Version 2.78

52524-6 Discharge Information

Observation ID in Form

A

Fully-Specified Name

Component
Discharge Information
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

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

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

52525-3 Discharge date

Observation ID in Form

A1

Fully-Specified Name

Component
Discharge date
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Discharge date

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.24
Last Updated
Version 2.63
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
103991-6 CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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
69412-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
83265-9 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85671-6 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
85662-5 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
86870-3 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0 Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6 Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1 Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
54580-6 Deprecated Minimum Data Set - version 3.0
89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
93128-7 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
93219-4 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
93221-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
93220-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
90479-7 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
91552-0 MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3 MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
101108-9 MDS v3.0 - RAI v1.18.11 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
101105-5 MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
101107-1 MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
101109-7 MDS v3.0 - RAI v1.18.11 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
101110-5 MDS v3.0 - RAI v1.18.11 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
101106-3 MDS v3.0 - RAI v1.18.11 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
101113-9 MDS v3.0 - RAI v1.18.11 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
101112-1 MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
105008-7 MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1 MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9 MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8 MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5 MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1 MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7 MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3 MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
75854-0 PCORnet common data model set - version 1.0 [PCORnet]
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Fecha de alta:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Data di dimissione:TmStp:Pt:^Paziente:Qn:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
pt-BR Portuguese (Brazil) Data de alta médica:TmStp:Pt:^Paciente:Qn:
Synonyms: Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU Russian (Russian Federation) Выбытие дата:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Выписка Дата выписки Количественный Точка во времени;Момент
zh-CN Chinese (China) 出院日期:时间戳:时间点:^患者:定量型:
Synonyms: 允许...离开(医院、军队);(从监狱)释放 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 日子;几号 时刻;随机;随意;瞬间 病史与体格检查

Example Units

Unit Source
{mm/dd/yyyy} Example UCUM Units

52526-1 Attending Physician (at this location)

Observation ID in Form

A2

Fully-Specified Name

Component
Attending physician name
Property
Pn
Time
Pt
System
Provider
Scale
Nom
Method

Additional Names

Short Name
Attending physician name

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.24
Last Updated
Version 2.73
Common Test Rank Get Info
7284

Member of these Panels

LOINC Long Common Name
80190-2 Catheterization and angiography procedure details 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
68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
55140-8 Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Nombre del médico tratante:Pn:Punto temporal:Proveedor:Nominal:
it-IT Italian (Italy) Medico curante, nome:Pn:Pt:Provider:Nom:
Synonyms: Clinico Nome del medico curante Nome di persona Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Nome do médico atendente:Pn:Pt:Provedor:Nom:
Synonyms: Person name; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Штатный лечащий врач фамилия:Фам:ТчкВрм:Провайдер:Ном:
Synonyms: Номинальный;Именной Специалист с высшим медицинским образованием Точка во времени;Момент Фамилия
zh-CN Chinese (China) 主治医师姓名:人员姓名:时间点:服务提供者:名义型:
Synonyms: 主治医生姓名;主治医姓名 人名 内科医师;内科医生;医生 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 姓名;名字;名 提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者 时刻;随机;随意;瞬间

52688-9 Discharge Location. Where will the patient be discharged to?

Observation ID in Form

A3

Fully-Specified Name

Component
Discharge disposition
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.27
Last Updated
Version 2.66
Change Reason
Updated Component from "Discharge location" to "Discharge disposition" for consistency across LOINC for terms reporting the location/status (disposition) of the patient at discharge.

Survey Question

Text
Discharge Location. Where will the patient be discharged to?
Source
CARE I.a03

Normative Answer List LL591-9

Answer Code Score Answer ID
Private residence 1 LA10062-0
Other community-based residential setting (e.g., assisted living residents, group home, adult foster care) 2 LA10048-9
Long-term care facility/nursing home 3 LA9999-9
Skilled nursing facility (SNF/TCU) 4 LA10080-2
Short-stay acute hospital (IPPS) 5 LA10078-6
Long-Term Care Hospital (LTCH) 6 LA10000-0
Inpatient rehabilitation hospital or unit (IRF) 7 LA9986-6
Psychiatric hospital or unit 8 LA10065-3
Facility-based hospice 9 LA9969-2
Other (e.g., shelter, jail, no known address) 10 LA10047-1
Discharged against medical advice 11 LA9965-0

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
69412-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0

52689-7 Frequency of Assistance at Discharge (or admission for HH). How often will the patient require assistance (physical care or supervision) from a caregiver(s) or provider(s)?

Observation ID in Form

A4

Skip Logic

If Patient does not require assistance, Skip to Section B. Residential Information.

Fully-Specified Name

Component
Frequency of assistance at discharge
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
Frequency of Assistance at Discharge (or admission for HH). How often will the patient require assistance (physical care or supervision) from a caregiver(s) or provider(s)?
Source
CARE I.a04

Normative Answer List LL592-7

Answer Code Score Answer ID
Patient does not require assistance 1 LA10057-0
Weekly or less (e.g., requires help with grocery shopping or errands, etc.) 2 LA10118-0
Less than daily but more often than weekly 3 LA9995-7
Intermittently and predictably during the day or night 4 LA9989-0
All night but not during the day 5 LA9932-0
All day but not at night 6 LA9931-2
24 hours per day, or standby services 7 LA9919-7

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

52690-5 Caregiver(s) Availability. Was the discharge destination decision influenced by the availability of a family member or friend to provide assistance?

Observation ID in Form

A5

Skip Logic

If No, skip to Section B. Residential Information.

Fully-Specified Name

Component
Discharge destination influenced by caregiver availability
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
Caregiver(s) Availability. Was the discharge destination decision influenced by the availability of a family member or friend to provide assistance?
Source
CARE I.a05

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

52691-3 Willing Caregiver(s). Does the patient have one or more willing caregiver(s)?

Observation ID in Form

A6

Skip Logic

In NO, skip to Section B. Residential Information. If Unclear, skip to Section B. Residential Infomation.

Fully-Specified Name

Component
Willing caregiver
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
Willing Caregiver(s). Does the patient have one or more willing caregiver(s)?
Source
CARE I.a06

Normative Answer List LL593-5

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes, confirmed by caregiver 1 LA10130-5
Yes, confirmed only by patient 2 LA10131-3
Unclear from patient; no confirmation from caregiver 9 LA10108-1

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

52692-1 Types of Caregiver(s). What is the relationship of the caregiver(s) to the patient?

Observation ID in Form

A7

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Types of caregiver
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.27
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
Types of Caregiver(s). What is the relationship of the caregiver(s) to the patient?
Source
CARE I.A7

Example Answer List LL594-3

Answer Code Score Answer ID
Spouse or significant other a LA6382-1
Child b LA9949-4
Other unpaid family member or friend c LA10052-1
Paid help d LA6320-1

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

52527-9 Residential Information

Observation ID in Form

B

Form Coding Instructions

Complete only if patient is discharged to a private residence or other community-based setting

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Complete only if patient lives a private residence or other community-based setting

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Residential Information
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

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

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

52693-9 Patient Lives With at Discharge (or admission for HH). Upon discharge (admission), who will the patient live with?

Observation ID in Form

B1

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Patient will live with at discharge
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Survey Question

Text
Patient Lives With at Discharge (or admission for HH). Upon discharge (admission), who will the patient live with?
Source
CARE I.B1

Normative Answer List LL549-7

Answer Code Score Answer ID
Lives alone a LA6255-9
Lives with paid helper b LA9997-3
Lives with other(s) c LA9996-5
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) d 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

52528-7 Support Needs/Caregiver Assistance

Observation ID in Form

C

Form Coding Instructions

Type of Assistance Needed. Patient needs assistance with (check all that apply). Support Needs/Caregiver Assistance. (If patient needs assistance, check one on each row)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Support Needs &or Caregiver Assistance
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

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

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

52694-7 ADL assistance (e.g., transfer/ambulation, bathing, dressing, toileting, eating/feeding)

Fully-Specified Name

Component
ADL assistance needed
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL595-0

Answer Code Score Answer ID
CG able 1 LA9945-2
CG will need training and/or other supportive services 2 LA9947-8
CG not likely to be able 3 LA9946-0
CG ability unclear 4 LA9944-5

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

52695-4 IADL assistance (e.g., meals, housekeeping, laundry, telephone, shopping, finances)

Fully-Specified Name

Component
IADL assistance needed
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL595-0

Answer Code Score Answer ID
CG able 1 LA9945-2
CG will need training and/or other supportive services 2 LA9947-8
CG not likely to be able 3 LA9946-0
CG ability unclear 4 LA9944-5

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

52696-2 Medication administration (e.g., oral, inhaled, or injectable)

Fully-Specified Name

Component
Medication administration assistance needed
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL595-0

Answer Code Score Answer ID
CG able 1 LA9945-2
CG will need training and/or other supportive services 2 LA9947-8
CG not likely to be able 3 LA9946-0
CG ability unclear 4 LA9944-5

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

52697-0 Medical procedures/treatments (e.g., changing wound dressing)

Fully-Specified Name

Component
Medical procedures &or treatments assistance needed
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL595-0

Answer Code Score Answer ID
CG able 1 LA9945-2
CG will need training and/or other supportive services 2 LA9947-8
CG not likely to be able 3 LA9946-0
CG ability unclear 4 LA9944-5

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

52698-8 Management of equipment (includes oxygen, IV/infusion equipment, enteral/parenteral nutrition, ventilator therapy equipment, or supplies)

Fully-Specified Name

Component
Management of equipment assistance needed
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL595-0

Answer Code Score Answer ID
CG able 1 LA9945-2
CG will need training and/or other supportive services 2 LA9947-8
CG not likely to be able 3 LA9946-0
CG ability unclear 4 LA9944-5

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

52699-6 Supervision and safety

Fully-Specified Name

Component
Supervision and safety assistance needed
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL595-0

Answer Code Score Answer ID
CG able 1 LA9945-2
CG will need training and/or other supportive services 2 LA9947-8
CG not likely to be able 3 LA9946-0
CG ability unclear 4 LA9944-5

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

52700-2 Advocacy or facilitation of patient's participation in appropriate medical care (includes transportation to or from appointments)

Fully-Specified Name

Component
Advocacy assistance needed
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL595-0

Answer Code Score Answer ID
CG able 1 LA9945-2
CG will need training and/or other supportive services 2 LA9947-8
CG not likely to be able 3 LA9946-0
CG ability unclear 4 LA9944-5

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

52701-0 None of the above or non-residential setting

Fully-Specified Name

Component
No assistance needed
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

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

52529-5 Discharge Care Options

Form Coding Instructions

Please indicate whether the team considered the following services appropriate for the patient at discharge; for those identified as potentially appropriate, were they: unavailable, refused by family, or not covered by insurance. (Check all that apply.)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Discharge Care Options
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

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

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

52702-8 Home Health Care (HHA)

Observation ID in Form

Da

Fully-Specified Name

Component
Home health care considered appropriate
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL596-8

Answer Code Score Answer ID
Considered Appropriate by the Provider 1 LA9955-1
No Bed/Services Available 2 LA11804-4
Refused by Patient/Family 3 LA10069-5
Not Covered by Insurance 4 LA10041-4

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

52703-6 Skilled Nursing Facility (SNF/TCU)

Fully-Specified Name

Component
Skilled nursing facility considered appropriate
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL596-8

Answer Code Score Answer ID
Considered Appropriate by the Provider 1 LA9955-1
No Bed/Services Available 2 LA11804-4
Refused by Patient/Family 3 LA10069-5
Not Covered by Insurance 4 LA10041-4

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

52704-4 Inpatient Rehabilitation Hospital or Unit (IRF)

Fully-Specified Name

Component
Inpatient rehabilitation hospital considered appropriate
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL596-8

Answer Code Score Answer ID
Considered Appropriate by the Provider 1 LA9955-1
No Bed/Services Available 2 LA11804-4
Refused by Patient/Family 3 LA10069-5
Not Covered by Insurance 4 LA10041-4

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

52705-1 Long-Term Care Hospital (LTCH)

Fully-Specified Name

Component
Long term care hospital considered appropriate
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL596-8

Answer Code Score Answer ID
Considered Appropriate by the Provider 1 LA9955-1
No Bed/Services Available 2 LA11804-4
Refused by Patient/Family 3 LA10069-5
Not Covered by Insurance 4 LA10041-4

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

52706-9 Psychiatric Hospital or Unit

Fully-Specified Name

Component
Psychiatric hospital considered appropriate
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL596-8

Answer Code Score Answer ID
Considered Appropriate by the Provider 1 LA9955-1
No Bed/Services Available 2 LA11804-4
Refused by Patient/Family 3 LA10069-5
Not Covered by Insurance 4 LA10041-4

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

52707-7 Outpatient Services

Fully-Specified Name

Component
Outpatient services considered appropriate
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL596-8

Answer Code Score Answer ID
Considered Appropriate by the Provider 1 LA9955-1
No Bed/Services Available 2 LA11804-4
Refused by Patient/Family 3 LA10069-5
Not Covered by Insurance 4 LA10041-4

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

52708-5 Acute Hospital Admission

Fully-Specified Name

Component
Acute hospital admission considered appropriate
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL596-8

Answer Code Score Answer ID
Considered Appropriate by the Provider 1 LA9955-1
No Bed/Services Available 2 LA11804-4
Refused by Patient/Family 3 LA10069-5
Not Covered by Insurance 4 LA10041-4

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

52709-3 Hospice

Fully-Specified Name

Component
Hospice considered appropriate
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL596-8

Answer Code Score Answer ID
Considered Appropriate by the Provider 1 LA9955-1
No Bed/Services Available 2 LA11804-4
Refused by Patient/Family 3 LA10069-5
Not Covered by Insurance 4 LA10041-4

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

52710-1 Long-term Personal Care Services

Fully-Specified Name

Component
Long-term personal care services considered appropriate
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL596-8

Answer Code Score Answer ID
Considered Appropriate by the Provider 1 LA9955-1
No Bed/Services Available 2 LA11804-4
Refused by Patient/Family 3 LA10069-5
Not Covered by Insurance 4 LA10041-4

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

52711-9 Long-Term Nursing Facility

Fully-Specified Name

Component
Long term care nursing facility considered appropriate
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL596-8

Answer Code Score Answer ID
Considered Appropriate by the Provider 1 LA9955-1
No Bed/Services Available 2 LA11804-4
Refused by Patient/Family 3 LA10069-5
Not Covered by Insurance 4 LA10041-4

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

52712-7 Other (specify)

Fully-Specified Name

Component
Other service considered appropriate
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL596-8

Answer Code Score Answer ID
Considered Appropriate by the Provider 1 LA9955-1
No Bed/Services Available 2 LA11804-4
Refused by Patient/Family 3 LA10069-5
Not Covered by Insurance 4 LA10041-4

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

55760-3 Other service considered appropriate.other specified [CARE]

Fully-Specified Name

Component
Other service considered appropriate.other specified
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

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

55761-1 No services needed after discharge [CARE]

Fully-Specified Name

Component
No services needed after discharge
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

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

52530-3 Discharge Location Information

Fully-Specified Name

Component
Discharge Location Information
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

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

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

52713-5 Is the patient being discharged with referral for additional services?

Skip Logic

If No, skip to E7. Discharge Delay. If Yes, please identify the name, location, and type, of service to which the patient is discharged.

Fully-Specified Name

Component
Discharged with referral for additional services
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
Is the patient being discharged with referral for additional services?
Source
CARE I.e01

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

52458-7 Name Provider

Fully-Specified Name

Component
Name
Property
Pn
Time
Pt
System
Provider
Scale
Nom
Method

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
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
62400-7 PhenX - arrhythmia protocol 041101
97029-3 Spine Tango surgery follow-up 2017 Spine Tango

52714-3 Provider type [CARE]

Fully-Specified Name

Component
Provider type
Property
Type
Time
Pt
System
Provider
Scale
Nom
Method
CARE

Basic Attributes

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

Normative Answer List LL729-5

Answer Code Score Answer ID
Home Health Care (HHA) 1 LA9978-3
Skilled nursing facility (SNF/TCU) 2 LA10080-2
Inpatient rehabilitation hospital or unit (IRF) 3 LA9986-6
Long-Term Care Hospital (LTCH) 4 LA10000-0
Psychiatric hospital or unit 5 LA10065-3
Outpatient Services 6 LA10053-9
Short-stay acute hospital (IPPS) 7 LA10078-6
Hospice 8 LA6216-1
Long-term nursing facility 9 LA11502-4
Other (specify) 10 LA6310-2

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
69412-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0

52715-0 Other (specify)

Observation ID in Form

E3_10

Fully-Specified Name

Component
Provider type.other specified
Property
Type
Time
Pt
System
Provider
Scale
Nom
Method
CARE

Basic Attributes

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

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

52531-1 Provider city

Fully-Specified Name

Component
Provider city
Property
Loc
Time
Pt
System
Provider
Scale
Nom
Method

Additional Names

Short Name
Provider city

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.24
Last Updated
Version 2.73
Common Test Rank Get Info
8342

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Ciudad proveedora:Loc:Punto temporal:Proveedor:Nominal:
it-IT Italian (Italy) Provider, città:Loc:Pt:Provider:Nom:
Synonyms: Città del provider Clinico Posizione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Cidade provedora:Loc:Pt:Provedor:Nom:
Synonyms: Location; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Провайдер город:Лок:ТчкВрм:Провайдер:Ном:
Synonyms: Локализация Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 服务提供者 城市:位置:时间点:服务提供者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 地点;场所 提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者 时刻;随机;随意;瞬间 服务提供者(提供方、提供者、服务人员、服务提供方、服务方、服务机构、服务者) 城市

52532-9 Provider state

Fully-Specified Name

Component
Provider state
Property
Loc
Time
Pt
System
Provider
Scale
Nom
Method

Additional Names

Short Name
Provider state

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.24
Last Updated
Version 2.73
Common Test Rank Get Info
8154

Example Answer List LL3178-2

Answer Code Score Answer ID
AL LA21991-7
AK LA21992-5
AZ LA21993-3
AR LA21994-1
CA LA21995-8
CO LA21996-6
CT LA21997-4
DC LA21998-2
DE LA21999-0
FL LA22000-6
GA LA22001-4
HI LA22002-2
ID LA19256-9
IL LA22003-0
IN LA22004-8
IA LA22005-5
KS LA22006-3
KY LA22007-1
LA LA22008-9
ME LA22009-7
MD LA20036-2
MA LA22010-5
MI LA22011-3
MN LA22012-1
MS LA22013-9
MO LA22014-7
MT LA22015-4
NE LA22016-2
NV LA22017-0
NH LA21453-8
NJ LA22018-8
NM LA22019-6
NY LA22020-4
NC LA22021-2
ND LA22022-0
OH LA22023-8
OK LA22024-6
OR LA22025-3
PA LA22026-1
PR LA21403-3
RI LA22027-9
SC LA22028-7
SD LA22029-5
TN LA22030-3
TX LA3601-7
UT LA22031-1
VT LA22032-9
VA LA18827-8
WA LA22033-7
WV LA22034-5
WI LA22035-2
WY LA22036-0
Other, Please specify: LA46-8

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado del proveedor:Loc:Punto temporal:Proveedor:Nominal:
it-IT Italian (Italy) Provider, stato:Loc:Pt:Provider:Nom:
Synonyms: Clinico Posizione Punto nel tempo (episodio) Stato del provider
pt-BR Portuguese (Brazil) Estado provedor:Loc:Pt:Provedor:Nom:
Synonyms: Location; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Провайдер штат:Лок:ТчкВрм:Провайдер:Ном:
Synonyms: Локализация Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 服务提供者州别:位置:时间点:服务提供者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 地点;场所 州;邦;政府;国家;状况;情况 提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者 时刻;随机;随意;瞬间 服务提供者(提供方、提供者、服务人员、服务提供方、服务方、服务机构、服务者)州别

45952-9 National provider ID

Fully-Specified Name

Component
National provider ID
Property
ID
Time
Pt
System
Provider
Scale
Nom
Method

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50

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
45981-8 Deprecated MDS full assessment form - version 2.0
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
46076-6 Deprecated Minimum Data Set (MDS) supplemental items section - version 2.0
71746-2 Personnel contact information panel [ESRD] Personnel

52716-8 Was the patient's discharge delayed for at least 24 hours?

Fully-Specified Name

Component
Discharge delayed at least 24H
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.27
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
Was the patient's discharge delayed for at least 24 hours?
Source
CARE I.e07

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
69412-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0

52717-6 Reason for discharge delay

Fully-Specified Name

Component
Reason for discharge delay
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.27
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

Example Answer List LL598-4

Answer Code Score Answer ID
No bed available 1 LA10021-6
Services, equipment or medications not available (e.g., home health care, durable medical equipment, IV medications) 2 LA10072-9
Family/support (e.g., family could not pick patient up) 3 LA9970-0
Medical (patient condition changed) 4 LA10004-2
Other (specify) 5 LA6310-2

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
69412-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0

52718-4 Other (specify)

Observation ID in Form

E8_5

Fully-Specified Name

Component
Reason for discharge delay.other specified
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Basic Attributes

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

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
69412-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0

52719-2 In the situation that the patient or an authorized representative has requested this information not be shared with the next provider, check here:

Fully-Specified Name

Component
Patient requested information not be shared with next provider
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
In the situation that the patient or an authorized representative has requested this information not be shared with the next provider, check here:
Source
CARE I.e09

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