Version 2.78

52621-0 Does the patient have any impairments with hearing, vision, or communication?

Observation ID in Form

C1

Skip Logic

If No impairments, skip to Section D. Weight-bearing. If Yes, please complete this section.

Fully-Specified Name

Component
Any impairments with hearing, vision, or communication
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.64
Change Reason
Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Survey Question

Text
Does the patient have any impairments with hearing, vision, or communication?
Source
CARE I.c01

Example Answer List LL251-0

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6

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

52622-8 Understanding verbal content - excluding language barriers [CARE]

Observation ID in Form

C1a

Fully-Specified Name

Component
Understanding verbal content - excluding language barriers
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

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

Normative Answer List LL576-0

Answer Code Score Answer ID
Understands: clear comprehension without cues or repetitions 4 LA10110-7
Usually understands: understands most conversations, but misses some part/intent of message. Requires cues at times to understand 3 LA10113-1
Sometimes understands: understands only basic conversations or simple, direct phrases. Frequently requires cues to understand 2 LA10083-6
Rarely/never understands 1 LA81-5
Unable to assess 8 LA10105-7
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

52623-6 Expression of ideas and wants [CARE]

Observation ID in Form

C1b

Fully-Specified Name

Component
Expression of ideas and wants
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

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

Normative Answer List LL577-8

Answer Code Score Answer ID
Expresses complex messages without difficulty and with speech that is clear and easy to understand 4 LA9967-6
Exhibits some difficulty with expressing needs and ideas (e.g., some words or finishing thoughts) or speech is not clear 3 LA9966-8
Frequently exhibits difficulty with expressing needs and ideas 2 LA9972-6
Rarely/Never expresses self or speech is very difficult to understand. 1 LA10067-9
Unable to assess 8 LA10105-7
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

52624-4 Ability to see in adequate light (with glasses or other visual appliances)

Observation ID in Form

C1c

Fully-Specified Name

Component
Seeing in adequate light - with glasses or other visual appliances
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

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

Normative Answer List LL578-6

Answer Code Score Answer ID
Adequate: Sees fine detail, including regular print in newspapers/books 3 LA9930-4
Mildly to Moderately Impaired: Can identify objects; may see large print 2 LA10006-7
Severely Impaired: No vision or object identification questionable 1 LA10077-8
Unable to assess 8 LA10105-7
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

52625-1 Ability to hear (with hearing aid or hearing appliance, if normally used)

Observation ID in Form

C1d

Fully-Specified Name

Component
Hearing - with hearing aid or hearing appliance if normally used
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

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

Normative Answer List LL579-4

Answer Code Score Answer ID
Adequate: Hears normal conversation and TV without difficulty 3 LA9929-6
Mildly to Moderately Impaired: Difficulty hearing in some environments or speaker may need to increase volume or speak distinctly 2 LA10007-5
Severely Impaired: Absence of useful hearing 1 LA10076-0
Unable to assess 8 LA10105-7
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

52677-2 Medication management-oral medications during two day assessment period [CARE]

Term Description

The ability to prepare and take all prescribed oral medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Medication management-oral medications during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

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

Normative Answer List LL587-7

Answer Code Score Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper. 6 LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity. 5 LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently. 4 LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort. 3 LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. 2 LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task. 1 LA9964-3
Not attempted due to medical condition M LA10039-8
Not attempted due to safety concerns S LA10040-6
Not attempted due to environmental constraints E LA10038-0
Task attempted but not completed A LA10092-7
Not applicable N LA4720-4
Patient refused P LA10058-8

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

52679-8 Medication management-injectable medications during two day assessment period [CARE]

Term Description

The ability to prepare and take all prescribed injectable medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Medication management-injectable medications during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

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

Normative Answer List LL587-7

Answer Code Score Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper. 6 LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity. 5 LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently. 4 LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort. 3 LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. 2 LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task. 1 LA9964-3
Not attempted due to medical condition M LA10039-8
Not attempted due to safety concerns S LA10040-6
Not attempted due to environmental constraints E LA10038-0
Task attempted but not completed A LA10092-7
Not applicable N LA4720-4
Patient refused P LA10058-8

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