52743-2
Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
Deprecated
52452-0 Administrative Items
Observation ID in Form
I
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Administrative Items
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.67
- Panel Type
- Panel
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52453-8 Assessment Type
Observation ID in Form
A
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Assessment Type
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.73
- Panel Type
- Panel
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 |
70160-7 Reason for assessment
Observation ID in Form
A1
Fully-Specified Name
- Component
- Reason for assessment - acute
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.64
Member of these Panels
LOINC | Long Common Name |
---|---|
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
54593-9 Assessment reference date - observation end date during assessment period [CMS Assessment]
Term Description
The end-point of the assessment period for the CMS assessment instrument.
Source: Regenstrief LOINC
Observation ID in Form
A3
Fully-Specified Name
- Component
- Assessment reference date - observation end date
- Property
- Date
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Qn
- Method
- CMS Assessment
Basic Attributes
- Class
- PANEL.SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Release 2.74: PanelType: made subset organizer - contains children; CLASS: Class must include panel because made subset organizer - contains children; Previous Releases: Updated METHOD from MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee. Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
- Order vs. Observation
- Subset
- Panel Type
- Organizer
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] |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
45981-8 | Deprecated MDS full assessment form - version 2.0 |
46102-0 | Deprecated MDS quarterly assessment form - version 2.0 |
46103-8 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III |
46104-6 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update |
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] |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
93222-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment] |
103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 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] |
90480-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set 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] |
90481-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) 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] |
101111-3 | MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) 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] |
104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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] |
62863-6 | PhenX domain - Infectious diseases and immunity |
Example Units
Unit | Source |
---|---|
{mm/dd/yyyy} | Example UCUM Units |
52457-9 Provider Information
Observation ID in Form
B
Fully-Specified Name
- Component
- Provider Information
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Panel Type
- Panel
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 |
52458-7 Name Provider
Observation ID in Form
B1
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 |
69326-7 Patient information
Observation ID in Form
C
Fully-Specified Name
- Component
- Patient information - acute
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- CARE
Basic Attributes
- Class
- PANEL.SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.67
- Panel Type
- Panel
Member of these Panels
LOINC | Long Common Name |
---|---|
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
45392-8 Patient's First Name
Observation ID in Form
C1
Fully-Specified Name
- Component
- First name
- Property
- Pn
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Patient First name
Basic Attributes
- Class
- ADMIN.PATIENT
- Type
- Clinical
- First Released
- Version 2.17
- Last Updated
- Version 2.70
- Change Reason
- Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;
- Order vs. Observation
- Both
HL7® Attributes
HL7® Field ID- PID-5.2
Member of these Panels
LOINC | Long Common Name |
---|---|
76464-7 | American Physical Therapy Association registry panel |
103991-6 | CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment] |
52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
45963-6 | Deprecated MDS basic assessment tracking form - version 2.0 |
45981-8 | Deprecated MDS full assessment form - version 2.0 |
46102-0 | Deprecated MDS quarterly assessment form - version 2.0 |
46103-8 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III |
46104-6 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update |
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 |
46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
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 |
70297-7 | ESRD patient information panel |
47245-6 | HIV treatment form Document |
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] |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
93222-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment] |
103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 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] |
90480-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set 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] |
90481-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) 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] |
101111-3 | MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) 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] |
104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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] |
46611-0 | Mental residual functional capacity (RFC) assessment form |
80399-9 | Occupational exposure information panel |
88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
79191-3 | Patient demographics panel |
62812-3 | PhenX domain - Physical activity and physical fitness |
46637-5 | Residual physical functional capacity (RFC) assessment form [RFC] |
55140-8 | Vaccine Adverse Event Reporting System (VAERS) panel |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Nombre de pila: |
es-ES | Spanish (Spain) | Nombre: |
it-IT | Italian (Italy) | Primo nome: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | voornaam: |
tr-TR | Turkish (Turkey) | Ad: Synonyms: İsim |
zh-CN | Chinese (China) | 名字: Synonyms: 人名 分类型应答; |
52461-1 Patient's Middle Initial or Name
Observation ID in Form
C2
Fully-Specified Name
- Component
- Middle name
- Property
- Pn
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Patient middle name
Basic Attributes
- Class
- ADMIN.PATIENT
- Type
- Clinical
- First Released
- Version 2.26
- Last Updated
- Version 2.70
- Change Reason
- Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Middle name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;
HL7® Attributes
HL7® Field ID- PID-5.3
Member of these Panels
LOINC | Long Common Name |
---|---|
76464-7 | American Physical Therapy Association registry panel |
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 |
55140-8 | Vaccine Adverse Event Reporting System (VAERS) panel |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Segundo nombre: |
it-IT | Italian (Italy) | Secondo nome: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio) |
zh-CN | Chinese (China) | 中间名: Synonyms: 中名; |
45394-4 Patient's Last Name
Observation ID in Form
C3
Fully-Specified Name
- Component
- Last name
- Property
- Pn
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Patient Last name
Basic Attributes
- Class
- ADMIN.PATIENT
- Type
- Clinical
- First Released
- Version 2.17
- Last Updated
- Version 2.70
- Change Reason
- Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;
- Order vs. Observation
- Both
HL7® Attributes
HL7® Field ID- PID-5.1
Member of these Panels
LOINC | Long Common Name |
---|---|
76464-7 | American Physical Therapy Association registry panel |
103991-6 | CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment] |
52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
45963-6 | Deprecated MDS basic assessment tracking form - version 2.0 |
45981-8 | Deprecated MDS full assessment form - version 2.0 |
46102-0 | Deprecated MDS quarterly assessment form - version 2.0 |
46103-8 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III |
46104-6 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update |
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 |
46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
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 |
70297-7 | ESRD patient information panel |
47245-6 | HIV treatment form Document |
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] |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
93222-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment] |
103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 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] |
90480-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set 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] |
90481-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) 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] |
101111-3 | MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) 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] |
104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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] |
46611-0 | Mental residual functional capacity (RFC) assessment form |
80399-9 | Occupational exposure information panel |
88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
79191-3 | Patient demographics panel |
62812-3 | PhenX domain - Physical activity and physical fitness |
46637-5 | Residual physical functional capacity (RFC) assessment form [RFC] |
55140-8 | Vaccine Adverse Event Reporting System (VAERS) panel |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Apellido: |
es-ES | Spanish (Spain) | Apellido: |
it-IT | Italian (Italy) | Cognome: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | achternaam: |
tr-TR | Turkish (Turkey) | Soyad: |
zh-CN | Chinese (China) | 姓氏: Synonyms: 人名 分类型应答; |
52462-9 Patient's Nickname (optional)
Observation ID in Form
C4
Fully-Specified Name
- Component
- Nickname
- Property
- Pn
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Nickname
Basic Attributes
- Class
- ADMIN.PATIENT
- Type
- Clinical
- First Released
- Version 2.26
- Last Updated
- Version 2.66
- Change Reason
- Changed Class from SURVEY.MDS to ADMIN
- Order vs. Observation
- Both
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 |
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 |
88677-0 | German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set |
90480-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set 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] |
90481-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) 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] |
101111-3 | MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) 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] |
104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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] |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Apodo: |
it-IT | Italian (Italy) | Nickname: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio) |
zh-CN | Chinese (China) | 昵称: Synonyms: 人名 分类型应答; |
45397-7 Medicare or comparable number
Observation ID in Form
C5
Fully-Specified Name
- Component
- Medicare or comparable number
- Property
- ID
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Medicare or comparable #
Basic Attributes
- Class
- ADMIN.PATIENT.ID
- Type
- Clinical
- First Released
- Version 2.17
- Last Updated
- Version 2.66
- Change Reason
- Changed CLASS to ADMIN
- Order vs. Observation
- Both
HL7® Attributes
HL7® Field ID- PID-3
Member of these Panels
LOINC | Long Common Name |
---|---|
76464-7 | American Physical Therapy Association registry panel |
84908-3 | Cancer pathology panel - Prostate cancer |
103991-6 | CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment] |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
45963-6 | Deprecated MDS basic assessment tracking form - version 2.0 |
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 |
46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
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 |
70297-7 | ESRD patient information panel |
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] |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
93222-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment] |
103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 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] |
90480-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set 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] |
90481-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) 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] |
101111-3 | MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) 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] |
104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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] |
88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Medicare o número comparable: |
it-IT | Italian (Italy) | Medicare o numero equivalente: Synonyms: Amministrativo Assistenza medica o numero equivalente Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio) |
zh-CN | Chinese (China) | 医疗保险或类似编号: Synonyms: 个数; |
45400-9 Patient's Medicaid Number
Observation ID in Form
C6
Fully-Specified Name
- Component
- Medicaid number
- Property
- ID
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Medicaid #
Basic Attributes
- Class
- ADMIN.PATIENT.ID
- Type
- Clinical
- First Released
- Version 2.17
- Last Updated
- Version 2.66
- Change Reason
- Changed CLASS to ADMIN
- Order vs. Observation
- Both
HL7® Attributes
HL7® Field ID- PID-3
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] |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
45963-6 | Deprecated MDS basic assessment tracking form - version 2.0 |
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 |
46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
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] |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
93222-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment] |
103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 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] |
90480-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set 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] |
90481-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) 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] |
101111-3 | MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) 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] |
104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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] |
88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Número de Medicaid: |
it-IT | Italian (Italy) | Medicaid, numero: Synonyms: Amministrativo Identificatore Numero di identificazione del paziente Numero Medicaid Paziente Punto nel tempo (episodio) |
zh-CN | Chinese (China) | 医疗补助计划编号: Synonyms: Medicaid编号 个数; |
52463-7 Patient's Facility/Agency Identification Number (for internal tracking)
Observation ID in Form
C7
Fully-Specified Name
- Component
- Patient Identification Number or Provider Account Number
- Property
- ID
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Patient ID # or Provider Acct #
Basic Attributes
- Class
- ADMIN.PATIENT.ID
- Type
- Clinical
- First Released
- Version 2.27
- Last Updated
- Version 2.66
- Order vs. Observation
- Both
HL7® Attributes
HL7® Field ID- PID-3.1
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] |
52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
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] |
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] |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Número de identificación del paciente o número de cuenta del proveedor: |
it-IT | Italian (Italy) | Numero di Identificazione del Paziente o Numero di Account del Provider: Synonyms: Amministrativo Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio) |
zh-CN | Chinese (China) | 患者身份标识编号或服务提供者账号: Synonyms: 个数; |
52455-3 Admission date
Observation ID in Form
C8a
Fully-Specified Name
- Component
- Admission date
- Property
- TmStp
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
Additional Names
- Short Name
- Admission date
Basic Attributes
- Class
- ADMIN
- Type
- Clinical
- First Released
- Version 2.26
- Last Updated
- Version 2.63
- Change Reason
- Updated Class from SURVEY.CARE to ADMIN
- Order vs. Observation
- Both
Member of these Panels
LOINC | Long Common Name |
---|---|
89070-7 | ADAPTABLE patient reported item set [ADAPTABLE] |
103991-6 | CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment] |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
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] |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
93222-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment] |
103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 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] |
90481-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) 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] |
97782-7 | Spine Tango Surgery 2017 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Fecha de admisión: |
it-IT | Italian (Italy) | Ricovero, data: Synonyms: Amministrativo Data del ricovero paziente Punto nel tempo (episodio) Time stamp (Data e Ora) |
ru-RU | Russian (Russian Federation) | Госпитализация дата: Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени; |
zh-CN | Chinese (China) | 入院日期: Synonyms: 医疗服务对象; |
Example Units
Unit | Source |
---|---|
{mm/dd/yyyy} | Example UCUM Units |
21112-8 Birth date
Observation ID in Form
C8b
Fully-Specified Name
- Component
- Birth date
- Property
- TmStp
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
Additional Names
- Short Name
- Birth date
- Display Name
- Birth date [Date/time]
- Consumer Name Alpha Get Info
- Birth date
Basic Attributes
- Class
- MISC
- Type
- Laboratory
- First Released
- Version 1.0m
- Last Updated
- Version 2.73
- Order vs. Observation
- Observation
- Common Test Rank Get Info
- 1746
HL7® Attributes
HL7® Field ID- PID-7.1
Member of these Panels
LOINC | Long Common Name |
---|---|
89070-7 | ADAPTABLE patient reported item set [ADAPTABLE] |
58735-2 | Alpha-1-Fetoprotein panel - Amniotic fluid |
48802-3 | Alpha-1-Fetoprotein panel - Serum or Plasma |
76464-7 | American Physical Therapy Association registry panel |
103991-6 | CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment] |
75199-0 | Congenital syphilis case investigation and report panel [CDC.CS] |
52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
45963-6 | Deprecated MDS basic assessment tracking form - version 2.0 |
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 |
46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
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 |
70297-7 | ESRD patient information panel |
86636-8 | Family planning report - FPAR 2.0 set |
49085-4 | First and Second trimester integrated maternal screen panel |
48798-3 | First trimester maternal screen panel - Serum or Plasma |
49086-2 | First trimester maternal screen with nuchal translucency panel |
47245-6 | HIV treatment form Document |
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] |
100203-9 | Knee Society Score post-op panel [Knee Society Score] |
100159-3 | Knee Society Score pre-op panel [Knee Society Score] |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
93222-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment] |
103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 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] |
49087-0 | Maternal screen clinical predictors panel |
90480-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set 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] |
90481-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) 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] |
101111-3 | MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) 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] |
104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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] |
70182-1 | NIH Stroke Scale |
88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
74495-3 | Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ] |
75854-0 | PCORnet common data model set - version 1.0 [PCORnet] |
85057-8 | PCORnet Common Data Model set - version 3.0 [PCORnet] |
62293-6 | PhenX - current age protocol 010101 |
62263-9 | PhenX domain - Nutrition and dietary supplements |
62812-3 | PhenX domain - Physical activity and physical fitness |
62611-9 | PhenX domain - Respiratory |
48799-1 | Second trimester penta maternal screen panel - Serum or Plasma |
48800-7 | Second trimester quad maternal screen panel - Serum or Plasma |
35086-8 | Second trimester triple maternal screen panel - Serum or Plasma |
60687-1 | Test of Infant Motor Performance Version 5.1 |
54127-6 | US Surgeon General family health portrait [USSG-FHT] |
55140-8 | Vaccine Adverse Event Reporting System (VAERS) panel |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-DE | German (Germany) | Geburtsdatum: |
es-MX | Spanish (Mexico) | Fecha de nacimiento: |
es-AR | Spanish (Argentina) | fecha de nacimiento: |
es-ES | Spanish (Spain) | Fecha de nacimiento: Synonyms: Cuantitativo |
fr-FR | French (France) | Date de naissance: |
it-IT | Italian (Italy) | Data di nascita: Synonyms: Miscellanea paziente Punto nel tempo (episodio) Time stamp (Data e Ora) |
nl-NL | Dutch (Netherlands) | geboortedatum: |
pt-BR | Portuguese (Brazil) | Data de nascimento: Synonyms: Dob; |
ru-RU | Russian (Russian Federation) | Рождения дата: Synonyms: Time Stamp (Дата и Время) Дата рождения Количественный Точка во времени; |
tr-TR | Turkish (Turkey) | Doğum tarihi: |
zh-CN | Chinese (China) | 出生日期: Synonyms: 医疗服务对象; |
Example Units
Unit | Source |
---|---|
{mm/dd/yyyy} | Example UCUM Units |
45396-9 Social Security number [Identifier]
Observation ID in Form
C9
Fully-Specified Name
- Component
- Social Security number
- Property
- ID
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Social Security #
Basic Attributes
- Class
- ADMIN.PATIENT.ID
- Type
- Clinical
- First Released
- Version 2.17
- Last Updated
- Version 2.73
- Change Reason
- Updated Class from SURVEY.MDS to ADMIN; Capitalized Security in Component
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 6170
HL7® Attributes
HL7® Field ID- PID-19
Member of these Panels
LOINC | Long Common Name |
---|---|
89070-7 | ADAPTABLE patient reported item set [ADAPTABLE] |
76464-7 | American Physical Therapy Association registry panel |
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 |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
45963-6 | Deprecated MDS basic assessment tracking form - version 2.0 |
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 |
46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
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 |
70297-7 | ESRD patient information panel |
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] |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
93222-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment] |
103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 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] |
90480-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set 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] |
90481-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) 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] |
101111-3 | MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) 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] |
104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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] |
46611-0 | Mental residual functional capacity (RFC) assessment form |
88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
62812-3 | PhenX domain - Physical activity and physical fitness |
46637-5 | Residual physical functional capacity (RFC) assessment form [RFC] |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Número de seguro social: |
it-IT | Italian (Italy) | Previdenza Sociale, numero: Synonyms: Amministrativo Identificatore Numero di identificazione del paziente Numero di Previdenza Sociale paziente Punto nel tempo (episodio) |
zh-CN | Chinese (China) | 社会安全号码: Synonyms: Social Security number; |
46098-0 Gender
Part Descriptions
LP101395-4 Sex
In LOINC, sex refers to the biological sex of an organism, which is most commonly determined based on anatomy and physiology or genetic (chromosome) analysis. Our definition is based on the World Health Organization's definition of sex and gender: sex (male, female) refers to biological and physiological characteristics, and gender (masculine, feminine) refers to socially constructed roles, behaviors, activities, and attributes. (http://www.who.int/gender/whatisgender/en)
Source: Regenstrief LOINC, WHO: gender
Observation ID in Form
C10
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Sex
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Sex
Basic Attributes
- Class
- ADMIN.PATIENT.DEMOG
- Type
- Clinical
- First Released
- Version 2.17
- Last Updated
- Version 2.73
- Change Reason
- Changed Component from 'Gender' to 'Sex' to align with the World Health Organization (WHO) definition of this concept.
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 2086
HL7® Attributes
HL7® Field ID- PID-8
Example Answer List LL1-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Male | 1 | LA2-8 | |
Female | 2 | LA3-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
89070-7 | ADAPTABLE patient reported item set [ADAPTABLE] |
95556-7 | Adrenal cancer risk assessment and urine steroid fractions panel |
72110-0 | Alcohol Use Disorder Identification Test [AUDIT] |
95405-7 | Assay related variables panel [PhenX] |
103991-6 | CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment] |
52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
45963-6 | Deprecated MDS basic assessment tracking form - version 2.0 |
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 |
46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
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 |
70297-7 | ESRD patient information panel |
86636-8 | Family planning report - FPAR 2.0 set |
96452-8 | Hepatocellular carcinoma risk panel - Serum or Plasma |
47245-6 | HIV treatment form Document |
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] |
85626-0 | Kidney failure 2-year and 5-year risk panel by KFRE |
100203-9 | Knee Society Score post-op panel [Knee Society Score] |
100159-3 | Knee Society Score pre-op panel [Knee Society Score] |
78699-6 | Liver fibrosis score panel - Serum or Plasma Calculated by FibroMeter |
78698-8 | Liver fibrosis score panel - Serum or Plasma Calculated by HepaScore |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
93222-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment] |
103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 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] |
90480-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set 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] |
90481-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) 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] |
101111-3 | MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) 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] |
104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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] |
82259-3 | Metabolic equivalent of task and Resting metabolic rate panel |
89724-9 | Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers] |
91393-9 | Opioid risk tool panel |
88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
69723-5 | Patient Health Questionnaire (PHQ) [Reported] |
93149-3 | PhenX - bone age protocol 220301 |
62787-7 | PhenX domain - Diabetes |
62863-6 | PhenX domain - Infectious diseases and immunity |
62755-4 | PhenX domain - Neurology |
62263-9 | PhenX domain - Nutrition and dietary supplements |
62812-3 | PhenX domain - Physical activity and physical fitness |
62611-9 | PhenX domain - Respiratory |
63009-5 | PhenX domain - Social environments |
63067-3 | PhenX domain - Speech and hearing |
82287-4 | Physical activity panel |
69919-9 | Race, ethnicity, sex, primary language, disability - Health and Human Services (HHS) panel [HHS.ACA Section 4302] |
55140-8 | Vaccine Adverse Event Reporting System (VAERS) panel |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Sexo: |
es-ES | Spanish (Spain) | Sexo: |
et-EE | Estonian (Estonia) | Sugu: Synonyms: Juhuslik |
fr-CA | French (Canada) | Sexe: |
fr-BE | French (Belgium) | Sexe: |
it-IT | Italian (Italy) | Sesso: Synonyms: Amministrativo Dati demografici del paziente Paziente Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | geslacht: |
ru-RU | Russian (Russian Federation) | Пол: Synonyms: Номинальный; |
tr-TR | Turkish (Turkey) | Cinsiyet: Synonyms: Seks Tür |
zh-CN | Chinese (China) | 性别: Synonyms: 分类型应答; |
46463-6 Race or ethnicity
Term Description
The groups or populations to which the patient is affiliated, as identified by the patient or caregiver.
Source: Regenstrief LOINC
Observation ID in Form
C11
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Race or ethnicity
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Race or ethnicity
Basic Attributes
- Class
- ADMIN.DEMOG
- Type
- Clinical
- First Released
- Version 2.19
- Last Updated
- Version 2.69
- Change Reason
- Release 2.69: ANSWER_LIST_TYPE: Answer list type changed from Normative to Example for the base term; override Normative lists added in the context of the panels in which this term is a member.; METHOD_TYP: The Method was removed because this is a generic concept that can be used across many contexts;
HL7® Attributes
HL7® Field ID- PID-10;PID-22
Normative Answer List LL247-8
Answer | Code | Score | Answer ID |
---|---|---|---|
American Indian or Alaska Native | 1 | LA6155-1 | |
Asian | 2 | LA6156-9 | |
Black or African-American | 3 | LA6162-7 | |
Hispanic or Latino | 4 | LA6214-6 | |
Native Hawaiian or Pacific Islander | 5 | LA6266-6 | |
White | 6 | LA4457-3 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | UK | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
96749-7 | Association of Asian Pacific Community Health Organizations enabling services and social intervention panel AAPCHO |
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
100203-9 | Knee Society Score post-op panel [Knee Society Score] |
100159-3 | Knee Society Score pre-op panel [Knee Society Score] |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Raza o etnia: |
it-IT | Italian (Italy) | Razza o etnia: Synonyms: Amministrativo Demografia paziente Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | ras of etniciteit: |
ru-RU | Russian (Russian Federation) | Раса или этническая принадлежность: Synonyms: Номинальный; |
zh-CN | Chinese (China) | 种族或民族: Synonyms: 人种; |
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.
52553-5 Is English the patient's primary language?
Observation ID in Form
C12
Skip Logic
If Yes, skip to C13.
Fully-Specified Name
- Component
- Language.primary is English
- 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
- Is English the patient's primary language?
- Source
- CARE I.c12
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 |
---|---|
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG51306-5 | SDOH |
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.
52554-3 If English is not the patient's primary language, what is the patient's primary language?
Observation ID in Form
C12a
Fully-Specified Name
- Component
- Language.primary not English
- 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
- If English is not the patient's primary language, what is the patient's primary language?
- Source
- CARE I.c12a
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
54588-9 Interpreter needed
Term Description
Patient/resident's need or want an interpreter to communicate with a doctor or health care staff
Source: Regenstrief LOINC
Observation ID in Form
C13
Fully-Specified Name
- Component
- Interpreter needed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Additional Names
- Short Name
- Interpreter needed
Basic Attributes
- Class
- ADMIN.PATIENT
- Type
- Clinical
- First Released
- Version 2.27
- Last Updated
- Version 2.66
- Change Reason
- Updated METHOD from MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Updated CLASS from SURVEY.MDS to ADMIN; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Method removed because this generic term can be used across contexts
- Order vs. Observation
- Observation
Example Answer List LL633-9
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 | |
Unable to determine | 2 | LA11137-9 |
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] |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - 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] |
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] |
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] |
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 |
93128-7 | Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment] |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
93222-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment] |
103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment] |
90480-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) 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] |
90481-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) 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] |
101111-3 | MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) item set during assessment period [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] |
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] |
101112-1 | MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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] |
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] |
104609-3 | MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Se necesita intérprete: |
it-IT | Italian (Italy) | Interprete necessario: Synonyms: Amministrativo Osservazione Paziente Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | tolk nodig: |
zh-CN | Chinese (China) | 需要口译员: Synonyms: 依次型; |
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.
52556-8 Current Payment Source (s)
Observation ID in Form
D
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Payment sources
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.63
- Change Reason
- Changed METHOD to methodless - generic term that does not orginate from just one method; Removed "Current" from component because it is conveyed by TIMING = Pt;Updated PROPERTY from Find to Type
- Order vs. Observation
- Both
Normative Answer List LL544-8
Answer | Code | Score | Answer ID |
---|---|---|---|
None (no charge for current services) | D1 | LA10028-1 | |
Medicare (traditional fee-for-service) | D2 | LA6259-1 | |
Medicare (HMO/managed care) | D3 | LA6258-3 | |
Medicaid (traditional fee-for-service) | D4 | LA6257-5 | |
Medicaid (HMO/managed care) | D5 | LA6256-7 | |
Workers’ compensation | D6 | LA10123-0 | |
Title programs (e.g., Title III, V, or XX) | D7 | LA6398-7 | |
Other government (e.g., TRICARE, VA, etc.) | D8 | LA10049-7 | |
Private insurance/Medigap | D9 | LA10061-2 | |
Private HMO/managed care | D10 | LA6349-0 | |
Self-pay | D11 | LA6369-8 | |
Other (specify) | D12 | LA6310-2 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | D13 | LA4489-6 |
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 |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
67868-0 | End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728 |
86636-8 | Family planning report - FPAR 2.0 set |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
93222-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment] |
103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 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] |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG51306-5 | SDOH |
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.
52721-8 Other (specify)
Observation ID in Form
D12
Fully-Specified Name
- Component
- Current payment source.other specified
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52536-0 Admission Information
Observation ID in Form
II
Fully-Specified Name
- Component
- Admission 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 |
---|---|
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52537-8 Pre-admission Service Use
Observation ID in Form
A
Fully-Specified Name
- Component
- Pre-admission Service Use
- 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 |
---|---|
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52722-6 Admitted From. Immediately preceding this admission, where was the patient?
Observation ID in Form
A1
Form Coding Instructions
If transferring within units of an acute setting, choose Other and indicate if transferring to ICU, stepdown, med/surg, or other unit
Source: Regenstrief HelpFully-Specified Name
- Component
- Admitted from
- Property
- Type
- Time
- Pt
- System
- Facility
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64
Survey Question
- Text
- Admitted From. Immediately preceding this admission, where was the patient?
- Source
- CARE I.a02
Normative Answer List LL730-3
Answer | Code | Score | Answer ID |
---|---|---|---|
Community residential setting (e.g., private home, assisted living, group home, adult foster care) | 1 | LA11501-6 | |
Long-term nursing facility | 2 | LA11502-4 | |
Skilled nursing facility (SNF/TCU) | 3 | LA10080-2 | |
Hospital emergency department | 4 | LA11504-0 | |
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 | |
Other (specify) | 9 | LA6310-2 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52723-4 Other (specify)
Observation ID in Form
A19
Fully-Specified Name
- Component
- Admitted from.other specified
- Property
- Type
- Time
- Pt
- System
- Facility
- 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 |
---|---|
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52724-2 If admitted from a medical setting, what was the primary diagnosis being treated in the previous setting?
Observation ID in Form
A2a
Fully-Specified Name
- Component
- Primary diagnosis code from previous setting
- Property
- Prid
- 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
- If admitted from a medical setting, what was the primary diagnosis being treated in the previous setting?
- Source
- CARE I.a03
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52725-9 In the last 2 months, what medical services other than those identified in A1. has the patient received?
Observation ID in Form
A3
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Medical services received in the last 2Mo
- Property
- Find
- Time
- 2Mo
- 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
- In the last 2 months, what medical services other than those identified in A1. has the patient received?
- Source
- CARE I.A4
Normative Answer List LL722-0
Answer | Code | Score | Answer ID |
---|---|---|---|
Skilled nursing facility (SNF/TCU) | a | LA10080-2 | |
Short-stay acute hospital (IPPS) | b | LA10078-6 | |
Long-Term Care Hospital (LTCH) | c | LA10000-0 | |
Inpatient rehabilitation hospital or unit (IRF) | d | LA9986-6 | |
Psychiatric hospital or unit | e | LA10065-3 | |
Home Health Care (HHA) | f | LA9978-3 | |
Hospice | g | LA6216-1 | |
Outpatient Services | h | LA10053-9 | |
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) | i | LA137-2 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
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.
70129-2 Within this acute care hospital stay, on what other units has the patient been treated prior to coming to this unit?
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Within this acute care hospital stay, on what other units has the patient been treated prior to coming to this unit
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.64
Survey Question
- Text
- Within this acute care hospital stay, on what other units has the patient been treated prior to coming to this unit?
- Source
- A4
Normative Answer List LL2016-5
Answer | Code | Score | Answer ID |
---|---|---|---|
Critical care/intensive care unit - 1-2 pts per nurse | a | LA18414-5 | |
Step-down/intermediate unit - 3-6 pts per nurse | b | LA18415-2 | |
General/medical unit or floor - 6 or more pts per nurse | c | LA18416-0 | |
No previous units or not applicable | d | LA18417-8 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52538-6 Patient History Prior to this Current Illness, Exacerbation, or Injury
Observation ID in Form
B
Fully-Specified Name
- Component
- Patient History Prior to this Current Illness, Exacerbation, or Injury
- 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 |
---|---|
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52726-7 Prior to this recent illness, where did the patient live?
Observation ID in Form
B1
Skip Logic
If permanently in long-term care, skip to B5. Prior Functioning. If Other, skip to B5. Prior Functioning. If Unknown, skip to B5. Prior Functioning.
Fully-Specified Name
- Component
- Prior residence
- 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
- Prior to this recent illness, where did the patient live?
- Source
- CARE I.b01
Normative Answer List LL545-5
Answer | Code | Score | Answer ID |
---|---|---|---|
Private residence | 1 | LA10062-0 | |
Community based residence (e.g., assisted living residence, group home, adult foster care) | 2 | LA9951-0 | |
Long-term care facility (e.g., nursing home) | 3 | LA11521-4 | |
Other (e.g., shelter, jail, no known address) | 4 | LA10047-1 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
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.
52539-4 If the patient lived in the community prior to this illness, provide the patient's zip code (if the patient 's residence was in U.S.).
Observation ID in Form
B2
Fully-Specified Name
- Component
- Prior postal code
- Property
- Loc
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Prior postal code
Basic Attributes
- Class
- ADMIN.PATIENT.DEMOG
- Type
- Clinical
- First Released
- Version 2.26
- Last Updated
- Version 2.66
- Change Reason
- Updated Class from SURVEY.CARE to ADMIN; Updated "ZIP code" in Component name to "Postal code", the more universal nomenclature for this concept.
- 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] |
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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] |
45969-3 | Deprecated MDS background information at admission form - version 2.0 |
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] |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Código postal anterior: |
it-IT | Italian (Italy) | Codice postale precedente: Synonyms: Amministrativo CAP Dati demografici del paziente Paziente Posizione Punto nel tempo (episodio) |
zh-CN | Chinese (China) | 既往邮政编码: Synonyms: 分类型应答; |
52727-5 Lives outside U.S.
Observation ID in Form
B2a
Fully-Specified Name
- Component
- Lives outside U.S.
- 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
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 |
---|---|
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 |
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.
52540-2 ZIP Code unknown
Observation ID in Form
B2b
Fully-Specified Name
- Component
- ZIP Code unknown
- 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
- Release 2.73: COMPONENT: Z-I-P and C in code should be capitalized; Previous Releases: Method removed and Answer List Type changed to Example because this generic term can be used across contexts
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 |
---|---|
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 |
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.
52541-0 If the patient lived in the community prior to this illness, what help was used?
Observation ID in Form
B3
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Prior help
- 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
- If the patient lived in the community prior to this illness, what help was used?
- Source
- CARE I.B3
Normative Answer List LL548-9
Answer | Code | Score | Answer ID |
---|---|---|---|
No help received or no help necessary | a | LA10022-4 | |
Unpaid Assistance | b | LA10111-5 | |
Paid Assistance | c | LA10054-7 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | d | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
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.
52542-8 If the patient lived in the community prior to this illness, who did the patient live with?
Observation ID in Form
B3a
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Patient lived with prior to this illness
- 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
- If the patient lived in the community prior to this illness, who did the patient live with?
- Source
- CARE I.B3a
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 |
---|---|
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 |
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.
52543-6 If the patient lived in the community prior to this current illness, exacerbation, or injury, are there any structural barriers in the patient's prior residence that could interfere with the patient's discharge?
Observation ID in Form
B4
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Structural barriers in prior residence that could interfere with the patient's discharge
- 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
- If the patient lived in the community prior to this current illness, exacerbation, or injury, are there any structural barriers in the patient's prior residence that could interfere with the patient's discharge?
- Source
- CARE I.B4
Example Answer List LL550-5
Answer | Code | Score | Answer ID |
---|---|---|---|
Structural barriers are not an issue. | a | LA10089-3 | |
Stairs inside the living setting that must be used by patient (e.g., to get to toileting, sleeping, eating areas). | b | LA10086-9 | |
Stairs leading from inside to outside of living setting. | c | LA10087-7 | |
Narrow or obstructed doorways for patients using wheelchairs or walkers. | d | LA10016-6 | |
Insufficient space to accommodate extra equipment (e.g., hospital bed, vent equipment). | e | LA9987-4 | |
Other (specify) | f | LA6310-2 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | g | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
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.
52544-4 Other (specify)
Observation ID in Form
B4f
Fully-Specified Name
- Component
- Structural barrier.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 |
---|---|
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52449-6 Prior Functioning. Indicate the patient's usual ability with everyday activities prior to this current illness, exacerbation, or injury.
Observation ID in Form
B5
Form Coding Instructions
Indicate the patient's usual ability with everyday activities prior to this current illness, exacerbation, or injury. Check only one box in each row
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Prior Functioning
- 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
Survey Question
- Text
- Prior Functioning. Indicate the patient's usual ability with everyday activities prior to this current illness, exacerbation, or injury.
- Source
- CARE I.B5
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52545-1 Self Care: Did the patient need help bathing, dressing, using the toilet, or eating?
Observation ID in Form
B5a
Fully-Specified Name
- Component
- Prior functioning.self care
- 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
- Change Reason
- Edits made and then reverted
Survey Question
- Text
- Self Care: Did the patient need help bathing, dressing, using the toilet, or eating?
- Source
- CARE I.b05a
Normative Answer List LL546-3
Answer | Code | Score | Answer ID |
---|---|---|---|
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper. | 3 | LA9982-5 | |
Needed partial assistance – Patient needed partial assistance from another person to complete activities. | 2 | LA10018-2 | |
Dependent – A helper completed the activity for the patient. | 1 | LA9963-5 | |
Not applicable | 8 | LA4720-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
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.
52546-9 Indoor Mobility (Ambulation): Did the patient need assistance with walking from room to room (with or without devices such as cane, crutch, or walker)?
Observation ID in Form
B5b
Fully-Specified Name
- Component
- Prior functioning.mobility - ambulation
- 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
- Change Reason
- Made edits and then reverted back
Survey Question
- Text
- Indoor Mobility (Ambulation): Did the patient need assistance with walking from room to room (with or without devices such as cane, crutch, or walker)?
- Source
- CARE I.b05b
Normative Answer List LL546-3
Answer | Code | Score | Answer ID |
---|---|---|---|
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper. | 3 | LA9982-5 | |
Needed partial assistance – Patient needed partial assistance from another person to complete activities. | 2 | LA10018-2 | |
Dependent – A helper completed the activity for the patient. | 1 | LA9963-5 | |
Not applicable | 8 | LA4720-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
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.
52547-7 Stairs (Ambulation): Did the patient need assistance with internal or external stairs (with or without devices such as cane, crutch, or walker)?
Observation ID in Form
B5c
Fully-Specified Name
- Component
- Prior functioning.stairs - ambulation
- 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
- Change Reason
- Made edits and then reverted back
Survey Question
- Text
- Stairs (Ambulation): Did the patient need assistance with internal or external stairs (with or without devices such as cane, crutch, or walker)?
- Source
- CARE I.b05c
Normative Answer List LL546-3
Answer | Code | Score | Answer ID |
---|---|---|---|
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper. | 3 | LA9982-5 | |
Needed partial assistance – Patient needed partial assistance from another person to complete activities. | 2 | LA10018-2 | |
Dependent – A helper completed the activity for the patient. | 1 | LA9963-5 | |
Not applicable | 8 | LA4720-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
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.
52548-5 Indoor Mobility (Wheelchair): Did the patient need assistance with moving from room to room using a wheelchair, scooter, or other wheeled mobility device?
Observation ID in Form
B5d
Fully-Specified Name
- Component
- Prior functioning.mobility - wheelchair
- 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
- Indoor Mobility (Wheelchair): Did the patient need assistance with moving from room to room using a wheelchair, scooter, or other wheeled mobility device?
- Source
- CARE I.b05d
Normative Answer List LL546-3
Answer | Code | Score | Answer ID |
---|---|---|---|
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper. | 3 | LA9982-5 | |
Needed partial assistance – Patient needed partial assistance from another person to complete activities. | 2 | LA10018-2 | |
Dependent – A helper completed the activity for the patient. | 1 | LA9963-5 | |
Not applicable | 8 | LA4720-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
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.
52549-3 Functional Cognition: Did the patient need help planning regular tasks, such as shopping or remembering to take medication?
Observation ID in Form
B5e
Fully-Specified Name
- Component
- Prior functioning.functional cognition
- 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
- Change Reason
- Made edits and then reverted back
Survey Question
- Text
- Functional Cognition: Did the patient need help planning regular tasks, such as shopping or remembering to take medication?
- Source
- CARE I.b05e
Normative Answer List LL546-3
Answer | Code | Score | Answer ID |
---|---|---|---|
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper. | 3 | LA9982-5 | |
Needed partial assistance – Patient needed partial assistance from another person to complete activities. | 2 | LA10018-2 | |
Dependent – A helper completed the activity for the patient. | 1 | LA9963-5 | |
Not applicable | 8 | LA4720-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
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.
52550-1 Mobility devices and aids used prior to current illness, exacerbation, or injury [CARE]
Observation ID in Form
B6
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Mobility devices and aids used prior to current illness, exacerbation, or injury
- 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 LL551-3
Answer | Code | Score | Answer ID |
---|---|---|---|
Cane/crutch | a | LA9941-1 | |
Walker | b | LA10117-2 | |
Orthotics/Prosthetics | c | LA10046-3 | |
Wheelchair/scooter full time | d | LA10119-8 | |
Wheelchair/scooter part time | e | LA10120-6 | |
Mechanical lift required | f | LA10003-4 | |
Other (specify) | g | LA6310-2 | |
None apply | h | LA10029-9 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | i | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
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.
52551-9 Other (specify)
Observation ID in Form
B6g
Fully-Specified Name
- Component
- Prior mobility device.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 |
---|---|
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52552-7 Falls in the past year
Observation ID in Form
B7
Fully-Specified Name
- Component
- Falls in the past Y
- Property
- Hx
- Time
- 1Y
- System
- ^Patient
- Scale
- Ord
- Method
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.70
- Change Reason
- Release 2.70: METHOD_TYP: General concept not specific to CMS; Previous Releases: Changed Component from "History of falls in the past year" to "Falls in the past Y" and Property from "Find" to "Hx" based on current LOINC model.
- Order vs. Observation
- Observation
Normative Answer List LL208-0
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 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
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] |
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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] |
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] |
97874-2 | Stay Independent panel [Stay Independent] |
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.
52450-4 Current Medical Information
Observation ID in Form
III
Type of Entry
Question expects user entry - requires response [Q]
Form Coding Instructions
Clinicians: For this section, please provide a listing of medical diagnoses, comorbid diseases and complications, and procedures based on a review of the patient's clinical records available at the time of assessment. This information is intended to enhance continuity of care. For discharge only, these can be added to throughout the stay and will be specific to each setting
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Current Medical Information
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
52464-5 Primary and Other Diagnoses, Comorbidities, and Complications
Observation ID in Form
A
Type of Entry
Question expects user entry - requires response [Q]
Form Coding Instructions
Indicate the primary diagnosis and up to 14 other diagnoses being treated, managed, or monitored in this setting. Please include all diagnoses (e.g., depression, schizophrenia, dementia, protein calorie malnutrition)
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Primary and Other Diagnoses, Comorbidities, and Complications
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Panel Type
- Panel
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 |
18630-4 Primary Diagnosis at Assessment
Observation ID in Form
A1
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Diagnosis.primary
- Property
- Imp
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Basic Attributes
- Class
- ATTACH.REHAB
- Type
- Claims Attachments
- First Released
- Version 1.0l
- Last Updated
- Version 2.70
- Change Reason
- Release 2.70: AnswerListId: Added example answer list;
- Order vs. Observation
- Observation
Example Answer List LL4747-3
Answer | Code | Score | Answer ID |
---|---|---|---|
Other | LA46-8 | ||
Alcoholism | LA20350-7 | ||
Bleeding disorder | LA20352-3 | ||
Currently receiving chemotherapy for cancer | LA20353-1 | ||
Congenital anomalies | LA20354-9 | ||
Congestive heart failure (CHF) | LA12740-9 | ||
Current smoker | LA20356-4 | ||
Chronic renal failure | LA20357-2 | ||
Cerebrovascular accident | LA22244-0 | ||
Diabetes mellitus | LA14291-1 | ||
Disseminated cancer | LA20360-6 | ||
Advanced directive limiting care | LA20361-4 | ||
Functionally dependent health status | LA20363-0 | ||
Hypertension | LA7444-8 | ||
Prematurity | LA20368-9 | ||
Chronic obstructive pulmonary disease | LA28200-6 | ||
Steroid use | LA20370-5 | ||
Cirrhosis | LA9639-1 | ||
Dementia | LA20372-1 | ||
Attention deficit disorder/Attention deficit hyperactivity disorder (ADD/ADHD) | LA28412-7 | ||
Anticoagulant therapy | LA28199-0 | ||
Angina pectoris Copyright http://snomed.info/sct ID:194828000 Angina (disorder) | LA14275-4 | ||
Mental/personality disorder | LA28198-2 | ||
Myocardial infarction Copyright http://snomed.info/sct ID:22298006 Myocardial infarction (disorder) | LA14274-7 | ||
Peripheral arterial disease Copyright http://snomed.info/sct ID:399957001 Peripheral arterial occlusive disease (disorder) | LA28197-4 | ||
Substance abuse disorder Copyright http://snomed.info/sct ID:66214007 Substance abuse (disorder) | LA28195-8 |
Member of these Panels
LOINC | Long Common Name |
---|---|
76464-7 | American Physical Therapy Association registry panel |
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 |
97782-7 | Spine Tango Surgery 2017 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-AR | Spanish (Argentina) | diagnóstico.primario: |
it-IT | Italian (Italy) | Diagnosi.primaria: Synonyms: Allegato Allegato riabilitazione Impressione/interpretazione di studio paziente Punto nel tempo (episodio) |
ru-RU | Russian (Russian Federation) | Диагноз.основной: Synonyms: Впечатление/интерпретация исследования Номинальный; |
zh-CN | Chinese (China) | 诊断.主要: Synonyms: Health Insurance Portability and Accountability Act of 1996; |
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.
52465-2 Other Diagnoses, Comorbidities, and Complications
Observation ID in Form
B
Type of Entry
Question expects user entry - requires response [Q]
Form Coding Instructions
List other diagnoses being treated, managed, or monitored in this setting. Include all diagnoses (e.g., depression, schizophrenia, dementia, protein calorie malnutrition)
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Other Diagnoses, Comorbidities, and Complications
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Panel Type
- Panel
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 |
29308-4 Diagnosis
Part Descriptions
LP72437-4 Diagnosis
The end result of a diagnostic process that identifies a disease.
Source: Regenstrief LOINC
Observation ID in Form
B1a
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Diagnosis
- Property
- Imp
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Dx
Basic Attributes
- Class
- H&P.PX
- Type
- Clinical
- First Released
- Version 2.03
- Last Updated
- Version 2.73
- Order vs. Observation
- Observation
- Common Test Rank Get Info
- 4809
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 |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
74293-2 | Oncology plan of care and summary - recommended CDA set |
93149-3 | PhenX - bone age protocol 220301 |
62863-6 | PhenX domain - Infectious diseases and immunity |
62896-6 | PhenX domain - Skin, bone, muscle and joint |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-DE | German (Germany) | Diagnose: |
es-AR | Spanish (Argentina) | diagnóstico: |
es-ES | Spanish (Spain) | Diagnóstico: |
es-MX | Spanish (Mexico) | Diagnóstico: |
fr-CA | French (Canada) | Diagnostic: |
fr-BE | French (Belgium) | Diagnostic: |
it-IT | Italian (Italy) | Diagnosi: Synonyms: Esame obbiettivo Impressione/interpretazione di studio paziente Punto nel tempo (episodio) |
pt-BR | Portuguese (Brazil) | Diagnóstico: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Диагноз: Synonyms: Впечатление/интерпретация исследования Номинальный; |
uk-UA | Ukrainian (Ukraine) | Діагноз: Synonyms: Dx; |
zh-CN | Chinese (China) | 诊断: Synonyms: 体格检查小节与指标; |
52466-0 Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)
Observation ID in Form
C
Fully-Specified Name
- Component
- Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Panel Type
- Panel
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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52558-4 Did the patient have one or more major procedures (e.g., G-tube placement, EEG, abdominal, cat scans; do not include x-rays, EKGs, ultrasounds) during this admission?
Observation ID in Form
C1
Skip Logic
If No, skip to Section D. Major Treatments.
Form Coding Instructions
List up to 15 procedures (diagnostic, surgical and therapeutic interventions). Indicate if a procedure was left, right, or not applicable (N/A). If procedure was bilateral (e.g., bilateral knee replacement), check both left and right boxes
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Procedure this admission
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Did the patient have one or more major procedures (e.g., G-tube placement, EEG, abdominal, cat scans; do not include x-rays, EKGs, ultrasounds) during this admission?
- Source
- CARE I.c01
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 |
---|---|
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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
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.
52467-8 Procedure [CARE]
Form Coding Instructions
List up to 15 procedures (diagnostic, surgical and therapeutic interventions). Indicate if a procedure was left, right, or not applicable (N/A). If procedure was bilateral (e.g., bilateral knee replacement), check both left and right boxes
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Procedure
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Panel Type
- Panel
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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
29300-1 Procedure type
Observation ID in Form
C1a
Fully-Specified Name
- Component
- Procedure
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Procedure type
Basic Attributes
- Class
- H&P.PX
- Type
- Clinical
- First Released
- Version 2.03
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 2979
Member of these Panels
LOINC | Long Common Name |
---|---|
84907-5 | Cancer pathology panel - Colorectal cancer specimen |
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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
74028-2 | Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Procedimiento: |
es-AR | Spanish (Argentina) | procedimiento: |
es-ES | Spanish (Spain) | Procedimiento: |
it-IT | Italian (Italy) | Procedura: Synonyms: Esame obbiettivo paziente Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | verrichting: |
pt-BR | Portuguese (Brazil) | Procedimento: Synonyms: Typ; |
ru-RU | Russian (Russian Federation) | Вмешательство: Synonyms: Номинальный; |
zh-CN | Chinese (China) | 操作项目: Synonyms: 体格检查小节与指标; |
52560-0 Procedure.left [CARE]
Fully-Specified Name
- Component
- Procedure.left
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List 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 |
---|---|
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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
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.
52561-8 Procedure.right [CARE]
Fully-Specified Name
- Component
- Procedure.right
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List 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 |
---|---|
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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
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.
52562-6 Procedure.side not applicable [CARE]
Fully-Specified Name
- Component
- Procedure.side not applicable
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List 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 |
---|---|
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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
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.
52468-6 Which of the following treatments did the patient receive during the 2-day assessment period?
Observation ID in Form
D
Type of Entry
Question expects user entry - requires response [Q]
Form Coding Instructions
"Discharged With" refers to the 2-day discharge assessment period. Which of the following treatments did the patient receive a) at the time of discharge or b) at any time during their admission?
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Major Treatments
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Panel Type
- Panel
Survey Question
- Text
- Which of the following treatments did the patient receive during the 2-day assessment period?
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52803-4 Major treatments discharged with panel
Fully-Specified Name
- Component
- Major treatments discharged with panel
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- PANEL.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 |
---|---|
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52804-2 Major treatments discharged with [CARE]
Observation ID in Form
D1a
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Major treatments discharged with
- 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 LL552-1
Answer | Code | Score | Answer ID |
---|---|---|---|
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) | D1 | LA137-2 | |
Insulin Drip | D2 | LA9988-2 | |
Total parenteral nutrition | D3 | LA10101-6 | |
Central Line Management | D4 | LA9943-7 | |
Blood Transfusion(s) | D5 | LA9940-3 | |
Controlled Parenteral Analgesia – Peripheral | D6 | LA9959-3 | |
Controlled Parenteral Analgesia – Epidural | D7 | LA9958-5 | |
Left Ventricular Assistive Device (LVAD) | D8 | LA9994-0 | |
Continuous Cardiac Monitoring | D9 | LA9957-7 | |
Chest Tube(s) | D10 | LA9948-6 | |
Trach Tube with Suctioning | D11 | LA10102-4 | |
High O2 Concentration Delivery System with FiO2 > 40% | D12 | LA9976-7 | |
Non-invasive ventilation (CPAP) | D13 | LA10033-1 | |
Ventilator – Weaning | D14 | LA10115-6 | |
Ventilator – Non-Weaning | D16 | LA10114-9 | |
Hemodialysis | D17 | LA9975-9 | |
Peritoneal Dialysis | D18 | LA10059-6 | |
Fistula or Other Drain Management | D19 | LA9971-8 | |
Negative Pressure Wound Therapy | D20 | LA10019-0 | |
Complex Wound Management with positioning and skin separation/traction that requires at least two persons or extensive & complex wound management by one person | D21 | LA9954-4 | |
Halo | D22 | LA9974-2 | |
Complex External Fixators (e.g., Ilizarov) | D23 | LA9953-6 | |
One-on-One 24-Hour Staff Supervision | D24 | LA11601-4 | |
Specialty Surface or Bed (i.e., air fluidized, bariatric, low air loss, or rotation bed) | D25 | LA10084-4 | |
Multiple Types of IV Antibiotic Administration | D26 | LA11603-0 | |
IV Vaso-actors (e.g., pressors, dilators, medication for pulmonary edema) | D27 | LA9992-4 | |
IV Anti-coagulants | D28 | LA9990-8 | |
IV Chemotherapy | D28 | LA9991-6 | |
Indwelling Bowel Catheter Management System | D29 | LA9984-1 | |
Other Major Treatments, e.g. isolation, hypothermia blanket | D30 | LA10050-5 |
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 |
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.
52565-9 Specify reason for continuous monitoring:
Observation ID in Form
D9c
Fully-Specified Name
- Component
- Reason for continuous cardiac monitoring
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed because this generic term can be used across contexts
Survey Question
- Text
- Specify reason for continuous monitoring:
- Source
- CARE I.d09c
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 |
52566-7 Specify most intensive frequency of suctioning during stay: Every____ hours
Observation ID in Form
D11c
Fully-Specified Name
- Component
- Suctioning frequency per H during stay.max
- Property
- NRat
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Specify most intensive frequency of suctioning during stay: Every____ hours
- Source
- CARE I.d11c
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 |
55613-4 If patient is completely independent of the ventilator, specify the number of days it took to wean patient:
Observation ID in Form
D14c
Fully-Specified Name
- Component
- Number of D to wean patient who is now independent from ventilator
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64
Survey Question
- Text
- If patient is completely independent of the ventilator, specify the number of days it took to wean patient:
- Source
- CARE_D14c
Member of these Panels
LOINC | Long Common Name |
---|---|
52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
Example Units
Unit | Source |
---|---|
d | Example UCUM Units |
52567-5 Specify reason for 24-hour supervision
Observation ID in Form
D23c
Fully-Specified Name
- Component
- Reason for one on one 24H supervision
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed because this generic term can be used across contexts
Survey Question
- Text
- Specify reason for 24-hour supervision
- Source
- CARE I.d23c
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 |
52568-3 Specify
Observation ID in Form
D30c
Fully-Specified Name
- Component
- Other major treatments received.other specified
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
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 |
52470-2 Major treatments used at any time during stay panel
Fully-Specified Name
- Component
- Major treatments used at any time during stay panel
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- PANEL.SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Panel Type
- Panel
Member of these Panels
LOINC | Long Common Name |
---|---|
52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52569-1 Major treatments used at any time during stay [CARE]
Observation ID in Form
D1b
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Major treatments used at any time during stay
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL552-1
Answer | Code | Score | Answer ID |
---|---|---|---|
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) | D1 | LA137-2 | |
Insulin Drip | D2 | LA9988-2 | |
Total parenteral nutrition | D3 | LA10101-6 | |
Central Line Management | D4 | LA9943-7 | |
Blood Transfusion(s) | D5 | LA9940-3 | |
Controlled Parenteral Analgesia – Peripheral | D6 | LA9959-3 | |
Controlled Parenteral Analgesia – Epidural | D7 | LA9958-5 | |
Left Ventricular Assistive Device (LVAD) | D8 | LA9994-0 | |
Continuous Cardiac Monitoring | D9 | LA9957-7 | |
Chest Tube(s) | D10 | LA9948-6 | |
Trach Tube with Suctioning | D11 | LA10102-4 | |
High O2 Concentration Delivery System with FiO2 > 40% | D12 | LA9976-7 | |
Non-invasive ventilation (CPAP) | D13 | LA10033-1 | |
Ventilator – Weaning | D14 | LA10115-6 | |
Ventilator – Non-Weaning | D16 | LA10114-9 | |
Hemodialysis | D17 | LA9975-9 | |
Peritoneal Dialysis | D18 | LA10059-6 | |
Fistula or Other Drain Management | D19 | LA9971-8 | |
Negative Pressure Wound Therapy | D20 | LA10019-0 | |
Complex Wound Management with positioning and skin separation/traction that requires at least two persons or extensive & complex wound management by one person | D21 | LA9954-4 | |
Halo | D22 | LA9974-2 | |
Complex External Fixators (e.g., Ilizarov) | D23 | LA9953-6 | |
One-on-One 24-Hour Staff Supervision | D24 | LA11601-4 | |
Specialty Surface or Bed (i.e., air fluidized, bariatric, low air loss, or rotation bed) | D25 | LA10084-4 | |
Multiple Types of IV Antibiotic Administration | D26 | LA11603-0 | |
IV Vaso-actors (e.g., pressors, dilators, medication for pulmonary edema) | D27 | LA9992-4 | |
IV Anti-coagulants | D28 | LA9990-8 | |
IV Chemotherapy | D28 | LA9991-6 | |
Indwelling Bowel Catheter Management System | D29 | LA9984-1 | |
Other Major Treatments, e.g. isolation, hypothermia blanket | D30 | LA10050-5 |
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 |
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.
52565-9 Specify reason for continuous monitoring:
Observation ID in Form
D9c
Fully-Specified Name
- Component
- Reason for continuous cardiac monitoring
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed because this generic term can be used across contexts
Survey Question
- Text
- Specify reason for continuous monitoring:
- Source
- CARE I.d09c
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 |
52566-7 Specify most intensive frequency of suctioning during stay: Every____ hours
Observation ID in Form
D11c
Fully-Specified Name
- Component
- Suctioning frequency per H during stay.max
- Property
- NRat
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Specify most intensive frequency of suctioning during stay: Every____ hours
- Source
- CARE I.d11c
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 |
55613-4 If patient is completely independent of the ventilator, specify the number of days it took to wean patient:
Observation ID in Form
D14c
Fully-Specified Name
- Component
- Number of D to wean patient who is now independent from ventilator
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64
Survey Question
- Text
- If patient is completely independent of the ventilator, specify the number of days it took to wean patient:
- Source
- CARE_D14c
Member of these Panels
LOINC | Long Common Name |
---|---|
52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
Example Units
Unit | Source |
---|---|
d | Example UCUM Units |
52567-5 Specify reason for 24-hour supervision
Observation ID in Form
D23c
Fully-Specified Name
- Component
- Reason for one on one 24H supervision
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed because this generic term can be used across contexts
Survey Question
- Text
- Specify reason for 24-hour supervision
- Source
- CARE I.d23c
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 |
52568-3 Specify
Observation ID in Form
D30c
Fully-Specified Name
- Component
- Other major treatments received.other specified
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
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 |
52471-0 Medications (Optional)
Type of Entry
Question expects user entry - requires response [Q]
Form Coding Instructions
List all current medications for the patient
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
List the ten most clinically relevant medications
Source: Regenstrief HelpFully-Specified Name
- Component
- Medications
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- PANEL.SURVEY.MDS
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.68
- Panel Type
- Panel
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 |
57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
57193-5 | Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-AT | German (Austria) | Synonyms: Dokumente der e-Medikation |
52418-1 Medication Name
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Name
- Property
- ID
- Time
- Pt
- System
- Medication.current
- Scale
- Nom
- Method
Basic Attributes
- Class
- ATTACH.MEDS
- Type
- Claims Attachments
- 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 |
18605-6 | Medication current Set |
62611-9 | PhenX domain - Respiratory |
63067-3 | PhenX domain - Speech and hearing |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-AT | German (Austria) | Synonyms: Medikation |
fr-FR | French (France) | Nom: |
it-IT | Italian (Italy) | Nome: Synonyms: Allegato Allegato farmaci Farmaco attuale Identificatore Medicazione Punto nel tempo (episodio) |
pt-BR | Portuguese (Brazil) | Nome: Synonyms: Identifier; |
ru-RU | Russian (Russian Federation) | Фамилия: Synonyms: Идентификатор Номинальный; |
zh-CN | Chinese (China) | 名称: Synonyms: Health Insurance Portability and Accountability Act of 1996; |
52809-1 Dose form Current medication
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Dose form
- Property
- Type
- Time
- Pt
- System
- Medication.current
- Scale
- Nom
- Method
Additional Names
- Short Name
- Dose form Medication.current
Basic Attributes
- Class
- MEDS
- Type
- Clinical
- First Released
- Version 2.26
- Last Updated
- Version 2.73
- Order vs. Observation
- Observation
- Common Test Rank Get Info
- 2249
Example Answer List LL3146-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Pill | LA16247-1 | ||
Tablet | LA21908-1 | ||
Capsule | LA21907-3 | ||
Extended-release capsule | LA21911-5 | ||
Granules | LA21912-3 | ||
Suspension | LA21913-1 | ||
Elixir | LA21914-9 | ||
Cream | LA21915-6 | ||
Ointment | LA21916-4 | ||
Injectable solution | LA21917-2 | ||
Patch | LA21918-0 | ||
Spray | LA21919-8 |
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 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Forma de dosis: |
fr-FR | French (France) | Forme posologique: |
it-IT | Italian (Italy) | Dose, forma: Synonyms: Farmaco attuale Medicazione Punto nel tempo (episodio) |
pt-BR | Portuguese (Brazil) | Forma de apresentação: Synonyms: Identity or presence; |
ru-RU | Russian (Russian Federation) | Доза форма: Synonyms: Номинальный; |
zh-CN | Chinese (China) | 剂型: Synonyms: 一剂物质 一剂药物 分类型应答; |
18609-8 Current medication, Route
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Route
- Property
- Prid
- Time
- Pt
- System
- Medication.current
- Scale
- Nom
- Method
Basic Attributes
- Class
- ATTACH.MEDS
- Type
- Claims Attachments
- First Released
- Version 1.0l
- Last Updated
- Version 2.27
Normative Answer List LL696-6
Answer | Code | Score | Answer ID |
---|---|---|---|
Chew, oral | CHEW | LA11235-1 | |
Diffusion, extracorporeal | EXTCORPDIF | LA11236-9 | |
Diffusion, hemodialysis | HEMODIFF | LA11237-7 | |
Diffusion, transdermal | TRNSDERMD | LA11238-5 | |
Dissolve, oral | DISSOLVE | LA11239-3 | |
Dissolve, sublingual | SL | LA11240-1 | |
Douche, vaginal | DOUCHE | LA11241-9 | |
Electro-osmosis | ELECTOSMOS | LA11242-7 | |
Enema, rectal | ENEMA | LA11243-5 | |
Enema, rectal retention | RETENEMA | LA11244-3 | |
Flush, intravenous catheter | IVFLUSH | LA11245-0 | |
Gargle | GARGLE | LA11246-8 | |
Immersion (soak) | SOAK | LA11247-6 | |
Implantation, intradermal | IDIMPLNT | LA11248-4 | |
Implantation, intravitreal | IVITIMPLNT | LA11249-2 | |
Implantation, subcutaneous | SQIMPLNT | LA11250-0 | |
Infusion, epidural | EPI | LA11251-8 | |
Infusion, intraarterial catheter | IA | LA11252-6 | |
Infusion, intracardiac | IC | LA11253-4 | |
Infusion, intracoronary | ICOR | LA11254-2 | |
Infusion, intraosseous, continuous | IOSSC | LA11255-9 | |
Infusion, intrathecal | IT | LA11256-7 | |
Infusion, intravascular | IVASCINFUS | LA11257-5 | |
Infusion, intravenous | IV | LA11258-3 | |
Infusion, intravenous catheter | IVC | LA11259-1 | |
Infusion, intravenous catheter, continuous | IVCC | LA11260-9 | |
Infusion, intravenous catheter, intermittent | IVCI | LA11261-7 | |
Infusion, intravenous catheter, pca pump | PCA | LA11262-5 | |
Infusion, subcutaneous | SQINFUS | LA11263-3 | |
Inhalation, intermittent positive pressure breathing (ippb) | IPPB | LA11264-1 | |
Inhalation, nasal | NASINHL | LA11265-8 | |
Inhalation, nasal cannula | NASINHLC | LA11266-6 | |
Inhalation, nebulization | NEB | LA11268-2 | |
Inhalation, nebulization, nasal | NASNEB | LA11269-0 | |
Inhalation, nebulization, oral | ORNEB | LA11270-8 | |
Inhalation, oral intermittent flow | ORIFINHL | LA11271-6 | |
Inhalation, oral rebreather mask | REBREATH | LA11272-4 | |
Inhalation, respiratory | ORINHL | LA11273-2 | |
Inhalation, tracheostomy | TRACH | LA11274-0 | |
Inhalation, ventilator | VENT | LA11275-7 | |
Inhalation, ventimask | VENTMASK | LA11276-5 | |
Injection, amniotic fluid | AMNINJ | LA11277-3 | |
Injection, biliary tract | BILINJ | LA11278-1 | |
Injection, cervical | CERVINJ | LA11279-9 | |
Injection, endosinusial | ENDOSININJ | LA11280-7 | |
Injection, epidural | EPIDURINJ | LA11281-5 | |
Injection, epidural, push | EPIINJ | LA11282-3 | |
Injection, epidural, slow push | EPINJSP | LA11283-1 | |
Injection, extra-amniotic | EXTRAMNINJ | LA11284-9 | |
Injection, extracorporeal | EXTCORPINJ | LA11285-6 | |
Injection, for cholangiography | CHOLINJ | LA11286-4 | |
Injection, gastric button | GBINJ | LA11287-2 | |
Injection, gingival | GINGINJ | LA11288-0 | |
Injection, hemodialysis port | HEMOPORT | LA11289-8 | |
Injection, insulin pump | IPUMPINJ | LA11290-6 | |
Injection, interameningeal | INTERMENINJ | LA11291-4 | |
Injection, interstitial | INTERSTITINJ | LA11292-2 | |
Injection, intra-abdominal | IABDINJ | LA11293-0 | |
Injection, intraarterial | IAINJ | LA11294-8 | |
Injection, intraarterial, push | IAINJP | LA11295-5 | |
Injection, intraarterial, slow push | IAINJSP | LA11296-3 | |
Injection, intraarticular | IARTINJ | LA11297-1 | |
Injection, intrabursal | IBURSINJ | LA11298-9 | |
Injection, intracardiac | ICARDINJ | LA11299-7 | |
Injection, intracardiac, push | ICARINJP | LA11300-3 | |
Injection, intracardiac, rapid push | ICARDINJRP | LA11301-1 | |
Injection, intracardiac, slow push | ICARDINJSP | LA11302-9 | |
Injection, intracartilaginous | ICARTINJ | LA11303-7 | |
Injection, intracaudal | ICAUDINJ | LA11304-5 | |
Injection, intracavernous | ICAVINJ | LA11305-2 | |
Injection, intracavitary | ICAVITINJ | LA11306-0 | |
Injection, intracerebral | ICEREBINJ | LA11307-8 | |
Injection, intracervical (uterus) | IUINJC | LA11308-6 | |
Injection, intracisternal | ICISTERNINJ | LA11309-4 | |
Injection, intracoronary | ICORONINJ | LA11310-2 | |
Injection, intracoronary, push | ICORONINJP | LA11311-0 | |
Injection, intracorpus cavernosum | ICORPCAVINJ | LA11312-8 | |
Injection, intradermal | IDINJ | LA11313-6 | |
Injection, intradiscal | IDISCINJ | LA11314-4 | |
Injection, intraductal | IDUCTINJ | LA11315-1 | |
Injection, intradural | IDURINJ | LA11316-9 | |
Injection, intraepidermal | IEPIDINJ | LA11317-7 | |
Injection, intraepithelial | IEPITHINJ | LA11318-5 | |
Injection, intralesional | ILESINJ | LA11319-3 | |
Injection, intraluminal | ILUMINJ | LA11320-1 | |
Injection, intralymphatic | ILYMPJINJ | LA11321-9 | |
Injection, intramedullary | IMEDULINJ | LA11322-7 | |
Injection, intramuscular | IM | LA11323-5 | |
Injection, intramuscular, deep | IMD | LA11324-3 | |
Injection, intramuscular, z track | IMZ | LA11325-0 | |
Injection, intraocular | IOINJ | LA11326-8 | |
Injection, intraosseous | IOSSINJ | LA11327-6 | |
Injection, intraovarian | IOVARINJ | LA11328-4 | |
Injection, intrapericardial | IPCARDINJ | LA11329-2 | |
Injection, intraperitoneal | IPERINJ | LA11330-0 | |
Injection, intrapleural | IPLRINJ | LA11331-8 | |
Injection, intraprostatic | IPROSTINJ | LA11332-6 | |
Injection, intrapulmonary | IPINJ | LA11333-4 | |
Injection, intraspinal | ISINJ | LA11334-2 | |
Injection, intrasternal | ISTERINJ | LA11335-9 | |
Injection, intrasynovial | ISYNINJ | LA11336-7 | |
Injection, intratendinous | ITENDINJ | LA11337-5 | |
Injection, intratesticular | ITESTINJ | LA11338-3 | |
Injection, intrathecal | ITINJ | LA11339-1 | |
Injection, intrathoracic | ITHORINJ | LA11340-9 | |
Injection, intratubular | ITUBINJ | LA11341-7 | |
Injection, intratumor | ITUMINJ | LA11342-5 | |
Injection, intratympanic | ITYMPINJ | LA11343-3 | |
Injection, intraureteral, retrograde | IURETINJ | LA11344-1 | |
Injection, intrauterine | IUINJ | LA11345-8 | |
Injection, intravascular | IVASCINJ | LA11346-6 | |
Injection, intravenous | IVINJ | LA11347-4 | |
Injection, intravenous, bolus | IVINJBOL | LA11348-2 | |
Injection, intravenous, push | IVPUSH | LA11349-0 | |
Injection, intravenous, rapid push | IVRPUSH | LA11350-8 | |
Injection, intravenous, slow push | IVSPUSH | LA11351-6 | |
Injection, intraventricular (heart) | IVENTINJ | LA11352-4 | |
Injection, intravesicle | IVESINJ | LA11353-2 | |
Injection, intravitreal | IVITINJ | LA11354-0 | |
Injection, paranasal sinuses | PNSINJ | LA11355-7 | |
Injection, parenteral | PARENTINJ | LA11356-5 | |
Injection, periarticular | PAINJ | LA11357-3 | |
Injection, peridural | PDURINJ | LA11358-1 | |
Injection, perineural | PNINJ | LA11359-9 | |
Injection, periodontal | PDONTINJ | LA11360-7 | |
Injection, peritoneal dialysis port | PDPINJ | LA11361-5 | |
Injection, retrobulbar | RBINJ | LA11362-3 | |
Injection, soft tissue | SOFTISINJ | LA11363-1 | |
Injection, subarachnoid | SUBARACHINJ | LA11364-9 | |
Injection, subconjunctival | SCINJ | LA11365-6 | |
Injection, subcutaneous | SQ | LA11366-4 | |
Injection, sublesional | SLESINJ | LA11367-2 | |
Injection, submucosal | SUBMUCINJ | LA11368-0 | |
Injection, transplacental | TRPLACINJ | LA11369-8 | |
Injection, transtracheal | TRTRACHINJ | LA11370-6 | |
Injection, ureteral | URETINJ | LA11371-4 | |
Injection, urethral | URETHINJ | LA11372-2 | |
Injection, urinary bladder | BLADINJ | LA11373-0 | |
Insertion, cervical (uterine) | CERVINS | LA11374-8 | |
Insertion, intraocular, surgical | IOSURGINS | LA11375-5 | |
Insertion, intrauterine | IU | LA11376-3 | |
Insertion, lacrimal puncta | LPINS | LA11377-1 | |
Insertion, rectal | PR | LA11378-9 | |
Insertion, subcutaneous, surgical | SQSURGINS | LA11379-7 | |
Insertion, urethral | URETHINS | LA11380-5 | |
Insertion, vaginal | VAGINSI | LA11381-3 | |
Instillation, cecostomy | CECINSTL | LA11382-1 | |
Instillation, chest tube | CTINSTL | LA11383-9 | |
Instillation, continuous ambulatory peritoneal dialysis port | CAPDINSTL | LA11384-7 | |
Instillation, endotracheal tube | ETINSTL | LA11385-4 | |
Instillation, enteral | ENTINSTL | LA11386-2 | |
Instillation, enteral feeding tube | EFT | LA11387-0 | |
Instillation, gastro-jejunostomy tube | GJT | LA11388-8 | |
Instillation, gastrostomy tube | GT | LA11389-6 | |
Instillation, intrabronchial | IBRONCHINSTIL | LA11390-4 | |
Instillation, intraduodenal | IDUODINSTIL | LA11391-2 | |
Instillation, intraesophageal | IESOPHINSTIL | LA11392-0 | |
Instillation, intragastric | IGASTINSTIL | LA11393-8 | |
Instillation, intraileal | IILEALINJ | LA11394-6 | |
Instillation, intraocular | IOINSTL | LA11395-3 | |
Instillation, intrasinal | ISININSTIL | LA11396-1 | |
Instillation, intratracheal | ITRACHINSTIL | LA11397-9 | |
Instillation, intrauterine | IUINSTL | LA11398-7 | |
Instillation, jejunostomy tube | JJTINSTL | LA11399-5 | |
Instillation, laryngeal | LARYNGINSTIL | LA11400-1 | |
Instillation, nasal | NASALINSTIL | LA11401-9 | |
Instillation, nasogastric | NASOGASINSTIL | LA11402-7 | |
Instillation, nasogastric tube | NGT | LA11403-5 | |
Instillation, nasotracheal tube | NTT | LA11404-3 | |
Instillation, orogastric tube | OGT | LA11405-0 | |
Instillation, orojejunum tube | OJJ | LA11406-8 | |
Instillation, otic | OT | LA11407-6 | |
Instillation, paranasal sinuses | PNSINSTL | LA11408-4 | |
Instillation, peritoneal dialysis port | PDPINSTL | LA11409-2 | |
Instillation, rectal | RECINSTL | LA11410-0 | |
Instillation, rectal tube | RECTINSTL | LA11411-8 | |
Instillation, sinus, unspecified | SININSTIL | LA11412-6 | |
Instillation, soft tissue | SOFTISINSTIL | LA11413-4 | |
Instillation, tracheostomy | TRACHINSTL | LA11414-2 | |
Instillation, transtympanic | TRTYMPINSTIL | LA11415-9 | |
instillation, urethral | URETHINSTL | LA11416-7 | |
Instillation, urinary catheter | BLADINSTL | LA11417-5 | |
Insufflation | INSUF | LA11418-3 | |
Irrigation, genitourinary | GUIRR | LA11419-1 | |
Irrigation, intragastric | IGASTIRR | LA11420-9 | |
Irrigation, intralesional | ILESIRR | LA11421-7 | |
Irrigation, intraocular | IOIRR | LA11422-5 | |
Irrigation, rectal | RECIRR | LA11423-3 | |
Irrigation, urinary bladder | BLADIRR | LA11424-1 | |
Irrigation, urinary bladder, continuous | BLADIRRC | LA11425-8 | |
Irrigation, urinary bladder, tidal | BLADIRRT | LA11426-6 | |
Lavage, intragastric | IGASTLAV | LA11427-4 | |
Mucosal absorption, intraduodenal | IDOUDMAB | LA11428-2 | |
Mucosal absorption, intratracheal | ITRACHMAB | LA11429-0 | |
Mucosal absorption, submucosal | SMUCMAB | LA11430-8 | |
Nebulization, endotracheal tube | ETNEB | LA11431-6 | |
Occlusive dressing technique | OCDRESTA | LA11432-4 | |
Rinse, dental | DENRINSE | LA11433-2 | |
Rinse, oral | ORRINSE | LA11434-0 | |
Shampoo | SHAMPOO | LA11435-7 | |
Subconjunctival | SUBCONJTA | LA11436-5 | |
Suck, oromucosal | SUCK | LA11437-3 | |
Suppository, urethral | URETHSUP | LA11438-1 | |
Swallow, oral | PO | LA11439-9 | |
Swish and spit out, oromucosal | SWISHSPIT | LA11440-7 | |
Swish and swallow, oromucosal | SWISHSWAL | LA11441-5 | |
Topical | TOPICAL | LA9456-0 | |
Topical absorption, transtympanic | TTYMPTABSORP | LA11443-1 | |
Topical application, buccal | BUC | LA11444-9 | |
Topical application, cervical | CERV | LA11445-6 | |
Topical application, dental | DEN | LA11446-4 | |
Topical application, gingival | GIN | LA11447-2 | |
Topical application, hair | HAIR | LA11448-0 | |
Topical application, intracorneal | ICORNTA | LA11449-8 | |
Topical application, intracoronal (dental) | ICORONTA | LA11450-6 | |
Topical application, intraesophageal | IESOPHTA | LA11451-4 | |
Topical application, intraileal | IILEALTA | LA11452-2 | |
Topical application, intralesional | ILTOP | LA11453-0 | |
Topical application, intraluminal | ILUMTA | LA11454-8 | |
Topical application, intraocular | IOTOP | LA11455-5 | |
Topical application, iontophoresis | IONTO | LA11456-3 | |
Topical application, laryngeal | LARYNGTA | LA11457-1 | |
Topical application, mucous membrane | MUC | LA11458-9 | |
Topical application, nail | NAIL | LA11459-7 | |
Topical application, nasal | NASAL | LA11460-5 | |
Topical application, ophthalmic | OPTHALTA | LA11461-3 | |
Topical application, oral | ORALTA | LA11462-1 | |
Topical application, oromucosal | ORMUC | LA11463-9 | |
Topical application, oropharyngeal | OROPHARTA | LA11464-7 | |
Topical application, perianal | PERIANAL | LA11465-4 | |
Topical application, perineal | PERINEAL | LA11466-2 | |
Topical application, periodontal | PDONTTA | LA11467-0 | |
Topical application, rectal | RECTAL | LA11468-8 | |
Topical application, scalp | SCALP | LA11469-6 | |
Topical application, skin | SKIN | LA11470-4 | |
Topical application, soaked dressing | DRESS | LA11471-2 | |
Topical application, swab | SWAB | LA11472-0 | |
Topical application, transmucosal | TMUCTA | LA11473-8 | |
Topical application, vaginal | VAGINS | LA11474-6 | |
Transdermal | TRNSDERM | LA9454-5 | |
Translingual | TRNSLING | LA9455-2 |
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 |
18605-6 | Medication current Set |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-AR | Spanish (Argentina) | vía: |
fr-FR | French (France) | Voie d'administration: |
it-IT | Italian (Italy) | Via: Synonyms: Allegato Allegato farmaci Farmaco attuale Medicazione Presenza o Identità Punto nel tempo (episodio) |
ru-RU | Russian (Russian Federation) | Путь: Synonyms: Номинальный; |
zh-CN | Chinese (China) | 途径: Synonyms: Health Insurance Portability and Accountability Act of 1996; |
52810-9 Current medication, Frequency
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Frequency
- Property
- NRat
- Time
- Pt
- System
- Medication.current
- Scale
- Qn
- Method
Basic Attributes
- Class
- ATTACH.MEDS
- Type
- Claims Attachments
- First Released
- Version 2.26
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 8478
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 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
fr-FR | French (France) | Fréquence: |
it-IT | Italian (Italy) | Frequenza: Synonyms: Allegato Allegato farmaci Farmaco attuale Indice numerico Medicazione Punto nel tempo (episodio) |
pt-BR | Portuguese (Brazil) | Frequência: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Частота: Synonyms: Количественный Количество скорость Точка во времени; |
zh-CN | Chinese (China) | 频率: Synonyms: Health Insurance Portability and Accountability Act of 1996; |
52796-0 Planned Stop Date (if applicable)
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Planned stop date
- Property
- Date
- Time
- Pt
- System
- Medication.current
- Scale
- Qn
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
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 |
52472-8 Allergies and Adverse Drug Reactions
Fully-Specified Name
- Component
- Allergies & Adverse Drug Reactions
- 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 |
---|---|
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52571-7 Does patient have allergies or any known adverse drug reactions?
Skip Logic
If None Known, skip to Section G. Skin Integrity. If Yes, list all allergies/causes of reaction [e.g., food, medications, other] and describe the adverse reactions.)
Fully-Specified Name
- Component
- Known allergies or adverse drug reactions
- 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
- Does patient have allergies or any known adverse drug reactions?
- Source
- CARE I.f01
Normative Answer List LL553-9
Answer | Code | Score | Answer ID |
---|---|---|---|
None known | 0 | LA10030-7 | |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | 1 | LA33-6 |
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 |
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.
52473-6 Allergies/Causes of Reaction
Fully-Specified Name
- Component
- Allergy or cause of reaction
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.27
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
62863-6 | PhenX domain - Infectious diseases and immunity |
31044-1 Patient Reaction
Fully-Specified Name
- Component
- Immunization reaction
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Immunization reaction
Basic Attributes
- Class
- VACCIN
- Type
- Clinical
- First Released
- Version 2.05
- Last Updated
- Version 2.52
- Order vs. Observation
- Observation
Example Answer List LL3209-5
Answer | Code | Score | Answer ID |
---|---|---|---|
Pain | 7 | LA7460-4 | |
Hypotonic | LA22435-4 | ||
Fever | LA7435-6 | ||
Encephalopathy, disorder of the brain | LA22437-0 | ||
Anaphylaxis within 24 hours | LA22438-8 | ||
Redness | LA22439-6 | ||
Swelling | 6 | LA22440-4 |
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 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
62863-6 | PhenX domain - Infectious diseases and immunity |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Reacción de inmunización: |
es-AR | Spanish (Argentina) | reacción: |
fr-FR | French (France) | Réaction d'immunisation: |
it-IT | Italian (Italy) | Immunizzazione, reazione: Synonyms: Osservazione paziente Punto nel tempo (episodio) Vaccinazioni |
pt-BR | Portuguese (Brazil) | Reação: Synonyms: Finding; |
zh-CN | Chinese (China) | 疫苗接种反应: Synonyms: React Rxn 免疫接种历史; |
52474-4 Skin integrity panel
Form Coding Instructions
Complete during the 2-day assessment period
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Skin integrity panel
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- PANEL.SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
69349-9 Presence of pressure ulcers
Observation ID in Form
G1-2
Fully-Specified Name
- Component
- Presence of pressure ulcers - acute
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- CARE
Basic Attributes
- Class
- PANEL.SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.64
- Panel Type
- Panel
Member of these Panels
LOINC | Long Common Name |
---|---|
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52573-3 Is this patient at risk of developing pressure ulcers?
Observation ID in Form
G1
Fully-Specified Name
- Component
- Risk of developing pressure ulcers
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Is this patient at risk of developing pressure ulcers?
- Source
- CARE I.g01
Normative Answer List LL723-8
Answer | Code | Score | Answer ID |
---|---|---|---|
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
Yes, indicated by clinical judgement | 1 | LA11612-1 | |
Yes, indicated by high risk by formal assessment (e.g., on Braden or Norton tools) or the patient has a stage I or greater ulcer, a scar over a bony prominence, or a non-removable dressing, device, or cast. | 2 | LA11613-9 |
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.
52574-1 Does this patient have one or more unhealed pressure ulcer(s) at stage 2 or higher?
Observation ID in Form
G2
Skip Logic
If No, skip to G5. Major Wounds.
Fully-Specified Name
- Component
- One or more unhealed pressure ulcer(s) at stage 2 or higher
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Does this patient have one or more unhealed pressure ulcer(s) at stage 2 or higher?
- Source
- CARE I.g02
Normative Answer List LL361-7
Answer | Code | Score | Answer ID |
---|---|---|---|
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | LA33-6 | ||
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | LA32-8 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
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.
52476-9 IF THE PATIENT HAS ONE OR MORE STAGE 2-4 PRESSURE ULCERS, indicate the number of unhealed pressure ulcers at each stage
Term Description
Pressure ulcer at stage 2, stage 3, or stage 4 only:
Source: Regenstrief LOINC
Form Coding Instructions
CODING: Please specify the number of ulcers at each stage:
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Number of unhealed pressure ulcers at each stage - at assessment and onset during this service
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52575-8 Number of pressure ulcers at assessment - stage 2 [CARE]
Term Description
Stage 2 - Partial thickness loss of dermis presenting as a shallow open ulcer with red pink wound bed, without slough. May also present as an intact or open/ruptured serum-filled blister (excludes those resulting from skin tears, tape stripping, or incontinence associated dermatitis).
Source: Regenstrief LOINC
Observation ID in Form
G2a1
Form Coding Instructions
If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Number of pressure ulcers at assessment - stage 2
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.63
Normative Answer List LL555-4
Answer | Code | Score | Answer ID |
---|---|---|---|
0 ulcers | 0 | LA9916-3 | |
1 ulcer | 1 | LA9917-1 | |
2 ulcers | 2 | LA9918-9 | |
3 ulcers | 3 | LA9920-5 | |
4 ulcers | 4 | LA9921-3 | |
5 ulcers | 5 | LA9922-1 | |
6 ulcers | 6 | LA9923-9 | |
7 ulcers | 7 | LA9924-7 | |
8 or more ulcers | 8 | LA9925-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52576-6 Number of pressure ulcers at assessment - stage 3 [CARE]
Term Description
Stage 3 - Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscles are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling.
Source: Regenstrief LOINC
Observation ID in Form
G2b1
Form Coding Instructions
If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Number of pressure ulcers at assessment - stage 3
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.63
Normative Answer List LL555-4
Answer | Code | Score | Answer ID |
---|---|---|---|
0 ulcers | 0 | LA9916-3 | |
1 ulcer | 1 | LA9917-1 | |
2 ulcers | 2 | LA9918-9 | |
3 ulcers | 3 | LA9920-5 | |
4 ulcers | 4 | LA9921-3 | |
5 ulcers | 5 | LA9922-1 | |
6 ulcers | 6 | LA9923-9 | |
7 ulcers | 7 | LA9924-7 | |
8 or more ulcers | 8 | LA9925-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
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.
52577-4 Number of pressure ulcers at assessment - stage 4 [CARE]
Term Description
Stage 4 - Full thickness tissue loss with visible bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling.
Source: Regenstrief LOINC
Observation ID in Form
G2c1
Form Coding Instructions
If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Number of pressure ulcers at assessment - stage 4
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.63
Normative Answer List LL555-4
Answer | Code | Score | Answer ID |
---|---|---|---|
0 ulcers | 0 | LA9916-3 | |
1 ulcer | 1 | LA9917-1 | |
2 ulcers | 2 | LA9918-9 | |
3 ulcers | 3 | LA9920-5 | |
4 ulcers | 4 | LA9921-3 | |
5 ulcers | 5 | LA9922-1 | |
6 ulcers | 6 | LA9923-9 | |
7 ulcers | 7 | LA9924-7 | |
8 or more ulcers | 8 | LA9925-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
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.
52578-2 Number of pressure ulcers at assessment - unstageable [CARE]
Term Description
Unstageable - Full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, gray, green, or brown) or eschar (tan, brown, or black) in the wound bed. Include ulcers that are known or likely, but are not stageable due to non-removable dressing, device, cast or suspected deep tissue injury in evolution.
Source: Regenstrief LOINC
Observation ID in Form
G2d1
Fully-Specified Name
- Component
- Number of pressure ulcers at assessment - unstageable
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.63
Normative Answer List LL555-4
Answer | Code | Score | Answer ID |
---|---|---|---|
0 ulcers | 0 | LA9916-3 | |
1 ulcer | 1 | LA9917-1 | |
2 ulcers | 2 | LA9918-9 | |
3 ulcers | 3 | LA9920-5 | |
4 ulcers | 4 | LA9921-3 | |
5 ulcers | 5 | LA9922-1 | |
6 ulcers | 6 | LA9923-9 | |
7 ulcers | 7 | LA9924-7 | |
8 or more ulcers | 8 | LA9925-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52579-0 Number of pressure ulcers onset during this service - stage 2 [CARE]
Term Description
Stage 2 - Partial thickness loss of dermis presenting as a shallow open ulcer with red pink wound bed, without slough. May also present as an intact or open/ruptured serum-filled blister (excludes those resulting from skin tears, tape stripping, or incontinence associated dermatitis).
Source: Regenstrief LOINC
Observation ID in Form
G2a2
Form Coding Instructions
If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Number of pressure ulcers onset during this service - stage 2
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.63
Normative Answer List LL555-4
Answer | Code | Score | Answer ID |
---|---|---|---|
0 ulcers | 0 | LA9916-3 | |
1 ulcer | 1 | LA9917-1 | |
2 ulcers | 2 | LA9918-9 | |
3 ulcers | 3 | LA9920-5 | |
4 ulcers | 4 | LA9921-3 | |
5 ulcers | 5 | LA9922-1 | |
6 ulcers | 6 | LA9923-9 | |
7 ulcers | 7 | LA9924-7 | |
8 or more ulcers | 8 | LA9925-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
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.
52580-8 Number of pressure ulcers onset during this service - stage 3 [CARE]
Term Description
Stage 3 - Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscles are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling.
Source: Regenstrief LOINC
Observation ID in Form
G2b2
Form Coding Instructions
If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Number of pressure ulcers onset during this service - stage 3
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.63
Normative Answer List LL555-4
Answer | Code | Score | Answer ID |
---|---|---|---|
0 ulcers | 0 | LA9916-3 | |
1 ulcer | 1 | LA9917-1 | |
2 ulcers | 2 | LA9918-9 | |
3 ulcers | 3 | LA9920-5 | |
4 ulcers | 4 | LA9921-3 | |
5 ulcers | 5 | LA9922-1 | |
6 ulcers | 6 | LA9923-9 | |
7 ulcers | 7 | LA9924-7 | |
8 or more ulcers | 8 | LA9925-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
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.
52581-6 Number of pressure ulcers onset during this service - stage 4 [CARE]
Term Description
Stage 4 - Full thickness tissue loss with visible bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling.
Source: Regenstrief LOINC
Observation ID in Form
G2c2
Form Coding Instructions
If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Number of pressure ulcers onset during this service - stage 4
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.63
Normative Answer List LL555-4
Answer | Code | Score | Answer ID |
---|---|---|---|
0 ulcers | 0 | LA9916-3 | |
1 ulcer | 1 | LA9917-1 | |
2 ulcers | 2 | LA9918-9 | |
3 ulcers | 3 | LA9920-5 | |
4 ulcers | 4 | LA9921-3 | |
5 ulcers | 5 | LA9922-1 | |
6 ulcers | 6 | LA9923-9 | |
7 ulcers | 7 | LA9924-7 | |
8 or more ulcers | 8 | LA9925-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
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.
52582-4 Number of pressure ulcers onset during this service - unstageable [CARE]
Term Description
Unstageable - Full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, gray, green, or brown) or eschar (tan, brown, or black) in the wound bed. Include ulcers that are known or likely, but are not stageable due to non-removable dressing, device, cast or suspected deep tissue injury in evolution.
Source: Regenstrief LOINC
Observation ID in Form
G2d2
Fully-Specified Name
- Component
- Number of pressure ulcers onset during this service - unstageable
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.63
Normative Answer List LL555-4
Answer | Code | Score | Answer ID |
---|---|---|---|
0 ulcers | 0 | LA9916-3 | |
1 ulcer | 1 | LA9917-1 | |
2 ulcers | 2 | LA9918-9 | |
3 ulcers | 3 | LA9920-5 | |
4 ulcers | 4 | LA9921-3 | |
5 ulcers | 5 | LA9922-1 | |
6 ulcers | 6 | LA9923-9 | |
7 ulcers | 7 | LA9924-7 | |
8 or more ulcers | 8 | LA9925-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
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.
52583-2 Number of unhealed stage 2 ulcers known to be present for more than 1 month [CARE]
Observation ID in Form
G2e
Form Coding Instructions
If the patient has one or more unhealed stage 2 pressure ulcers, record the number present today that were first observed more than 1 month ago, according to the best available records. If the patient has no unhealed stage 2 pressure ulcers, record "0."
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
If the patient has one or more unhealed stage 2 pressure ulcers, record the number present today that were first observed more than 1 month ago, according to the best available records. If the patient has no unhealed stage 2 pressure ulcers, record "0"
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
If the resident has one or more unhealed Stage 2 pressure ulcers, record the number present today that were first observed more than one month ago
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Number of unhealed stage 2 ulcers known to be present for more than 1 month
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL555-4
Answer | Code | Score | Answer ID |
---|---|---|---|
0 ulcers | 0 | LA9916-3 | |
1 ulcer | 1 | LA9917-1 | |
2 ulcers | 2 | LA9918-9 | |
3 ulcers | 3 | LA9920-5 | |
4 ulcers | 4 | LA9921-3 | |
5 ulcers | 5 | LA9922-1 | |
6 ulcers | 6 | LA9923-9 | |
7 ulcers | 7 | LA9924-7 | |
8 or more ulcers | 8 | LA9925-4 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
Example Units
Unit | Source |
---|---|
{#} | Example UCUM Units |
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.
52477-7 If any pressure ulcer is stage 3 or 4 (or if eschar is present), please record the most recent measurements for the LARGEST ulcer (or eschar):
Observation ID in Form
G3
Form Coding Instructions
If the patient has one or more unhealed (non-epithelialized) Stage 3 or 4 pressure ulcers or an unstageable pressure ulcer due to slough or eschar, identify the pressure ulcer with the largest surface area (length x width) and record in centimeters
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Largest pressure ulcer measurements
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- PANEL.SURVEY.MDS
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.73
- Change Reason
- Release 2.73: COMPONENT: update older "ulcer" terms in panels;
- 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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
52728-3 Longest length in any direction
Observation ID in Form
G3a
Fully-Specified Name
- Component
- Diameter.any.max
- Property
- Len
- Time
- Pt
- System
- Pressure injury.largest stage 3 or 4
- Scale
- Qn
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.63
- Change Reason
- Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee. Changed CLASS from SURVEY.CARE to SURVEY.CMS because term is used across CMS assessments.; "Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC
- Order vs. Observation
- Observation
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
Example Units
Unit | Source |
---|---|
cm | Example UCUM Units |
52729-1 Pressure Ulcer Width:
Observation ID in Form
G3b
Fully-Specified Name
- Component
- Diameter.transverse
- Property
- Len
- Time
- Pt
- System
- Pressure injury.largest stage 3 or 4
- Scale
- Qn
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.63
- Change Reason
- Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.; "Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC
- Order vs. Observation
- Observation
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Example Units
Unit | Source |
---|---|
cm | Example UCUM Units |
52584-0 Date of measurement
Fully-Specified Name
- Component
- Date of ulcer measurement
- Property
- Date
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52730-9 Indicate if any unhealed stage 3 or stage 4 pressure ulcer(s) has undermining and/or tunneling (sinus tract) present.
Observation ID in Form
G3c
Fully-Specified Name
- Component
- Undermining or tunneling present
- Property
- Find
- Time
- Pt
- System
- Pressure injury.stage 3 or 4
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- "Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC
Survey Question
- Text
- Indicate if any unhealed stage 3 or stage 4 pressure ulcer(s) has undermining and/or tunneling (sinus tract) present.
- Source
- CARE I.g04
Normative Answer List LL556-2
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 | |
Unable to assess | 8 | LA10105-7 |
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 |
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.
52585-7 Major wound (excluding pressure ulcers). Does the patient have one or more major wound(s) that require ongoing care because of draining, infection, or delayed healing?
Observation ID in Form
G5
Form Coding Instructions
e.g., burns
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Major wound (excluding pressure ulcers)
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Major wound (excluding pressure ulcers). Does the patient have one or more major wound(s) that require ongoing care because of draining, infection, or delayed healing?
- Source
- CARE I.g05
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.
52478-5 Number of Major Wounds
Observation ID in Form
G5a-e
Form Coding Instructions
Must fill in all choices
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Number of Major Wounds
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52586-5 Delayed healing of surgical wound # [CARE]
Observation ID in Form
G5a
Fully-Specified Name
- Component
- Delayed healing of surgical wound
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
Example Units
Unit | Source |
---|---|
{#} | Example UCUM Units |
52587-3 Trauma-related wound #
Term Description
e.g., burns
Source: Regenstrief LOINC
Observation ID in Form
G5b
Fully-Specified Name
- Component
- Trauma-related wound
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed because this generic term can be used across contexts
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 |
Example Units
Unit | Source |
---|---|
{#} | Example UCUM Units |
52588-1 Diabetic foot ulcer(s) #
Observation ID in Form
G5c
Fully-Specified Name
- Component
- Diabetic foot ulcer(s)
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed because this generic term can be used across contexts
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 |
Example Units
Unit | Source |
---|---|
{#} | Example UCUM Units |
52589-9 Vascular ulcer (arterial or venous including diabetic ulcers not located on the foot) # [CARE]
Observation ID in Form
G5d
Fully-Specified Name
- Component
- Vascular ulcer (arterial or venous including diabetic ulcers not located on the foot)
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
Example Units
Unit | Source |
---|---|
{#} | Example UCUM Units |
52590-7 Other
Term Description
(e.g., incontinence associated dermatitis, normal surgical wound healing).
Source: Regenstrief LOINC
Observation ID in Form
G5e
Fully-Specified Name
- Component
- Major wound.other
- Property
- Num
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
Example Units
Unit | Source |
---|---|
{#} | Example UCUM Units |
52591-5 Please specify:
Observation ID in Form
G5e.1
Fully-Specified Name
- Component
- Major wound.other
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Please specify:
- Source
- CARE G5e.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 |
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 |
52592-3 Turning surfaces not intact [CARE]
Observation ID in Form
G6
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
Indicate which of the following turning surfaces have either a pressure ulcer or major wound
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Turning surfaces not intact
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Source
- CARE I.G6
Normative Answer List LL557-0
Answer | Code | Score | Answer ID |
---|---|---|---|
Skin for all turning surfaces is intact | a | LA10081-0 | |
Right hip not intact | b | LA10071-1 | |
Left hip not intact | c | LA9993-2 | |
Back/buttocks not intact | d | LA9935-3 | |
Other turning surface(s) not intact | e | LA10051-3 |
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 |
52479-3 Physiologic Factors
Observation ID in Form
H
Form Coding Instructions
Complete during the 2-day assessment period. Record the most recent value for each of the following physiologic factors tested during this admission. Indicate the date (MM/DD/YYYY) that the value was collected. If the test was not provided during this admission, check "not tested." If it is not possible to measure the height and weight, check box if value is estimated (actual measurement is preferred)
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Physiologic Factors
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52480-1 Anthropometric Measures
Fully-Specified Name
- Component
- Anthropometric Measures
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
3137-7 Height (inches) OR
Observation ID in Form
H2b
Fully-Specified Name
- Component
- Body height
- Property
- Len
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- Measured
Additional Names
- Short Name
- Body height Measured
Basic Attributes
- Class
- BDYHGT.ATOM
- Type
- Clinical
- First Released
- Version 1.0
- Last Updated
- Version 2.73
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 372
Member of these Panels
LOINC | Long Common Name |
---|---|
76464-7 | American Physical Therapy Association registry panel |
39294-4 | Children's preventive health services attachment Set |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] |
45981-8 | Deprecated MDS full assessment form - version 2.0 |
46103-8 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III |
46104-6 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update |
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] |
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] |
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] |
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] |
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] |
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 |
86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
43142-9 | Height measurement device panel |
47245-6 | HIV treatment form Document |
75885-4 | IEEE 11073 Rosetta panel |
62611-9 | PhenX domain - Respiratory |
81232-1 | Supersaturation panel - 24 hour Urine |
86347-2 | U.S. standard certificate of live birth - recommended 2003 revision set |
86346-4 | U.S. standard report of fetal death - recommended 2003 revision set |
43143-7 | Weighing device panel |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG34373-7 | Body height| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-DE | German (Germany) | Körpergröße: |
es-MX | Spanish (Mexico) | Peso corporal: |
es-AR | Spanish (Argentina) | altura corporal: |
fr-CA | French (Canada) | Taille: |
fr-FR | French (France) | Taille du patient: |
fr-BE | French (Belgium) | Taille corporelle: |
it-IT | Italian (Italy) | Altezza corporea: Synonyms: Altezza del corpo - atomica Lunghezza paziente Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | lichaamslengte: Synonyms: lengte |
pt-BR | Portuguese (Brazil) | Estatura: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Рост: Synonyms: Длина Количественный Тело высота Точка во времени; |
zh-CN | Chinese (China) | 身高: Synonyms: 一般体长; |
Example Units
Unit | Source |
---|---|
[in_us];cm;m | Example UCUM Units |
8301-4 Height (cm)
Observation ID in Form
H2b
Fully-Specified Name
- Component
- Body height
- Property
- Len
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- Estimated
Additional Names
- Short Name
- Body height Est
Basic Attributes
- Class
- BDYHGT.ATOM
- Type
- Clinical
- First Released
- Version 1.0h(2)
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 12391
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 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Peso corporal: |
es-AR | Spanish (Argentina) | altura corporal: |
fr-CA | French (Canada) | Taille: |
fr-FR | French (France) | Taille du patient: |
fr-BE | French (Belgium) | Taille corporelle: |
it-IT | Italian (Italy) | Altezza corporea: Synonyms: Altezza del corpo - atomica Lunghezza paziente Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | lichaamslengte: Synonyms: lengte |
pt-BR | Portuguese (Brazil) | Estatura: Synonyms: ; |
zh-CN | Chinese (China) | 身高: Synonyms: 一般体长; |
Example Units
Unit | Source |
---|---|
[in_us];cm;m | Example UCUM Units |
3141-9 Weight (pounds) OR
Observation ID in Form
H3b
Fully-Specified Name
- Component
- Body weight
- Property
- Mass
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- Measured
Additional Names
- Short Name
- Weight Measured
Basic Attributes
- Class
- BDYWGT.ATOM
- Type
- Clinical
- First Released
- Version 1.0
- Last Updated
- Version 2.73
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 115
Member of these Panels
LOINC | Long Common Name |
---|---|
76464-7 | American Physical Therapy Association registry panel |
18584-3 | Body weight at ambulance transport Set |
52416-5 | Body weight Set |
39294-4 | Children's preventive health services attachment Set |
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] |
45981-8 | Deprecated MDS full assessment form - version 2.0 |
46103-8 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III |
46104-6 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update |
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] |
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] |
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] |
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] |
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] |
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 |
86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
75885-4 | IEEE 11073 Rosetta panel |
74293-2 | Oncology plan of care and summary - recommended CDA set |
75854-0 | PCORnet common data model set - version 1.0 [PCORnet] |
85057-8 | PCORnet Common Data Model set - version 3.0 [PCORnet] |
62297-7 | PhenX - weight - measured weight protocol 021501 |
62263-9 | PhenX domain - Nutrition and dietary supplements |
62611-9 | PhenX domain - Respiratory |
100230-2 | Routine prenatal assessment panel |
34566-0 | Vital signs with method details panel |
72513-5 | Vital signs with smoking status and pain scale [VSP] |
34565-2 | Vital signs, weight and height panel |
67795-5 | Vital signs, weight, height, head circumference and oximetry panel HITSP |
74728-7 | Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel |
43143-7 | Weighing device panel |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG34372-9 | Body weight| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-AT | German (Austria) | Synonyms: Körpergewicht |
de-DE | German (Germany) | Körpergewicht: |
es-MX | Spanish (Mexico) | Peso corporal: |
es-AR | Spanish (Argentina) | peso corporal: |
fr-CA | French (Canada) | Poids: |
fr-FR | French (France) | Poids corporel: |
fr-BE | French (Belgium) | Poids corporel: Synonyms: Poids |
it-IT | Italian (Italy) | Peso corporeo: Synonyms: paziente Peso del corpo - atomico Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | lichaamsgewicht: |
pt-BR | Portuguese (Brazil) | Peso corpóreo: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Масса тела: Synonyms: Количественный Точка во времени; |
tr-TR | Turkish (Turkey) | Vücut ağırlığı: |
zh-CN | Chinese (China) | 体重: Synonyms: 一般体重; |
Example Units
Unit | Source |
---|---|
[lb_av];kg | Example UCUM Units |
lb | REGENSTRIEF |
8335-2 Weight (kg)
Observation ID in Form
H3b
Fully-Specified Name
- Component
- Body weight
- Property
- Mass
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- Estimated
Additional Names
- Short Name
- Weight Est
Basic Attributes
- Class
- BDYWGT.ATOM
- Type
- Clinical
- First Released
- Version 1.0h(2)
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 11753
Member of these Panels
LOINC | Long Common Name |
---|---|
18584-3 | Body weight at ambulance transport Set |
52416-5 | Body weight Set |
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 |
84429-0 | Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set |
84428-2 | National EMS Information System - version 3 set |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Peso corporal: |
es-AR | Spanish (Argentina) | peso corporal: |
es-ES | Spanish (Spain) | Peso corporal: Synonyms: Cuantitativo |
fr-CA | French (Canada) | Poids: |
fr-FR | French (France) | Poids corporel: |
fr-BE | French (Belgium) | Poids corporel: Synonyms: Poids |
it-IT | Italian (Italy) | Peso corporeo: Synonyms: paziente Peso del corpo - atomico Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | lichaamsgewicht: |
pl-PL | Polish (Poland) | Masa ciała: Synonyms: Ciężar Masa ciała |
pt-BR | Portuguese (Brazil) | Peso corpóreo: Synonyms: ; |
tr-TR | Turkish (Turkey) | Vücut ağırlığı: |
zh-CN | Chinese (China) | 体重: Synonyms: 一般体重; |
Example Units
Unit | Source |
---|---|
[lb_av];kg | Example UCUM Units |
52481-9 Vital Signs
Fully-Specified Name
- Component
- Vital signs - acute
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Panel Type
- Panel
Member of these Panels
LOINC | Long Common Name |
---|---|
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
8310-5 Temperature (deg F) OR
Observation ID in Form
H5b
Fully-Specified Name
- Component
- Body temperature
- Property
- Temp
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
Additional Names
- Short Name
- Body temperature
- Consumer Name Alpha Get Info
- Body Temperature
Basic Attributes
- Class
- BDYTMP.ATOM
- Type
- Clinical
- First Released
- Version 1.0h(2)
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 49
Member of these Panels
LOINC | Long Common Name |
---|---|
35095-9 | Body temperature panel |
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
55169-7 | Data Elements for Emergency Department Systems (DEEDS) Release 1.0 |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
100847-3 | Gas and ammonia panel - Arterial blood |
93685-6 | Gas and Carbon monoxide and Electrolytes panel - Arterial blood |
24341-0 | Gas and Carbon monoxide panel - Arterial blood |
24343-6 | Gas and Carbon monoxide panel - Blood |
24342-8 | Gas and Carbon monoxide panel - Capillary blood |
24344-4 | Gas and Carbon monoxide panel - Venous blood |
99548-0 | Gas and electrolytes panel - Arterial blood |
24336-0 | Gas panel - Arterial blood |
51974-4 | Gas panel - Arterial cord blood |
24338-6 | Gas panel - Blood |
24337-8 | Gas panel - Capillary blood |
51973-6 | Gas panel - Mixed venous blood |
24339-4 | Gas panel - Venous blood |
51972-8 | Gas panel - Venous cord blood |
75885-4 | IEEE 11073 Rosetta panel |
84428-2 | National EMS Information System - version 3 set |
87825-6 | National Trauma Data Standard - version 2018 set |
74293-2 | Oncology plan of care and summary - recommended CDA set |
62611-9 | PhenX domain - Respiratory |
89694-4 | Pulmonary Embolism Severity Index panel [PESI] |
74028-2 | Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS |
34566-0 | Vital signs with method details panel |
72513-5 | Vital signs with smoking status and pain scale [VSP] |
34565-2 | Vital signs, weight and height panel |
67795-5 | Vital signs, weight, height, head circumference and oximetry panel HITSP |
74728-7 | Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel |
85353-1 | Vital signs, weight, height, head circumference, oxygen saturation and BMI panel |
82611-5 | Wearable device external physiologic monitoring panel |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG33052-8 | Body temperature| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-DE | German (Germany) | Körpertemperatur: |
de-AT | German (Austria) | Synonyms: Körpertemperatur |
es-MX | Spanish (Mexico) | Temperatura corporal: |
es-AR | Spanish (Argentina) | temperatura corporal: |
fr-CA | French (Canada) | Température corporelle: |
fr-FR | French (France) | Température corporelle: |
fr-BE | French (Belgium) | Température corporelle: |
it-IT | Italian (Italy) | Temperatura corporea: Synonyms: paziente Punto nel tempo (episodio) Temperatura Temperatura del corpo - atomica |
nl-NL | Dutch (Netherlands) | lichaamstemperatuur: |
pt-BR | Portuguese (Brazil) | Temperatura corpórea: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Температура тела: Synonyms: Количественный Температура Точка во времени; |
tr-TR | Turkish (Turkey) | Vücut sıcaklığı: |
zh-CN | Chinese (China) | 体温: Synonyms: 一般体温 体温 医疗服务对象; |
Example Units
Unit | Source |
---|---|
Cel | Example UCUM Units |
Deg C | REGENSTRIEF |
8867-4 Heart Rate (beats/min)
Observation ID in Form
H7b
Fully-Specified Name
- Component
- Heart rate
- Property
- NRat
- Time
- Pt
- System
- XXX
- Scale
- Qn
- Method
Additional Names
- Short Name
- Heart rate
- Consumer Name Alpha Get Info
- Heart rate
Basic Attributes
- Class
- HRTRATE.ATOM
- Type
- Clinical
- First Released
- Version 1.0h(3)
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 18
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
88677-0 | German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set |
84429-0 | Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set |
84428-2 | National EMS Information System - version 3 set |
87825-6 | National Trauma Data Standard - version 2018 set |
74293-2 | Oncology plan of care and summary - recommended CDA set |
62611-9 | PhenX domain - Respiratory |
89544-1 | Pulmonary Embolism Rule-out Criteria panel PERC |
89694-4 | Pulmonary Embolism Severity Index panel [PESI] |
89549-0 | Revised Geneva Score panel |
55417-0 | Short blood pressure panel |
74028-2 | Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS |
34566-0 | Vital signs with method details panel |
72513-5 | Vital signs with smoking status and pain scale [VSP] |
34565-2 | Vital signs, weight and height panel |
67795-5 | Vital signs, weight, height, head circumference and oximetry panel HITSP |
74728-7 | Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel |
85353-1 | Vital signs, weight, height, head circumference, oxygen saturation and BMI panel |
82611-5 | Wearable device external physiologic monitoring panel |
89546-6 | Wells pulmonary embolism risk calculator panel |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG33055-1 | Heart rate| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-AT | German (Austria) | Synonyms: Puls |
de-DE | German (Germany) | Herzfrequenz: |
es-MX | Spanish (Mexico) | Ritmo cardiaco: |
es-AR | Spanish (Argentina) | latido cardíaco: |
it-IT | Italian (Italy) | Frequenza cardiaca: Synonyms: Frequenza cardiaca - atomica Indice numerico Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | hartslagfrequentie: |
pt-BR | Portuguese (Brazil) | Frequência cardíaca: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Частота сердечных сокращений: Synonyms: Количественный Количество скорость Точка во времени; |
zh-CN | Chinese (China) | 心率: Synonyms: 一般心率 不明的; |
Example Units
Unit | Source |
---|---|
{beats}/min;{counts/min} | Example UCUM Units |
bpm | REGENSTRIEF |
9279-1 Respiratory Rate (breaths/min)
Observation ID in Form
H8b
Fully-Specified Name
- Component
- Breaths
- Property
- NRat
- Time
- Pt
- System
- Respiratory system
- Scale
- Qn
- Method
Additional Names
- Short Name
- Resp rate
Basic Attributes
- Class
- RESP.ATOM
- Type
- Clinical
- First Released
- Version 1.0i
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 12
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
55169-7 | Data Elements for Emergency Department Systems (DEEDS) Release 1.0 |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
75885-4 | IEEE 11073 Rosetta panel |
84429-0 | Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set |
84428-2 | National EMS Information System - version 3 set |
87825-6 | National Trauma Data Standard - version 2018 set |
80346-0 | Nursing physiologic assessment panel |
74293-2 | Oncology plan of care and summary - recommended CDA set |
62611-9 | PhenX domain - Respiratory |
89694-4 | Pulmonary Embolism Severity Index panel [PESI] |
74028-2 | Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS |
34566-0 | Vital signs with method details panel |
72513-5 | Vital signs with smoking status and pain scale [VSP] |
34565-2 | Vital signs, weight and height panel |
67795-5 | Vital signs, weight, height, head circumference and oximetry panel HITSP |
74728-7 | Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel |
85353-1 | Vital signs, weight, height, head circumference, oxygen saturation and BMI panel |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG33054-4 | Breaths| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-AT | German (Austria) | Synonyms: Atemfrequenz |
de-DE | German (Germany) | Atemfrequenz: |
es-MX | Spanish (Mexico) | Respiraciones: |
es-AR | Spanish (Argentina) | respiraciones: |
it-IT | Italian (Italy) | Respiri: Synonyms: Indice numerico Punto nel tempo (episodio) Respiratorio - atomico |
pt-BR | Portuguese (Brazil) | Respirações: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Дыхание: Synonyms: Количественный Количество скорость Точка во времени; |
zh-CN | Chinese (China) | 呼吸: Synonyms: 一般呼吸类指标; |
Example Units
Unit | Source |
---|---|
{breaths}/min;{counts/min} | Example UCUM Units |
/MIN | REGENSTRIEF |
8480-6 Systolic Blood Pressure (mm/Hg)
Observation ID in Form
H9b
Fully-Specified Name
- Component
- Intravascular systolic
- Property
- Pres
- Time
- Pt
- System
- Arterial system
- Scale
- Qn
- Method
Additional Names
- Short Name
- BP sys
Basic Attributes
- Class
- BP.ATOM
- Type
- Clinical
- First Released
- Version 1.0h(3)
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 3
Member of these Panels
LOINC | Long Common Name |
---|---|
35094-2 | Blood pressure panel |
39294-4 | Children's preventive health services attachment Set |
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
86636-8 | Family planning report - FPAR 2.0 set |
88677-0 | German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set |
94137-7 | HEDIS 2020 Value Sets |
96068-2 | HEDIS MY 2020 Value Sets |
84429-0 | Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set |
84428-2 | National EMS Information System - version 3 set |
87825-6 | National Trauma Data Standard - version 2018 set |
74293-2 | Oncology plan of care and summary - recommended CDA set |
75854-0 | PCORnet common data model set - version 1.0 [PCORnet] |
85057-8 | PCORnet Common Data Model set - version 3.0 [PCORnet] |
62611-9 | PhenX domain - Respiratory |
89694-4 | Pulmonary Embolism Severity Index panel [PESI] |
100230-2 | Routine prenatal assessment panel |
55417-0 | Short blood pressure panel |
81671-0 | Tissue perfusion assessment panel |
74028-2 | Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS |
34566-0 | Vital signs with method details panel |
72513-5 | Vital signs with smoking status and pain scale [VSP] |
34565-2 | Vital signs, weight and height panel |
67795-5 | Vital signs, weight, height, head circumference and oximetry panel HITSP |
74728-7 | Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel |
85353-1 | Vital signs, weight, height, head circumference, oxygen saturation and BMI panel |
82611-5 | Wearable device external physiologic monitoring panel |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG33053-6 | Intravascular systolic| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-AT | German (Austria) | Synonyms: Blutdruck systolisch |
de-DE | German (Germany) | Intravaskulär systolisch: |
es-AR | Spanish (Argentina) | sistólico intravascular: |
es-MX | Spanish (Mexico) | Sistólica intravascular: |
fr-CA | French (Canada) | Intravasculaire systolique: |
it-IT | Italian (Italy) | Sistolica intravascolare: Synonyms: Pressione Pressione arteriosa - atomica Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | intravasculaire systolische bloeddruk: |
pt-BR | Portuguese (Brazil) | Intravascular sistólica: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Интраваскулярный систолический: Synonyms: Давление Количественный Точка во времени; |
zh-CN | Chinese (China) | 血管内心脏收缩期: Synonyms: 一般血压; |
Example Units
Unit | Source |
---|---|
mm[Hg] | Example UCUM Units |
mm Hg | REGENSTRIEF |
8462-4 Diastolic Blood Pressure (mm/Hg)
Observation ID in Form
H9b
Fully-Specified Name
- Component
- Intravascular diastolic
- Property
- Pres
- Time
- Pt
- System
- Arterial system
- Scale
- Qn
- Method
Additional Names
- Short Name
- BP dias
Basic Attributes
- Class
- BP.ATOM
- Type
- Clinical
- First Released
- Version 1.0h(2)
- Last Updated
- Version 2.73
- Change Reason
- Release 2.69: UnitsAndRange: Added missing delimiter;
- Common Test Rank Get Info
- 2
Member of these Panels
LOINC | Long Common Name |
---|---|
43152-8 | Blood pressure device panel |
35094-2 | Blood pressure panel |
39294-4 | Children's preventive health services attachment Set |
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
86636-8 | Family planning report - FPAR 2.0 set |
88677-0 | German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set |
94137-7 | HEDIS 2020 Value Sets |
96068-2 | HEDIS MY 2020 Value Sets |
84429-0 | Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set |
84428-2 | National EMS Information System - version 3 set |
74293-2 | Oncology plan of care and summary - recommended CDA set |
75854-0 | PCORnet common data model set - version 1.0 [PCORnet] |
85057-8 | PCORnet Common Data Model set - version 3.0 [PCORnet] |
62611-9 | PhenX domain - Respiratory |
100230-2 | Routine prenatal assessment panel |
55417-0 | Short blood pressure panel |
81671-0 | Tissue perfusion assessment panel |
74028-2 | Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS |
34566-0 | Vital signs with method details panel |
72513-5 | Vital signs with smoking status and pain scale [VSP] |
34565-2 | Vital signs, weight and height panel |
67795-5 | Vital signs, weight, height, head circumference and oximetry panel HITSP |
74728-7 | Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel |
85353-1 | Vital signs, weight, height, head circumference, oxygen saturation and BMI panel |
82611-5 | Wearable device external physiologic monitoring panel |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG33056-9 | Intravascular diastolic| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-AT | German (Austria) | Synonyms: Blutdruck diastolisch |
de-DE | German (Germany) | Intravaskulär diastolisch: |
es-AR | Spanish (Argentina) | diastólico intravascular: |
es-MX | Spanish (Mexico) | Diastólica intravascular: |
fr-CA | French (Canada) | Intravasculaire diastolique: |
it-IT | Italian (Italy) | Diastolica intravascolare: Synonyms: Pressione Pressione arteriosa - atomica Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | intravasculaire diastolische bloeddruk: |
pt-BR | Portuguese (Brazil) | Intravascular diastólica: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Интраваскулярный диастолический: Synonyms: Внутрисосудистый диастолический Давление Количественный Точка во времени; |
zh-CN | Chinese (China) | 血管内心脏舒张期: Synonyms: 一般血压; |
Example Units
Unit | Source |
---|---|
mm[Hg] | Example UCUM Units |
mm Hg | REGENSTRIEF |
69344-0 Laboratory
Fully-Specified Name
- Component
- Laboratory - acute
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- CARE
Basic Attributes
- Class
- PANEL.SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.64
- Panel Type
- Panel
Member of these Panels
LOINC | Long Common Name |
---|---|
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
718-7 Hemogloblin (gm/dL)
Reference Information
Type | Source | Reference |
---|---|---|
Mapping Guidance | Regenstrief Help | This is the the code included in the CBC auto. It is NOT obtained via the automated counting but uses a chemistry method just like most other hemoglobins. Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations |
Webcontent | Lab Tests Online®Copyright Copyright © 2021 Lab Tests Online. All rights reserved. | Hemoglobin |
Observation ID in Form
H11b
Fully-Specified Name
- Component
- Hemoglobin
- Property
- MCnc
- Time
- Pt
- System
- Bld
- Scale
- Qn
- Method
Additional Names
- Short Name
- Hgb Bld-mCnc
- Display Name
- Hemoglobin (Bld) [Mass/Vol]
- Consumer Name Alpha Get Info
- Hemoglobin, Blood
Basic Attributes
- Class
- HEM/BC
- Type
- Laboratory
- First Released
- Version 1.0
- Last Updated
- Version 2.73
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 17
Member of these Panels
LOINC | Long Common Name |
---|---|
104076-5 | Basic metabolic with hemoglobin and hematocrit panel - Blood |
58410-2 | CBC panel - Blood by Automated count |
57021-8 | CBC W Auto Differential panel - Blood |
69742-5 | CBC W Differential panel, method unspecified - Blood |
57782-5 | CBC W Ordered Manual Differential panel - Blood |
57022-6 | CBC W Reflex Manual Differential panel - Blood |
39294-4 | Children's preventive health services attachment Set |
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 |
24361-8 | Deprecated Hemogram, platelets & Differential panel in Blood |
34527-2 | Deprecated Hemogram, Platelets, Differential & Reticulocyte panel in Blood |
67868-0 | End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728 |
48809-8 | Erythrogram panel - Blood |
70299-3 | ESRD anemia management panel |
24343-6 | Gas and Carbon monoxide panel - Blood |
24338-6 | Gas panel - Blood |
24360-0 | Hemoglobin and Hematocrit panel - Blood |
24317-0 | Hemogram and platelets WO differential panel - Blood |
24359-2 | Hemogram without Platelets and with Manual Differential panel - Blood |
24358-4 | Hemogram without Platelets panel - Blood |
24364-2 | Obstetric 1996 panel - Serum and Blood |
93340-8 | PhenX - complete blood count protocol 220501 |
62611-9 | PhenX domain - Respiratory |
55429-5 | Short blood count panel - Blood |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG44868-4 | Hemoglobin| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-DE | German (Germany) | Hämoglobin: |
de-AT | German (Austria) | Synonyms: Hämoglobin |
el-GR | Greek (Greece) | Αιμοσφαιρίνη: |
es-MX | Spanish (Mexico) | Hemoglobina: |
es-AR | Spanish (Argentina) | hemoglobina: |
es-ES | Spanish (Spain) | Hemoglobina: Synonyms: Cuantitativo |
et-EE | Estonian (Estonia) | Hemoglobiin: Synonyms: Juhuslik Kvantitatiivne Veri |
fr-CA | French (Canada) | Hémoglobine: |
fr-FR | French (France) | Hémoglobine: |
fr-BE | French (Belgium) | Hémoglobine: Synonyms: Hb |
it-IT | Italian (Italy) | Emoglobina: Synonyms: Concentrazione di Massa Ematologia (coagulazione) conta differenziale Punto nel tempo (episodio) Sangue |
ko-KR | Korean (Korea, Republic Of) | 혈색소: |
nl-NL | Dutch (Netherlands) | hemoglobine: |
pl-PL | Polish (Poland) | Hemoglobina: |
pt-BR | Portuguese (Brazil) | Hemoglobina: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Гемоглобин: Synonyms: Количественный Кровь Массовая концентрация Точка во времени; |
tr-TR | Turkish (Turkey) | Hemoglobin: |
uk-UA | Ukrainian (Ukraine) | Гемоглобін: Synonyms: Blood; |
zh-CN | Chinese (China) | 血红蛋白: Synonyms: 可用数量表示的; |
Example Units
Unit | Source |
---|---|
g/dL | Example UCUM Units |
g/L | REGENSTRIEF |
20570-8 Hematocrit (%)
Part Descriptions
LP15101-6 Hematocrit
The volume of packed red blood cells in a blood sample. The volume is measured by centrifugation in a tube with graduated markings, or with automated blood cell counters. It is an indicator of erythrocyte status in disease. For example, in anemia the volume is low and in polycythemia it is high.
Source: National Library of Medicine, MeSH 2006
Reference Information
Type | Source | Reference |
---|---|---|
Webcontent | Lab Tests Online®Copyright Copyright © 2021 Lab Tests Online. All rights reserved. | Hematocrit |
Observation ID in Form
H12b
Fully-Specified Name
- Component
- Hematocrit
- Property
- VFr
- Time
- Pt
- System
- Bld
- Scale
- Qn
- Method
Additional Names
- Short Name
- Hct VFr Bld
- Display Name
- Hematocrit (Bld) [Volume fraction]
- Consumer Name Alpha Get Info
- Hematocrit, Blood
Basic Attributes
- Class
- HEM/BC
- Type
- Laboratory
- First Released
- Version 1.0m
- Last Updated
- Version 2.73
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 40
Member of these Panels
LOINC | Long Common Name |
---|---|
101655-9 | Basic metabolic and hematocrit panel - Blood |
104076-5 | Basic metabolic with hemoglobin and hematocrit panel - Blood |
69742-5 | CBC W Differential panel, method unspecified - Blood |
39294-4 | Children's preventive health services attachment Set |
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 |
24361-8 | Deprecated Hemogram, platelets & Differential panel in Blood |
34527-2 | Deprecated Hemogram, Platelets, Differential & Reticulocyte panel in Blood |
48809-8 | Erythrogram panel - Blood |
101866-2 | Gas and electrolytes point of care panel - Venous blood |
24360-0 | Hemoglobin and Hematocrit panel - Blood |
24317-0 | Hemogram and platelets WO differential panel - Blood |
24359-2 | Hemogram without Platelets and with Manual Differential panel - Blood |
24358-4 | Hemogram without Platelets panel - Blood |
75885-4 | IEEE 11073 Rosetta panel |
55429-5 | Short blood count panel - Blood |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-AT | German (Austria) | Synonyms: Hämatokrit |
de-DE | German (Germany) | Hämatokrit: |
el-GR | Greek (Greece) | Αιματοκρίτης: |
es-MX | Spanish (Mexico) | Hematocrito: |
es-AR | Spanish (Argentina) | hematócrito: |
es-ES | Spanish (Spain) | Hematocrito: Synonyms: Cuantitativo |
et-EE | Estonian (Estonia) | Hematokrit: Synonyms: Juhuslik Kvantitatiivne Mahu fraktsioon Veri |
fr-CA | French (Canada) | Hématocrite: |
fr-FR | French (France) | Hématocrite: |
fr-BE | French (Belgium) | Hématocrite: |
it-IT | Italian (Italy) | Ematocrito: Synonyms: Ematologia (coagulazione) conta differenziale Frazione di Volume Punto nel tempo (episodio) Sangue |
ko-KR | Korean (Korea, Republic Of) | 적혈구용적률: |
nl-NL | Dutch (Netherlands) | hematocriet: |
pt-BR | Portuguese (Brazil) | Hematócrito: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Гематокрит: Synonyms: Количественный Кровь Объемная фракция Точка во времени; |
tr-TR | Turkish (Turkey) | Hematokrit: |
uk-UA | Ukrainian (Ukraine) | Гематокрит: Synonyms: Blood; |
zh-CN | Chinese (China) | 血细胞压积: Synonyms: HCT; |
Example Units
Unit | Source |
---|---|
% | Example UCUM Units |
% | REGENSTRIEF |
26464-8 WBC (K/mm3)
Part Descriptions
LP14419-3 Leukocytes
Leukocytes or white blood cells (WBCs) are immune cells that fight infection, neoplasms and other inflammatory conditions, and mediate allergic responses. There are five types of WBCs normally present in the circulation that are all derived from a similar stem cell in the bone marrow. The five type of WBCs are divided into two groups based on the presence or absence of granules in the cytoplasm. The granulocytes include the neutrophils, basophils and eosinophils. The non-granulocytes include the lymphocytes and the monocytes. The neutrophils fight infection by ingesting and digesting bacteria. Eosinophils and basophils respond to allergic reactions and are capable of ingesting antigen-antibody complexes. Monocytes phagocytose bacteria and release interferon to stimulate the immune system. Lymphocytes are divided into T-cells and B-cells. T-cell immunity is cellular and involves the activation of phagocytes and B-cell immunity uses antibodies to fight infection. Both elevated and low leukocyte counts can be markers of infection and malignancy, and low leukocyte counts are associated with a variety of primary and secondary immunodeficiencies, depending on the WBC type(s) that are out of range. (Mosby's manual of diagnostic and laboratory tests, Kathleen Deska Pagana; Timothy James Pagana, Elsevier St. Louis, Mo ©2010)
Source: Regenstrief LOINC
Reference Information
Type | Source | Reference |
---|---|---|
Mapping Guidance | Regenstrief Help | Most leukocyte counts will be done by an automated counter and will be reported under [LOINC: 6690-2]. This term should be used only rarely. Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations |
Webcontent | Lab Tests Online®Copyright Copyright © 2021 Lab Tests Online. All rights reserved. | White Blood Cell Count (WBC) |
Observation ID in Form
H13b
Fully-Specified Name
- Component
- Leukocytes
- Property
- NCnc
- Time
- Pt
- System
- Bld
- Scale
- Qn
- Method
Additional Names
- Short Name
- WBC # Bld
- Display Name
- WBC (Bld) [#/Vol]
- Consumer Name Alpha Get Info
- White blood cell (WBC) count, Blood
Basic Attributes
- Class
- HEM/BC
- Type
- Laboratory
- First Released
- Version 2.00
- Last Updated
- Version 2.73
- Change Reason
- Changed Order_Obs from 'Observation Only' to fit the current order use cases.
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 68
Member of these Panels
LOINC | Long Common Name |
---|---|
69742-5 | CBC W Differential panel, method unspecified - Blood |
57782-5 | CBC W Ordered Manual Differential panel - Blood |
57022-6 | CBC W Reflex Manual Differential panel - Blood |
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 |
24361-8 | Deprecated Hemogram, platelets & Differential panel in Blood |
34527-2 | Deprecated Hemogram, Platelets, Differential & Reticulocyte panel in Blood |
69738-3 | Differential panel, method unspecified - Blood |
24317-0 | Hemogram and platelets WO differential panel - Blood |
24359-2 | Hemogram without Platelets and with Manual Differential panel - Blood |
24358-4 | Hemogram without Platelets panel - Blood |
48808-0 | Leukogram panel - Blood |
24318-8 | Manual Differential panel - Blood |
55429-5 | Short blood count panel - Blood |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG32857-1 | Leukocytes| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-AT | German (Austria) | Synonyms: Leukozyten |
de-DE | German (Germany) | Leukozyten: |
el-GR | Greek (Greece) | Λευκοκύτταρα: |
es-MX | Spanish (Mexico) | Leucocitos: |
es-AR | Spanish (Argentina) | leucocitos: |
es-ES | Spanish (Spain) | Leucocitos: Synonyms: Cuantitativo |
et-EE | Estonian (Estonia) | Leukotsüüdid: Synonyms: Juhuslik Kvantitatiivne Veri |
fr-CA | French (Canada) | Leucocytes: |
fr-FR | French (France) | Leucocytes: |
fr-BE | French (Belgium) | Leucocytes: |
it-IT | Italian (Italy) | Leucociti: Synonyms: Concentrazione Numerica Ematologia (coagulazione) conta differenziale Punto nel tempo (episodio) Sangue |
ko-KR | Korean (Korea, Republic Of) | 백혈구: |
nl-NL | Dutch (Netherlands) | leukocyten: |
pl-PL | Polish (Poland) | Leukocyty: Synonyms: koncentracja Leukocyty |
pt-BR | Portuguese (Brazil) | Leucócitos: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Лейкоциты: Synonyms: Количественный Количество в объеме Кровь Точка во времени; |
tr-TR | Turkish (Turkey) | Lökositler: |
uk-UA | Ukrainian (Ukraine) | Лейкоцити: Synonyms: #; |
zh-CN | Chinese (China) | 白细胞: Synonyms: Leuc; |
Example Units
Unit | Source |
---|---|
10*3/uL | Example UCUM Units |
k/cumm | REGENSTRIEF |
4548-4 HbA1c (%)
Part Descriptions
LP16413-4 Hemoglobin A1c
Currently (2010), four standardization protocols exist for measuring Hgb A1c:
1. IFCC - designated as a Reference Method or RM (http://www.ifcchba1c.net/)
2. NGSP - the long standing protocol used in the US and most other countries since the DCCT study (http://www.ngsp.org/factors.asp)
3.JDS/JSCC - a protocol used in Japan, Spain and possibly other countries
4. Swedish - used in Sweden at least
Protocols 2-4 are known as Designated Comparison Methods (DCM) and have been connected to the Reference Method and each other through various regression equations.
Because of the high degrees of standardization within protocol it should no longer be necessary to specify a LOINC code with a method such as "HPLC", "electrophoresis" or anything else. Analytical instruments will be designed so that an Hgb A1c result can be traced back to a specific standardization protocol, so the important distinction will be the standardization protocol as described above and which will be carried in the method field.
A meeting of instrument manufacturers (presumably including Japanese) in Milan, Italy, December 12, 2007, agreed (among other items) that:
-All manufacturers should implement worldwide the traceability to the IFCC reference system for Hgb -A1c.
-All new instruments sold after January 1st, 2011 will report (as a result of an Hgb A1c test) both SI (mmol/mol - no decimals) and NGSP derived units (percentage - one decimal), in agreement with the Consensus Statement.
-Note they only committed to supporting protocol (1) and (2)
Different countries are adopting the international harmonization recommendations in different ways. We have information from the NGSP that the US will continue to report only Hgb A1c/NGSP, with the unit percent - i.e., no change. In Great Britain, labs have already started to report all results both as Hgb A1c (NGSP) in % and Hgb A1c (IFCC) in mmol/mol. In Canada, they are awaiting a recommendation from an expert panel. Any of these measures could be reported in the same units, but the convention for the reporting Hgb A1c under the new IFCC protocol will be to use units of mmol/mol to avoid confusion between the DCCT/NGSP and the IFFCC protocol.
LOINC has defined 59261-8 (Hemoglobin A1c/Hemoglobin.total in Blood) by IFCC protocol.
These protocols produce different results when expressed in the same units. For example, the equivalent of Hgb A1c (NGSP) of 6.5% is Hgb A1c (IFCC) is 4.8%.
The NGSP web site (http://www.ngsp.org/factors.asp) suggests the use of alternate measures, such as glycated albumen, for patients with severe iron deficiency, dialysis patients, and those with SS SC CC because of over or under reading that can occur with these interferences. It also describes the effect of abnormal hemoglobins on results of HbA1c by instrument.
Studies have demonstrated racial and ethnic differences in the relationship between glucose levels and hemoglobin A1C [22238408], and it has been suggested that some descendants of sub-Saharan Africa may have higher levels of measured hemoglobin A1C compared to glucose levels due to hemoglobin variants PMID: 31675503.
Source: Regenstrief Help
Reference Information
Type | Source | Reference |
---|---|---|
Mapping Guidance | Regenstrief Help | Today, all US HbA1c measurements reported in the US and many other countries are standardized to the NGSP protocol and that has been true for years. This code [LOINC: 4548-4] should be used for reporting the HbA1c in the US. Other countries may report HbA1c measured by the IFCC protocol [LOINC: 59261-8], a protocol with results reported in units of mmol/mol. In Japan and parts of Spain it may be measured using the Japanese protocol. All three protocols produce different numeric values. Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations |
Webcontent | Lab Tests Online®Copyright Copyright © 2021 Lab Tests Online. All rights reserved. | Hemoglobin A1c |
Observation ID in Form
H14b
Fully-Specified Name
- Component
- Hemoglobin A1c/Hemoglobin.total
- Property
- MFr
- Time
- Pt
- System
- Bld
- Scale
- Qn
- Method
Additional Names
- Short Name
- HbA1c MFr Bld
- Display Name
- HbA1c (Bld) [Mass fraction]
- Consumer Name Alpha Get Info
- HbA1c/Total Hgb, Blood
Basic Attributes
- Class
- CHEM
- Type
- Laboratory
- First Released
- Version 1.0
- Last Updated
- Version 2.73
- Change Reason
- Release 2.70: CLASS: Changed Class from HEM/BC to CHEM as A1C tests are more correctly classified in CHEM.; Previous Releases: Changing from the property from Mass fraction to substance fraction has not effect on the meaning when the molecular weight of the numerator and the denominator are the same (for practical purposes). These terms had had a property of MFR in the past and we changed to SFR because we thought the LOINC community preferred SFR for HbA1c. But we mis understood the preference is to use the MFR variant- so we have changed back.
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 88
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 |
55399-0 | Diabetes tracking panel |
67868-0 | End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728 |
54037-7 | HEDIS 2009 panel |
57820-3 | HEDIS 2010 panel |
60442-1 | HEDIS 2011 panel |
67767-4 | HEDIS 2012 panel |
72199-3 | HEDIS 2013 panel |
74234-6 | HEDIS 2014 Value Sets |
75868-0 | HEDIS 2015 Value Sets |
79544-3 | HEDIS 2016 Value Sets |
82955-6 | HEDIS 2017 Value Sets |
87625-0 | HEDIS 2018 Value Sets |
90766-7 | HEDIS 2019 Value Sets |
94137-7 | HEDIS 2020 Value Sets |
96068-2 | HEDIS MY 2020 Value Sets |
43150-2 | Hemoglobin A1c measurement device panel |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG51070-7 | Hemoglobin A1c/Hemoglobin.total| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-DE | German (Germany) | Hämoglobin A1c/Hämoglobin.gesamt: Synonyms: HbA1c |
de-AT | German (Austria) | Synonyms: Hämoglobin A1c |
es-MX | Spanish (Mexico) | Hemoglobina A1c / Hemoglobina total: |
es-AR | Spanish (Argentina) | hemoglobina A1c/hemoglobina.total: |
es-ES | Spanish (Spain) | Hemoglobina A1c (Hemoglobina glicosilada)/Hemoglobina.total: Synonyms: Cuantitativo |
et-EE | Estonian (Estonia) | Hemoglobiin A1c/hemoglobiin.üld: Synonyms: Glükohemoglobiin Juhuslik Kvantitatiivne Veri |
fr-CA | French (Canada) | Hémoglobine A1c/Hémoglobine.totale: |
fr-FR | French (France) | Hémoglobine A1c/hémoglobine totale: |
fr-BE | French (Belgium) | Hémoglobine A1c/Hémoglobine.totale: Synonyms: Hb Hb.totale HbA1c |
it-IT | Italian (Italy) | Emoglobina A1c/Emoglobina.totale: Synonyms: Chimica Emoglobina A1c (HgB glicata ) Frazione di massa Punto nel tempo (episodio) Sangue |
ko-KR | Korean (Korea, Republic Of) | 혈색소 A1C/총혈색소: |
nl-NL | Dutch (Netherlands) | hemoglobine A1c/hemoglobine.totaal: |
pl-PL | Polish (Poland) | Hemoglobina A1c/hemoglobina całkowita: Synonyms: Hemoglobina A1c/Hemoglobina całkowita |
pt-BR | Portuguese (Brazil) | Hemoglobina A1c/Hemoglobina.total: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Гемоглобин А1с/Гемоглобин.общий: Synonyms: Количественный Кровь Массовая доля Точка во времени; |
tr-TR | Turkish (Turkey) | Hemoglobin A1c/Hemoglobin.total: |
uk-UA | Ukrainian (Ukraine) | Гемоглобін A1c/Гемоглобін загальний: Synonyms: Blood; |
zh-CN | Chinese (China) | 血红蛋白 A1c/血红蛋白.总计: Synonyms: GHb; |
Example Units
Unit | Source |
---|---|
% | Example UCUM Units |
% Hgb | REGENSTRIEF |
52483-5 Other
Fully-Specified Name
- Component
- Other
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
10230-1 Left Ventricular Ejection Fraction (%)
Part Descriptions
LP35012-1 Ejection fraction
In cardiovascular physiology, ejection fraction (Ef) is the fraction of blood pumped out of a ventricle with each heart beat. The term ejection fraction applies to both the right and left ventricles; one can speak equally of the left ventricular ejection fraction (LVEF) and the right ventricular ejection fraction (RVEF). Without a qualifier, the term ejection fraction refers specifically to that of the left ventricle.
Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details.
Source: Wikipedia, Ejection fraction (Wikipedia)
Observation ID in Form
H22b
Form Coding Instructions
This or prior setting acceptable
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Ejection fraction
- Property
- VFr
- Time
- Pt
- System
- Heart.ventricle.left
- Scale
- Qn
- Method
Additional Names
- Short Name
- LV EF
Basic Attributes
- Class
- HEMODYN.MOLEC
- Type
- Clinical
- First Released
- Version 1.0i
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 1325
Formula (Readable)
Ejection fraction=[(LV end-diastolic volume-LV end-systolic volume)/LV end-diastolic volume]*100
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 |
55405-5 | Heart failure tracking panel |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Fracción de eyección: |
es-AR | Spanish (Argentina) | fracción de eyección: |
fr-FR | French (France) | Fraction d'éjection: |
it-IT | Italian (Italy) | Frazione di eiezione: Synonyms: Emodinamica - molecolare FE Frazione di Volume Punto nel tempo (episodio) Ventricolo cardiaco Ventricolo cardiaco Sinistro |
pt-BR | Portuguese (Brazil) | Fração de ejeção: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Выброса фракция: Synonyms: Количественный Объемная фракция Точка во времени; |
zh-CN | Chinese (China) | 射血分数: Synonyms: EF; |
Example Units
Unit | Source |
---|---|
% | Example UCUM Units |
52484-3 Arterial Blood Gases (ABGs)
Fully-Specified Name
- Component
- Arterial Blood Gases (ABGs)
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52593-1 Please specify source and amount of supplemental O2
Term Description
e.g. room air, nasal cannula, trach collar
Source: Regenstrief LOINC
Observation ID in Form
H23d
Fully-Specified Name
- Component
- Oxygen therapy source and amount
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Please specify source and amount of supplemental O2
- Source
- CARE I.h23d
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 |
2744-1 pH of Arterial blood
Part Descriptions
LP14752-7 pH
pH is a measure of the acidity or basicity of a solution. It is defined as the cologarithm of dissolved hydrogen ions (H+). Hydrogen ion activity coefficients cannot be measured experimentally, so they are based on theoretical calculations. The pH scale is not an absolute one, it is relative to a set of internationally established standard solutions. pH 7.0 is considered neutral.
Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details.
Source: Wikipedia, pH
LP14752-7 pH
Potentia Hydrogenii, commonly known as pH, is a quantitative measurement of the acidity or basicity of a substance. A substance's pH value is based on a relative scale from 1-14 depending on the substance's proton ion concentration (H+). A higher proton ion concentration results in a lower pH value. Therefore, a pH value between 0 and 7 is an acidic substance whereas a pH value between 7 and 14 is an alkaline/basic substance. A pH value of exactly 7 is a neutral substance. [https://labtestsonline.org/understanding/analytes/SearchForm?Search=pH&action_ProcessSphinxSearchForm=Go] The specific pH value of the blood is crucial in maintaining bodily functions. When the blood pH value is below normal range it is called acidosis. When the blood pH value is above normal range, it is called alkadosis. Acidosis/alkadosis can be divided into two categories: metabolic and respiratory. [https://labtestsonline.org/understanding/analytes/blood-gases/tab/test/]
Source: Regenstrief LOINC
Observation ID in Form
H24b
Fully-Specified Name
- Component
- pH
- Property
- LsCnc
- Time
- Pt
- System
- BldA
- Scale
- SemiQn
- Method
Additional Names
- Short Name
- pH BldA
- Display Name
- pH (BldA)
- Consumer Name Alpha Get Info
- pH, Blood
Basic Attributes
- Class
- CHEM
- Type
- Laboratory
- First Released
- Version 1.0
- Last Updated
- Version 2.75
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 184
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 |
100847-3 | Gas and ammonia panel - Arterial blood |
93685-6 | Gas and Carbon monoxide and Electrolytes panel - Arterial blood |
24341-0 | Gas and Carbon monoxide panel - Arterial blood |
99548-0 | Gas and electrolytes panel - Arterial blood |
104074-0 | Gas and Lactate panel - Arterial blood |
24336-0 | Gas panel - Arterial blood |
75885-4 | IEEE 11073 Rosetta panel |
62611-9 | PhenX domain - Respiratory |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG345-5 | pH| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-DE | German (Germany) | pH: Synonyms: pH-Wert |
de-AT | German (Austria) | Synonyms: pH art. |
es-MX | Spanish (Mexico) | pH: |
es-AR | Spanish (Argentina) | pH: |
es-ES | Spanish (Spain) | pH: Synonyms: Semicuantitativo |
fr-FR | French (France) | pH: |
fr-CA | French (Canada) | pH: |
it-IT | Italian (Italy) | pH: Synonyms: Chimica Logaritmo della concentrazione molare Punto nel tempo (episodio) Sangue arterioso |
ko-KR | Korean (Korea, Republic Of) | pH: |
nl-NL | Dutch (Netherlands) | pH: |
pl-PL | Polish (Poland) | PH: |
pt-BR | Portuguese (Brazil) | pH: Synonyms: Log molar concentration; |
zh-CN | Chinese (China) | pH: Synonyms: 动脉血 化学; |
Example Units
Unit | Source |
---|---|
[pH] | Example UCUM Units |
2019-8 PaCO2 (mm/Hg)
Part Descriptions
LP15150-3 Carbon dioxide
CO2 content is a measurement of total CO2 in the blood. Most of it is in the form of bicarbonate (HCO3) controlled by the kidney. A small amount (5%) of CO2 is dissolved in the blood as insoluble carbonic acid (H2CO3). Changes in CO2 content generally relate to metabolic issues, renal function and unusual losses (diarrhea). Respiratory disease can ultimately effect CO2 content, but only slightly and only if prolonged. (Operational Medicine 2001, Arterial Blood Gas, Brookside Associates Medical Education Division)
Source: Regenstrief Institute
Observation ID in Form
H25b
Fully-Specified Name
- Component
- Carbon dioxide
- Property
- PPres
- Time
- Pt
- System
- BldA
- Scale
- Qn
- Method
Additional Names
- Short Name
- pCO2 BldA
- Display Name
- CO2 (BldA) [Partial pressure]
- Consumer Name Alpha Get Info
- Carbon Dioxide (CO2), Blood
Basic Attributes
- Class
- CHEM
- Type
- Laboratory
- First Released
- Version 1.0
- Last Updated
- Version 2.73
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 179
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 |
100847-3 | Gas and ammonia panel - Arterial blood |
93685-6 | Gas and Carbon monoxide and Electrolytes panel - Arterial blood |
24341-0 | Gas and Carbon monoxide panel - Arterial blood |
99548-0 | Gas and electrolytes panel - Arterial blood |
104074-0 | Gas and Lactate panel - Arterial blood |
24336-0 | Gas panel - Arterial blood |
75885-4 | IEEE 11073 Rosetta panel |
62611-9 | PhenX domain - Respiratory |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG344-8 | Carbon dioxide| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-AT | German (Austria) | Synonyms: pCO2 art. |
de-DE | German (Germany) | Kohlenstoffdioxid: |
es-MX | Spanish (Mexico) | Dióxido de carbono: |
es-AR | Spanish (Argentina) | dióxido de carbono: |
es-ES | Spanish (Spain) | Dioxido de carbono: Synonyms: Cuantitativo |
et-EE | Estonian (Estonia) | Süsinikdioksiid: Synonyms: Arteriaalne veri Juhuslik Kvantitatiivne Osarõhk |
fr-CA | French (Canada) | Dioxyde de carbone: |
fr-FR | French (France) | Carbone dioxyde: |
fr-BE | French (Belgium) | Dioxyde de carbone: Synonyms: CO2 |
it-IT | Italian (Italy) | Diossido di carbonio: Synonyms: Biossido di carbonio Chimica Pressione parziale Punto nel tempo (episodio) Sangue arterioso |
ko-KR | Korean (Korea, Republic Of) | 이산화 탄소: |
nl-NL | Dutch (Netherlands) | koolstofdioxide: |
pt-BR | Portuguese (Brazil) | Dióxido de carbono: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Углерода диоксид: Synonyms: Количественный Кровь артериальная Парциальное давление Точка во времени; |
tr-TR | Turkish (Turkey) | Karbon dioksit: |
zh-CN | Chinese (China) | 二氧化碳: Synonyms: cCO2; |
Example Units
Unit | Source |
---|---|
mm[Hg] | Example UCUM Units |
mm Hg | REGENSTRIEF |
1960-4 HCO3 (mEq/L)
Part Descriptions
LP15441-6 Bicarbonate
Bicarbonate is an electrolyte and typically measured along with other electrolytes (e.g. sodium, potassium, and chloride) to detect, evaluate, and monitor electrolyte imbalances. Low bicarbonate levels may occur in patients with Addison's disease, chronic diarrhea, diabetic ketoacidosis, and kidney disease. Increased levels may be seen in patients with severe vomiting, cushing syndrome, and metabolic alkalosis. Various drugs may also increase or decrease biocarbonate levels.[Lab Tests Online: co2]
Bicarbonate and total CO2 are not synonyms. Total CO2 = bicarbonate + CO2 + carbonic acid. Under normal circumstances, bicarbonate is the primary constituent of total CO2, however, in certain pathologic conditions, CO2 and/or carbonic acid contribute a clinically significant fraction of the total.
Source: Regenstrief LOINC
Observation ID in Form
H26b
Fully-Specified Name
- Component
- Bicarbonate
- Property
- SCnc
- Time
- Pt
- System
- BldA
- Scale
- Qn
- Method
Additional Names
- Short Name
- HCO3 BldA-sCnc
- Display Name
- HCO3 (BldA) [Moles/Vol]
- Consumer Name Alpha Get Info
- Bicarbonate, Blood
Basic Attributes
- Class
- CHEM
- Type
- Laboratory
- First Released
- Version 1.0
- Last Updated
- Version 2.73
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 198
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 |
100847-3 | Gas and ammonia panel - Arterial blood |
93685-6 | Gas and Carbon monoxide and Electrolytes panel - Arterial blood |
24341-0 | Gas and Carbon monoxide panel - Arterial blood |
99548-0 | Gas and electrolytes panel - Arterial blood |
104074-0 | Gas and Lactate panel - Arterial blood |
24336-0 | Gas panel - Arterial blood |
75885-4 | IEEE 11073 Rosetta panel |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG2807-8 | Bicarbonate| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-AT | German (Austria) | Synonyms: Bikarbonat art. |
de-DE | German (Germany) | Bicarbonat: Synonyms: HCO3 |
es-MX | Spanish (Mexico) | Bicarbonato: |
es-AR | Spanish (Argentina) | bicarbonato: |
es-ES | Spanish (Spain) | Bicarbonato: Synonyms: Cuantitativo |
et-EE | Estonian (Estonia) | Vesinikkarbonaat: Synonyms: Aine kontsentratsioon Arteriaalne veri Bikarbonaat Juhuslik Kvantitatiivne |
fr-CA | French (Canada) | Bicarbonates: |
fr-FR | French (France) | Bicarbonate: |
fr-BE | French (Belgium) | Bicarbonates: Synonyms: HCO3- |
it-IT | Italian (Italy) | Bicarbonato: Synonyms: Chimica Concentrazione di Sostanza Punto nel tempo (episodio) Sangue arterioso |
ko-KR | Korean (Korea, Republic Of) | 중탄산염: |
nl-NL | Dutch (Netherlands) | bicarbonaat: |
pt-BR | Portuguese (Brazil) | Bicarbonato: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Бикарбонат: Synonyms: Количественный Кровь артериальная Молярность; |
tr-TR | Turkish (Turkey) | Bikarbonat: |
zh-CN | Chinese (China) | 碳酸氢盐: Synonyms: BIC; |
Example Units
Unit | Source |
---|---|
mmol/L | Example UCUM Units |
mmol/L | REGENSTRIEF |
2703-7 PaO2 (mm/Hg)
Observation ID in Form
H27b
Fully-Specified Name
- Component
- Oxygen
- Property
- PPres
- Time
- Pt
- System
- BldA
- Scale
- Qn
- Method
Additional Names
- Short Name
- pO2 BldA
- Display Name
- Oxygen (BldA) [Partial pressure]
- Consumer Name Alpha Get Info
- Oxygen, Blood
Basic Attributes
- Class
- CHEM
- Type
- Laboratory
- First Released
- Version 1.0
- Last Updated
- Version 2.73
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 196
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 |
100847-3 | Gas and ammonia panel - Arterial blood |
93685-6 | Gas and Carbon monoxide and Electrolytes panel - Arterial blood |
24341-0 | Gas and Carbon monoxide panel - Arterial blood |
99548-0 | Gas and electrolytes panel - Arterial blood |
104074-0 | Gas and Lactate panel - Arterial blood |
24336-0 | Gas panel - Arterial blood |
75885-4 | IEEE 11073 Rosetta panel |
62611-9 | PhenX domain - Respiratory |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-DE | German (Germany) | Sauerstoff: |
de-AT | German (Austria) | Synonyms: pO2 art. |
es-MX | Spanish (Mexico) | Oxígeno: |
es-AR | Spanish (Argentina) | oxígeno: |
es-ES | Spanish (Spain) | Oxígeno: Synonyms: Cuantitativo |
et-EE | Estonian (Estonia) | Hapnik: Synonyms: Arteriaalne veri Juhuslik Kvantitatiivne Osarõhk |
fr-CA | French (Canada) | Oxygène: |
fr-FR | French (France) | Oxygène: |
fr-BE | French (Belgium) | Oxygène: Synonyms: O2 |
it-IT | Italian (Italy) | Ossigeno: Synonyms: Chimica Pressione parziale Punto nel tempo (episodio) Sangue arterioso |
ko-KR | Korean (Korea, Republic Of) | 산소: |
nl-NL | Dutch (Netherlands) | zuurstof: |
pl-PL | Polish (Poland) | Tlen: |
pt-BR | Portuguese (Brazil) | Oxigênio: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Кислород: Synonyms: Количественный Кровь артериальная Парциальное давление Точка во времени; |
tr-TR | Turkish (Turkey) | Oksijen: |
zh-CN | Chinese (China) | 氧: Synonyms: O2; |
Example Units
Unit | Source |
---|---|
mm[Hg] | Example UCUM Units |
mm Hg | REGENSTRIEF |
2708-6 SaO2 (%)
Part Descriptions
LP21258-6 Oxygen saturation
Oxygen saturation (sO2) is defined as the ratio of oxyhemoglobin to "active" hemoglobin (oxyhemoglobin + deoxyhemoglobin). Some say the term oxygen saturation has been erroneously redefined with a denominator of "total" instead of "active" hemoglobin, an ambiguity that can sometimes create confusion when viewing reported values from different instruments (Anesth Analg. 2007 Dec;105(6 Suppl):S5-9.) Oxygen saturation is commonly measured by blood gas analyzers and pulse oximetry.
Source: Regenstrief LOINC
Reference Information
Type | Source | Reference |
---|---|---|
Mapping Guidance | Regenstrief Help | Functional oxygen saturation (SO2) Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations |
Observation ID in Form
H28b
Fully-Specified Name
- Component
- Oxygen saturation
- Property
- MFr
- Time
- Pt
- System
- BldA
- Scale
- Qn
- Method
Additional Names
- Short Name
- SaO2 % BldA
- Display Name
- SaO2% (BldA) [Mass fraction]
- Consumer Name Alpha Get Info
- SaO2%, Blood
Basic Attributes
- Class
- CHEM
- Type
- Laboratory
- First Released
- Version 1.0
- Last Updated
- Version 2.73
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 248
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 |
100847-3 | Gas and ammonia panel - Arterial blood |
93685-6 | Gas and Carbon monoxide and Electrolytes panel - Arterial blood |
24341-0 | Gas and Carbon monoxide panel - Arterial blood |
99548-0 | Gas and electrolytes panel - Arterial blood |
24336-0 | Gas panel - Arterial blood |
75885-4 | IEEE 11073 Rosetta panel |
84428-2 | National EMS Information System - version 3 set |
87825-6 | National Trauma Data Standard - version 2018 set |
89544-1 | Pulmonary Embolism Rule-out Criteria panel PERC |
89694-4 | Pulmonary Embolism Severity Index panel [PESI] |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG33051-0 | Oxygen saturation| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-DE | German (Germany) | Sauerstoffsättigung: Synonyms: O2-Sättigung |
de-AT | German (Austria) | Synonyms: O2-Sättigung art. |
es-MX | Spanish (Mexico) | Saturación de oxígeno: |
es-AR | Spanish (Argentina) | saturación de oxígeno: |
es-ES | Spanish (Spain) | Saturación de Oxígeno: Synonyms: Cuantitativo |
et-EE | Estonian (Estonia) | Hapnikuga küllastatus: Synonyms: Arteriaalne veri Juhuslik Kvantitatiivne |
fr-CA | French (Canada) | Saturation en oxygène: |
fr-FR | French (France) | Oxygène saturation: |
fr-BE | French (Belgium) | Saturation en oxygène: Synonyms: O2 SatO2 |
it-IT | Italian (Italy) | Saturazione dell'ossigeno: Synonyms: Chimica Frazione di massa Punto nel tempo (episodio) Sangue arterioso |
nl-NL | Dutch (Netherlands) | zuurstofverzadiging: |
pl-PL | Polish (Poland) | Wysycenie tlenem: |
pt-BR | Portuguese (Brazil) | Saturação de Oxigênio: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Кислородом сатурация: Synonyms: Количественный Кровь артериальная Массовая доля Насыщение кислородом Точка во времени; |
tr-TR | Turkish (Turkey) | Oksijen satürasyonu: Synonyms: Oksijen doymuşluğu |
zh-CN | Chinese (China) | 氧饱和度: Synonyms: MFr O2; |
Example Units
Unit | Source |
---|---|
% | Example UCUM Units |
% | REGENSTRIEF |
1925-7 B.E. (base excess) (mEq/dL)
Part Descriptions
LP15429-1 Base excess
Base excess refers to the amount of a strong acid required to bring back the blood pH to the normal value of 7.4. The term and concept were first introduced by Astrup and Siggaard-Andersen in 1958 as a way to measure the metabolic component of an acid-base disturbance.
Actual versus standard:
In vivo, acid-base homeostasis takes place throughout the extracellular fluid (ECF), not just the blood compartment that is in a patient specimen. The concept of "standard" base excess attempts to adjust for the base excess of the entire extracellular compartment by calculating the base excess for blood diluted as if the entire extracellular compartment were sampled (approx Hgb of 5g/l). So the ACTUAL base excess (ABE) is the dose of acid to return PLASMA to normal pH, whereas the STANDARD base excess (SBE) is the dose to return ECF to normal pH.
Adjusting for oxygen saturation:
Base excess normally assumes 100% oxygen saturation, which is valid for many arterial specimens. However, it is possible to add additional terms to the calculation which account for the actual oxygen saturation of the patient sample. The terms in LOINC indicating 'Base excess.100% oxygenated' are intended to encode base excess terms adjusted for oxygen saturation (i.e. do not assume 100% oxygenation).
Source: Regenstrief LOINC
Observation ID in Form
H29b
Fully-Specified Name
- Component
- Base excess
- Property
- SCnc
- Time
- Pt
- System
- BldA
- Scale
- Qn
- Method
- Calculated
Additional Names
- Short Name
- Base excess BldA Calc-sCnc
- Display Name
- Base excess Calc (BldA) [Moles/Vol]
- Consumer Name Alpha Get Info
- Base excess, Blood
Basic Attributes
- Class
- CHEM
- Type
- Laboratory
- First Released
- Version 1.0
- Last Updated
- Version 2.73
- Order vs. Observation
- Observation
- Common Test Rank Get Info
- 360
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 |
100847-3 | Gas and ammonia panel - Arterial blood |
93685-6 | Gas and Carbon monoxide and Electrolytes panel - Arterial blood |
24341-0 | Gas and Carbon monoxide panel - Arterial blood |
99548-0 | Gas and electrolytes panel - Arterial blood |
104074-0 | Gas and Lactate panel - Arterial blood |
24336-0 | Gas panel - Arterial blood |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-AT | German (Austria) | Synonyms: Base excess art. |
de-DE | German (Germany) | Basenüberschuss: |
es-MX | Spanish (Mexico) | Exceso de base: |
es-AR | Spanish (Argentina) | exceso de bases: |
es-ES | Spanish (Spain) | Exceso de base: Synonyms: Cuantitativo |
et-EE | Estonian (Estonia) | Aluste liig: Synonyms: Aine kontsentratsioon Arteriaalne veri Juhuslik Kvantitatiivne |
fr-CA | French (Canada) | Excès de base: |
fr-FR | French (France) | Base excès: |
fr-BE | French (Belgium) | Excès de base: |
it-IT | Italian (Italy) | Basi, eccesso: Synonyms: Chimica Concentrazione di Sostanza Eccesso di basi Punto nel tempo (episodio) Sangue arterioso |
ko-KR | Korean (Korea, Republic Of) | 염기 과잉: |
nl-NL | Dutch (Netherlands) | base-overschot: |
pt-BR | Portuguese (Brazil) | Excesso de base: Synonyms: Base ex; |
ru-RU | Russian (Russian Federation) | Оснований избыток: Synonyms: Количественный Кровь артериальная Молярность; |
tr-TR | Turkish (Turkey) | Baz fazlalığı: |
zh-CN | Chinese (China) | 碱剩余: Synonyms: ABE BE; |
Example Units
Unit | Source |
---|---|
mmol/L | Example UCUM Units |
mmol/L | REGENSTRIEF |
52485-0 Pulmonary Function Tests
Fully-Specified Name
- Component
- Pulmonary Function Tests
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
19870-5 FVC (liters)
Part Descriptions
LP72220-4 Forced vital capacity
Forced vital capacity (FVC) is the volume of air that can forcibly be blown out after full inspiration, measured in liters. FVC is the most basic maneuver in spirometry tests.
Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details.
Source: Wikipedia, Wikipedia
Observation ID in Form
H31b
Fully-Specified Name
- Component
- Forced vital capacity
- Property
- Vol
- Time
- Pt
- System
- Respiratory system
- Scale
- Qn
- Method
Additional Names
- Short Name
- FVC Vol Respiratory
Basic Attributes
- Class
- PULM
- Type
- Clinical
- First Released
- Version 1.0l
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 3755
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 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Capacidad vital forzada: |
es-AR | Spanish (Argentina) | capacidad.vital.forzada: |
it-IT | Italian (Italy) | Capacità vitale forzata: Synonyms: Gestione ventilazione polmonare Punto nel tempo (episodio) Volume |
pt-BR | Portuguese (Brazil) | Capacidade.vital.forçada: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Форсированная жизненная ёмкость: Synonyms: Количественный Объем Точка во времени; |
zh-CN | Chinese (China) | 用力肺活量: Synonyms: forced vital capacity; |
Example Units
Unit | Source |
---|---|
L | Example UCUM Units |
19926-5 FEV1% or FEV1/FVC (%)
Part Descriptions
LP140652-1 Volume expired during 1.0 s of forced expiration
The forced expiratory volume in one second (FEV1) is the volume of air that can be exhaled in one second. It is usually measured as part of the forced vital capacity (FVC), which is the total amount of air that can be exhaled in a full forced exhalation. The pattern of FVC, FEV1, and the FEV1/FVC ratio can be used together to determine the type of respiratory disease. A normal or low FVC with an FEV1/FVC of <0.7 indicates obstructive pulmonary disease, while low FVC and FEV1/FVC of >0.7 indicates respiratory disease. Normal values for FEV1 and FVC vary based on several factors including age, sex, height, and weight. PMID: 15023009
Source: Regenstrief LOINC
LP91339-9 Volume expired during 1.0 s of forced expiration/Forced vital capacity
FEV1/FVC (FEV1%) is the ratio of FEV1 to FVC. In healthy adults this should be approximately 75-80%. In obstructive diseases (asthma, COPD, chronic bronchitis, emphysema) FEV1 is diminished because of increased airway resistance to expiratory flow; the FVC may be decreased as well, due to the premature closure of airway in expiration, just not in the same proportion as FEV1 (for instance, both FEV1 and FVC are reduced, but the former is more affected because of the increased airway resistance). This generates a reduced value (<80%, often ~45%). In restrictive diseases (such as pulmonary fibrosis) the FEV1 and FVC are both reduced proportionally and the value may be normal or even increased as a result of decreased lung compliance.
A derived value of FEV1% is FEV1% predicted, which is defined as FEV1% of the patient divided by the average FEV1% in the population for any person of similar age, sex and body composition.
Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details.
Source: Wikipedia, Wikipedia
Observation ID in Form
H32b
Fully-Specified Name
- Component
- Volume expired during 1.0 s of forced expiration/Forced vital capacity
- Property
- VRto
- Time
- Pt
- System
- Respiratory system
- Scale
- Qn
- Method
Additional Names
- Short Name
- FEV1/FVC
Basic Attributes
- Class
- PULM
- Type
- Clinical
- First Released
- Version 1.0l
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 1240
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 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Volumen expirado durante 1.0 s de espiración forzada / Capacidad vital forzada: |
es-AR | Spanish (Argentina) | volumen espiratorio.forzado en el primer segundo/capacidad vital.forzada: |
it-IT | Italian (Italy) | Volume espirato durante 1,0Secondi di espirazione forzata/Capacità vitale forzata: Synonyms: CVF FEV1 Gestione ventilazione polmonare Punto nel tempo (episodio) Rapporto di Volume Volume espirato |
pt-BR | Portuguese (Brazil) | Volume expiratório^forçado no 1º seg/Capacidade vital.forçada: Synonyms: ; |
ru-RU | Russian (Russian Federation) | FEV1/Форсированная жизненная ёмкость: Synonyms: Количественный Объём выдоха за 1,0 с форсированный выдох Объём отношение Точка во времени; |
zh-CN | Chinese (China) | 用力呼气 1.0 秒过程中所呼出的体积/用力肺活量: Synonyms: forced vital capacity forced vital capacity; |
Example Units
Unit | Source |
---|---|
% | Example UCUM Units |
20150-9 FEV1 (liters)
Part Descriptions
LP140652-1 Volume expired during 1.0 s of forced expiration
The forced expiratory volume in one second (FEV1) is the volume of air that can be exhaled in one second. It is usually measured as part of the forced vital capacity (FVC), which is the total amount of air that can be exhaled in a full forced exhalation. The pattern of FVC, FEV1, and the FEV1/FVC ratio can be used together to determine the type of respiratory disease. A normal or low FVC with an FEV1/FVC of <0.7 indicates obstructive pulmonary disease, while low FVC and FEV1/FVC of >0.7 indicates respiratory disease. Normal values for FEV1 and FVC vary based on several factors including age, sex, height, and weight. PMID: 15023009
Source: Regenstrief LOINC
Observation ID in Form
H33b
Fully-Specified Name
- Component
- Volume expired during 1.0 s of forced expiration
- Property
- Vol
- Time
- Pt
- System
- Respiratory system
- Scale
- Qn
- Method
Additional Names
- Short Name
- FEV1
Basic Attributes
- Class
- PULM
- Type
- Clinical
- First Released
- Version 1.0m
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 1342
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 |
62611-9 | PhenX domain - Respiratory |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Volumen expirado durante 1.0 s de expiración forzada: |
es-AR | Spanish (Argentina) | volumen^al primer segundo después de la espiración forzada: |
it-IT | Italian (Italy) | Volume espirato durante 1,0Secondi di espirazione forzata: Synonyms: FEV1 Gestione ventilazione polmonare Punto nel tempo (episodio) Volume Volume espirato |
pt-BR | Portuguese (Brazil) | Volume^expiratório forçado em 1,0 seg: Synonyms: ; |
ru-RU | Russian (Russian Federation) | FEV1: Synonyms: Количественный Объем Объём выдоха за 1,0 с форсированный выдох Точка во времени; |
zh-CN | Chinese (China) | 用力呼气 1.0 秒过程中所呼出的体积: Synonyms: S 型 体积.呼气; |
Example Units
Unit | Source |
---|---|
L | Example UCUM Units |
33452-4 PEF (liters per minute)
Term Description
Peak Expiratory Flow Rate
Source: Regenstrief LOINC
Part Descriptions
LP76210-1 Expiratory gas flow.max
Peak expiratory flow (PEF) is the maximal flow (or speed) achieved during the maximally forced expiration initiated at full expiration, measured in liters per minute.
Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details.
Source: Wikipedia, Wikipedia
Observation ID in Form
H34b
Fully-Specified Name
- Component
- Expiratory gas flow.max
- Property
- VRat
- Time
- Pt
- System
- Respiratory system.airway
- Scale
- Qn
- Method
Additional Names
- Short Name
- PEF Airway
Basic Attributes
- Class
- PULM
- Type
- Clinical
- First Released
- Version 2.09
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 12775
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 |
62611-9 | PhenX domain - Respiratory |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Caudal de gas espiratorio máx.: |
es-AR | Spanish (Argentina) | flujo de gas espiratorio.máximo: |
it-IT | Italian (Italy) | Gas espiratori, flusso.massimo: Synonyms: Flusso di gas Flusso massimo di gas Flusso massimo di gas espiratori Gestione ventilazione polmonare Massimo Punto nel tempo (episodio) Tasso di Volume Via aeree dell''apparato respiratorio |
pt-BR | Portuguese (Brazil) | Pico de fluxo expiratório máximo: Synonyms: Maximum; |
ru-RU | Russian (Russian Federation) | Выдох газ поток.max: Synonyms: Количественный Максимум Объемная скорость Точка во времени; |
zh-CN | Chinese (China) | 呼气气体流量.最大值: Synonyms: 体积速率(单位时间); |
Example Units
Unit | Source |
---|---|
L/min | Example UCUM Units |
20159-0 MVV (liters per minute)
Part Descriptions
LP75978-4 Voluntary ventilation.max
Maximum voluntary ventilation (MVV) is a measure of the maximum amount of air that can be inhaled and exhaled within one minute. For the comfort of the patient this is done over a 15 second time period before being extrapolated to a value for one minute expressed as liters/minute. Average values for males and females are 140-180 and 80-120 liters per minute respectively.
Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details.
Source: Wikipedia, Wikipedia
Observation ID in Form
H35b
Fully-Specified Name
- Component
- Voluntary ventilation.max
- Property
- VRat
- Time
- Pt
- System
- Respiratory system
- Scale
- Qn
- Method
Additional Names
- Short Name
- MVV
Basic Attributes
- Class
- PULM
- Type
- Clinical
- First Released
- Version 1.0m
- Last Updated
- Version 2.48
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 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Ventilación voluntaria máx.: |
es-AR | Spanish (Argentina) | ventilación voluntaria.máximo: |
it-IT | Italian (Italy) | Ventilazione volontaria.massimo: Synonyms: Gestione ventilazione polmonare Massimo Punto nel tempo (episodio) Tasso di Volume Ventilazione volontaria massima |
pt-BR | Portuguese (Brazil) | Ventilação voluntária.máxima: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Произвольная вентиляция.max: Synonyms: Количественный Максимум Объемная скорость Точка во времени; |
zh-CN | Chinese (China) | 自主通气.最大值: Synonyms: 体积速率(单位时间); |
Example Units
Unit | Source |
---|---|
L/min | Example UCUM Units |
19862-2 TLC (liters)
Part Descriptions
LP76186-3 Capacity.total
Total lung capacity (TLC) is the volume of air in the lungs at maximum inflation. TLC can be derived as the sum of the vital capacity (VC), the largest volume a patient can exhale after a full inhalation, and residual volume (RV), the volume of air remaining in the lungs after maximum exhalation). Functional residual capacity (FRC) is the volume of air remaining in the lungs after normal exhalation. Restrictive lung diseases, such as pulmonary fibrosis and neonatal respiratory distress syndrome, generally lead to a decrease in various lung volumes, while obstructive lung diseases, such as asthma, are associated with preserved total volumes. However, obstructive disease may be associated with high RV values, which may also be expressed as RV/TLC, which represents RV as a percentage of TLC.
Source: Regenstrief LOINC
Observation ID in Form
H36b
Fully-Specified Name
- Component
- Capacity.total
- Property
- Vol
- Time
- Pt
- System
- Respiratory system
- Scale
- Qn
- Method
Additional Names
- Short Name
- TLC
Basic Attributes
- Class
- PULM
- Type
- Clinical
- First Released
- Version 1.0l
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 4295
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 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Capacidad total: |
es-AR | Spanish (Argentina) | capacidad.total: |
es-ES | Spanish (Spain) | Capacidad.total: Synonyms: Cuantitativo Muestra respiratoria Tracto respiratorio |
it-IT | Italian (Italy) | Capacità.totale: Synonyms: Gestione ventilazione polmonare Punto nel tempo (episodio) Volume |
pt-BR | Portuguese (Brazil) | Capacidade pulmonar.total: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Ёмкость.общий: Synonyms: Количественный Объем Точка во времени; |
zh-CN | Chinese (China) | 容量.总计: Synonyms: 体积; |
Example Units
Unit | Source |
---|---|
mL;L | Example UCUM Units |
19843-2 FRC (liters)
Part Descriptions
LP72216-2 Capacity.functional residual
Total lung capacity (TLC) is the volume of air in the lungs at maximum inflation. TLC can be derived as the sum of the vital capacity (VC), the largest volume a patient can exhale after a full inhalation, and residual volume (RV), the volume of air remaining in the lungs after maximum exhalation). Functional residual capacity (FRC) is the volume of air remaining in the lungs after normal exhalation. Restrictive lung diseases, such as pulmonary fibrosis and neonatal respiratory distress syndrome, generally lead to a decrease in various lung volumes, while obstructive lung diseases, such as asthma, are associated with preserved total volumes. However, obstructive disease may be associated with high RV values, which may also be expressed as RV/TLC, which represents RV as a percentage of TLC.
Source: Regenstrief LOINC
Observation ID in Form
H37b
Fully-Specified Name
- Component
- Capacity.functional residual
- Property
- Vol
- Time
- Pt
- System
- Respiratory system
- Scale
- Qn
- Method
Additional Names
- Short Name
- FRC
Basic Attributes
- Class
- PULM
- Type
- Clinical
- First Released
- Version 1.0l
- Last Updated
- Version 2.48
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 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Capacidad residual funcional: |
es-AR | Spanish (Argentina) | capacidad.residual funcional: |
it-IT | Italian (Italy) | Capacità.funzionale residua: Synonyms: Capacità funzionale residua Gestione ventilazione polmonare Punto nel tempo (episodio) Volume |
pt-BR | Portuguese (Brazil) | Capacidade.residual funcional: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Ёмкость.функциональная остаточная: Synonyms: Количественный Объем Точка во времени; |
zh-CN | Chinese (China) | 容量.功能性残气: Synonyms: 体积; |
Example Units
Unit | Source |
---|---|
L | Example UCUM Units |
20146-7 RV (liters)
Part Descriptions
LP73708-7 Volume.residual
Total lung capacity (TLC) is the volume of air in the lungs at maximum inflation. TLC can be derived as the sum of the vital capacity (VC), the largest volume a patient can exhale after a full inhalation, and residual volume (RV), the volume of air remaining in the lungs after maximum exhalation). Functional residual capacity (FRC) is the volume of air remaining in the lungs after normal exhalation. Restrictive lung diseases, such as pulmonary fibrosis and neonatal respiratory distress syndrome, generally lead to a decrease in various lung volumes, while obstructive lung diseases, such as asthma, are associated with preserved total volumes. However, obstructive disease may be associated with high RV values, which may also be expressed as RV/TLC, which represents RV as a percentage of TLC.
Source: Regenstrief LOINC
Observation ID in Form
H38b
Fully-Specified Name
- Component
- Volume.residual
- Property
- Vol
- Time
- Pt
- System
- Respiratory system
- Scale
- Qn
- Method
Additional Names
- Short Name
- Residual vol
Basic Attributes
- Class
- PULM
- Type
- Clinical
- First Released
- Version 1.0m
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 7619
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 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Volumen.residual: |
es-AR | Spanish (Argentina) | volumen.residual: |
it-IT | Italian (Italy) | Volume.residuo: Synonyms: Gestione ventilazione polmonare Punto nel tempo (episodio) Volume |
pt-BR | Portuguese (Brazil) | Volume.residual: Synonyms: RV; |
ru-RU | Russian (Russian Federation) | Объём.остаточный: Synonyms: Количественный Объем Точка во времени; |
zh-CN | Chinese (China) | 体积.残余: Synonyms: 体积; |
Example Units
Unit | Source |
---|---|
L | Example UCUM Units |
19924-0 ERV (liters)
Part Descriptions
LP75974-3 Expiratory reserve Vol
Expiratory reserve volume (ERV) is the maximal volume of air that can be exhaled from the end-expiratory position
Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details.
Source: Wikipedia, Wikipedia
Observation ID in Form
H39b
Fully-Specified Name
- Component
- Expiratory reserve
- Property
- Vol
- Time
- Pt
- System
- Respiratory system
- Scale
- Qn
- Method
Additional Names
- Short Name
- Expiratory reserve
Basic Attributes
- Class
- PULM
- Type
- Clinical
- First Released
- Version 1.0l
- Last Updated
- Version 2.48
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 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Reserva espiratoria: |
es-AR | Spanish (Argentina) | reserva espiratoria: |
it-IT | Italian (Italy) | Riserva espiratoria: Synonyms: Gestione ventilazione polmonare Punto nel tempo (episodio) Volume |
pt-BR | Portuguese (Brazil) | Reserva expiratória: Synonyms: ER; |
ru-RU | Russian (Russian Federation) | Выдох резерв: Synonyms: Количественный Объем Резерв выдоха Точка во времени; |
zh-CN | Chinese (China) | 呼气储备: Synonyms: 体积; |
Example Units
Unit | Source |
---|---|
L | Example UCUM Units |
69339-0 Influenza vaccine during assessment period [CMS Assessment]
Fully-Specified Name
- Component
- Influenza vaccine
- Property
- -
- Time
- RptPeriod
- System
- ^Patient
- Scale
- -
- Method
- CMS Assessment
Basic Attributes
- Class
- PANEL.SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.78
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Changed method from CARE so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG
- Order vs. Observation
- Subset
- Panel Type
- Organizer
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 |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
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] |
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] |
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] |
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] |
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] |
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] |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 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] |
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] |
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] |
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] |
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] |
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] |
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] |
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] |
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] |
55019-4 Influenza virus vaccine received in facility during assessment period [CMS Assessment]
Fully-Specified Name
- Component
- Influenza virus vaccine received in facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Changed method from MDSv3 and removed Survey Question Text and Source so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG
- Order vs. Observation
- Observation
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 |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
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 |
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] |
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] |
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] |
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] |
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] |
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 |
46076-6 | Deprecated Minimum Data Set (MDS) supplemental items section - version 2.0 |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 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] |
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] |
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] |
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] |
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] |
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] |
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] |
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] |
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] |
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG32757-3 | Influenza virus |
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.
58131-4 Date of influenza vaccination
Fully-Specified Name
- Component
- Date of influenza vaccination
- Property
- Date
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
Additional Names
- Short Name
- Flu vaccine date
- Consumer Name Alpha Get Info
- Date of influenza vaccination
Basic Attributes
- Class
- CLIN
- Type
- Clinical
- First Released
- Version 2.29
- Last Updated
- Version 2.63
- Change Reason
- Changed method from MDSv3 so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG; Updated component to follow new vaccination term convention: Date of X vaccination; Removed METHOD because term is generic; Changed CLASS from SURVEY.MDS to CLIN.
- Order vs. Observation
- Observation
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 |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
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] |
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] |
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] |
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] |
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] |
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 |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 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] |
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] |
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] |
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] |
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] |
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] |
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] |
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] |
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] |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Fecha de vacunación contra la influenza: |
it-IT | Italian (Italy) | Data di vaccinazione influenzale: Synonyms: Clinico paziente Punto nel tempo (episodio) |
zh-CN | Chinese (China) | 流行性感冒疫苗接种日期: Synonyms: 医疗服务对象; |
Example Units
Unit | Source |
---|---|
{mm/dd/yyyy} | Example UCUM Units |
55020-2 If influenza vaccine not received, state reason:
Fully-Specified Name
- Component
- Reason influenza virus vaccine not received
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Nom
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Changed method from MDSv3 so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG
- Order vs. Observation
- Observation
Normative Answer List LL676-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Resident not in facility during this year's flu season | 1 | LA12666-6 | |
Received outside of this facility | 2 | LA184-4 | |
Not eligible - medical contraindication | 3 | LA11091-8 | |
Offered and declined | 4 | LA186-9 | |
Not offered | 5 | LA187-7 | |
Inability to obtain vaccine due to declared shortage | 6 | LA12156-8 | |
None of the above | 9 | LA9-3 |
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 |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
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 |
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] |
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] |
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] |
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] |
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] |
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 |
46076-6 | Deprecated Minimum Data Set (MDS) supplemental items section - version 2.0 |
57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
57193-5 | Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 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] |
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] |
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] |
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] |
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] |
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] |
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] |
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] |
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] |
55021-0 Pneumococcal vaccine
Fully-Specified Name
- Component
- Pneumococcal vaccine
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- PANEL.SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.74
- Change Reason
- Changed Class from SURVEY.MDS to PANEL.SURVEY.CMS
- Order vs. Observation
- Subset
- Common Test Rank Get Info
- 6230
- Panel Type
- Organizer
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 |
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] |
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] |
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] |
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] |
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] |
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 |
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] |
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] |
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] |
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] |
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] |
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] |
55022-8 Is the resident's Pneumococcal Vaccination up to date?
Observation ID in Form
O0300A
Fully-Specified Name
- Component
- Pneumococcal vaccination up to date
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Changed method from MDSv3 so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.;Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments
- Order vs. Observation
- Observation
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 |
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] |
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] |
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] |
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] |
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] |
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 |
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] |
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] |
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] |
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] |
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] |
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] |
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.
45956-0 Reason pneumococcal vaccine not received during assessment period [CMS Assessment]
Fully-Specified Name
- Component
- Reason pneumococcal vaccine not received
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Nom
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.17
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from MDS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
- Order vs. Observation
- Observation
Normative Answer List LL677-6
Answer | Code | Score | Answer ID |
---|---|---|---|
Not eligible - medical contraindication | 1 | LA11091-8 | |
Offered and declined | 2 | LA186-9 | |
Not offered | 3 | LA187-7 |
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 |
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 |
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 |
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] |
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] |
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] |
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] |
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] |
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 |
46076-6 | Deprecated Minimum Data Set (MDS) supplemental items section - version 2.0 |
86264-9 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] |
86259-9 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [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] |
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] |
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] |
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] |
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] |
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] |
88371-0 | Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment] |
88367-8 | Outcome and assessment information set (OASIS) form - version D, D1 - Transfer to inpatient facility - patient discharged or not discharged during assessment period [CMS Assessment] |
69375-4 Cognitive status, mood, pain
Observation ID in Form
IV
Fully-Specified Name
- Component
- Cognitive status, mood, pain - acute
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- CARE
Basic Attributes
- Class
- PANEL.SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.64
- Panel Type
- Panel
Member of these Panels
LOINC | Long Common Name |
---|---|
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
55762-9 Comatose
Observation ID in Form
A
Fully-Specified Name
- Component
- Comatose
- 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 |
---|---|
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 |
45482-7 Persistent vegetative state/no discrenible consciousness at the time of admission
Term Description
(Persistent vegetative state/no discernible consciousness)
Source: Regenstrief LOINC
Observation ID in Form
A1
Type of Entry
Question expects user entry - requires response [Q]
Skip Logic
If Yes, skip to G6. Pain Observational Assessment.
Form Coding Instructions
Complete during the 2-day assessment period
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Comatose
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.MDS
- Type
- Surveys
- First Released
- Version 2.17
- Last Updated
- Version 2.77
- Change Reason
- Release 2.69: METHOD_TYP: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC Committee.;
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 |
---|---|
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
46102-0 | Deprecated MDS quarterly assessment form - version 2.0 |
46103-8 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III |
46104-6 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update |
Copyright
- Organization
- interRAI
- Copyright
- InterRAI holds the copyright to Version 2.0 of the RAI for long term care outside of the US. Supplemental help and contextual information for MDS items in LOINC was derived from Version 2.0 of the RAI/MDS manual, and should not be reproduced outside of the United States without permission of InterRAI. Within the US, Version 2.0 is in the public domain.
- Terms of Use
- As a not for profit corporation under the US Tax Code, interRAI holds the copyright to a number of assessment systems, including the Resident Assessment Instrument (RAI) for long term care facilities outside of the US (the RAI is in the public domain within the US), as well as the assessment systems for Home Care (HC), Assisted Living (AL), Palliative Care (PC), Mental Health (MH) (outside of Canada), and Acute Care (RAI-AC). The scales, algorithms, and case-mix measures based on these assessment instruments cannot be copyrighted and are thus available to everyone (although the individual items on which they are based are usually copyrighted). The major clauses of our royalty-free licenses follow: * the instrument is not to be changed substantially (excepting individual identifiers and demographics); * the license is limited to non-commercial use (i.e., the instrument will not be not incorporated into products to be sold to others); * no royalties will be charged; * the organization will make appropriate efforts to inform others of the copyright status of the instrument; * interRAI's logo and copyright notice are to appear on the form; * authors, author institutions, and translators (as appropriate) are to be acknowledged in any document where authors would regularly be indicated (e.g., publication of a training manual); * publication of any training manual is limited to the period until a commercially-published version is available; * data from use of the instrument are to be shared with interRAI, subject to existing laws on confidentiality. Commercial use usually requires royalties. In this instance, interRAI may omit the data requirement, but retains the other requirements for a logo, attribution, etc. We will be pleased in any contract negotiations to acknowledge the participation of individuals or organizations which have played a substantial role in getting the instrument to the point of implementation. For more information on licensing with interRAI, please contact the president of the Board: Brant E. Fries, Ph.D. Institute of Gerontology University of Michigan 300 North Ingalls Ann Arbor, Michigan USA 48109 Email: bfries@umich.edu
- URL
- http://www.interrai.org
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.
69350-7 Temporal orientation &or mental status
Observation ID in Form
B
Fully-Specified Name
- Component
- Temporal orientation &or mental status - acute
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- CARE
Basic Attributes
- Class
- PANEL.SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.64
- Panel Type
- Panel
Member of these Panels
LOINC | Long Common Name |
---|---|
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52489-2 Interview Attempted
Observation ID in Form
B1
Fully-Specified Name
- Component
- Interview attempted
- 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 |
---|---|
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 |
52594-9 Interview attempted
Observation ID in Form
B1a
Skip Logic
If Yes, skip to B2. BIMS.
Fully-Specified Name
- Component
- Brief interview for mental status was attempted
- 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
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 |
---|---|
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.
52595-6 Indicate reason that the interview was not attempted
Observation ID in Form
B1b
Skip Logic
If interview not attempted, Skip to Section C. Observational Assessment of Cognitive Status:
Fully-Specified Name
- Component
- Reason brief interview for mental status was not attempted
- 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
Normative Answer List LL558-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Unresponsive or minimally conscious | 1 | LA10112-3 | |
Communication disorder | 2 | LA9950-2 | |
No interpreter available | 3 | LA10023-2 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
55759-5 Temporal Orientation - CARE Acute Care
Observation ID in Form
B2
Skip Logic
Any score with an asterisk will require the completion of D. Confusion Assessment Method.
Fully-Specified Name
- Component
- Temporal Orientation - CARE Acute Care
- 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 |
---|---|
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52732-5 Temporal orientation - current year [BIMS]
Observation ID in Form
B2a
Skip Logic
If answered 1. Missed by 2 to 5 years, or 0. Missed by more than 5 years or no answer, complete D. Confusion Assessment Method.
Fully-Specified Name
- Component
- Temporal orientation - current year
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- BIMS
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.63
- Order vs. Observation
- Observation
Normative Answer List LL643-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Correct | 3 | LA9960-1 | |
Missed by 1 year | 2 | LA10008-3 | |
Missed by 2-5 years | 1 | LA10966-2 | |
Missed by > 5 years or no answer | 0 | LA10965-4 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
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] |
86870-3 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) 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] |
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] |
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] |
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] |
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] |
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 |
52733-3 Temporal orientation - current month [BIMS]
Observation ID in Form
B2b
Skip Logic
If answered 1. Missed by 6 days to 1 month, or 0. Missed by more than 1 month or no answer, complete D. Confusion Assessment Method.
Fully-Specified Name
- Component
- Temporal orientation - current month
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- BIMS
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.63
- Change Reason
- Removed "Observed." from method to follow convention of other survey terms
- Order vs. Observation
- Observation
Normative Answer List LL644-6
Answer | Code | Score | Answer ID |
---|---|---|---|
Accurate within 5 days | 2 | LA9927-0 | |
Missed by 6 days to 1 month | 1 | LA10010-9 | |
Missed by > 1 month or no answer | 0 | LA10969-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
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] |
86870-3 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) 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] |
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] |
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] |
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] |
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] |
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 |
52494-2 Observational Assessment of Cognitive Status
Observation ID in Form
C
Skip Logic
Complete this section only if patient could not be interviewed.
Form Coding Instructions
Complete during the 2-day assessment period
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Observational Assessment of Cognitive Status at 2D Assessment Period
- Property
- -
- Time
- 2D
- 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 |
---|---|
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 |
52596-4 Memory/recall ability
Observation ID in Form
C1
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Memory &or recall ability during 2D assessment period
- Property
- Find
- Time
- 2D
- 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 LL566-1
Answer | Code | Score | Answer ID |
---|---|---|---|
Current season | a | LA9962-7 | |
Location of own room | b | LA9998-1 | |
Staff names and faces | c | LA10085-1 | |
That he or she is in a hospital, nursing home, or home | d | LA10093-5 | |
None of the above are recalled | e | LA10031-5 | |
Unable to assess. Specify reason | f | LA10106-5 |
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
52597-2 Specify reason
Observation ID in Form
C1f
Fully-Specified Name
- Component
- Unable to assess memory &or recall ability during 2D assessment period .specified reason
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
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 |
---|---|
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 |
52495-9 Confusion Assessment Method (CAM)
Reference Information
Type | Source | Reference |
---|---|---|
Article | NCBI PubMed | Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Link to PubMed |
Observation ID in Form
D
Skip Logic
Complete this section only if patient scored 0 or 1 on B2a. Or B2b. Code the following behaviors during the 2-day assessment period. Indicate the status regardless of cause.
Fully-Specified Name
- Component
- Confusion Assessment Method (CAM)
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- Observed.CAM.CARE
Basic Attributes
- Class
- PANEL.SURVEY.CAM
- Type
- Surveys
- First Released
- Version 2.24
- Last Updated
- Version 2.64
- Panel Type
- Panel
Member of these Panels
LOINC | Long Common Name |
---|---|
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 |
Copyright
- Organization
- Dr. SK Inouye
- Copyright
- Copyright © 2003 Sharon K. Inouye, M.D., MPH. Adapted from: Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Confusion Assessment Method: Training Manual and Coding Guide.
- Terms of Use
- Used with permission.
- URL
- https://www.hospitalelderlifeprogram.org/
52738-2 Inattention
Term Description
The patient has difficulty focusing attention (e.g., easily distracted, out of touch, or difficulty keeping track of what is said).
Source: Regenstrief LOINC
Reference Information
Type | Source | Reference |
---|---|---|
Article | NCBI PubMed | Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Link to PubMed |
Observation ID in Form
D1
Fully-Specified Name
- Component
- Inattention during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- Observed.CAM.CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.54
Normative Answer List LL567-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Behavior is not present. | 0 | LA9938-7 | |
Behavior continuously present does not fluctuate. | 1 | LA9937-9 | |
Behavior present, fluctuates (e.g., comes and goes, changes in severity). | 2 | LA9939-5 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52495-9 | Confusion Assessment Method (CAM) |
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 |
Copyright
- Organization
- Dr. SK Inouye
- Copyright
- Copyright © 2003 Sharon K. Inouye, M.D., MPH. Adapted from: Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Confusion Assessment Method: Training Manual and Coding Guide.
- Terms of Use
- Used with permission.
- URL
- https://www.hospitalelderlifeprogram.org/
52739-0 Disorganized thinking
Term Description
The patient's thinking is disorganized or incoherent (e.g., rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching of topics or ideas).
Source: Regenstrief LOINC
Reference Information
Type | Source | Reference |
---|---|---|
Article | NCBI PubMed | Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Link to PubMed |
Observation ID in Form
D2
Fully-Specified Name
- Component
- Disorganized thinking during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- Observed.CAM.CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.54
Normative Answer List LL567-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Behavior is not present. | 0 | LA9938-7 | |
Behavior continuously present does not fluctuate. | 1 | LA9937-9 | |
Behavior present, fluctuates (e.g., comes and goes, changes in severity). | 2 | LA9939-5 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52495-9 | Confusion Assessment Method (CAM) |
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 |
Copyright
- Organization
- Dr. SK Inouye
- Copyright
- Copyright © 2003 Sharon K. Inouye, M.D., MPH. Adapted from: Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Confusion Assessment Method: Training Manual and Coding Guide.
- Terms of Use
- Used with permission.
- URL
- https://www.hospitalelderlifeprogram.org/
52740-8 Altered level of consciousness/alertness
Term Description
The patient has an altered level of consciousness: vigilant (e.g., startles easily to any sound or touch), lethargic (e.g., repeatedly dozes off when asked questions, but responds to voice or touch), stuporous (e.g., very difficult to arouse and keep arou
Source: Regenstrief LOINC
Reference Information
Type | Source | Reference |
---|---|---|
Article | NCBI PubMed | Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Link to PubMed |
Observation ID in Form
D3
Fully-Specified Name
- Component
- Altered level of consciousness &or alertness during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- Observed.CAM.CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.54
Normative Answer List LL567-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Behavior is not present. | 0 | LA9938-7 | |
Behavior continuously present does not fluctuate. | 1 | LA9937-9 | |
Behavior present, fluctuates (e.g., comes and goes, changes in severity). | 2 | LA9939-5 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52495-9 | Confusion Assessment Method (CAM) |
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 |
Copyright
- Organization
- Dr. SK Inouye
- Copyright
- Copyright © 2003 Sharon K. Inouye, M.D., MPH. Adapted from: Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Confusion Assessment Method: Training Manual and Coding Guide.
- Terms of Use
- Used with permission.
- URL
- https://www.hospitalelderlifeprogram.org/
52741-6 Psychomotor retardation
Term Description
Patient has an unusually decreased level of activity (e.g., sluggishness, staring into space, staying in one position, moving very slowly).
Source: Regenstrief LOINC
Reference Information
Type | Source | Reference |
---|---|---|
Article | NCBI PubMed | Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Link to PubMed |
Observation ID in Form
D4
Fully-Specified Name
- Component
- Psychomotor retardation during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- Observed.CAM.CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.29
- Last Updated
- Version 2.54
Normative Answer List LL567-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Behavior is not present. | 0 | LA9938-7 | |
Behavior continuously present does not fluctuate. | 1 | LA9937-9 | |
Behavior present, fluctuates (e.g., comes and goes, changes in severity). | 2 | LA9939-5 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52495-9 | Confusion Assessment Method (CAM) |
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 |
Copyright
- Organization
- Dr. SK Inouye
- Copyright
- Copyright © 2003 Sharon K. Inouye, M.D., MPH. Adapted from: Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Confusion Assessment Method: Training Manual and Coding Guide.
- Terms of Use
- Used with permission.
- URL
- https://www.hospitalelderlifeprogram.org/
52500-6 Pain
Observation ID in Form
G
Form Coding Instructions
Complete during the 2-day assessment period
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Pain
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52603-8 Pain Interview Attempted?
Observation ID in Form
G1
Skip Logic
If No, skip to G6. Pain Observational Assessment.
Fully-Specified Name
- Component
- Pain interview was attempted
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Pain Interview Attempted?
- Source
- CARE I.g01
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.
52604-6 Pain Presence. Ask patient: "Have you had pain or hurting at any time during the last 2 days?"
Observation ID in Form
G2
Skip Logic
If No, skip to Section V. Impairments. If Unable, skip to G6. Pain Observational Assessment.
Fully-Specified Name
- Component
- Pain presence during last 2D
- 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
- Pain Presence. Ask patient: "Have you had pain or hurting at any time during the last 2 days?"
- Source
- CARE I.g02
Normative Answer List LL569-5
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 | |
Unable to answer or no response | 8 | LA10104-0 |
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 |
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.
52742-4 Pain Severity. Ask patient: "Please rate your worst pain during the last 2 days on a zero to 10 scale, with zero being no pain and 10 as the worst pain you can imagine."
Observation ID in Form
G3
Skip Logic
If patient does not answer or is unable to respond and skip to G6. Pain Observational Assessment.
Form Coding Instructions
Enter 88 if patient does not answer or is unable to respond
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Pain severity during last 2D
- Property
- Score
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- Reported
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.52
Survey Question
- Text
- Please rate your worst pain during the last 2 days on a zero to 10 scale, with zero being no pain and 10 as the worst pain you can imagine.
- Source
- CARE I.g03
Preferred Answer List LL571-1
Answer | Code | Score | Answer ID |
---|---|---|---|
0 | 0 | LA6111-4 | |
1 | 1 | LA6112-2 | |
2 or more | 2 | LA6113-0 | |
3 | 3 | LA6114-8 | |
4 | 4 | LA6115-5 | |
5 | 5 | LA10137-0 | |
6 | 6 | LA10138-8 | |
7 | 7 | LA10139-6 | |
8 | 8 | LA10140-4 | |
9 | 9 | LA10141-2 | |
10 | 10 | LA13942-0 | |
Patient does not answer or is unable to respond | 88 | LA10056-2 |
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 |
52605-3 Pain Effect on Sleep. Ask patient: "During the past 2 days, has pain made it hard for you to sleep?"
Observation ID in Form
G4
Fully-Specified Name
- Component
- Pain has made it hard to sleep during last 2D
- 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
- Pain Effect on Sleep. Ask patient: "During the past 2 days, has pain made it hard for you to sleep?"
- Source
- CARE I.g04
Normative Answer List LL569-5
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 | |
Unable to answer or no response | 8 | LA10104-0 |
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 |
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.
52606-1 Pain Effect on Activities. Ask patient: "During the past 2 days, have you limited your activities because of pain?"
Observation ID in Form
G5
Fully-Specified Name
- Component
- Limited activities because of pain during last 2D
- 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
- Pain Effect on Activities. Ask patient: "During the past 2 days, have you limited your activities because of pain?"
- Source
- CARE I.g05
Normative Answer List LL569-5
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 | |
Unable to answer or no response | 8 | LA10104-0 |
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 |
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.
52607-9 Pain Observational Assessment. If the patient could not be interviewed for pain assessment, check all indicators of of pain or possible pain
Observation ID in Form
G6
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
Pain Observational Assessment. If patient could not be interviewed for pain assessment, check all indicators of pain or possible pain Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Pain Observational Assessment
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL572-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Non-verbal sounds (e.g., crying, whining, gasping, moaning, or groaning) | A | LA10034-9 | |
Vocal complaints of pain (e.g., that hurts, ouch, stop) | B | LA10116-4 | |
Facial expressions (e.g., grimaces, winces, wrinkled forehead, furrowed brow, clenched teeth or jaw) | C | LA9968-4 | |
Protective body movements or postures (e.g., bracing, guarding, rubbing or massaging a body part/area, clutching or holding a body part during movement) | D | LA10063-8 | |
None of these signs observed or documented | E | LA10032-3 |
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 |
52502-2 Impairments
Observation ID in Form
V
Fully-Specified Name
- Component
- Impairments
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52503-0 Bladder and Bowel Management - Use of Device(s) and Incontinence
Observation ID in Form
A
Form Coding Instructions
Complete during the 2-day assessment period
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Bladder and Bowel Management - Use of Device(s) and Incontinence
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52608-7 Does the patient have any impairments with bladder or bowel management (e.g., use of a device or incontinence)?
Observation ID in Form
A1
Skip Logic
If No, skip to Section B. Swallowing. If Yes, please complete this section.
Fully-Specified Name
- Component
- Impairments with bladder or bowel management
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed and Answer List Type changed to Example because this generic term can be used across contexts
Survey Question
- Text
- Does the patient have any impairments with bladder or bowel management (e.g., use of a device or incontinence)?
- Source
- CARE I.a01
Example Answer List LL251-0
Answer | Code | Score | Answer ID |
---|---|---|---|
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | 1 | LA33-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52609-5 Bladder - Does this patient use an external or indwelling device or require intermittent catheterization?
Observation ID in Form
A2a
Fully-Specified Name
- Component
- Bladder - external or indwelling device or intermittent catheterization
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Bladder - Does this patient use an external or indwelling device or require intermittent catheterization?
- Source
- CARE I.a02a
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.
52610-3 Bowel - Does this patient use an external or indwelling device or require intermittent catheterization?
Observation ID in Form
A2b
Fully-Specified Name
- Component
- Bowel - external or indwelling device or intermittent catheterization
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Bowel - Does this patient use an external or indwelling device or require intermittent catheterization?
- Source
- CARE I.a02b
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.
52611-1 Bladder - Indicate the frequency of incontinence.
Observation ID in Form
A3a
Fully-Specified Name
- Component
- Bladder - frequency of incontinence 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
- Bladder - Indicate the frequency of incontinence.
- Source
- CARE I.a03a
Normative Answer List LL724-6
Answer | Code | Score | Answer ID |
---|---|---|---|
Continent (no documented incontinence) | 0 | LA9956-9 | |
Stress incontinence only (bladder only) | 1 | LA10088-5 | |
Incontinence less than daily | 2 | LA11689-9 | |
Incontinence daily (at least once a day) | 3 | LA11690-7 | |
Always continent | 4 | LA11042-1 | |
No urine/bowel output (e.g., renal failure) | 5 | LA10024-0 | |
Not applicable (e.g., indwelling catheter) | 9 | LA11693-1 |
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 |
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 |
52612-9 Bowel - Indicate the frequency of incontinence.
Observation ID in Form
A3b
Fully-Specified Name
- Component
- Bowel - frequency of incontinence 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
- Bowel - Indicate the frequency of incontinence.
- Source
- CARE I.a03b
Normative Answer List LL724-6
Answer | Code | Score | Answer ID |
---|---|---|---|
Continent (no documented incontinence) | 0 | LA9956-9 | |
Stress incontinence only (bladder only) | 1 | LA10088-5 | |
Incontinence less than daily | 2 | LA11689-9 | |
Incontinence daily (at least once a day) | 3 | LA11690-7 | |
Always continent | 4 | LA11042-1 | |
No urine/bowel output (e.g., renal failure) | 5 | LA10024-0 | |
Not applicable (e.g., indwelling catheter) | 9 | LA11693-1 |
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 |
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 |
52613-7 Bladder - Does the patient need assistance to manage equipment or devices related to bladder or bowel care (e.g., urinal, bedpan, indwelling catheter, intermittent catheterization, ostomy, incontinence pads/undergarments)?
Observation ID in Form
A4a
Fully-Specified Name
- Component
- Bladder - needs assistance to manage bladder care equipment
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Bladder - Does the patient need assistance to manage equipment or devices related to bladder or bowel care (e.g., urinal, bedpan, indwelling catheter, intermittent catheterization, ostomy, incontinence pads/undergarments)?
- Source
- CARE I.a04a
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.
52614-5 Bowel - Does the patient need assistance to manage equipment or devices related to bladder or bowel care (e.g., urinal, bedpan, indwelling catheter, intermittent catheterization, ostomy, incontinence pads/undergarments)?
Observation ID in Form
A4b
Fully-Specified Name
- Component
- Bowel - needs assistance to manage bowel care equipment
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Bowel - Does the patient need assistance to manage equipment or devices related to bladder or bowel care (e.g., urinal, bedpan, indwelling catheter, intermittent catheterization, ostomy, incontinence pads/undergarments)?
- Source
- CARE I.a05b
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.
52615-2 Bladder - If the patient is incontinent or has an indwelling device, was the patient incontinent (excluding stress incontinence) immediately prior to the current illness, exacerbation, or injury?
Observation ID in Form
A5a
Fully-Specified Name
- Component
- Bladder - incontinent immediately prior to current illness, exacerbation, or injury
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Bladder - If the patient is incontinent or has an indwelling device, was the patient incontinent (excluding stress incontinence) immediately prior to the current illness, exacerbation, or injury?
- Source
- CARE I.a05a
Normative Answer List LL208-0
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 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52616-0 Bowel - If the patient is incontinent or has an indwelling device, was the patient incontinent (excluding stress incontinence) immediately prior to the current illness, exacerbation, or injury?
Observation ID in Form
A5b
Fully-Specified Name
- Component
- Bowel - incontinent immediately prior to current illness, exacerbation, or injury
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Bowel - If the patient is incontinent or has an indwelling device, was the patient incontinent (excluding stress incontinence) immediately prior to the current illness, exacerbation, or injury?
- Source
- CARE I.a05b
Normative Answer List LL208-0
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 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52504-8 Swallowing
Observation ID in Form
B
Form Coding Instructions
Complete during the 2-day assessment period
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Swallowing
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52618-6 Does the patient have any signs or symptoms of a possible swallowing disorder?
Observation ID in Form
B1
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Swallowing disorder
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Does the patient have any signs or symptoms of a possible swallowing disorder?
- Source
- CARE I.B1
Normative Answer List LL574-5
Answer | Code | Score | Answer ID |
---|---|---|---|
Complaints of difficulty or pain with swallowing | a | LA9952-8 | |
Coughing or choking during meals or when swallowing medications | b | LA9961-9 | |
Holding food in mouth/cheeks or residual food in mouth after meals | c | LA9977-5 | |
Loss of liquids/solids from mouth when eating or drinking | d | LA10001-8 | |
NPO: intake not by mouth | e | LA10043-0 | |
Other (specify) | f | LA6310-2 | |
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) | g | LA137-2 |
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 |
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.
52619-4 Other (specify)
Observation ID in Form
B1f
Fully-Specified Name
- Component
- Swallowing disorder.other specified
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Other (specify)
- Source
- CARE I.b01f.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 |
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 |
52620-2 Describe the patient's usual ability with swallowing.
Observation ID in Form
B2
Form Coding Instructions
Check one option only
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Swallowing usual ability
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Describe the patient's usual ability with swallowing.
- Source
- CARE I.B2
Normative Answer List LL575-2
Answer | Code | Score | Answer ID |
---|---|---|---|
Regular food: solids and liquids swallowed safely without supervision and without modified food or liquid consistency. | A | LA10070-3 | |
Modified food consistency/supervision: Patient requires modified food or liquid consistency and/or needs supervision during eating for safety. | B | LA10013-3 | |
Tube/parenteral feeding: Tube/parenteral feeding used wholly or partially as a means of sustenance. | C | LA10103-2 |
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 |
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 |
52505-5 Hearing, Vision, and Communication
Observation ID in Form
C
Form Coding Instructions
Complete during the 2-day assessment period
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Hearing, Vision, and Communication
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52621-0 Does the patient have any impairments with hearing, vision, or communication?
Observation ID in Form
C1
Skip Logic
If No impairments, skip to Section D. Weight-bearing. If Yes, please complete this section.
Fully-Specified Name
- Component
- Any impairments with hearing, vision, or communication
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed and Answer List Type changed to Example because this generic term can be used across contexts
Survey Question
- Text
- Does the patient have any impairments with hearing, vision, or communication?
- Source
- CARE I.c01
Example Answer List LL251-0
Answer | Code | Score | Answer ID |
---|---|---|---|
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | 1 | LA33-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52622-8 Understanding verbal content - excluding language barriers [CARE]
Observation ID in Form
C1a
Fully-Specified Name
- Component
- Understanding verbal content - excluding language barriers
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL576-0
Answer | Code | Score | Answer ID |
---|---|---|---|
Understands: clear comprehension without cues or repetitions | 4 | LA10110-7 | |
Usually understands: understands most conversations, but misses some part/intent of message. Requires cues at times to understand | 3 | LA10113-1 | |
Sometimes understands: understands only basic conversations or simple, direct phrases. Frequently requires cues to understand | 2 | LA10083-6 | |
Rarely/never understands | 1 | LA81-5 | |
Unable to assess | 8 | LA10105-7 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52623-6 Expression of ideas and wants [CARE]
Observation ID in Form
C1b
Fully-Specified Name
- Component
- Expression of ideas and wants
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL577-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Expresses complex messages without difficulty and with speech that is clear and easy to understand | 4 | LA9967-6 | |
Exhibits some difficulty with expressing needs and ideas (e.g., some words or finishing thoughts) or speech is not clear | 3 | LA9966-8 | |
Frequently exhibits difficulty with expressing needs and ideas | 2 | LA9972-6 | |
Rarely/Never expresses self or speech is very difficult to understand. | 1 | LA10067-9 | |
Unable to assess | 8 | LA10105-7 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52624-4 Ability to see in adequate light (with glasses or other visual appliances)
Observation ID in Form
C1c
Fully-Specified Name
- Component
- Seeing in adequate light - with glasses or other visual appliances
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL578-6
Answer | Code | Score | Answer ID |
---|---|---|---|
Adequate: Sees fine detail, including regular print in newspapers/books | 3 | LA9930-4 | |
Mildly to Moderately Impaired: Can identify objects; may see large print | 2 | LA10006-7 | |
Severely Impaired: No vision or object identification questionable | 1 | LA10077-8 | |
Unable to assess | 8 | LA10105-7 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52625-1 Ability to hear (with hearing aid or hearing appliance, if normally used)
Observation ID in Form
C1d
Fully-Specified Name
- Component
- Hearing - with hearing aid or hearing appliance if normally used
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL579-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Adequate: Hears normal conversation and TV without difficulty | 3 | LA9929-6 | |
Mildly to Moderately Impaired: Difficulty hearing in some environments or speaker may need to increase volume or speak distinctly | 2 | LA10007-5 | |
Severely Impaired: Absence of useful hearing | 1 | LA10076-0 | |
Unable to assess | 8 | LA10105-7 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | 9 | LA4489-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52677-2 Medication management-oral medications during two day assessment period [CARE]
Term Description
The ability to prepare and take all prescribed oral medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals.
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Medication management-oral medications during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL587-7
Answer | Code | Score | Answer ID |
---|---|---|---|
Independent - Patient completes the activity by themself with no assistance from a helper. | 6 | LA9983-3 | |
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity. | 5 | LA10073-7 | |
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently. | 4 | LA11757-4 | |
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort. | 3 | LA10055-4 | |
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. | 2 | LA10090-1 | |
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task. | 1 | LA9964-3 | |
Not attempted due to medical condition | M | LA10039-8 | |
Not attempted due to safety concerns | S | LA10040-6 | |
Not attempted due to environmental constraints | E | LA10038-0 | |
Task attempted but not completed | A | LA10092-7 | |
Not applicable | N | LA4720-4 | |
Patient refused | P | LA10058-8 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52679-8 Medication management-injectable medications during two day assessment period [CARE]
Term Description
The ability to prepare and take all prescribed injectable medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals.
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Medication management-injectable medications during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL587-7
Answer | Code | Score | Answer ID |
---|---|---|---|
Independent - Patient completes the activity by themself with no assistance from a helper. | 6 | LA9983-3 | |
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity. | 5 | LA10073-7 | |
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently. | 4 | LA11757-4 | |
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort. | 3 | LA10055-4 | |
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. | 2 | LA10090-1 | |
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task. | 1 | LA9964-3 | |
Not attempted due to medical condition | M | LA10039-8 | |
Not attempted due to safety concerns | S | LA10040-6 | |
Not attempted due to environmental constraints | E | LA10038-0 | |
Task attempted but not completed | A | LA10092-7 | |
Not applicable | N | LA4720-4 | |
Patient refused | P | LA10058-8 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52506-3 Weight-bearing
Observation ID in Form
D
Form Coding Instructions
Complete during the 2-day assessment period
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Weight-bearing
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52626-9 Does the patient have any clinician-ordered weight-bearing or limb/spinal loading restrictions( including upper body lift, push, pull, or carry restrictions)?
Observation ID in Form
D1
Skip Logic
If No impairments, skip to Section E. Grip Strength. If Yes, please complete this section.
Fully-Specified Name
- Component
- Any impairments with weight-bearing
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed and Answer List Type changed to Example because this generic term can be used across contexts
Survey Question
- Text
- Does the patient have any clinician-ordered weight-bearing or limb/spinal loading restrictions( including upper body lift, push, pull, or carry restrictions)?
- Source
- CARE I.d01
Example Answer List LL251-0
Answer | Code | Score | Answer ID |
---|---|---|---|
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | 1 | LA33-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52507-1 Weight-bearing restrictions panel
Observation ID in Form
CODING
Form Coding Instructions
CODING: Indicate all the patient's weight-bearing restrictions
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
Indicate all the patient's weight-bearing restrictions
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Weight-bearing restrictions panel
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- PANEL.SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52627-7 Upper Extremity - Left
Observation ID in Form
D1a
Form Coding Instructions
CODING: Indicate all the patient's weight-bearing restrictions
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Weight-bearing restrictions during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- Upper extremity.left
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL580-2
Answer | Code | Score | Answer ID |
---|---|---|---|
Fully weight-bearing: No clinician ordered restrictions | 1 | LA9973-4 | |
Not fully weight-bearing: Patient has clinician ordered restrictions | 0 | LA10042-2 |
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 |
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 |
52628-5 Upper Extremity - Right
Observation ID in Form
D1b
Form Coding Instructions
CODING: Indicate all the patient's weight-bearing restrictions
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Weight-bearing restrictions during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- Upper extremity.right
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL580-2
Answer | Code | Score | Answer ID |
---|---|---|---|
Fully weight-bearing: No clinician ordered restrictions | 1 | LA9973-4 | |
Not fully weight-bearing: Patient has clinician ordered restrictions | 0 | LA10042-2 |
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 |
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 |
52629-3 Lower Extremity - Left
Observation ID in Form
D1c
Form Coding Instructions
CODING: Indicate all the patient's weight-bearing restrictions
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Weight-bearing restrictions during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- Lower extremity.left
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL580-2
Answer | Code | Score | Answer ID |
---|---|---|---|
Fully weight-bearing: No clinician ordered restrictions | 1 | LA9973-4 | |
Not fully weight-bearing: Patient has clinician ordered restrictions | 0 | LA10042-2 |
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 |
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 |
52630-1 Lower Extremity - Right
Observation ID in Form
D1d
Form Coding Instructions
CODING: Indicate all the patient's weight-bearing restrictions
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Weight-bearing restrictions during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- Lower extremity.right
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL580-2
Answer | Code | Score | Answer ID |
---|---|---|---|
Fully weight-bearing: No clinician ordered restrictions | 1 | LA9973-4 | |
Not fully weight-bearing: Patient has clinician ordered restrictions | 0 | LA10042-2 |
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 |
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 |
52508-9 Grip strength
Observation ID in Form
E
Form Coding Instructions
Complete during the 2-day assessment period
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Grip Strength
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52631-9 Does the patient have any impairments with grip strength (e.g. reduced/limited or absent)?
Observation ID in Form
E1
Skip Logic
If No impairments, skip to Section F. Repiratory Status. If Yes, please complete this section.
Fully-Specified Name
- Component
- Any impairments with grip strength
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed and Answer List Type changed to Example because this generic term can be used across contexts
Survey Question
- Text
- Does the patient have any impairments with grip strength (e.g. reduced/limited or absent)?
- Source
- CARE I.e01
Example Answer List LL251-0
Answer | Code | Score | Answer ID |
---|---|---|---|
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | 1 | LA33-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52509-7 Grip strength panel
Observation ID in Form
CODING
Form Coding Instructions
CODING: Indicate the patient's ability to squeeze your hand
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
Indicate the patient's ability to squeeze your hand
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Grip strength panel
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- PANEL.SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52632-7 Left Hand
Observation ID in Form
E1a
Form Coding Instructions
CODING: Indicate the patient's ability to squeeze your hand
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Grip strength during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- Hand.left
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL581-0
Answer | Code | Score | Answer ID |
---|---|---|---|
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value) | 2 | LA6626-1 | |
Reduced/Limited | 1 | LA10068-7 | |
Absent Copyright http://snomed.info/sct ID:2667000 Absent (qualifier value) | 0 | LA9634-2 |
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 |
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.
52633-5 Right Hand
Observation ID in Form
E1b
Form Coding Instructions
CODING: Indicate the patient's ability to squeeze your hand
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Grip strength during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- Hand.right
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL581-0
Answer | Code | Score | Answer ID |
---|---|---|---|
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value) | 2 | LA6626-1 | |
Reduced/Limited | 1 | LA10068-7 | |
Absent Copyright http://snomed.info/sct ID:2667000 Absent (qualifier value) | 0 | LA9634-2 |
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 |
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.
52510-5 Respiratory status
Observation ID in Form
F
Form Coding Instructions
Complete during the 2-day assessment period
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Respiratory status
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- PANEL.SURVEY.MDS
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.68
- 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 |
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 |
57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
fr-FR | French (France) | Statut respiratoire: |
52634-3 Does the patient have any impairments with respiratory status?
Observation ID in Form
F1
Skip Logic
If No impairments, skip to Section G. Endurance. If Yes, please complete this section.
Fully-Specified Name
- Component
- Any impairments with respiratory status
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed and Answer List Type changed to Example because this generic term can be used across contexts
Survey Question
- Text
- Does the patient have any impairments with respiratory status?
- Source
- CARE I.f01
Example Answer List LL251-0
Answer | Code | Score | Answer ID |
---|---|---|---|
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | 1 | LA33-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52635-0 Respiratory status with supplemental oxygen
Fully-Specified Name
- Component
- Respiratory status with oxygen therapy 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
- Respiratory Status With Supplemental O2: Was the patient dyspneic or noticeably short of breath?
- Source
- CARE I.f01a
Normative Answer List LL582-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Severe, with evidence the patient is struggling to breathe at rest | 5 | LA10075-2 | |
Mild at rest (during day or night) | 4 | LA10005-9 | |
With minimal exertion (for example, while eating, talking, or performing other ADLs) or with agitation | 3 | LA6445-6 | |
With moderate exertion (e.g., while dressing, using commode or bedpan, walking between rooms) | 2 | LA10122-2 | |
When climbing stairs | 1 | LA10121-4 | |
Never, patient was not short of breath | 0 | LA10020-8 | |
Not assessed (e.g., on ventilator) | 8 | LA10035-6 | |
Not applicable | 9 | LA4720-4 |
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 |
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 |
52636-8 Respiratory status without supplemental oxygen
Observation ID in Form
F1b
Fully-Specified Name
- Component
- Respiratory status without oxygen therapy 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
- Respiratory Status Without Supplemental O2: Was the patient dyspneic or noticeably short of breath?
- Source
- CARE I.f01b
Normative Answer List LL582-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Severe, with evidence the patient is struggling to breathe at rest | 5 | LA10075-2 | |
Mild at rest (during day or night) | 4 | LA10005-9 | |
With minimal exertion (for example, while eating, talking, or performing other ADLs) or with agitation | 3 | LA6445-6 | |
With moderate exertion (e.g., while dressing, using commode or bedpan, walking between rooms) | 2 | LA10122-2 | |
When climbing stairs | 1 | LA10121-4 | |
Never, patient was not short of breath | 0 | LA10020-8 | |
Not assessed (e.g., on ventilator) | 8 | LA10035-6 | |
Not applicable | 9 | LA4720-4 |
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 |
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 |
52511-3 Endurance
Observation ID in Form
G
Form Coding Instructions
Complete during the 2-day assessment period
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Endurance
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52637-6 Does the patient have any impairments with endurance?
Observation ID in Form
G1
Skip Logic
If No impairments, skip to Section H. Mobility Devices and Aides Needed. If Yes, please complete this section.
Fully-Specified Name
- Component
- Any impairments with endurance
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed and Answer List Type changed to Example because this generic term can be used across contexts
Survey Question
- Text
- Does the patient have any impairments with endurance?
- Source
- CARE I.g01
Example Answer List LL251-0
Answer | Code | Score | Answer ID |
---|---|---|---|
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | 1 | LA33-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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.
52638-4 Mobility Endurance: Was the patient able to walk or wheel 50 feet (15 meters)?
Observation ID in Form
G1a
Fully-Specified Name
- Component
- Mobility endurance - able to walk or wheel 50 feet 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
- Mobility Endurance: Was the patient able to walk or wheel 50 feet (15 meters)?
- Source
- CARE I.g01a
Normative Answer List LL583-6
Answer | Code | Score | Answer ID |
---|---|---|---|
No, could not do | 0 | LA10026-5 | |
Yes, can do with rest | 1 | LA10128-9 | |
Yes, can do without rest | 2 | LA10129-7 | |
Not assessed due to medical restriction | 8 | LA10036-4 |
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 |
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 |
52639-2 Sitting Endurance: Was the patient able to tolerate sitting for 15 minutes?
Observation ID in Form
G1b
Fully-Specified Name
- Component
- Sitting endurance - able to tolerate sitting for 15M 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
- Sitting Endurance: Was the patient able to tolerate sitting for 15 minutes?
- Source
- CARE I.g01b
Normative Answer List LL584-4
Answer | Code | Score | Answer ID |
---|---|---|---|
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
Yes, with support | 1 | LA10135-4 | |
Yes, without support | 2 | LA10136-2 | |
Not assessed due to medical restriction | 8 | LA10036-4 |
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 |
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.
52512-1 Mobility Devices and Aids Needed
Observation ID in Form
H
Form Coding Instructions
Complete during the 2-day assessment period
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Mobility devices and aids needed
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52640-0 Indicate all mobility devices and aids needed at time of assessment.
Observation ID in Form
H1
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Mobility devices and aids needed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed and Answer List Type changed to Example because this generic term can be used across contexts
Survey Question
- Text
- Indicate all mobility devices and aids needed at time of assessment.
- Source
- CARE I.H1
Example Answer List LL585-1
Answer | Code | Score | Answer ID |
---|---|---|---|
Canes/crutch | a | LA9942-9 | |
Walker | b | LA10117-2 | |
Orthotics/Prosthetics | c | LA10046-3 | |
Wheelchair/scooter full time | d | LA10119-8 | |
Wheelchair/scooter part time | e | LA10120-6 | |
Mechanical lift | f | LA11549-5 | |
Other (specify) | g | LA6310-2 | |
None apply | h | LA10029-9 |
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 |
52641-8 Other (specify)
Observation ID in Form
H1g
Fully-Specified Name
- Component
- Mobility device.other specified
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Other (specify)
- Source
- CARE I.h01g.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 |
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 |
52513-9 Functional Status - Usual Performance
Observation ID in Form
VI
Form Coding Instructions
Code the patient's most usual performance using the 6 point scale below
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Functional Status - Usual Performance
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52514-7 Core Self Care
Observation ID in Form
A
Form Coding Instructions
Core Self Core: The core self care items should be completed on ALL patients. (Complete during the 2-day assessment period.) Code the patient's most usual performance using the 6-point scale below. CODING: Safety and Quality of Performance - If helper assistance is required because the patient's performance is unsafe or of poor quality, score according to amount of assistance provided. Activities may be completed with or without assistive devices
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Core Self Care
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52642-6 Eating
Term Description
The ability to use suitable utensils to bring food to the mouth and swallow food once the meal is presented on a table/tray. Includes modified food consistency.
Source: Regenstrief LOINC
Observation ID in Form
A1
Fully-Specified Name
- Component
- Eating 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 LL586-9
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 | |
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 |
52643-4 Tube feeding
Term Description
The ability to manage all equipment/supplies related to obtaining nutrition.
Source: Regenstrief LOINC
Observation ID in Form
A2
Fully-Specified Name
- Component
- Tube feeding 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 LL586-9
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 | |
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 |
52644-2 Oral hygiene
Term Description
The ability to use suitable items to clean teeth. Dentures: The ability to remove and replace dentures from and to mouth, and manage equipment for soaking and rinsing.
Source: Regenstrief LOINC
Observation ID in Form
A3
Fully-Specified Name
- Component
- Oral hygiene 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 LL586-9
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 | |
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 |
52645-9 Toilet hygiene
Term Description
The ability to maintain perineal hygiene, adjust clothes before and after using toilet, commode, bedpan, urinal. If managing ostomy, include wiping opening but not managing equipment.
Source: Regenstrief LOINC
Observation ID in Form
A4
Fully-Specified Name
- Component
- Toilet hygiene 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 LL586-9
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 | |
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 |
52646-7 Upper body dressing
Term Description
The ability to put on and remove shirt or pajama top. Includes buttoning if applicable.
Source: Regenstrief LOINC
Observation ID in Form
A5
Fully-Specified Name
- Component
- Upper body dressing 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 LL586-9
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 | |
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 |
52647-5 Lower body dressing
Term Description
The ability to dress and undress below the waist, including fasteners. Does not include footwear.
Source: Regenstrief LOINC
Observation ID in Form
A6
Fully-Specified Name
- Component
- Lower body dressing 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 LL586-9
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 | |
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 |
52515-4 Core Functional Mobility
Observation ID in Form
B
Form Coding Instructions
Core Functional Mobility: The core functional mobility items should be completed on ALL patients. (Complete during the 2-day assessment period.) Complete for ALL patients: Code the patient's most usual performance using the 6-point scale below. CODING: Safety and Quality of Performance - If helper assistance is required because the patient's performance is unsafe or of poor quality, score according to amount of assistance provided. Activities may be completed with or without assistive devices
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Core Functional Mobility
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52648-3 Lying to Sitting on Side of Bed
Term Description
The ability to safely move from lying on the back to sitting on side of bed with feet flat on the floor, no back support.
Source: Regenstrief LOINC
Observation ID in Form
B1
Fully-Specified Name
- Component
- Lying to sitting on side of bed 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 LL586-9
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 | |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52649-1 Sit to Stand
Term Description
The ability to safely come to a standing position from sitting in a chair or on the side of a bed.
Source: Regenstrief LOINC
Observation ID in Form
B2
Fully-Specified Name
- Component
- Sit to stand 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 LL586-9
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 | |
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 |
52650-9 Chair/Bed-to-Chair Transfer
Term Description
The ability to safely transfer to and from a chair (or wheelchair). The chairs are placed at right angles to each other.
Source: Regenstrief LOINC
Observation ID in Form
B3
Fully-Specified Name
- Component
- Chair-bed to chair 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 LL586-9
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 | |
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 |
52651-7 Toilet Transfer
Term Description
The ability to safely get on and off a toilet or commode.
Source: Regenstrief LOINC
Observation ID in Form
B4
Fully-Specified Name
- Component
- Toilet 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 LL586-9
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 | |
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 |
52516-2 Mode of Mobility - All Patients
Fully-Specified Name
- Component
- Mode of Mobility - All Patients
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52652-5 Does this patient primarily use a wheelchair for mobility?
Observation ID in Form
B5
Skip Logic
If No, code B5a for the longest distance completed. If Yes, code B5b for the longest distance completed.
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.
52517-0 Select the longest distance the patient walks and code his/her level of independence (Level 1-6) on that distance. Observe performance. (Select only one.)
Observation ID in Form
B5a
Fully-Specified Name
- Component
- Level of independence on longest distance walked
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Panel Type
- Panel
Survey Question
- Text
- Select the longest distance the patient walks and code his/her level of independence (Level 1-6) on that distance. Observe performance. (Select only one.)
- Source
- CARE I.b05a
Normative Answer List LL586-9
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 | |
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 |
52653-3 Walk 150 ft (45 m)
Term Description
Once standing, can walk at least 150 feet (45 meters) in corridor or similar space.
Source: Regenstrief LOINC
Observation ID in Form
B5a.1
Fully-Specified Name
- Component
- Walk 150 ft (45 m) 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 LL586-9
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 | |
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 |
52654-1 Walk 100 ft (30 m)
Term Description
Once standing, can walk at least 100 feet (30 meters) in corridor or similar space.
Source: Regenstrief LOINC
Observation ID in Form
B5a.2
Fully-Specified Name
- Component
- Walk 100 ft (30 m) 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 LL586-9
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 | |
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 |
52655-8 Walk 50 ft (15m)
Term Description
Once standing, can walk at least 50 feet (15 meters) in corridor or similar space.
Source: Regenstrief LOINC
Observation ID in Form
B5a.3
Fully-Specified Name
- Component
- Walk 50 ft (15 m) 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 LL586-9
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 | |
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 |
52656-6 Walk in Room Once Standing
Term Description
Once standing, can walk at least 10 feet (3 meters) in room, corridor or similar space.
Source: Regenstrief LOINC
Observation ID in Form
B5a.4
Fully-Specified Name
- Component
- Walk 10 ft (3 m) 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 LL586-9
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 | |
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 |
52518-8 Select the longest distance the patient wheels and code his/her level of independence (Level 1-6). Observe performance. (Select only one.)
Observation ID in Form
B5b
Fully-Specified Name
- Component
- Level of independence on longest distance wheeled
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Panel Type
- Panel
Survey Question
- Text
- Select the longest distance the patient wheels and code his/her level of independence (Level 1-6). Observe performance. (Select only one.)
- Source
- CARE I.b05b
Normative Answer List LL586-9
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 | |
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 |
52657-4 Wheel 150 ft (45 m)
Term Description
Once sitting, can wheel at least 150 feet (45 meters) in corridor or similar space.
Source: Regenstrief LOINC
Observation ID in Form
B5b.1
Fully-Specified Name
- Component
- Wheel 150 ft (45 m) 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 LL586-9
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 | |
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 |
52658-2 Wheel 100 ft (30 m)
Term Description
Once sitting, can wheel at least 100 feet (30 meters) in corridor or similar space.
Source: Regenstrief LOINC
Observation ID in Form
B5b.2
Fully-Specified Name
- Component
- Wheel 100 ft (30 m) 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 LL586-9
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 | |
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 |
52659-0 Wheel 50 ft (15 m)
Term Description
Once sitting, can wheel at least 50 feet (15 meters) in corridor or similar space.
Source: Regenstrief LOINC
Observation ID in Form
B5b.3
Fully-Specified Name
- Component
- Wheel 50 ft (15 m) 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 LL586-9
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 | |
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 |
52660-8 Wheel in Room Once Seated
Term Description
Once seated, can wheel at least 10 feet (3 meters) in room, corridor, or similar space.
Source: Regenstrief LOINC
Observation ID in Form
B5b.4
Fully-Specified Name
- Component
- Wheel 10 ft (3 m) 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 LL586-9
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 | |
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 |
52519-6 Supplemental Functional Ability
Observation ID in Form
C
Form Coding Instructions
Supplemental Functional Ability (Complete during the 2-day assessment period.) Please code the patient on all activities they are able to participate in and which you can observe, or have assessed by other means, using the 6-point scale below. Coding: Safety and Quality and Performance - If helper assistance is required because patient's performance is unsafe or poor quality, score according to amount of assistance provided. Code for the most usual performance in the 2-day assessment period. Activities may be completed with or without assistive devices
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Supplemental Functional Ability
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
54066-6 Following discharge, is it anticipated that the patient will need post-acute care to improve their functional ability or other types of personal assistance?
Observation ID in Form
C
Skip Logic
If No, skip to Section VII. Overall Plan of Care/Advance Care Directives.
Form Coding Instructions
Please code the patient on all activities they are able to particiate in and which you can observe, or have assessed by other means, using the 6-point scale below
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Post acute care or personal assistance anticipated following discharge
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Following discharge, is it anticipated that the patient will need post-acute care to improve their functional ability or other types of personal assistance?
- Source
- CARE_VI_C_C
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.
52661-6 Wash Upper Body
Term Description
The ability to wash, rinse, and dry the face, hands, chest, and arms while sitting in a chair or bed.
Source: Regenstrief LOINC
Observation ID in Form
C1
Fully-Specified Name
- Component
- Wash upper body 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 |
52662-4 Shower/bathe self
Term Description
The ability to bathe self in shower or tub, including washing and drying self. Does not include transferring in/out of tub/shower.
Source: Regenstrief LOINC
Observation ID in Form
C2
Fully-Specified Name
- Component
- Shower &or bathe self 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 |
52663-2 Roll left and right
Term Description
The ability to roll from lying on back to left and right side, and roll back to back.
Source: Regenstrief LOINC
Observation ID in Form
C3
Fully-Specified Name
- Component
- Roll left and right 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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52664-0 Sit to lying
Term Description
The ability to move from sitting on side of bed to lying flat on the bed.
Source: Regenstrief LOINC
Observation ID in Form
C4
Fully-Specified Name
- Component
- Sit to lying 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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52665-7 Picking up object
Term Description
The ability to bend/stoop from a standing position to pick up small object such as a spoon from the floor.
Source: Regenstrief LOINC
Observation ID in Form
C5
Fully-Specified Name
- Component
- Picking up objects 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 |
52666-5 Putting on/taking off footwear during 2 day assessment period [CARE]
Term Description
The ability to put on and take off socks and shoes or other footwear that are appropriate for safe mobility.
Source: Regenstrief LOINC
Observation ID in Form
C6
Fully-Specified Name
- Component
- Putting on &or taking off footwear 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 |
52520-4 Mode of Mobility - PAC Patients
Fully-Specified Name
- Component
- Mode of Mobility - PAC Patients
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
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 |
81957-3 Overall Plan of Care/Advance Care Directives panel
Observation ID in Form
VII
Fully-Specified Name
- Component
- Overall Plan of Care &or Advance Care Directives panel
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- PANEL.SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.56
- Last Updated
- Version 2.64
- Panel Type
- Convenience group
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 |
52522-0 Overall Plan of Care/Advance Care Directives
Observation ID in Form
A
Fully-Specified Name
- Component
- Overall Plan of Care &or Advance Care Directives - Subheading
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- 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 |
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 |
52685-5 Have the patient (or representative) and the care team (or physician) documented agreed-upon care goals and expected dates of completion or re-evaluation?
Observation ID in Form
A1
Fully-Specified Name
- Component
- Care goals documented
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Change Reason
- Method removed and Answer List Type changed to Example because this generic term can be used across contexts
Survey Question
- Text
- Have the patient (or representative) and the care team (or physician) documented agreed-upon care goals and expected dates of completion or re-evaluation?
- Source
- CARE I.a01
Example Answer List LL588-5
Answer | Code | Score | Answer ID |
---|---|---|---|
No, but this work is in process | 0 | LA10025-7 | |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | 1 | LA33-6 | |
Unclear or unknown | 9 | LA10109-9 |
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.
52686-3 Which description best fits the patient's overall status?
Observation ID in Form
A2
Fully-Specified Name
- Component
- Overall status
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Which description best fits the patient's overall status?
- Source
- CARE I.a02
Normative Answer List LL589-3
Answer | Code | Score | Answer ID |
---|---|---|---|
The patient is stable with no risk for serious complications and death (beyond those typical of the patient’s age). | 1 | LA10098-4 | |
The patient is temporarily facing high health risks but likely to return to being stable without risk for serious complications and death (beyond those typical of the patient's age). | 2 | LA10099-2 | |
The patient is likely to remain in fragile health and have ongoing high risks of serious complications and death. | 3 | LA10097-6 | |
The patient has serious progressive conditions that could lead to death within a year. | 4 | LA10096-8 | |
The patient's situation is unknown or unclear to the respondent. | 9 | LA10100-8 |
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 |
52687-1 In anticipation of serious clinical complications, has the patient made care decisions which are documented in the medical record?
Observation ID in Form
A3
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Decision authority documented
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- In anticipation of serious clinical complications, has the patient made care decisions which are documented in the medical record?
- Source
- CARE I.A3
Normative Answer List LL590-1
Answer | Code | Score | Answer ID |
---|---|---|---|
The patient has designated a decision-maker (if the patient is unable to make decisions) which is documented in the medical record. | 1 | LA11786-3 | |
The patient (or surrogate) has made a decision to forgo resuscitation which is documented in the medical record. | 2 | LA11787-1 |
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 |
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 |
52523-8 Discharge Status
Observation ID in Form
VIII
Fully-Specified Name
- Component
- Discharge status
- 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 |
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: |
it-IT | Italian (Italy) | Data di dimissione: Synonyms: Anamnesi paziente Punto nel tempo (episodio) Time stamp (Data e Ora) |
pt-BR | Portuguese (Brazil) | Data de alta médica: Synonyms: Time stamp; |
ru-RU | Russian (Russian Federation) | Выбытие дата: Synonyms: Time Stamp (Дата и Время) Выписка Дата выписки Количественный Точка во времени; |
zh-CN | Chinese (China) | 出院日期: Synonyms: 允许...离开(医院、 |
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: |
it-IT | Italian (Italy) | Medico curante, nome: Synonyms: Clinico Nome del medico curante Nome di persona Punto nel tempo (episodio) |
pt-BR | Portuguese (Brazil) | Nome do médico atendente: Synonyms: Person name; |
ru-RU | Russian (Russian Federation) | Штатный лечащий врач фамилия: Synonyms: Номинальный; |
zh-CN | Chinese (China) | 主治医师姓名: Synonyms: 主治医生姓名; |
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 |
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.
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 |
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.
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 ServicesFully-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 ServicesForm Coding Instructions
Complete only if patient lives a private residence or other community-based setting
Source: Centers for Medicare & Medicaid ServicesFully-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 ServicesFully-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 |
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.
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 ServicesFully-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 |
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.
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 ServicesFully-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 |
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.
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: |
it-IT | Italian (Italy) | Provider, città: Synonyms: Città del provider Clinico Posizione Punto nel tempo (episodio) |
pt-BR | Portuguese (Brazil) | Cidade provedora: Synonyms: Location; |
ru-RU | Russian (Russian Federation) | Провайдер город: Synonyms: Локализация Номинальный; |
zh-CN | Chinese (China) | 服务提供者 城市: Synonyms: 分类型应答; |
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: |
it-IT | Italian (Italy) | Provider, stato: Synonyms: Clinico Posizione Punto nel tempo (episodio) Stato del provider |
pt-BR | Portuguese (Brazil) | Estado provedor: Synonyms: Location; |
ru-RU | Russian (Russian Federation) | Провайдер штат: Synonyms: Локализация Номинальный; |
zh-CN | Chinese (China) | 服务提供者州别: Synonyms: 分类型应答; |
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 |
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.
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 |
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.
52533-7 Medical Coding Information
Observation ID in Form
IX
Type of Entry
Question expects user entry - requires response [Q]
Form Coding Instructions
Coders: For this section, please provide a listing of principal diagnosis, comorbid diseases and complications, and procedures based on a review of the patient's clinical records at the time of discharge or at the time of a significant change in the patient's status affecting Medicare payment
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Medical Coding Information
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.73
- Panel Type
- Panel
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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52534-5 Principal Diagnosis
Observation ID in Form
A
Type of Entry
Question expects user entry - requires response [Q]
Form Coding Instructions
Indicate the principal diagnosis for billing purposes. Indicate the ICD-9 CM code. For V-codes, also indicate the medical diagnosis and associated ICD-9 CM code. Be as specific as possible
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Principal Diagnosis
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.73
- Panel Type
- Panel
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 |
46584-9 ICD-9 CM for Principal Diagnosis at Assessment
Term Description
A case mix diagnosis is a primary diagnosis that assigns patients with selected conditions to an orthopedic, diabetes, neurological, or burns/trauma group for Medicare PPS case mix adjustment. A case mix diagnosis may involve manifestation coding.
Source: Regenstrief LOINC
Observation ID in Form
A1
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Payment diagnosis - primary ICD code
- Property
- Prid
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- OASIS
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.54
Normative Answer List LL343-5
- Externally Defined
- Yes
- Code System
- I9C
- Code System OID
- 1.3.6.1.4.1.12009.10.1.2173
- Link to External List
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 |
46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
86255-7 Primary diagnosis ICD code
Term Description
The condition that is the chief reason for providing care.
Source: Regenstrief LOINC
Observation ID in Form
A2
Fully-Specified Name
- Component
- Primary diagnosis ICD code
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Primary Dx ICD code
Basic Attributes
- Class
- CLIN
- Type
- Clinical
- First Released
- Version 2.63
- Last Updated
- Version 2.73
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 17680
Example Answer List LL4547-7
- Externally Defined
- Yes
- Code System
- Code System OID
- 1.3.6.1.4.1.12009.10.1.3459
- Link to External List
- http://www.cdc.gov/nchs/icd.htm
Member of these Panels
LOINC | Long Common Name |
---|---|
76464-7 | American Physical Therapy Association registry panel |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
86244-1 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment] |
86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
88369-4 | Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment] |
88368-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment] |
88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
93058-6 | Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment] |
99160-4 | Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment] |
99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Código ICD de diagnóstico primario: |
it-IT | Italian (Italy) | Diagnosi primaria codice ICD: Synonyms: Clinico paziente Punto nel tempo (episodio) |
zh-CN | Chinese (China) | 主要诊断 ICD 代码: Synonyms: ICD 分类型应答; |
18630-4 Primary Diagnosis at Assessment
Observation ID in Form
A1a
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Diagnosis.primary
- Property
- Imp
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Basic Attributes
- Class
- ATTACH.REHAB
- Type
- Claims Attachments
- First Released
- Version 1.0l
- Last Updated
- Version 2.70
- Change Reason
- Release 2.70: AnswerListId: Added example answer list;
- Order vs. Observation
- Observation
Example Answer List LL4747-3
Answer | Code | Score | Answer ID |
---|---|---|---|
Other | LA46-8 | ||
Alcoholism | LA20350-7 | ||
Bleeding disorder | LA20352-3 | ||
Currently receiving chemotherapy for cancer | LA20353-1 | ||
Congenital anomalies | LA20354-9 | ||
Congestive heart failure (CHF) | LA12740-9 | ||
Current smoker | LA20356-4 | ||
Chronic renal failure | LA20357-2 | ||
Cerebrovascular accident | LA22244-0 | ||
Diabetes mellitus | LA14291-1 | ||
Disseminated cancer | LA20360-6 | ||
Advanced directive limiting care | LA20361-4 | ||
Functionally dependent health status | LA20363-0 | ||
Hypertension | LA7444-8 | ||
Prematurity | LA20368-9 | ||
Chronic obstructive pulmonary disease | LA28200-6 | ||
Steroid use | LA20370-5 | ||
Cirrhosis | LA9639-1 | ||
Dementia | LA20372-1 | ||
Attention deficit disorder/Attention deficit hyperactivity disorder (ADD/ADHD) | LA28412-7 | ||
Anticoagulant therapy | LA28199-0 | ||
Angina pectoris Copyright http://snomed.info/sct ID:194828000 Angina (disorder) | LA14275-4 | ||
Mental/personality disorder | LA28198-2 | ||
Myocardial infarction Copyright http://snomed.info/sct ID:22298006 Myocardial infarction (disorder) | LA14274-7 | ||
Peripheral arterial disease Copyright http://snomed.info/sct ID:399957001 Peripheral arterial occlusive disease (disorder) | LA28197-4 | ||
Substance abuse disorder Copyright http://snomed.info/sct ID:66214007 Substance abuse (disorder) | LA28195-8 |
Member of these Panels
LOINC | Long Common Name |
---|---|
76464-7 | American Physical Therapy Association registry panel |
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 |
97782-7 | Spine Tango Surgery 2017 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-AR | Spanish (Argentina) | diagnóstico.primario: |
it-IT | Italian (Italy) | Diagnosi.primaria: Synonyms: Allegato Allegato riabilitazione Impressione/interpretazione di studio paziente Punto nel tempo (episodio) |
ru-RU | Russian (Russian Federation) | Диагноз.основной: Synonyms: Впечатление/интерпретация исследования Номинальный; |
zh-CN | Chinese (China) | 诊断.主要: Synonyms: Health Insurance Portability and Accountability Act of 1996; |
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.
29308-4 Diagnosis
Part Descriptions
LP72437-4 Diagnosis
The end result of a diagnostic process that identifies a disease.
Source: Regenstrief LOINC
Observation ID in Form
A2a
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Diagnosis
- Property
- Imp
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Dx
Basic Attributes
- Class
- H&P.PX
- Type
- Clinical
- First Released
- Version 2.03
- Last Updated
- Version 2.73
- Order vs. Observation
- Observation
- Common Test Rank Get Info
- 4809
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 |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
74293-2 | Oncology plan of care and summary - recommended CDA set |
93149-3 | PhenX - bone age protocol 220301 |
62863-6 | PhenX domain - Infectious diseases and immunity |
62896-6 | PhenX domain - Skin, bone, muscle and joint |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-DE | German (Germany) | Diagnose: |
es-AR | Spanish (Argentina) | diagnóstico: |
es-ES | Spanish (Spain) | Diagnóstico: |
es-MX | Spanish (Mexico) | Diagnóstico: |
fr-CA | French (Canada) | Diagnostic: |
fr-BE | French (Belgium) | Diagnostic: |
it-IT | Italian (Italy) | Diagnosi: Synonyms: Esame obbiettivo Impressione/interpretazione di studio paziente Punto nel tempo (episodio) |
pt-BR | Portuguese (Brazil) | Diagnóstico: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Диагноз: Synonyms: Впечатление/интерпретация исследования Номинальный; |
uk-UA | Ukrainian (Ukraine) | Діагноз: Synonyms: Dx; |
zh-CN | Chinese (China) | 诊断: Synonyms: 体格检查小节与指标; |
52807-5 Other Diagnoses, Comorbidities, and Complications
Observation ID in Form
B
Type of Entry
Question expects user entry - requires response [Q]
Form Coding Instructions
List other diagnoses being treated, managed, or monitored in this setting. Include all diagnoses (e.g., depression, schizophrenia, dementia, protein calorie malnutrition)
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
List up to 15 ICD-9 CM codes and associated diagnoses being treated, managed, or monitored in this setting. Include all diagnoses ( e.g. depression, schizophrenia, dementia, protein calorie malnutrition). If a V-code is listed, also provide the ICD-9 CM code for the medical diagnosis being treated
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Medical Coding Other Diagnoses, Comorbidities, and Complications
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Panel Type
- Panel
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 |
52797-8 Diagnosis ICD code [Identifier]
Observation ID in Form
B1a
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Diagnosis ICD code
- Property
- Prid
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Dx ICD code
Basic Attributes
- Class
- CLIN
- Type
- Clinical
- First Released
- Version 2.26
- Last Updated
- Version 2.73
- Change Reason
- Changed CLASS from SURVEY.MDS to CLIN
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 743
Example Answer List LL4547-7
- Externally Defined
- Yes
- Code System
- Code System OID
- 1.3.6.1.4.1.12009.10.1.3459
- Link to External List
- http://www.cdc.gov/nchs/icd.htm
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] |
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 |
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] |
85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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] |
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] |
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] |
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] |
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] |
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] |
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] |
87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
93222-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment] |
103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment] |
90480-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) 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] |
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] |
101111-3 | MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) item set during assessment period [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] |
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] |
104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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] |
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] |
89724-9 | Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers] |
87825-6 | National Trauma Data Standard - version 2018 set |
74502-6 | Patient safety event report - hospital - patient information form (PIF) - version 1.2 [AHRQ] |
62949-3 | PhenX domain - Gastrointestinal |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Código ICD de diagnóstico: |
es-ES | Spanish (Spain) | Código CIE del diagnóstico: |
it-IT | Italian (Italy) | Diagnosi, codice ICD: Synonyms: Clinico paziente Presenza o Identità Punto nel tempo (episodio) |
zh-CN | Chinese (China) | 诊断 ICD 代码: Synonyms: ICD 分类型应答; |
29308-4 Diagnosis
Part Descriptions
LP72437-4 Diagnosis
The end result of a diagnostic process that identifies a disease.
Source: Regenstrief LOINC
Observation ID in Form
B1b
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Diagnosis
- Property
- Imp
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Dx
Basic Attributes
- Class
- H&P.PX
- Type
- Clinical
- First Released
- Version 2.03
- Last Updated
- Version 2.73
- Order vs. Observation
- Observation
- Common Test Rank Get Info
- 4809
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 |
55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
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 |
74293-2 | Oncology plan of care and summary - recommended CDA set |
93149-3 | PhenX - bone age protocol 220301 |
62863-6 | PhenX domain - Infectious diseases and immunity |
62896-6 | PhenX domain - Skin, bone, muscle and joint |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
de-DE | German (Germany) | Diagnose: |
es-AR | Spanish (Argentina) | diagnóstico: |
es-ES | Spanish (Spain) | Diagnóstico: |
es-MX | Spanish (Mexico) | Diagnóstico: |
fr-CA | French (Canada) | Diagnostic: |
fr-BE | French (Belgium) | Diagnostic: |
it-IT | Italian (Italy) | Diagnosi: Synonyms: Esame obbiettivo Impressione/interpretazione di studio paziente Punto nel tempo (episodio) |
pt-BR | Portuguese (Brazil) | Diagnóstico: Synonyms: ; |
ru-RU | Russian (Russian Federation) | Диагноз: Synonyms: Впечатление/интерпретация исследования Номинальный; |
uk-UA | Ukrainian (Ukraine) | Діагноз: Synonyms: Dx; |
zh-CN | Chinese (China) | 诊断: Synonyms: 体格检查小节与指标; |
52808-3 Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)
Observation ID in Form
C
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Medical Coding Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
- Panel Type
- Panel
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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
52558-4 Did the patient have one or more major procedures (e.g., G-tube placement, EEG, abdominal, cat scans; do not include x-rays, EKGs, ultrasounds) during this admission?
Observation ID in Form
C1
Type of Entry
Question expects user entry - requires response [Q]
Skip Logic
If No, skip to Section X.
Form Coding Instructions
List up to 15 procedures (diagnostic, surgical and therapeutic interventions). Indicate if a procedure was left, right, or not applicable (N/A). If procedure was bilateral (e.g., bilateral knee replacement), check both left and right boxes
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Procedure this admission
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Did the patient have one or more major procedures (e.g., G-tube placement, EEG, abdominal, cat scans; do not include x-rays, EKGs, ultrasounds) during this admission?
- Source
- CARE I.c01
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 |
---|---|
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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
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.
69967-8 Procedure ICD code
Term Description
Diagnostic, surgical and therapeutic interventions
Source: Regenstrief LOINC
Observation ID in Form
C2a
Fully-Specified Name
- Component
- Procedure ICD code
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.42
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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
29300-1 Procedure
Observation ID in Form
C2b
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Procedure
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Additional Names
- Short Name
- Procedure type
Basic Attributes
- Class
- H&P.PX
- Type
- Clinical
- First Released
- Version 2.03
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 2979
Member of these Panels
LOINC | Long Common Name |
---|---|
84907-5 | Cancer pathology panel - Colorectal cancer specimen |
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 |
52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
74028-2 | Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Procedimiento: |
es-AR | Spanish (Argentina) | procedimiento: |
es-ES | Spanish (Spain) | Procedimiento: |
it-IT | Italian (Italy) | Procedura: Synonyms: Esame obbiettivo paziente Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | verrichting: |
pt-BR | Portuguese (Brazil) | Procedimento: Synonyms: Typ; |
ru-RU | Russian (Russian Federation) | Вмешательство: Synonyms: Номинальный; |
zh-CN | Chinese (China) | 操作项目: Synonyms: 体格检查小节与指标; |
52535-2 Other useful information
Observation ID in Form
X
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Other useful information
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.73
- Common Test Rank Get Info
- 7460
- Panel Type
- Panel
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 |
52720-0 Is there other useful information about this patient that you want to add?
Observation ID in Form
A
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Other useful information
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Survey Question
- Text
- Is there other useful information about this patient that you want to add?
- Source
- CARE I.a01
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 |