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{component}   LP432695-7

Survey instruments   LP29696-9

Survey terms not yet categorized   LP248772-8

End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746   68359-9

LOINC Code


LOINC code68359-9
nameEnd Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
statusTRIAL

Fully-Specified Name

componentEnd stage renal disease death notification - OMB CMS form 2746
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

45394-4Patient Last (Family) name
45392-8Patient First (Given) name
45393-6Middle initial
45397-7Medicare or comparable number
46098-0Sex
21112-8Birth date
45396-9Social Security number [Identifier]
46499-0State of residence
71480-8Location of death [ESRD]
31211-6Date of death
68341-7Dialysis at time of death
67878-9Facility name Dialysis facility
65833-6Facility Address
65833-6Facility Address
65647-0City Facility
68488-6State location of Facility
68330-0CMS certification number - CCN Dialysis facility
68343-3Primary cause of death
68344-1Were there secondary causes of death
68345-8Secondary cause of death
68346-6Other cause of death
68347-4Renal replacement therapy discontinued prior to death
68348-2Reason renal replacement therapy discontinued
68349-0Date last dialysis treatment
68350-8Discontinuation renal replacement therapy request of patient or family
68351-6Date most recent transplant
68332-6Donor
68352-4Graft functioning at death
68353-2Did patient resume chronic maintenance dialysis prior to death
68354-0Hospice prior to death
52526-1Attending physician name
68995-0Person completing form name Provider
68355-7Date signed
65838-5Date submitted
68356-5Form version

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.

History/Usage

first released
last updated2.50
last change typeMIN  - change to field other than name

Related Names

Dis
Diseases
Dz
End Stage Renal Disease (ESDR) pnl
End-stage renal disease
ESRD
ESRD CMS Form 2746
ESRD survey
 Kidney
Pan
Panel
Panl
Pnl
Point in time
Random
Survey

Copyright © 2023 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2023, 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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