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Discouraged as items are from a legacy demonstration tool that is no longer maintained.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.

Reference Information

TypeSourceReference
Original FormCenters for Medicare & Medicaid ServicesOriginal form upon which the LOINC panel is based. CARE Tool - Expired Form

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINCNameR/O/CCardinalityExample UCUM Units
52747-3Continuity Assessment Record and Evaluation (CARE) tool - Expired
Indent69341-6Administrative items
IndentIndent52453-8Assessment Type
IndentIndentIndent52454-6Reason for assessment
IndentIndentIndent54593-9Assessment reference date - observation end date{mm/dd/yyyy}
IndentIndent52457-9Provider Information
IndentIndentIndent52458-7Provider's Name
IndentIndent69342-4Patient information
IndentIndentIndent45392-8Patient's First Name
IndentIndentIndent52461-1Patient's Middle Initial or Name
IndentIndentIndent45394-4Patient's Last Name
IndentIndentIndent52462-9Patient's Nickname (optional)
IndentIndentIndent45397-7Patient's Medicare Health Insurance Number
IndentIndentIndent45400-9Patient's Medicaid Number
IndentIndentIndent52463-7Patient's Facility/Agency Identification Number (for internal tracking)
IndentIndentIndent52455-3Admission date{mm/dd/yyyy}
IndentIndentIndent21112-8Birth date{mm/dd/yyyy}
IndentIndentIndent31211-6Expired Date
IndentIndentIndent46098-0Gender
Indent69378-8Current medical information
IndentIndent52464-5Primary and Other Diagnoses, Comorbidities, and Complications
IndentIndentIndent18630-4Primary Diagnosis at Assessment
IndentIndent52465-2Other Diagnoses, Comorbidities, and Complications
IndentIndentIndent29308-4Diagnosis0..*
IndentIndent52466-0Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)
IndentIndentIndent52558-4Did 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?
IndentIndentIndent52467-8Procedure [CARE]
IndentIndentIndentIndent29300-1Procedure type
IndentIndentIndentIndent52560-0Procedure.left [CARE]0..*
IndentIndentIndentIndent52561-8Procedure.right [CARE]0..*
IndentIndentIndentIndent52562-6Procedure.side not applicable [CARE]0..*
IndentIndent69455-4Major treatments
IndentIndentIndent52800-0Used on the Day of Death or the Day Before the Day of Death:
IndentIndentIndent52565-9Specify reason for continuous monitoring:
IndentIndentIndent52566-7Specify most intensive frequency of suctioning during stay: Every____ hours
IndentIndentIndent55613-4If patient is completely independent of the ventilator, specify the number of days it took to wean patient:d
IndentIndentIndent52567-5Specify reason for 24-hour supervision
IndentIndentIndent52568-3Specify
IndentIndentIndent52470-2Used at Any Time During Stay
IndentIndentIndentIndent52569-1Used at Any Time During Stay
IndentIndentIndentIndent52565-9Specify reason for continuous monitoring:
IndentIndentIndentIndent52566-7Specify most intensive frequency of suctioning during stay: Every____ hours
IndentIndentIndentIndent55613-4If patient is completely independent of the ventilator, specify the number of days it took to wean patient:d
IndentIndentIndentIndent52567-5Specify reason for 24-hour supervision
IndentIndentIndentIndent52568-3Specify
IndentIndent52471-0Medications (Optional)O
IndentIndentIndent52418-1Medication Name
IndentIndentIndent52809-1Dose form Current medication
IndentIndentIndent18609-8Current medication, Route
IndentIndentIndent52810-9Current medication, Frequency
IndentIndentIndent52796-0Planned Stop Date (if applicable)
IndentIndent52472-8Allergies and Adverse Drug Reactions
IndentIndentIndent52571-7Does patient have allergies or any known adverse drug reactions?
IndentIndentIndent52473-6Allergies/Causes of Reaction0..*
IndentIndentIndent31044-1Patient Reaction0..*
Indent52533-7Medical Coding Information
IndentIndent52534-5Principal Diagnosis
IndentIndentIndent46584-9ICD-9 CM for Principal Diagnosis at Assessment
IndentIndentIndent86255-7Primary diagnosis ICD code
IndentIndentIndent18630-4Primary Diagnosis at Assessment
IndentIndentIndent29308-4Diagnosis0..*
IndentIndent52807-5Other Diagnoses, Comorbidities, and Complications
IndentIndentIndent52797-8Diagnosis ICD code [Identifier]0..*
IndentIndentIndent29308-4Diagnosis0..*
IndentIndent52808-3Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions) (Optional)
IndentIndentIndent52558-4Did 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?
IndentIndentIndent69967-8Procedure ICD code
IndentIndentIndent29300-1Procedure0..*
Indent52535-2Other useful information
IndentIndent52720-0Is there other useful information about this patient that you want to add?

LOINC Names Get Info

Fully-Specified Name
Continuity assessment record and evaluation tool - Expired:-:Pt:^Patient:-:CARE
Long Common Name
Continuity Assessment Record and Evaluation (CARE) tool - Expired

Part Model Get Info

  • Component
    Continuity assessment record and evaluation tool - expired
    LP74591-6
    • Analyte
      Continuity assessment record and evaluation tool - expired
      LP74591-6
      • Component Numerator
        Continuity assessment record and evaluation tool - expired
        LP74591-6
        • Component Numerator Core
          Continuity assessment record and evaluation tool - expired
          LP74591-6
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    -
    LP6769-6
  • Time
    Pt
    LP6960-1
  • System
    ^Patient
    LP310005-6
    • System Core
      NULL
       
    • Super System
      Patient
      LP6985-8
  • Scale
    -
    LP7747-1
  • Method
    CARE
    LP68340-6

Basic Attributes

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