renal failure.primary [Reported]
67874-8Employment status - 6 months prior to renal failure [Reported]
67875-5Employment status - current
67876-3End stage renal disease (ESRD) co-morbidities ICD code
67885-4Received exogenous erythropoetin or equivalent prior to end stage renal disease therapy
67886-2Care by nephrologist prior to end stage renal disease therapy
67887-0Care by kidney dietitian prior to end stage renal disease therapy
67888-8Vascular access for first outpatient dialysis
68449-8Arteriovenous fistula maturity
68450-6Graft maturity

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

67868-0End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

History/Usage

first released
last updated2.44
last change typeMIN  - change to field other than name

Related Names

Demographic
Dis
Diseases
Dz
End Stage Renal Disease (ESDR) pnl
End-stage renal disease
ESRD
ESRD survey
Kidney
 Pan
Panel
Panl
Patient demographics - ESRD 2728
Pnl
Point in time
Random
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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