69349-9
Presence of pressure ulcers
Discouraged
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.