Version 2.78

Status Information

Status
DISCOURAGED
Comment
Discouraged as items are from a legacy demonstration tool that is no longer maintained. No replacement term defined.

Term Description

The Continuity Assessment Record and Evaluation (CARE) tool measures the health and functional status, changes in severity and other outcomes, for Medicare post acute care (PAC) patients. It has been designed to measure outcomes in physical and medical treatments while controlling for factors that affect outcomes, such as cognitive impairments and social and environmental factors. Many of the items are already collected in hospitals, SNFs and HHAs, although the exact item form may be different. The assessment tool is being designed to eventually replace similar items on the existing Medicare assessment forms, including the OASIS, MDS, and IRFPAI tools. Four major domains are included in the tool: medical, functional, cognitive impairments, and social/environmental factors. These domains either measure case mix severity differences within medical conditions or predict outcomes such as discharge to home or community, rehospitalization, and changes in functional or medical status. The development of the CARE tool builds on prior research and incorporates lessons learned from clinicians treating the continuum of patients seen in all four settings. The tool targets a range of measures that document variations in a patient's level of care needs including factors related to treatment and staffing patterns such as predictors of physician, nursing, and therapy intensity.
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Original Form Centers for Medicare & Medicaid Services Original form upon which the LOINC panel is based. CARE Tool - Expired Form

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
Indent69341-6 Administrative items
IndentIndent52453-8 Assessment Type
IndentIndentIndent52454-6 Reason for assessment
IndentIndentIndent54593-9 Assessment reference date - observation end date during assessment period [CMS Assessment] {mm/dd/yyyy}
IndentIndent52457-9 Provider Information
IndentIndentIndent52458-7 Provider's Name
IndentIndent69342-4 Patient information
IndentIndentIndent45392-8 Patient's First Name
IndentIndentIndent52461-1 Patient's Middle Initial or Name
IndentIndentIndent45394-4 Patient's Last Name
IndentIndentIndent52462-9 Patient's Nickname (optional)
IndentIndentIndent45397-7 Patient's Medicare Health Insurance Number
IndentIndentIndent45400-9 Patient's Medicaid Number
IndentIndentIndent52463-7 Patient's Facility/Agency Identification Number (for internal tracking)
IndentIndentIndent52455-3 Admission date {mm/dd/yyyy}
IndentIndentIndent21112-8 Birth date {mm/dd/yyyy}
IndentIndentIndent31211-6 Expired Date
IndentIndentIndent46098-0 Gender
Indent69378-8 Current medical information
IndentIndent52464-5 Primary and Other Diagnoses, Comorbidities, and Complications
IndentIndentIndent18630-4 Primary Diagnosis at Assessment
IndentIndent52465-2 Other Diagnoses, Comorbidities, and Complications
IndentIndentIndent29308-4 Diagnosis 0..*
IndentIndent52466-0 Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)
IndentIndentIndent52558-4 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?
IndentIndentIndent52467-8 Procedure [CARE]
IndentIndentIndentIndent29300-1 Procedure type
IndentIndentIndentIndent52560-0 Procedure.left [CARE] 0..*
IndentIndentIndentIndent52561-8 Procedure.right [CARE] 0..*
IndentIndentIndentIndent52562-6 Procedure.side not applicable [CARE] 0..*
IndentIndent69455-4 Major treatments
IndentIndentIndent52800-0 Used on the Day of Death or the Day Before the Day of Death:
IndentIndentIndent52565-9 Specify reason for continuous monitoring:
IndentIndentIndent52566-7 Specify most intensive frequency of suctioning during stay: Every____ hours
IndentIndentIndent55613-4 If patient is completely independent of the ventilator, specify the number of days it took to wean patient: d
IndentIndentIndent52567-5 Specify reason for 24-hour supervision
IndentIndentIndent52568-3 Specify
IndentIndentIndent52470-2 Used at Any Time During Stay
IndentIndentIndentIndent52569-1 Used at Any Time During Stay
IndentIndentIndentIndent52565-9 Specify reason for continuous monitoring:
IndentIndentIndentIndent52566-7 Specify most intensive frequency of suctioning during stay: Every____ hours
IndentIndentIndentIndent55613-4 If patient is completely independent of the ventilator, specify the number of days it took to wean patient: d
IndentIndentIndentIndent52567-5 Specify reason for 24-hour supervision
IndentIndentIndentIndent52568-3 Specify
IndentIndent52471-0 Medications (Optional) O
IndentIndentIndent52418-1 Medication Name
IndentIndentIndent52809-1 Dose form Current medication
IndentIndentIndent18609-8 Current medication, Route
IndentIndentIndent52810-9 Current medication, Frequency
IndentIndentIndent52796-0 Planned Stop Date (if applicable)
IndentIndent52472-8 Allergies and Adverse Drug Reactions
IndentIndentIndent52571-7 Does patient have allergies or any known adverse drug reactions?
IndentIndentIndent52473-6 Allergies/Causes of Reaction 0..*
IndentIndentIndent31044-1 Patient Reaction 0..*
Indent52533-7 Medical Coding Information
IndentIndent52534-5 Principal Diagnosis
IndentIndentIndent46584-9 ICD-9 CM for Principal Diagnosis at Assessment
IndentIndentIndent86255-7 Primary diagnosis ICD code
IndentIndentIndent18630-4 Primary Diagnosis at Assessment
IndentIndentIndent29308-4 Diagnosis 0..*
IndentIndent52807-5 Other Diagnoses, Comorbidities, and Complications
IndentIndentIndent52797-8 Diagnosis ICD code [Identifier] 0..*
IndentIndentIndent29308-4 Diagnosis 0..*
IndentIndent52808-3 Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions) (Optional)
IndentIndentIndent52558-4 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?
IndentIndentIndent69967-8 Procedure ICD code
IndentIndentIndent29300-1 Procedure 0..*
Indent52535-2 Other useful information
IndentIndent52720-0 Is there other useful information about this patient that you want to add?

Fully-Specified Name

Component
Continuity assessment record and evaluation tool - Expired
Property
-
Time
Pt
System
^Patient
Scale
-
Method
CARE

Basic Attributes

Class
PANEL.SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.73
Panel Type
Panel

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=52747-3
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/52747-3