Version 2.78

52575-8 Number of pressure ulcers at assessment - stage 2 [CARE]

Term Description

Stage 2 - Partial thickness loss of dermis presenting as a shallow open ulcer with red pink wound bed, without slough. May also present as an intact or open/ruptured serum-filled blister (excludes those resulting from skin tears, tape stripping, or incontinence associated dermatitis).
Source: Regenstrief LOINC

Observation ID in Form

G2a1

Form Coding Instructions

If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Number of pressure ulcers at assessment - stage 2
Property
Num
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.63

Normative Answer List LL555-4

Answer Code Score Answer ID
0 ulcers 0 LA9916-3
1 ulcer 1 LA9917-1
2 ulcers 2 LA9918-9
3 ulcers 3 LA9920-5
4 ulcers 4 LA9921-3
5 ulcers 5 LA9922-1
6 ulcers 6 LA9923-9
7 ulcers 7 LA9924-7
8 or more ulcers 8 LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
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
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52576-6 Number of pressure ulcers at assessment - stage 3 [CARE]

Term Description

Stage 3 - Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscles are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling.
Source: Regenstrief LOINC

Observation ID in Form

G2b1

Form Coding Instructions

If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Number of pressure ulcers at assessment - stage 3
Property
Num
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.63

Normative Answer List LL555-4

Answer Code Score Answer ID
0 ulcers 0 LA9916-3
1 ulcer 1 LA9917-1
2 ulcers 2 LA9918-9
3 ulcers 3 LA9920-5
4 ulcers 4 LA9921-3
5 ulcers 5 LA9922-1
6 ulcers 6 LA9923-9
7 ulcers 7 LA9924-7
8 or more ulcers 8 LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
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
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52577-4 Number of pressure ulcers at assessment - stage 4 [CARE]

Term Description

Stage 4 - Full thickness tissue loss with visible bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling.
Source: Regenstrief LOINC

Observation ID in Form

G2c1

Form Coding Instructions

If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Number of pressure ulcers at assessment - stage 4
Property
Num
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.63

Normative Answer List LL555-4

Answer Code Score Answer ID
0 ulcers 0 LA9916-3
1 ulcer 1 LA9917-1
2 ulcers 2 LA9918-9
3 ulcers 3 LA9920-5
4 ulcers 4 LA9921-3
5 ulcers 5 LA9922-1
6 ulcers 6 LA9923-9
7 ulcers 7 LA9924-7
8 or more ulcers 8 LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
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
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52578-2 Number of pressure ulcers at assessment - unstageable [CARE]

Term Description

Unstageable - Full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, gray, green, or brown) or eschar (tan, brown, or black) in the wound bed. Include ulcers that are known or likely, but are not stageable due to non-removable dressing, device, cast or suspected deep tissue injury in evolution.
Source: Regenstrief LOINC

Observation ID in Form

G2d1

Fully-Specified Name

Component
Number of pressure ulcers at assessment - unstageable
Property
Num
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.63

Normative Answer List LL555-4

Answer Code Score Answer ID
0 ulcers 0 LA9916-3
1 ulcer 1 LA9917-1
2 ulcers 2 LA9918-9
3 ulcers 3 LA9920-5
4 ulcers 4 LA9921-3
5 ulcers 5 LA9922-1
6 ulcers 6 LA9923-9
7 ulcers 7 LA9924-7
8 or more ulcers 8 LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
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
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52579-0 Number of pressure ulcers onset during this service - stage 2 [CARE]

Term Description

Stage 2 - Partial thickness loss of dermis presenting as a shallow open ulcer with red pink wound bed, without slough. May also present as an intact or open/ruptured serum-filled blister (excludes those resulting from skin tears, tape stripping, or incontinence associated dermatitis).
Source: Regenstrief LOINC

Observation ID in Form

G2a2

Form Coding Instructions

If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Number of pressure ulcers onset during this service - stage 2
Property
Num
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.63

Normative Answer List LL555-4

Answer Code Score Answer ID
0 ulcers 0 LA9916-3
1 ulcer 1 LA9917-1
2 ulcers 2 LA9918-9
3 ulcers 3 LA9920-5
4 ulcers 4 LA9921-3
5 ulcers 5 LA9922-1
6 ulcers 6 LA9923-9
7 ulcers 7 LA9924-7
8 or more ulcers 8 LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

52580-8 Number of pressure ulcers onset during this service - stage 3 [CARE]

Term Description

Stage 3 - Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscles are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling.
Source: Regenstrief LOINC

Observation ID in Form

G2b2

Form Coding Instructions

If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Number of pressure ulcers onset during this service - stage 3
Property
Num
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.63

Normative Answer List LL555-4

Answer Code Score Answer ID
0 ulcers 0 LA9916-3
1 ulcer 1 LA9917-1
2 ulcers 2 LA9918-9
3 ulcers 3 LA9920-5
4 ulcers 4 LA9921-3
5 ulcers 5 LA9922-1
6 ulcers 6 LA9923-9
7 ulcers 7 LA9924-7
8 or more ulcers 8 LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

52581-6 Number of pressure ulcers onset during this service - stage 4 [CARE]

Term Description

Stage 4 - Full thickness tissue loss with visible bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling.
Source: Regenstrief LOINC

Observation ID in Form

G2c2

Form Coding Instructions

If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Number of pressure ulcers onset during this service - stage 4
Property
Num
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.63

Normative Answer List LL555-4

Answer Code Score Answer ID
0 ulcers 0 LA9916-3
1 ulcer 1 LA9917-1
2 ulcers 2 LA9918-9
3 ulcers 3 LA9920-5
4 ulcers 4 LA9921-3
5 ulcers 5 LA9922-1
6 ulcers 6 LA9923-9
7 ulcers 7 LA9924-7
8 or more ulcers 8 LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

52582-4 Number of pressure ulcers onset during this service - unstageable [CARE]

Term Description

Unstageable - Full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, gray, green, or brown) or eschar (tan, brown, or black) in the wound bed. Include ulcers that are known or likely, but are not stageable due to non-removable dressing, device, cast or suspected deep tissue injury in evolution.
Source: Regenstrief LOINC

Observation ID in Form

G2d2

Fully-Specified Name

Component
Number of pressure ulcers onset during this service - unstageable
Property
Num
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.63

Normative Answer List LL555-4

Answer Code Score Answer ID
0 ulcers 0 LA9916-3
1 ulcer 1 LA9917-1
2 ulcers 2 LA9918-9
3 ulcers 3 LA9920-5
4 ulcers 4 LA9921-3
5 ulcers 5 LA9922-1
6 ulcers 6 LA9923-9
7 ulcers 7 LA9924-7
8 or more ulcers 8 LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

52583-2 Number of unhealed stage 2 ulcers known to be present for more than 1 month [CARE]

Observation ID in Form

G2e

Form Coding Instructions

If the patient has one or more unhealed stage 2 pressure ulcers, record the number present today that were first observed more than 1 month ago, according to the best available records. If the patient has no unhealed stage 2 pressure ulcers, record "0."

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

If the patient has one or more unhealed stage 2 pressure ulcers, record the number present today that were first observed more than 1 month ago, according to the best available records. If the patient has no unhealed stage 2 pressure ulcers, record "0"

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

If the resident has one or more unhealed Stage 2 pressure ulcers, record the number present today that were first observed more than one month ago

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Number of unhealed stage 2 ulcers known to be present for more than 1 month
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.64

Normative Answer List LL555-4

Answer Code Score Answer ID
0 ulcers 0 LA9916-3
1 ulcer 1 LA9917-1
2 ulcers 2 LA9918-9
3 ulcers 3 LA9920-5
4 ulcers 4 LA9921-3
5 ulcers 5 LA9922-1
6 ulcers 6 LA9923-9
7 ulcers 7 LA9924-7
8 or more ulcers 8 LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
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
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Example Units

Unit Source
{#} Example UCUM Units