PACIO Personal Functioning and Engagement Implementation Guide
2.0.0 - STU 2 United States of America flag

PACIO Personal Functioning and Engagement Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-pfe/ and changes regularly. See the Directory of published versions

ValueSet: Personal Functioning and Engagement Mental Functions Value Set

Official URL: http://hl7.org/fhir/us/pacio-pfe/ValueSet/pfe-mental-functions-vs Version: 2.0.0
Standards status: Trial-use Active as of 2026-03-05 Maturity Level: 3 Computable Name: PFEMentalFunctionsVS

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 LOINC codes that represent patient observations regarding individual's mental functioning.

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)

  • Include these codes as defined in http://loinc.org version Not Stated (use latest from terminology server)
    CodeDisplay
    11332-4History of Cognitive function Narrative
    44250-9Little interest or pleasure in doing things in last 2 weeks
    44255-8Feeling down, depressed, or hopeless in last 2 weeks
    46473-5Cognitive, behavioral, and psychiatric symptoms demonstrated at least one time per week during assessment period [CMS Assessment]
    46589-8Cognitive functioning during assessment period [CMS Assessment]
    46592-2Frequency of behavior problems during assessment period [CMS Assessment]
    52731-7Repetition of three words # [BIMS]
    52732-5Temporal orientation - current year [BIMS]
    52733-3Temporal orientation - current month [BIMS]
    52735-8Recall - sock [BIMS]
    52736-6Recall - blue [BIMS]
    52737-4Recall - bed [BIMS]
    54597-0Comatose during assessment period [CMS Assessment]
    54605-1Brief Interview for Mental Status (BIMS) should be conducted during assessment period [CMS Assessment]
    54609-3Temporal orientation - current day of the week [BIMS]
    54614-3Brief Interview for Mental Status - summary score [BIMS]
    54615-0Should staff assessment for mental status be conducted during assessment period [CMS Assessment]
    54616-8Short-term memory OK during assessment period [CMS Assessment]
    54617-6Long-term memory OK during assessment period [CMS Assessment]
    54624-2Cognitive skills for daily decision making during assessment period [CMS Assessment]
    54628-3Inattention in last 7 days [CAM.CMS]
    54629-1Disorganized thinking in last 7 days [CAM.CMS]
    54632-5Acute onset mental status change [CAM.CMS]
    54634-1Should resident mood interview be conducted during assessment period [CMS Assessment]
    54636-6Little interest or pleasure in doing things in last 2 weeks.presence [Reported PHQ-9 CMS]
    54637-4Little interest or pleasure in doing things in last 2 weeks.frequency [Reported PHQ-9 CMS]
    54638-2Feeling down, depressed or hopeless in last 2 weeks.presence [Reported PHQ-9 CMS]
    54639-0Feeling down, depressed or hopeless in last 2 weeks.frequency [Reported PHQ-9 CMS]
    54640-8Trouble falling or staying asleep, or sleeping too much in last 2 weeks.presence [Reported PHQ-9 CMS]
    54641-6Trouble falling or staying asleep, or sleeping too much in last 2 weeks.frequency [Reported PHQ-9 CMS]
    54642-4Feeling tired or having little energy in last 2 weeks.presence [Reported PHQ-9 CMS]
    54643-2Feeling tired or having little energy in last 2 weeks.frequency [Reported PHQ-9 CMS]
    54644-0Poor appetite or overeating in last 2 weeks.presence [Reported PHQ-9 CMS]
    54645-7Poor appetite or overeating in last 2 weeks.frequency [Reported PHQ-9 CMS]
    54646-5Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks.presence [Reported PHQ-9 CMS]
    54647-3Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks.frequency [Reported PHQ-9 CMS]
    54648-1Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.presence [Reported PHQ-9 CMS]
    54649-9Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.frequency [Reported PHQ-9 CMS]
    54650-7Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks.presence [Reported PHQ-9 CMS]
    54651-5Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks.frequency [Reported PHQ-9 CMS]
    54652-3Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks.presence [Reported PHQ-9 CMS]
    54653-1Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks.frequency [Reported PHQ-9 CMS]
    54654-9Mood interview total severity score [Reported PHQ-9 CMS]
    54658-0Little interest or pleasure in doing things in last 2 weeks.presence [Observed PHQ-9 CMS]
    54659-8Little interest or pleasure in doing things in last 2 weeks.frequency [Observed PHQ-9 CMS]
    54660-6Feeling or appearing down, depressed or hopeless in last 2 weeks.presence [Observed PHQ-9 CMS]
    54661-4Feeling or appearing down, depressed, or hopeless in last 2 weeks.frequency [Observed PHQ-9 CMS]
    54662-2Trouble falling or staying asleep, or sleeping too much in last 2 weeks.presence [Observed PHQ-9 CMS]
    54663-0Trouble falling or staying asleep, or sleeping too much in last 2 weeks.frequency [Observed PHQ-9 CMS]
    54664-8Feeling tired or having little energy in last 2 weeks.presence [Observed PHQ-9 CMS]
    54665-5Feeling tired or having little energy in last 2 weeks.frequency [Observed PHQ-9 CMS]
    54666-3Poor appetite or overeating in last 2 weeks.presence [Observed PHQ-9 CMS]
    54667-1Poor appetite or overeating in last 2 weeks.frequency [Observed PHQ-9 CMS]
    54668-9Indicating that (s)he feels bad about self, are a failure, or has let self or family down in last 2W.presence [Observed PHQ-9 CMS]
    54669-7Indicating that (s)he feels bad about self, are a failure, or has let self or family down in last 2W.frequency [Observed PHQ-9 CMS]
    54670-5Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.presence [Observed PHQ-9 CMS]
    54671-3Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.frequency [Observed PHQ-9 CMS]
    54672-1Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that (s)he has been moving around a lot more than usual in last 2 weeks.presence [Observed PHQ-9 CMS]
    54673-9States that life isn't worth living, wishes for death, or attempts to harm self in last 2 weeks.presence [Observed PHQ-9 CMS]
    54674-7States that life isn't worth living, wishes for death, or attempts to harm self in last 2 weeks.frequency [Observed PHQ-9 CMS]
    54675-4Being short-tempered, easily annoyed in last 2 weeks.presence [Observed PHQ-9 CMS]
    54676-2Being short-tempered, easily annoyed in last 2 weeks.frequency [Observed PHQ-9 CMS]
    54677-0Staff assessment of resident mood total severity score [Observed PHQ-9 CMS]
    54682-0Physical behavioral symptoms directed toward others during assessment period [CMS Assessment]
    54683-8Verbal behavioral symptoms directed toward others during assessment period [CMS Assessment]
    54684-6Other behavioral symptoms not directed toward others during assessment period [CMS Assessment]
    54685-3Overall presence of behavioral symptoms during assessment period [CMS Assessment]
    54686-1Put the resident at significant risk for physical illness or injury during assessment period [CMS Assessment]
    54687-9Significantly interfere with the resident's care during assessment period [CMS Assessment]
    54688-7Significantly interfere with the resident's participation in activities or social interactions during assessment period [CMS Assessment]
    54689-5Put others at significant risk for physical injury during assessment period [CMS Assessment]
    54690-3Significantly intrude on the privacy or activity of others during assessment period [CMS Assessment]
    54691-1Significantly disrupt care or living environment during assessment period [CMS Assessment]
    54692-9Rejection of care - presence and frequency in last 7 days [CMS Assessment]
    54693-7Wandering - presence and frequency in last 7 days [CMS Assessment]
    54694-5Wandering places resident at significant risk of getting to a potentially dangerous place in last 7 days [CMS Assessment]
    54695-2Wandering significantly intrudes on the privacy or activities of others in last 7 days [CMS Assessment]
    54696-0Change in behavioral or other symptoms in last 7 days [CMS Assessment]
    54904-8Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that (s)he has been moving around a lot more than usual in last 2 weeks.frequency [Observed PHQ-9 CMS]
    57242-0Standardized depression screening was conducted during assessment period [CMS Assessment]
    58104-1When confused within the last 14 days [CMS Assessment]
    72106-8Total score [MMSE]
    72172-0Total score [MoCA]
    83248-5Should brief interview for mental status be conducted during 3 day assessment period [CMS Assessment]
    85073-5Functional cognition during assessment period [CMS Assessment]
    85629-4Comatose during 3 day assessment period [CMS Assessment]
    85631-0Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said during 3 day assessment period [CAM.CMS]
    85634-4Is there evidence of an acute change in mental status from the patient's baseline during 3 day assessment period [CAM.CMS]
    85651-8Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject during 3 day assessment period [CAM.CMS]
    86495-9When anxious within the last 14 days [CMS Assessment]
    86527-9Conditions related to intellectual disability and developmental disability status during assessment period [CMS Assessment]
    86597-2Potential indicators of psychosis during assessment period [CMS Assessment]
    93159-2How often do you feel lonely or isolated from those around you during assessment period [CMS Assessment]
    93414-1Altered level of consciousness in last 3 day [CAM.CMS]
    95743-1Memory/recall ability during assessment period [CMS Assessment]
    95812-4Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said during assessment period [CAM.CMS]
    95813-2Is there evidence of an acute change in mental status from the patient's baseline during assessment period [CAM.CMS]
    95814-0Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject during assessment period [CAM.CMS]
    95815-7Altered level of consciousness during assessment period [CAM.CMS]
    95855-3Did the (abnormal) behavior fluctuate during the day, that is, tend to come and go or increase and decrease in severity during assessment period [CAM.CMS]
    95856-1LCDS v4.00 - Altered level of consciousness during assessment period [CMS Assessment]
    95857-9Level of consciousness - Alert (normal) during assessment period [CAM.CMS]
    95858-7Level of consciousness - Vigilant or lethargic or stupor or coma during assessment period [CAM.CMS]

 

Expansion

Expansion from tx.fhir.org based on Loinc v2.81

This value set contains 103 concepts

SystemCodeDisplay (en)JSONXML
http://loinc.org  11332-4History of Cognitive function Narrative
http://loinc.org  44250-9Little interest or pleasure in doing things in last 2 weeks
http://loinc.org  44255-8Feeling down, depressed, or hopeless in last 2 weeks
http://loinc.org  46473-5Cognitive, behavioral, and psychiatric symptoms demonstrated at least one time per week during assessment period [CMS Assessment]
http://loinc.org  46589-8Cognitive functioning during assessment period [CMS Assessment]
http://loinc.org  46592-2Frequency of behavior problems during assessment period [CMS Assessment]
http://loinc.org  52731-7Repetition of three words # [BIMS]
http://loinc.org  52732-5Temporal orientation - current year [BIMS]
http://loinc.org  52733-3Temporal orientation - current month [BIMS]
http://loinc.org  52735-8Recall - sock [BIMS]
http://loinc.org  52736-6Recall - blue [BIMS]
http://loinc.org  52737-4Recall - bed [BIMS]
http://loinc.org  54597-0Comatose during assessment period [CMS Assessment]
http://loinc.org  54605-1Brief Interview for Mental Status (BIMS) should be conducted during assessment period [CMS Assessment]
http://loinc.org  54609-3Temporal orientation - current day of the week [BIMS]
http://loinc.org  54614-3Brief Interview for Mental Status - summary score [BIMS]
http://loinc.org  54615-0Should staff assessment for mental status be conducted during assessment period [CMS Assessment]
http://loinc.org  54616-8Short-term memory OK during assessment period [CMS Assessment]
http://loinc.org  54617-6Long-term memory OK during assessment period [CMS Assessment]
http://loinc.org  54624-2Cognitive skills for daily decision making during assessment period [CMS Assessment]
http://loinc.org  54628-3Inattention in last 7 days [CAM.CMS]
http://loinc.org  54629-1Disorganized thinking in last 7 days [CAM.CMS]
http://loinc.org  54632-5Acute onset mental status change [CAM.CMS]
http://loinc.org  54634-1Should resident mood interview be conducted during assessment period [CMS Assessment]
http://loinc.org  54636-6Little interest or pleasure in doing things in last 2 weeks.presence [Reported PHQ-9 CMS]
http://loinc.org  54637-4Little interest or pleasure in doing things in last 2 weeks.frequency [Reported PHQ-9 CMS]
http://loinc.org  54638-2Feeling down, depressed or hopeless in last 2 weeks.presence [Reported PHQ-9 CMS]
http://loinc.org  54639-0Feeling down, depressed or hopeless in last 2 weeks.frequency [Reported PHQ-9 CMS]
http://loinc.org  54640-8Trouble falling or staying asleep, or sleeping too much in last 2 weeks.presence [Reported PHQ-9 CMS]
http://loinc.org  54641-6Trouble falling or staying asleep, or sleeping too much in last 2 weeks.frequency [Reported PHQ-9 CMS]
http://loinc.org  54642-4Feeling tired or having little energy in last 2 weeks.presence [Reported PHQ-9 CMS]
http://loinc.org  54643-2Feeling tired or having little energy in last 2 weeks.frequency [Reported PHQ-9 CMS]
http://loinc.org  54644-0Poor appetite or overeating in last 2 weeks.presence [Reported PHQ-9 CMS]
http://loinc.org  54645-7Poor appetite or overeating in last 2 weeks.frequency [Reported PHQ-9 CMS]
http://loinc.org  54646-5Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks.presence [Reported PHQ-9 CMS]
http://loinc.org  54647-3Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks.frequency [Reported PHQ-9 CMS]
http://loinc.org  54648-1Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.presence [Reported PHQ-9 CMS]
http://loinc.org  54649-9Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.frequency [Reported PHQ-9 CMS]
http://loinc.org  54650-7Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks.presence [Reported PHQ-9 CMS]
http://loinc.org  54651-5Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks.frequency [Reported PHQ-9 CMS]
http://loinc.org  54652-3Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks.presence [Reported PHQ-9 CMS]
http://loinc.org  54653-1Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks.frequency [Reported PHQ-9 CMS]
http://loinc.org  54654-9Mood interview total severity score [Reported PHQ-9 CMS]
http://loinc.org  54658-0Little interest or pleasure in doing things in last 2 weeks.presence [Observed PHQ-9 CMS]
http://loinc.org  54659-8Little interest or pleasure in doing things in last 2 weeks.frequency [Observed PHQ-9 CMS]
http://loinc.org  54660-6Feeling or appearing down, depressed or hopeless in last 2 weeks.presence [Observed PHQ-9 CMS]
http://loinc.org  54661-4Feeling or appearing down, depressed, or hopeless in last 2 weeks.frequency [Observed PHQ-9 CMS]
http://loinc.org  54662-2Trouble falling or staying asleep, or sleeping too much in last 2 weeks.presence [Observed PHQ-9 CMS]
http://loinc.org  54663-0Trouble falling or staying asleep, or sleeping too much in last 2 weeks.frequency [Observed PHQ-9 CMS]
http://loinc.org  54664-8Feeling tired or having little energy in last 2 weeks.presence [Observed PHQ-9 CMS]
http://loinc.org  54665-5Feeling tired or having little energy in last 2 weeks.frequency [Observed PHQ-9 CMS]
http://loinc.org  54666-3Poor appetite or overeating in last 2 weeks.presence [Observed PHQ-9 CMS]
http://loinc.org  54667-1Poor appetite or overeating in last 2 weeks.frequency [Observed PHQ-9 CMS]
http://loinc.org  54668-9Indicating that (s)he feels bad about self, are a failure, or has let self or family down in last 2W.presence [Observed PHQ-9 CMS]
http://loinc.org  54669-7Indicating that (s)he feels bad about self, are a failure, or has let self or family down in last 2W.frequency [Observed PHQ-9 CMS]
http://loinc.org  54670-5Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.presence [Observed PHQ-9 CMS]
http://loinc.org  54671-3Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.frequency [Observed PHQ-9 CMS]
http://loinc.org  54672-1Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that (s)he has been moving around a lot more than usual in last 2 weeks.presence [Observed PHQ-9 CMS]
http://loinc.org  54673-9States that life isn't worth living, wishes for death, or attempts to harm self in last 2 weeks.presence [Observed PHQ-9 CMS]
http://loinc.org  54674-7States that life isn't worth living, wishes for death, or attempts to harm self in last 2 weeks.frequency [Observed PHQ-9 CMS]
http://loinc.org  54675-4Being short-tempered, easily annoyed in last 2 weeks.presence [Observed PHQ-9 CMS]
http://loinc.org  54676-2Being short-tempered, easily annoyed in last 2 weeks.frequency [Observed PHQ-9 CMS]
http://loinc.org  54677-0Staff assessment of resident mood total severity score [Observed PHQ-9 CMS]
http://loinc.org  54682-0Physical behavioral symptoms directed toward others during assessment period [CMS Assessment]
http://loinc.org  54683-8Verbal behavioral symptoms directed toward others during assessment period [CMS Assessment]
http://loinc.org  54684-6Other behavioral symptoms not directed toward others during assessment period [CMS Assessment]
http://loinc.org  54685-3Overall presence of behavioral symptoms during assessment period [CMS Assessment]
http://loinc.org  54686-1Put the resident at significant risk for physical illness or injury during assessment period [CMS Assessment]
http://loinc.org  54687-9Significantly interfere with the resident's care during assessment period [CMS Assessment]
http://loinc.org  54688-7Significantly interfere with the resident's participation in activities or social interactions during assessment period [CMS Assessment]
http://loinc.org  54689-5Put others at significant risk for physical injury during assessment period [CMS Assessment]
http://loinc.org  54690-3Significantly intrude on the privacy or activity of others during assessment period [CMS Assessment]
http://loinc.org  54691-1Significantly disrupt care or living environment during assessment period [CMS Assessment]
http://loinc.org  54692-9Rejection of care - presence and frequency in last 7 days [CMS Assessment]
http://loinc.org  54693-7Wandering - presence and frequency in last 7 days [CMS Assessment]
http://loinc.org  54694-5Wandering places resident at significant risk of getting to a potentially dangerous place in last 7 days [CMS Assessment]
http://loinc.org  54695-2Wandering significantly intrudes on the privacy or activities of others in last 7 days [CMS Assessment]
http://loinc.org  54696-0Change in behavioral or other symptoms in last 7 days [CMS Assessment]
http://loinc.org  54904-8Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that (s)he has been moving around a lot more than usual in last 2 weeks.frequency [Observed PHQ-9 CMS]
http://loinc.org  57242-0Standardized depression screening was conducted during assessment period [CMS Assessment]
http://loinc.org  58104-1When confused within the last 14 days [CMS Assessment]
http://loinc.org  72106-8Total score [MMSE]
http://loinc.org  72172-0Total score [MoCA]
http://loinc.org  83248-5Should brief interview for mental status be conducted during 3 day assessment period [CMS Assessment]
http://loinc.org  85073-5Functional cognition during assessment period [CMS Assessment]
http://loinc.org  85629-4Comatose during 3 day assessment period [CMS Assessment]
http://loinc.org  85631-0Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said during 3 day assessment period [CAM.CMS]
http://loinc.org  85634-4Is there evidence of an acute change in mental status from the patient's baseline during 3 day assessment period [CAM.CMS]
http://loinc.org  85651-8Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject during 3 day assessment period [CAM.CMS]
http://loinc.org  86495-9When anxious within the last 14 days [CMS Assessment]
http://loinc.org  86527-9Conditions related to intellectual disability and developmental disability status during assessment period [CMS Assessment]
http://loinc.org  86597-2Potential indicators of psychosis during assessment period [CMS Assessment]
http://loinc.org  93159-2How often do you feel lonely or isolated from those around you during assessment period [CMS Assessment]
http://loinc.org  93414-1Altered level of consciousness in last 3 day [CAM.CMS]
http://loinc.org  95743-1Memory/recall ability during assessment period [CMS Assessment]
http://loinc.org  95812-4Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said during assessment period [CAM.CMS]
http://loinc.org  95813-2Is there evidence of an acute change in mental status from the patient's baseline during assessment period [CAM.CMS]
http://loinc.org  95814-0Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject during assessment period [CAM.CMS]
http://loinc.org  95815-7Altered level of consciousness during assessment period [CAM.CMS]
http://loinc.org  95855-3Did the (abnormal) behavior fluctuate during the day, that is, tend to come and go or increase and decrease in severity during assessment period [CAM.CMS]
http://loinc.org  95856-1LCDS v4.00 - Altered level of consciousness during assessment period [CMS Assessment]
http://loinc.org  95857-9Level of consciousness - Alert (normal) during assessment period [CAM.CMS]
http://loinc.org  95858-7Level of consciousness - Vigilant or lethargic or stupor or coma during assessment period [CAM.CMS]

Description of the above table(s).