69375-4
Cognitive status, mood, pain
Discouraged
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 |