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

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

Long Common Name

Patient will live with at discharge [CARE]

Basic Attributes

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

Normative Answer List LL549-7

AnswerCodeScoreAnswer ID
Lives aloneaLA6255-9
Lives with paid helperbLA9997-3
Lives with other(s)cLA9996-5
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)dLA4489-6

Member of these Panels

LOINCLong Common Name
52745-7Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care