Form Coding Instructions

Complete during the 2-day assessment period

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

52596-4 Memory/recall ability

Observation ID in Form

C1

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Memory &or recall ability during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Nom
Method
CARE

Long Common Name

Memory/recall ability during 2 day assessment period [CARE]

Basic Attributes

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

Normative Answer List LL566-1

AnswerCodeScoreAnswer ID
Current seasonaLA9962-7
Location of own roombLA9998-1
Staff names and facescLA10085-1
That he or she is in a hospital, nursing home, or homedLA10093-5
None of the above are recalledeLA10031-5
Unable to assess. Specify reasonfLA10106-5

Member of these Panels

LOINCLong Common Name
52743-2Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52597-2 Specify reason

Observation ID in Form

C1f

Fully-Specified Name

Component
Unable to assess memory &or recall ability during 2D assessment period .specified reason
Property
Find
Time
2D
System
^Patient
Scale
Nom
Method
CARE

Long Common Name

Unable to assess memory/recall ability during 2 day assessment period .specified reason [CARE]

Basic Attributes

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

Member of these Panels

LOINCLong Common Name
52743-2Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission