52520-4
Mode of Mobility - PAC Patients
Discouraged
52652-5 Does this patient primarily use a wheelchair for mobility?
Observation ID in Form
C7
Skip Logic
If No, code C7a-C7f. If Yes, code C7f-C7h.
Fully-Specified Name
- Component
- Primarily uses wheelchair for mobility 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
Survey Question
- Text
- Does this patient primarily use a wheelchair for mobility?
- Source
- CARE I.b05
Normative 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 |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
52667-3 1 step (curb)
Term Description
The ability to step over a curb or up and down one step.
Source: Regenstrief LOINC
Observation ID in Form
C7a
Fully-Specified Name
- Component
- One step (curb) 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 2.54
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 |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 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 |
52668-1 Walk 50 feet with two turns
Term Description
The ability to walk 50 feet and make two turns.
Source: Regenstrief LOINC
Observation ID in Form
C7b
Fully-Specified Name
- Component
- Walk 50 feet with two turns 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 2.54
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 |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 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 |
52669-9 12 steps-interior
Term Description
The ability to go up and down 12 interior steps with a rail.
Source: Regenstrief LOINC
Observation ID in Form
C7c
Fully-Specified Name
- Component
- 12 steps-interior 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 2.54
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 |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 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 |
52670-7 Four steps-exterior
Term Description
The ability to go up and down 4 exterior steps with a rail.
Source: Regenstrief LOINC
Observation ID in Form
C7d
Fully-Specified Name
- Component
- Four steps-exterior 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 2.54
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 |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 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 |
52671-5 Walking 10 feet on uneven surfaces
Term Description
The ability to walk 10 feet on uneven or sloping surfaces, such as grass, gravel, ice or snow.
Source: Regenstrief LOINC
Observation ID in Form
C7e
Fully-Specified Name
- Component
- Walking 10 feet on uneven surfaces 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 2.54
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 |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 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 |
52672-3 Car transfer
Term Description
The ability to transfer in and out of a car or van on the passenger side. Does not include the ability to open/close door or fasten seat belt.
Source: Regenstrief LOINC
Observation ID in Form
C7f
Fully-Specified Name
- Component
- Car transfer 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 2.54
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 |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 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 |
52673-1 Wheel short ramp
Term Description
Once seated in wheelchair, goes up and down a ramp of less than 12 feet (4 meters).
Source: Regenstrief LOINC
Observation ID in Form
C7g
Fully-Specified Name
- Component
- Wheel short ramp 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 |
52674-9 Wheel long ramp
Term Description
Once seated in wheelchair, goes up and down a ramp of more than 12 feet (4 meters).
Source: Regenstrief LOINC
Observation ID in Form
C7h
Fully-Specified Name
- Component
- Wheel long ramp 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 |
52675-6 Telephone answering
Term Description
The ability to pick up call in patient's customary manner and maintain for 1 minute. Does not include getting to the phone.
Source: Regenstrief LOINC
Observation ID in Form
C8
Fully-Specified Name
- Component
- Telephone-answering 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 |
52676-4 Telephone-placing call
Term Description
The ability to pick up and place call in patient's customary manner and maintain for 1 minute. Does not include getting to the phone.
Source: Regenstrief LOINC
Observation ID in Form
C9
Fully-Specified Name
- Component
- Telephone-placing call 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 |
52677-2 Medication management-oral medications
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
Observation ID in Form
C10
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 |
52678-0 Medication management-inhalant/mist
Term Description
The ability to prepare and take all prescribed inhalant/mist medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals.
Source: Regenstrief LOINC
Observation ID in Form
C11
Fully-Specified Name
- Component
- Medication management-inhalant &or mist 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
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
Observation ID in Form
C12
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 |
52680-6 Make light meal
Term Description
The ability to plan and prepare all aspects of a light meal such as bowl of cereal or sandwich and cold drink, or reheat a prepared meal.
Source: Regenstrief LOINC
Observation ID in Form
C13
Fully-Specified Name
- Component
- Make light meal 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 |
52681-4 Wipe down surface
Term Description
The ability to use a damp cloth to wipe down surface such as table top or bench to remove small amounts of liquid or crumbs. Includes ability to clean cloth of debris in patient's customary manner.
Source: Regenstrief LOINC
Observation ID in Form
C14
Fully-Specified Name
- Component
- Wipe down surface 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 |
52682-2 Light shopping
Term Description
Once at store, can locate and select up to five needed goods, take to check out, and complete purchasing transaction.
Source: Regenstrief LOINC
Observation ID in Form
C15
Fully-Specified Name
- Component
- Light shopping during 2D assesssment
- 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 |
52683-0 Laundry
Term Description
Includes all aspects of completing a load of laundry using a washer and dryer. Includes sorting, loading and unloading, and adding laundry detergent.
Source: Regenstrief LOINC
Observation ID in Form
C16
Fully-Specified Name
- Component
- Laundry 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 |
52684-8 Use public transportation
Term Description
The ability to plan and use public transportation. Includes boarding, riding, and alighting from transportation.
Source: Regenstrief LOINC
Observation ID in Form
C17
Fully-Specified Name
- Component
- Use public transportation 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 |