Version 2.78

52545-1 Self Care: Did the patient need help bathing, dressing, using the toilet, or eating?

Observation ID in Form

B5a

Fully-Specified Name

Component
Prior functioning.self care
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.64
Change Reason
Edits made and then reverted

Survey Question

Text
Self Care: Did the patient need help bathing, dressing, using the toilet, or eating?
Source
CARE I.b05a

Normative Answer List LL546-3

Answer Code Score Answer ID
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper. 3 LA9982-5
Needed partial assistance – Patient needed partial assistance from another person to complete activities. 2 LA10018-2
Dependent – A helper completed the activity for the patient. 1 LA9963-5
Not applicable 8 LA4720-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52546-9 Indoor Mobility (Ambulation): Did the patient need assistance with walking from room to room (with or without devices such as cane, crutch, or walker)?

Observation ID in Form

B5b

Fully-Specified Name

Component
Prior functioning.mobility - ambulation
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.64
Change Reason
Made edits and then reverted back

Survey Question

Text
Indoor Mobility (Ambulation): Did the patient need assistance with walking from room to room (with or without devices such as cane, crutch, or walker)?
Source
CARE I.b05b

Normative Answer List LL546-3

Answer Code Score Answer ID
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper. 3 LA9982-5
Needed partial assistance – Patient needed partial assistance from another person to complete activities. 2 LA10018-2
Dependent – A helper completed the activity for the patient. 1 LA9963-5
Not applicable 8 LA4720-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52547-7 Stairs (Ambulation): Did the patient need assistance with internal or external stairs (with or without devices such as cane, crutch, or walker)?

Observation ID in Form

B5c

Fully-Specified Name

Component
Prior functioning.stairs - ambulation
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.64
Change Reason
Made edits and then reverted back

Survey Question

Text
Stairs (Ambulation): Did the patient need assistance with internal or external stairs (with or without devices such as cane, crutch, or walker)?
Source
CARE I.b05c

Normative Answer List LL546-3

Answer Code Score Answer ID
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper. 3 LA9982-5
Needed partial assistance – Patient needed partial assistance from another person to complete activities. 2 LA10018-2
Dependent – A helper completed the activity for the patient. 1 LA9963-5
Not applicable 8 LA4720-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52548-5 Indoor Mobility (Wheelchair): Did the patient need assistance with moving from room to room using a wheelchair, scooter, or other wheeled mobility device?

Observation ID in Form

B5d

Fully-Specified Name

Component
Prior functioning.mobility - wheelchair
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.64

Survey Question

Text
Indoor Mobility (Wheelchair): Did the patient need assistance with moving from room to room using a wheelchair, scooter, or other wheeled mobility device?
Source
CARE I.b05d

Normative Answer List LL546-3

Answer Code Score Answer ID
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper. 3 LA9982-5
Needed partial assistance – Patient needed partial assistance from another person to complete activities. 2 LA10018-2
Dependent – A helper completed the activity for the patient. 1 LA9963-5
Not applicable 8 LA4720-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52549-3 Functional Cognition: Did the patient need help planning regular tasks, such as shopping or remembering to take medication?

Observation ID in Form

B5e

Fully-Specified Name

Component
Prior functioning.functional cognition
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.64
Change Reason
Made edits and then reverted back

Survey Question

Text
Functional Cognition: Did the patient need help planning regular tasks, such as shopping or remembering to take medication?
Source
CARE I.b05e

Normative Answer List LL546-3

Answer Code Score Answer ID
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper. 3 LA9982-5
Needed partial assistance – Patient needed partial assistance from another person to complete activities. 2 LA10018-2
Dependent – A helper completed the activity for the patient. 1 LA9963-5
Not applicable 8 LA4720-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission