Form Coding Instructions

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

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

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

Source: Centers for Medicare & Medicaid Services

55756-1 Upon admission, who does the patient live with?

Observation ID in Form

D1

Fully-Specified Name

Component
Patient lives with on admission for home health
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CARE

Long Common Name

Patient lives with on admission for home health [CARE]

Basic Attributes

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

Normative Answer List LL549-7

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

Member of these Panels

LOINCLong Common Name
52748-1Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission