# Transitions of Care DEL LOINC Terms Value Set - PACIO Transitions of Care Implementation Guide v1.0.0

* [**Table of Contents**](toc.md)
* [**FHIR Artifacts**](artifacts.md)
* **Transitions of Care DEL LOINC Terms Value Set**

## ValueSet: Transitions of Care DEL LOINC Terms Value Set 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/pacio-toc/ValueSet/toc-del-loinc-vs | *Version*:1.0.0 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 2 | *Computable Name*:TocDELItemsLOINC |
| **Copyright/Legal**: This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. | | |

 
This value set includes those LOINC terms that are used by the DEL. 

 **References** 

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

### Logical Definition (CLD)

 

### Expansion

-------

 Explanation of the columns that may appear on this page: 

| | |
| :--- | :--- |
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the*display*element of a[Coding](http://hl7.org/fhir/R4/datatypes.html#Coding)). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |



## Resource Content

```json
{
  "resourceType" : "ValueSet",
  "id" : "toc-del-loinc-vs",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "pc"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/pacio-toc/ImplementationGuide/hl7.fhir.us.pacio-toc"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/pacio-toc/ImplementationGuide/hl7.fhir.us.pacio-toc"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/pacio-toc/ValueSet/toc-del-loinc-vs",
  "version" : "1.0.0",
  "name" : "TocDELItemsLOINC",
  "title" : "Transitions of Care DEL LOINC Terms Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-05-13T05:33:53+10:00",
  "publisher" : "HL7 International / Patient Care",
  "contact" : [{
    "name" : "HL7 International / Patient Care",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/patientcare"
    },
    {
      "system" : "email",
      "value" : "patientcare@lists.HL7.org"
    }]
  },
  {
    "name" : "PACIO project",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/patientcare"
    },
    {
      "system" : "email",
      "value" : "info@pacioproject.org"
    }]
  }],
  "description" : "This value set includes those LOINC terms that are used by the DEL.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US",
      "display" : "United States of America"
    }]
  }],
  "copyright" : "This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.",
  "compose" : {
    "include" : [{
      "system" : "http://loinc.org",
      "concept" : [{
        "code" : "21112-8",
        "display" : "Birth date"
      },
      {
        "code" : "21843-8",
        "display" : "History of Usual occupation"
      },
      {
        "code" : "89383-4",
        "display" : "Walk 150 feet - functional goal during assessment period [CMS Assessment]"
      },
      {
        "code" : "89385-9",
        "display" : "Walk 10 feet - functional goal during assessment period [CMS Assessment]"
      },
      {
        "code" : "89390-9",
        "display" : "Toilet transfer - functional goal during assessment period [CMS Assessment]"
      },
      {
        "code" : "89402-2",
        "display" : "Picking up object - functional goal during assessment period [CMS Assessment]"
      },
      {
        "code" : "89409-7",
        "display" : "Eating - functional goal during assessment period [CMS Assessment]"
      },
      {
        "code" : "89412-1",
        "display" : "Car transfer - functional goal during assessment period [CMS Assessment]"
      },
      {
        "code" : "89416-2",
        "display" : "Go up and down 4 steps - functional goal during assessment period [CMS Assessment]"
      },
      {
        "code" : "89418-8",
        "display" : "Go up and down 12 steps - functional goal during assessment period [CMS Assessment]"
      },
      {
        "code" : "89420-4",
        "display" : "Go up and down a curb/step - functional goal during assessment period [CMS Assessment]"
      },
      {
        "code" : "90489-6",
        "display" : "MDS v3.0 - RAI v1.17.2 - Type of assessment during assessment period [CMS Assessment]"
      },
      {
        "code" : "90543-0",
        "display" : "Percent intake by artificial route while a resident and during the last 7 days during assessment period [CMS Assessment]"
      },
      {
        "code" : "90544-8",
        "display" : "Therapies during Part A Medicare stay [CMS Assessment]"
      },
      {
        "code" : "92850-7",
        "display" : "Range of motion during assessment period [CMS Assessment] Upper extremity"
      },
      {
        "code" : "92851-5",
        "display" : "Range of motion during assessment period [CMS Assessment] Lower extremity"
      },
      {
        "code" : "93156-8",
        "display" : "How much of the time has pain made it hard for you to sleep at night during assessment period [CMS Assessment]"
      },
      {
        "code" : "93159-2",
        "display" : "How often do you feel lonely or isolated from those around you during assessment period [CMS Assessment]"
      },
      {
        "code" : "93160-0",
        "display" : "How often have you limited your participation in rehabilitation therapy sessions due to pain over during assessment period [CMS Assessment]"
      },
      {
        "code" : "93181-6",
        "display" : "Provision of current reconciled medication list to patient at discharge during assessment period [CMS Assessment]"
      },
      {
        "code" : "93182-4",
        "display" : "Provision of current reconciled medication list to subsequent provider at discharge during assessment period [CMS Assessment]"
      },
      {
        "code" : "93202-0",
        "display" : "Ventilator weaning status during assessment period [CMS Assessment]"
      },
      {
        "code" : "93203-8",
        "display" : "LCDS v5.00 - Spontaneous breathing trial during assessment period [CMS Assessment]"
      },
      {
        "code" : "94876-0",
        "display" : "Self-care priorities for the next 6 months during assessment period [CMS Assessment]"
      },
      {
        "code" : "94877-8",
        "display" : "Mobility priorities for the next 6 months during assessment period [CMS Assessment]"
      },
      {
        "code" : "94878-6",
        "display" : "Instrumental activities of daily living priorities for the next 6 months during assessment period [CMS Assessment]"
      },
      {
        "code" : "94879-4",
        "display" : "Need for and availability of a cane/crutch during assessment period [CMS Assessment]"
      },
      {
        "code" : "94880-2",
        "display" : "Need for and availability of a walker during assessment period [CMS Assessment]"
      },
      {
        "code" : "94881-0",
        "display" : "Need for and availability of a standard folding walker during assessment period [CMS Assessment]"
      },
      {
        "code" : "94882-8",
        "display" : "Need for and availability of a walker with seat during assessment period [CMS Assessment]"
      },
      {
        "code" : "94883-6",
        "display" : "Need for and availability of a walker with wheels during assessment period [CMS Assessment]"
      },
      {
        "code" : "94884-4",
        "display" : "Need for and availability of a wheelchair during assessment period [CMS Assessment]"
      },
      {
        "code" : "94885-1",
        "display" : "Need for and availability of a manual wheelchair during assessment period [CMS Assessment]"
      },
      {
        "code" : "94886-9",
        "display" : "Need for and availability of a motorized wheelchair/scooter during assessment period [CMS Assessment]"
      },
      {
        "code" : "94887-7",
        "display" : "Need for and availability of a limb prosthesis during assessment period [CMS Assessment]"
      },
      {
        "code" : "94888-5",
        "display" : "Need for and availability of a specialized seating pad during assessment period [CMS Assessment]"
      },
      {
        "code" : "94889-3",
        "display" : "Need for and availability of a mechanical lift during assessment period [CMS Assessment]"
      },
      {
        "code" : "94890-1",
        "display" : "Need for and availability of a reacher/grabber during assessment period [CMS Assessment]"
      },
      {
        "code" : "94891-9",
        "display" : "Need for and availability of a sock aid during assessment period [CMS Assessment]"
      },
      {
        "code" : "94892-7",
        "display" : "Need for and availability of an orthotic/brace during assessment period [CMS Assessment]"
      },
      {
        "code" : "94893-5",
        "display" : "Need for and availability of a bed rail during assessment period [CMS Assessment]"
      },
      {
        "code" : "94894-3",
        "display" : "Need for and availability of an electronic bed during assessment period [CMS Assessment]"
      },
      {
        "code" : "94895-0",
        "display" : "Need for and availability of grab bars during assessment period [CMS Assessment]"
      },
      {
        "code" : "94896-8",
        "display" : "Need for and availability of a transfer board during assessment period [CMS Assessment]"
      },
      {
        "code" : "94897-6",
        "display" : "Need for and availability of a shower/commode chair during assessment period [CMS Assessment]"
      },
      {
        "code" : "94898-4",
        "display" : "Need for and availability of a walk/wheel-in shower during assessment period [CMS Assessment]"
      },
      {
        "code" : "94899-2",
        "display" : "Need for and availability of glasses or contact lenses during assessment period [CMS Assessment]"
      },
      {
        "code" : "94900-8",
        "display" : "Need for and availability of a hearing aid during assessment period [CMS Assessment]"
      },
      {
        "code" : "94901-6",
        "display" : "Need for and availability of a communication device during assessment period [CMS Assessment]"
      },
      {
        "code" : "94902-4",
        "display" : "Need for and availability of stair rails during assessment period [CMS Assessment]"
      },
      {
        "code" : "94903-2",
        "display" : "Need for and availability of a lift chair during assessment period [CMS Assessment]"
      },
      {
        "code" : "94904-0",
        "display" : "Need for and availability of ramps during assessment period [CMS Assessment]"
      },
      {
        "code" : "94905-7",
        "display" : "Need for and availability of a raised toilet seat during assessment period [CMS Assessment]"
      },
      {
        "code" : "94906-5",
        "display" : "Need for and availability of a glucometer during assessment period [CMS Assessment]"
      },
      {
        "code" : "94907-3",
        "display" : "Need for and availability of Continuous Positive Airway Pressure device during assessment period [CMS Assessment]"
      },
      {
        "code" : "94908-1",
        "display" : "Need for and availability of an oxygen concentrator during assessment period [CMS Assessment]"
      },
      {
        "code" : "94910-7",
        "display" : "Need for and availability of other assistive devices during assessment period [CMS Assessment]"
      },
      {
        "code" : "94911-5",
        "display" : "Living arrangement priorities for the next 6 months during assessment period [CMS Assessment]"
      },
      {
        "code" : "94912-3",
        "display" : "Availability of caregiver assistance during assessment period [CMS Assessment]"
      },
      {
        "code" : "94913-1",
        "display" : "Level of paid caregiver assistance in the past month [CMS Assessment]"
      },
      {
        "code" : "94914-9",
        "display" : "Level of unpaid caregiver assistance in the past month [CMS Assessment]"
      },
      {
        "code" : "94915-6",
        "display" : "Paid caregiver's ability and willingness to provide self-care assistance during assessment period [CMS Assessment]"
      },
      {
        "code" : "94916-4",
        "display" : "Unpaid caregiver's ability and willingness to provide self-care assistance during assessment period [CMS Assessment]"
      },
      {
        "code" : "94917-2",
        "display" : "Paid caregiver's ability and willingness to provide mobility assistance during assessment period [CMS Assessment]"
      },
      {
        "code" : "94918-0",
        "display" : "Unpaid caregiver's ability and willingness to provide mobility assistance during assessment period [CMS Assessment]"
      },
      {
        "code" : "94919-8",
        "display" : "Paid caregiver's ability and willingness to provide instrumental activities of daily living assistance during assessment period [CMS Assessment]"
      },
      {
        "code" : "94920-6",
        "display" : "Unpaid caregiver's ability and willingness to provide instrumental activities of daily living assistance during assessment period [CMS Assessment]"
      },
      {
        "code" : "94921-4",
        "display" : "Paid caregiver's ability and willingness to provide medication administration assistance during assessment period [CMS Assessment]"
      },
      {
        "code" : "94922-2",
        "display" : "Unpaid caregiver's ability and willingness to provide medication administration assistance during assessment period [CMS Assessment]"
      },
      {
        "code" : "94923-0",
        "display" : "Paid caregiver's ability and willingness to provide medical procedure/treatment assistance during assessment period [CMS Assessment]"
      },
      {
        "code" : "94924-8",
        "display" : "Unpaid caregiver's ability and willingness to provide medical procedure/treatment assistance during assessment period [CMS Assessment]"
      },
      {
        "code" : "94925-5",
        "display" : "Paid caregiver's ability and willingness to provide management of equipment assistance during assessment period [CMS Assessment]"
      },
      {
        "code" : "94926-3",
        "display" : "Unpaid caregiver's ability and willingness to provide management of equipment assistance during assessment period [CMS Assessment]"
      },
      {
        "code" : "94927-1",
        "display" : "Paid caregiver's ability and willingness to provide supervision during assessment period [CMS Assessment]"
      },
      {
        "code" : "94928-9",
        "display" : "Unpaid caregiver's ability and willingness to provide supervision during assessment period [CMS Assessment]"
      },
      {
        "code" : "94929-7",
        "display" : "Paid caregiver's ability and willingness to provide advocacy or facilitation of person's participation during assessment period [CMS Assessment]"
      },
      {
        "code" : "94930-5",
        "display" : "Unpaid caregiver's ability and willingness to provide advocacy or facilitation of person's participation during assessment period [CMS Assessment]"
      },
      {
        "code" : "94931-3",
        "display" : "Caregiving priorities for the next 6 months during assessment period [CMS Assessment]"
      },
      {
        "code" : "94932-1",
        "display" : "Does the patient walk during assessment period [CMS Assessment]"
      },
      {
        "code" : "95737-3",
        "display" : "Expression of ideas and wants during assessment period [CMS Assessment]"
      },
      {
        "code" : "95738-1",
        "display" : "Does the patient use a wheelchair/scooter during assessment period [CMS Assessment]"
      },
      {
        "code" : "95739-9",
        "display" : "Indicate the type of wheelchair/scooter used during assessment period [CMS Assessment]"
      },
      {
        "code" : "95740-7",
        "display" : "Understanding verbal and non-verbal content during assessment period [CMS Assessment]"
      },
      {
        "code" : "95744-9",
        "display" : "Hearing.ability to hear during assessment period [CMS Assessment]"
      },
      {
        "code" : "95745-6",
        "display" : "Vision.ability to see in adequate light during assessment period [CMS Assessment]"
      },
      {
        "code" : "95813-2",
        "display" : "Is there evidence of an acute change in mental status from the patient's baseline during assessment period [CAM.CMS]"
      }]
    }]
  }
}

```
