LOINC - LOINC Panel Details 69378-8 Current medical information

52464-5 Primary and Other Diagnoses, Comorbidities, and Complications

Observation ID in Form

A

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

Indicate the primary diagnosis and up to 14 other diagnoses being treated, managed, or monitored in this setting. Please include all diagnoses (e.g., depression, schizophrenia, dementia, protein calorie malnutrition)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Primary and Other Diagnoses, Comorbidities, and Complications
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

18630-4 Primary Diagnosis at Assessment

Observation ID in Form

A1

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Diagnosis.primary
Property: Imp
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Primary diagnosis

Basic Attributes

Class: ATTACH.REHAB
Type: Claims Attachments
First Released: Version 1.0l
Last Updated: Version 2.70 (MIN)
Change Reason: Release 2.70: AnswerListId: Added example answer list;
Order vs. Observation: Observation

Example Answer List LL4747-3

Answer	Code	Score	Answer ID
Other			LA46-8
Alcoholism			LA20350-7
Bleeding disorder			LA20352-3
Currently receiving chemotherapy for cancer			LA20353-1
Congenital anomalies			LA20354-9
Congestive heart failure (CHF)			LA12740-9
Current smoker			LA20356-4
Chronic renal failure			LA20357-2
Cerebrovascular accident			LA22244-0
Diabetes mellitus			LA14291-1
Disseminated cancer			LA20360-6
Advanced directive limiting care			LA20361-4
Functionally dependent health status			LA20363-0
Hypertension			LA7444-8
Prematurity			LA20368-9
Chronic obstructive pulmonary disease			LA28200-6
Steroid use			LA20370-5
Cirrhosis			LA9639-1
Dementia			LA20372-1
Attention deficit disorder/Attention deficit hyperactivity disorder (ADD/ADHD)			LA28412-7
Anticoagulant therapy			LA28199-0
Angina pectoris Copyright http://snomed.info/sct ID:194828000 Angina (disorder)			LA14275-4
Mental/personality disorder			LA28198-2
Myocardial infarction Copyright http://snomed.info/sct ID:22298006 Myocardial infarction (disorder)			LA14274-7
Peripheral arterial disease Copyright http://snomed.info/sct ID:399957001 Peripheral arterial occlusive disease (disorder)			LA28197-4
Substance abuse disorder Copyright http://snomed.info/sct ID:66214007 Substance abuse (disorder)			LA28195-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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
97782-7	Spine Tango Surgery 2017

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Διάγνωση.κύρια:Imp:Pt:^Ασθενής:Nom: Synonyms: - ATTACH ATTACH.REHAB Imp Nom Pt Ασθενής Διάγνωση Διάγνωση.κύρια
es-AR	Spanish (Argentina)	diagnóstico.primario:impresión/interpretación del estudio:punto en el tiempo:^paciente:Nominal:
it-IT	Italian (Italy)	Diagnosi.primaria:Imp:Pt:^Paziente:Nom: Synonyms: Allegato Allegato riabilitazione Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
ru-RU	Russian (Russian Federation)	Диагноз.основной:Впчт:ТчкВрм:^Пациент:Ном: Synonyms: Впечатление/интерпретация исследования Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	诊断.主要:印象:时间点:^患者:名义型: Synonyms: Health Insurance Portability and Accountability Act of 1996;HIPAA;健康保險可攜與責任法;HIPAA法案;健康保险可移植性和问责法1996年;美国健康保险携带和责任法案;医疗保险便携性和责任法案;医疗保险便携性与责任法案;醫療保險可攜性與責任法;HIPAA 信息附件.康复治疗;健康保险便携与责任法案信息附件.康复;健康保险便携与责任法案信息附件.康复治疗;康复信息附件;康复治疗HIPAA信息附件;康复治疗信息附件;康复治疗健康保险便携与责任法主要诊断信息附件;健康保险便携与责任法案信息附件;附件分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释时刻;随机;随意;瞬间诊断结论;判断;结论

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 https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52465-2 Other Diagnoses, Comorbidities, and Complications

Observation ID in Form

B

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

List other diagnoses being treated, managed, or monitored in this setting. Include all diagnoses (e.g., depression, schizophrenia, dementia, protein calorie malnutrition)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Other Diagnoses, Comorbidities, and Complications
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

29308-4 Diagnosis

Part Descriptions

LP72437-4 Diagnosis
The end result of a diagnostic process that identifies a disease. Source: Regenstrief LOINC

Observation ID in Form

B1a

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Diagnosis
Property: Imp
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Observation
Common Test Rank Get Info: 4809

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
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
74293-2	Oncology plan of care and summary - recommended CDA set
93149-3	PhenX - bone age protocol 220301
62863-6	PhenX domain - Infectious diseases and immunity
62896-6	PhenX domain - Skin, bone, muscle and joint

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Διάγνωση:Imp:Pt:^Ασθενής:Nom: Synonyms: - H&P.PX Imp Nom Pt Ασθενής Διάγνωση
es-AR	Spanish (Argentina)	diagnóstico:impresión/interpretación del estudio:punto en el tiempo:^paciente:Nominal:
es-ES	Spanish (Spain)	Diagnóstico:Impresión/interpretación del estudio:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Diagnóstico:Interpretación:Punto temporal:^ Paciente:Nominal:
fr-CA	French (Canada)	Diagnostic:Impression:Temps ponctuel:^Patient:Nominal:
fr-BE	French (Belgium)	Diagnostic:Impression/interprétation d'étude:Temps ponctuel:^Patient:Nominal:
it-IT	Italian (Italy)	Diagnosi:Imp:Pt:^Paziente:Nom: Synonyms: Esame obbiettivo Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Diagnóstico:Imp:Pt:^Paciente:Nom: Synonyms: ; Dx; Interpretation; Interp; Impression; Impressions; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Диагноз:Впчт:ТчкВрм:^Пациент:Ном: Synonyms: Впечатление/интерпретация исследования Номинальный;Именной Точка во времени;Момент
uk-UA	Ukrainian (Ukraine)	Діагноз:Інтерпретація:МоментЧасу:^Пацієнт:Категорійно: Synonyms: Dx; H+P; H+P.PX; Impression; Impression/interpretation of study; Impressions; Interp; Interpretation; Nominal; P prime; Point in time; Random
zh-CN	Chinese (China)	诊断:印象:时间点:^患者:名义型: Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释历史纪录与体格检查历史纪录与体格检查小节时刻;随机;随意;瞬间病史与体格检查诊断结论;判断;结论

Related Codes

Code System	Code	Code Text
https://www.phenxtoolkit.org	PX161602360400	PX161602_Doctor_Visit_1_Diagnosis
https://www.phenxtoolkit.org	PX170501050100	PX170501_Crohns_Disease_Explanation_Diagnosis
https://www.phenxtoolkit.org	PX220301240000	PX220301_Bone_Age_Diagnostic

52466-0 Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)

Observation ID in Form

C

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

52558-4 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?

Observation ID in Form

C1

Type of Entry

Question expects user entry - requires response [Q]

Skip Logic

If No, skip to Section D. Major Treatments.

Form Coding Instructions

List up to 15 procedures (diagnostic, surgical and therapeutic interventions). Indicate if a procedure was left, right, or not applicable (N/A). If procedure was bilateral (e.g., bilateral knee replacement), check both left and right boxes

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Procedure this admission
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Procedure this admission [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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 https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52467-8 Procedure [CARE]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Procedure
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

29300-1 Procedure type

Observation ID in Form

C1a

Fully-Specified Name

Component: Procedure
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 2979

Member of these Panels

LOINC	Long Common Name
84907-5	Cancer pathology panel - Colorectal cancer specimen
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Διαδικασία:Type:Pt:^Ασθενής:Nom: Synonyms: - H&P.PX Nom Pt Type Ασθενής Διαδικασία
es-AR	Spanish (Argentina)	procedimiento:tipo:punto en el tiempo:^paciente:Nominal:
es-ES	Spanish (Spain)	Procedimiento:Tipo:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Procedimiento:Tipo:Punto temporal:^ Paciente:Nominal:
fr-CA	French (Canada)	Procédure:Type:Temps ponctuel:^Patient:Nominal:
it-IT	Italian (Italy)	Procedura:Tipo:Pt:^Paziente:Nom: Synonyms: Esame obbiettivo paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	verrichting:type:moment:^patiënt:nominaal:
pt-BR	Portuguese (Brazil)	Procedimento:Tipo:Pt:^Paciente:Nom: Synonyms: Typ; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Вмешательство:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Процедура Точка во времени;Момент
zh-CN	Chinese (China)	操作项目:类型:时间点:^患者:名义型: Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史纪录与体格检查历史纪录与体格检查小节型操作;程序;手续;步骤;规程;程序流程时刻;随机;随意;瞬间病史与体格检查

52560-0 Procedure.left [CARE]

Observation ID in Form

C1b

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Procedure.left
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 (MIN)

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
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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 https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52561-8 Procedure.right [CARE]

Observation ID in Form

C1c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Procedure.right
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 (MIN)

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
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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 https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52562-6 Procedure.side not applicable [CARE]

Observation ID in Form

C1d

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Procedure.side not applicable
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 (MIN)

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
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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 https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

69455-4 Major treatments

Observation ID in Form

D

Fully-Specified Name

Component: Major treatments - expired
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: CARE

Long Common Name

Major treatments - expired [CARE]

Basic Attributes

Class: PANEL.SURVEY.CARE
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired

52800-0 Used on the Day of Death or the Day Before the Day of Death:

Observation ID in Form

D1a

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Major treatments used on or 1D prior to day of death
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Major treatments used on or 1 day prior to day of death [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL552-1

Answer	Code	Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)	D1	LA137-2
Insulin Drip	D2	LA9988-2
Total parenteral nutrition	D3	LA10101-6
Central Line Management	D4	LA9943-7
Blood Transfusion(s)	D5	LA9940-3
Controlled Parenteral Analgesia – Peripheral	D6	LA9959-3
Controlled Parenteral Analgesia – Epidural	D7	LA9958-5
Left Ventricular Assistive Device (LVAD)	D8	LA9994-0
Continuous Cardiac Monitoring	D9	LA9957-7
Chest Tube(s)	D10	LA9948-6
Trach Tube with Suctioning	D11	LA10102-4
High O2 Concentration Delivery System with FiO2 > 40%	D12	LA9976-7
Non-invasive ventilation (CPAP)	D13	LA10033-1
Ventilator – Weaning	D14	LA10115-6
Ventilator – Non-Weaning	D16	LA10114-9
Hemodialysis	D17	LA9975-9
Peritoneal Dialysis	D18	LA10059-6
Fistula or Other Drain Management	D19	LA9971-8
Negative Pressure Wound Therapy	D20	LA10019-0
Complex Wound Management with positioning and skin separation/traction that requires at least two persons or extensive & complex wound management by one person	D21	LA9954-4
Halo	D22	LA9974-2
Complex External Fixators (e.g., Ilizarov)	D23	LA9953-6
One-on-One 24-Hour Staff Supervision	D24	LA11601-4
Specialty Surface or Bed (i.e., air fluidized, bariatric, low air loss, or rotation bed)	D25	LA10084-4
Multiple Types of IV Antibiotic Administration	D26	LA11603-0
IV Vaso-actors (e.g., pressors, dilators, medication for pulmonary edema)	D27	LA9992-4
IV Anti-coagulants	D28	LA9990-8
IV Chemotherapy	D28	LA9991-6
Indwelling Bowel Catheter Management System	D29	LA9984-1
Other Major Treatments, e.g. isolation, hypothermia blanket	D30	LA10050-5

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired

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 https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52565-9 Specify reason for continuous monitoring:

Observation ID in Form

D9c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Reason for continuous cardiac monitoring
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Reason for continuous cardiac monitoring

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed because this generic term can be used across contexts

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

52566-7 Specify most intensive frequency of suctioning during stay: Every____ hours

Observation ID in Form

D11c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Suctioning frequency per H during stay.max
Property: NRat
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Long Common Name

Maximum suctioning frequency per hour during stay [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

55613-4 If patient is completely independent of the ventilator, specify the number of days it took to wean patient:

Observation ID in Form

D14c

Fully-Specified Name

Component: Number of D to wean patient who is now independent from ventilator
Property: Num
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Long Common Name

Number of days to wean patient who is now independent from ventilator [CARE]

Basic Attributes

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

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

Example Units

Unit	Source
d	Example UCUM Units

52567-5 Specify reason for 24-hour supervision

Observation ID in Form

D23c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Reason for one on one 24H supervision
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Reason for one on one 24 hour supervision

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed because this generic term can be used across contexts

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

52568-3 Specify

Observation ID in Form

D23c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Other major treatments received.other specified
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Other major treatments received.other specified [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

52470-2 Used at Any Time During Stay

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Major treatments used at any time during stay panel
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Major treatments used at any time during stay panel

Basic Attributes

Class: PANEL.SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52569-1 Used at Any Time During Stay

Observation ID in Form

D1b

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Major treatments used at any time during stay
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Major treatments used at any time during stay [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL552-1

Answer	Code	Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)	D1	LA137-2
Insulin Drip	D2	LA9988-2
Total parenteral nutrition	D3	LA10101-6
Central Line Management	D4	LA9943-7
Blood Transfusion(s)	D5	LA9940-3
Controlled Parenteral Analgesia – Peripheral	D6	LA9959-3
Controlled Parenteral Analgesia – Epidural	D7	LA9958-5
Left Ventricular Assistive Device (LVAD)	D8	LA9994-0
Continuous Cardiac Monitoring	D9	LA9957-7
Chest Tube(s)	D10	LA9948-6
Trach Tube with Suctioning	D11	LA10102-4
High O2 Concentration Delivery System with FiO2 > 40%	D12	LA9976-7
Non-invasive ventilation (CPAP)	D13	LA10033-1
Ventilator – Weaning	D14	LA10115-6
Ventilator – Non-Weaning	D16	LA10114-9
Hemodialysis	D17	LA9975-9
Peritoneal Dialysis	D18	LA10059-6
Fistula or Other Drain Management	D19	LA9971-8
Negative Pressure Wound Therapy	D20	LA10019-0
Complex Wound Management with positioning and skin separation/traction that requires at least two persons or extensive & complex wound management by one person	D21	LA9954-4
Halo	D22	LA9974-2
Complex External Fixators (e.g., Ilizarov)	D23	LA9953-6
One-on-One 24-Hour Staff Supervision	D24	LA11601-4
Specialty Surface or Bed (i.e., air fluidized, bariatric, low air loss, or rotation bed)	D25	LA10084-4
Multiple Types of IV Antibiotic Administration	D26	LA11603-0
IV Vaso-actors (e.g., pressors, dilators, medication for pulmonary edema)	D27	LA9992-4
IV Anti-coagulants	D28	LA9990-8
IV Chemotherapy	D28	LA9991-6
Indwelling Bowel Catheter Management System	D29	LA9984-1
Other Major Treatments, e.g. isolation, hypothermia blanket	D30	LA10050-5

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

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 https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52565-9 Specify reason for continuous monitoring:

Observation ID in Form

D9c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Reason for continuous cardiac monitoring
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Reason for continuous cardiac monitoring

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed because this generic term can be used across contexts

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

52566-7 Specify most intensive frequency of suctioning during stay: Every____ hours

Observation ID in Form

D11c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Suctioning frequency per H during stay.max
Property: NRat
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Long Common Name

Maximum suctioning frequency per hour during stay [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

55613-4 If patient is completely independent of the ventilator, specify the number of days it took to wean patient:

Observation ID in Form

D14c

Fully-Specified Name

Component: Number of D to wean patient who is now independent from ventilator
Property: Num
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Long Common Name

Number of days to wean patient who is now independent from ventilator [CARE]

Basic Attributes

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

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

Example Units

Unit	Source
d	Example UCUM Units

52567-5 Specify reason for 24-hour supervision

Observation ID in Form

D23c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Reason for one on one 24H supervision
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Reason for one on one 24 hour supervision

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed because this generic term can be used across contexts

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

52568-3 Specify

Observation ID in Form

D23c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Other major treatments received.other specified
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Other major treatments received.other specified [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

52471-0 Medications (Optional)

Observation ID in Form

E

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

List all current medications for the patient

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

List the ten most clinically relevant medications

Source: Regenstrief Help

Fully-Specified Name

Component: Medications
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Medications

Basic Attributes

Class: PANEL.SURVEY.MDS
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.68 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57194-3	Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57192-7	Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
57193-5	Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility

Language Variants Get Info

Tag	Language	Translation
de-AT	German (Austria)	Synonyms: Dokumente der e-Medikation

52418-1 Medication Name

Observation ID in Form

E1a

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Name
Property: ID
Time: Pt
System: Medication.current
Scale: Nom
Method

Long Common Name

Current medication, Name

Basic Attributes

Class: ATTACH.MEDS
Type: Claims Attachments
First Released: Version 2.26
Last Updated: Version 2.27 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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
18605-6	Medication current Set
62611-9	PhenX domain - Respiratory
63067-3	PhenX domain - Speech and hearing

Language Variants Get Info

Tag	Language	Translation
de-AT	German (Austria)	Synonyms: Medikation
el-GR	Greek (Greece)	Όνομα:Αναγνωριστικό:Pt:Φαρμακευτική αγωγή.παρούσα:Nom: Synonyms: ATTACH ATTACH.MEDS MEDS Nom Pt Αναγνωριστικό Όνομα Φαρμακευτική αγωγή Φαρμακευτική αγωγή.παρούσα
fr-FR	French (France)	Nom:Identifiant:Ponctuel:Traitement courant:Résultat nominal:
it-IT	Italian (Italy)	Nome:ID:Pt:Farmaco.attuale:Nom: Synonyms: Allegato Allegato farmaci Farmaco attuale Identificatore Medicazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Nome:ID:Pt:Medicação.atual:Nom: Synonyms: Identifier; Ident; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Фамилия:ID:ТчкВрм:Лекарственный препарат.текущий:Ном: Synonyms: Идентификатор Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	名称:标识符:时间点:药物.当前:名义型: Synonyms: Health Insurance Portability and Accountability Act of 1996;HIPAA;健康保險可攜與責任法;HIPAA法案;健康保险可移植性和问责法1996年;美国健康保险携带和责任法案;医疗保险便携性和责任法案;医疗保险便携性与责任法案;醫療保險可攜性與責任法;HIPAA 信息附件.药物处理;健康保险便携与责任法案信息附件.药物处理;健康保险便携与责任法案信息附件.药物治疗;药物处理HIPAA信息附件;药物处理信息附件;药物处理健康保险便携与责任法案信息附件信息附件;健康保险便携与责任法案信息附件;附件分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答处理用药.当前;处理用药物.当前;处理药物.当前;当前的处理用药;当前的处理用药物;当前的处理药物;当前的治疗用药;当前的治疗用药物;当前的治疗药物;当前的药物;治疗用药.当前;治疗用药物.当前;治疗药物.当前处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物姓名;名字;名时刻;随机;随意;瞬间标识;身份标识符;身份标识药物;药物处理;用药;使用药物

Related Codes

Code System	Code	Code Text
https://www.phenxtoolkit.org	PX091502500101	PX091502_Child_Current_Medication_Medicine_1
https://www.phenxtoolkit.org	PX201501430100	PX201501_Regular_Medication1_Name
https://www.phenxtoolkit.org	PX201501430400	PX201501_Regular_Medication2_Name
https://www.phenxtoolkit.org	PX201501430700	PX201501_Regular_Medication3_Name
https://www.phenxtoolkit.org	PX201501431000	PX201501_Regular_Medication4_Name
https://www.phenxtoolkit.org	PX201501431300	PX201501_Regular_Medication5_Name
https://www.phenxtoolkit.org	PX201501431600	PX201501_Regular_Medication6_Name
https://www.phenxtoolkit.org	PX201501431900	PX201501_Regular_Medication7_Name
https://www.phenxtoolkit.org	PX201501432200	PX201501_Regular_Medication8_Name
https://www.phenxtoolkit.org	PX201501432500	PX201501_Regular_Medication9_Name
https://www.phenxtoolkit.org	PX201501432800	PX201501_Regular_Medication10_Name

52809-1 Dose form Current medication

Observation ID in Form

E1b

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Dose form
Property: Type
Time: Pt
System: Medication.current
Scale: Nom
Method

Basic Attributes

Class: MEDS
Type: Clinical
First Released: Version 2.26
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Observation
Common Test Rank Get Info: 2249

Example Answer List LL3146-9

Answer	Code	Score	Answer ID
Pill			LA16247-1
Tablet			LA21908-1
Capsule			LA21907-3
Extended-release capsule			LA21911-5
Granules			LA21912-3
Suspension			LA21913-1
Elixir			LA21914-9
Cream			LA21915-6
Ointment			LA21916-4
Injectable solution			LA21917-2
Patch			LA21918-0
Spray			LA21919-8

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Έντυπο δόσης:Type:Pt:Φαρμακευτική αγωγή.παρούσα:Nom: Synonyms: MEDS Nom Pt Type Έντυπο δόσης Μορφή Φαρμακευτική αγωγή Φαρμακευτική αγωγή.παρούσα
es-MX	Spanish (Mexico)	Forma de dosis:Tipo:Punto temporal:Medicación actual:Nominal:
fr-FR	French (France)	Forme posologique:Type:Ponctuel:Traitement courant:Résultat nominal:
it-IT	Italian (Italy)	Dose, forma:Tipo:Pt:Farmaco.attuale:Nom: Synonyms: Farmaco attuale Medicazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Forma de apresentação:Ident:Pt:Medicação.atual:Nom: Synonyms: Identity or presence; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Доза форма:Тип:ТчкВрм:Лекарственный препарат.текущий:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент Форма выпуска
zh-CN	Chinese (China)	剂型:类型:时间点:药物.当前:名义型: Synonyms: 一剂物质一剂药物分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答剂量物质型处理用药.当前;处理用药物.当前;处理药物.当前;当前的处理用药;当前的处理用药物;当前的处理药物;当前的治疗用药;当前的治疗用药物;当前的治疗药物;当前的药物;治疗用药.当前;治疗用药物.当前;治疗药物.当前处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物时刻;随机;随意;瞬间药剂形式药物;药物处理;用药;使用药物表格;表;窗体

18609-8 Current medication, Route

Observation ID in Form

E1c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Route
Property: Prid
Time: Pt
System: Medication.current
Scale: Nom
Method

Basic Attributes

Class: ATTACH.MEDS
Type: Claims Attachments
First Released: Version 1.0l
Last Updated: Version 2.27 (MIN)

Normative Answer List LL696-6

Answer	Code	Answer ID
Chew, oral	CHEW	LA11235-1
Diffusion, extracorporeal	EXTCORPDIF	LA11236-9
Diffusion, hemodialysis	HEMODIFF	LA11237-7
Diffusion, transdermal	TRNSDERMD	LA11238-5
Dissolve, oral	DISSOLVE	LA11239-3
Dissolve, sublingual	SL	LA11240-1
Douche, vaginal	DOUCHE	LA11241-9
Electro-osmosis	ELECTOSMOS	LA11242-7
Enema, rectal	ENEMA	LA11243-5
Enema, rectal retention	RETENEMA	LA11244-3
Flush, intravenous catheter	IVFLUSH	LA11245-0
Gargle	GARGLE	LA11246-8
Immersion (soak)	SOAK	LA11247-6
Implantation, intradermal	IDIMPLNT	LA11248-4
Implantation, intravitreal	IVITIMPLNT	LA11249-2
Implantation, subcutaneous	SQIMPLNT	LA11250-0
Infusion, epidural	EPI	LA11251-8
Infusion, intraarterial catheter	IA	LA11252-6
Infusion, intracardiac	IC	LA11253-4
Infusion, intracoronary	ICOR	LA11254-2
Infusion, intraosseous, continuous	IOSSC	LA11255-9
Infusion, intrathecal	IT	LA11256-7
Infusion, intravascular	IVASCINFUS	LA11257-5
Infusion, intravenous	IV	LA11258-3
Infusion, intravenous catheter	IVC	LA11259-1
Infusion, intravenous catheter, continuous	IVCC	LA11260-9
Infusion, intravenous catheter, intermittent	IVCI	LA11261-7
Infusion, intravenous catheter, pca pump	PCA	LA11262-5
Infusion, subcutaneous	SQINFUS	LA11263-3
Inhalation, intermittent positive pressure breathing (ippb)	IPPB	LA11264-1
Inhalation, nasal	NASINHL	LA11265-8
Inhalation, nasal cannula	NASINHLC	LA11266-6
Inhalation, nebulization	NEB	LA11268-2
Inhalation, nebulization, nasal	NASNEB	LA11269-0
Inhalation, nebulization, oral	ORNEB	LA11270-8
Inhalation, oral intermittent flow	ORIFINHL	LA11271-6
Inhalation, oral rebreather mask	REBREATH	LA11272-4
Inhalation, respiratory	ORINHL	LA11273-2
Inhalation, tracheostomy	TRACH	LA11274-0
Inhalation, ventilator	VENT	LA11275-7
Inhalation, ventimask	VENTMASK	LA11276-5
Injection, amniotic fluid	AMNINJ	LA11277-3
Injection, biliary tract	BILINJ	LA11278-1
Injection, cervical	CERVINJ	LA11279-9
Injection, endosinusial	ENDOSININJ	LA11280-7
Injection, epidural	EPIDURINJ	LA11281-5
Injection, epidural, push	EPIINJ	LA11282-3
Injection, epidural, slow push	EPINJSP	LA11283-1
Injection, extra-amniotic	EXTRAMNINJ	LA11284-9
Injection, extracorporeal	EXTCORPINJ	LA11285-6
Injection, for cholangiography	CHOLINJ	LA11286-4
Injection, gastric button	GBINJ	LA11287-2
Injection, gingival	GINGINJ	LA11288-0
Injection, hemodialysis port	HEMOPORT	LA11289-8
Injection, insulin pump	IPUMPINJ	LA11290-6
Injection, interameningeal	INTERMENINJ	LA11291-4
Injection, interstitial	INTERSTITINJ	LA11292-2
Injection, intra-abdominal	IABDINJ	LA11293-0
Injection, intraarterial	IAINJ	LA11294-8
Injection, intraarterial, push	IAINJP	LA11295-5
Injection, intraarterial, slow push	IAINJSP	LA11296-3
Injection, intraarticular	IARTINJ	LA11297-1
Injection, intrabursal	IBURSINJ	LA11298-9
Injection, intracardiac	ICARDINJ	LA11299-7
Injection, intracardiac, push	ICARINJP	LA11300-3
Injection, intracardiac, rapid push	ICARDINJRP	LA11301-1
Injection, intracardiac, slow push	ICARDINJSP	LA11302-9
Injection, intracartilaginous	ICARTINJ	LA11303-7
Injection, intracaudal	ICAUDINJ	LA11304-5
Injection, intracavernous	ICAVINJ	LA11305-2
Injection, intracavitary	ICAVITINJ	LA11306-0
Injection, intracerebral	ICEREBINJ	LA11307-8
Injection, intracervical (uterus)	IUINJC	LA11308-6
Injection, intracisternal	ICISTERNINJ	LA11309-4
Injection, intracoronary	ICORONINJ	LA11310-2
Injection, intracoronary, push	ICORONINJP	LA11311-0
Injection, intracorpus cavernosum	ICORPCAVINJ	LA11312-8
Injection, intradermal	IDINJ	LA11313-6
Injection, intradiscal	IDISCINJ	LA11314-4
Injection, intraductal	IDUCTINJ	LA11315-1
Injection, intradural	IDURINJ	LA11316-9
Injection, intraepidermal	IEPIDINJ	LA11317-7
Injection, intraepithelial	IEPITHINJ	LA11318-5
Injection, intralesional	ILESINJ	LA11319-3
Injection, intraluminal	ILUMINJ	LA11320-1
Injection, intralymphatic	ILYMPJINJ	LA11321-9
Injection, intramedullary	IMEDULINJ	LA11322-7
Injection, intramuscular	IM	LA11323-5
Injection, intramuscular, deep	IMD	LA11324-3
Injection, intramuscular, z track	IMZ	LA11325-0
Injection, intraocular	IOINJ	LA11326-8
Injection, intraosseous	IOSSINJ	LA11327-6
Injection, intraovarian	IOVARINJ	LA11328-4
Injection, intrapericardial	IPCARDINJ	LA11329-2
Injection, intraperitoneal	IPERINJ	LA11330-0
Injection, intrapleural	IPLRINJ	LA11331-8
Injection, intraprostatic	IPROSTINJ	LA11332-6
Injection, intrapulmonary	IPINJ	LA11333-4
Injection, intraspinal	ISINJ	LA11334-2
Injection, intrasternal	ISTERINJ	LA11335-9
Injection, intrasynovial	ISYNINJ	LA11336-7
Injection, intratendinous	ITENDINJ	LA11337-5
Injection, intratesticular	ITESTINJ	LA11338-3
Injection, intrathecal	ITINJ	LA11339-1
Injection, intrathoracic	ITHORINJ	LA11340-9
Injection, intratubular	ITUBINJ	LA11341-7
Injection, intratumor	ITUMINJ	LA11342-5
Injection, intratympanic	ITYMPINJ	LA11343-3
Injection, intraureteral, retrograde	IURETINJ	LA11344-1
Injection, intrauterine	IUINJ	LA11345-8
Injection, intravascular	IVASCINJ	LA11346-6
Injection, intravenous	IVINJ	LA11347-4
Injection, intravenous, bolus	IVINJBOL	LA11348-2
Injection, intravenous, push	IVPUSH	LA11349-0
Injection, intravenous, rapid push	IVRPUSH	LA11350-8
Injection, intravenous, slow push	IVSPUSH	LA11351-6
Injection, intraventricular (heart)	IVENTINJ	LA11352-4
Injection, intravesicle	IVESINJ	LA11353-2
Injection, intravitreal	IVITINJ	LA11354-0
Injection, paranasal sinuses	PNSINJ	LA11355-7
Injection, parenteral	PARENTINJ	LA11356-5
Injection, periarticular	PAINJ	LA11357-3
Injection, peridural	PDURINJ	LA11358-1
Injection, perineural	PNINJ	LA11359-9
Injection, periodontal	PDONTINJ	LA11360-7
Injection, peritoneal dialysis port	PDPINJ	LA11361-5
Injection, retrobulbar	RBINJ	LA11362-3
Injection, soft tissue	SOFTISINJ	LA11363-1
Injection, subarachnoid	SUBARACHINJ	LA11364-9
Injection, subconjunctival	SCINJ	LA11365-6
Injection, subcutaneous	SQ	LA11366-4
Injection, sublesional	SLESINJ	LA11367-2
Injection, submucosal	SUBMUCINJ	LA11368-0
Injection, transplacental	TRPLACINJ	LA11369-8
Injection, transtracheal	TRTRACHINJ	LA11370-6
Injection, ureteral	URETINJ	LA11371-4
Injection, urethral	URETHINJ	LA11372-2
Injection, urinary bladder	BLADINJ	LA11373-0
Insertion, cervical (uterine)	CERVINS	LA11374-8
Insertion, intraocular, surgical	IOSURGINS	LA11375-5
Insertion, intrauterine	IU	LA11376-3
Insertion, lacrimal puncta	LPINS	LA11377-1
Insertion, rectal	PR	LA11378-9
Insertion, subcutaneous, surgical	SQSURGINS	LA11379-7
Insertion, urethral	URETHINS	LA11380-5
Insertion, vaginal	VAGINSI	LA11381-3
Instillation, cecostomy	CECINSTL	LA11382-1
Instillation, chest tube	CTINSTL	LA11383-9
Instillation, continuous ambulatory peritoneal dialysis port	CAPDINSTL	LA11384-7
Instillation, endotracheal tube	ETINSTL	LA11385-4
Instillation, enteral	ENTINSTL	LA11386-2
Instillation, enteral feeding tube	EFT	LA11387-0
Instillation, gastro-jejunostomy tube	GJT	LA11388-8
Instillation, gastrostomy tube	GT	LA11389-6
Instillation, intrabronchial	IBRONCHINSTIL	LA11390-4
Instillation, intraduodenal	IDUODINSTIL	LA11391-2
Instillation, intraesophageal	IESOPHINSTIL	LA11392-0
Instillation, intragastric	IGASTINSTIL	LA11393-8
Instillation, intraileal	IILEALINJ	LA11394-6
Instillation, intraocular	IOINSTL	LA11395-3
Instillation, intrasinal	ISININSTIL	LA11396-1
Instillation, intratracheal	ITRACHINSTIL	LA11397-9
Instillation, intrauterine	IUINSTL	LA11398-7
Instillation, jejunostomy tube	JJTINSTL	LA11399-5
Instillation, laryngeal	LARYNGINSTIL	LA11400-1
Instillation, nasal	NASALINSTIL	LA11401-9
Instillation, nasogastric	NASOGASINSTIL	LA11402-7
Instillation, nasogastric tube	NGT	LA11403-5
Instillation, nasotracheal tube	NTT	LA11404-3
Instillation, orogastric tube	OGT	LA11405-0
Instillation, orojejunum tube	OJJ	LA11406-8
Instillation, otic	OT	LA11407-6
Instillation, paranasal sinuses	PNSINSTL	LA11408-4
Instillation, peritoneal dialysis port	PDPINSTL	LA11409-2
Instillation, rectal	RECINSTL	LA11410-0
Instillation, rectal tube	RECTINSTL	LA11411-8
Instillation, sinus, unspecified	SININSTIL	LA11412-6
Instillation, soft tissue	SOFTISINSTIL	LA11413-4
Instillation, tracheostomy	TRACHINSTL	LA11414-2
Instillation, transtympanic	TRTYMPINSTIL	LA11415-9
instillation, urethral	URETHINSTL	LA11416-7
Instillation, urinary catheter	BLADINSTL	LA11417-5
Insufflation	INSUF	LA11418-3
Irrigation, genitourinary	GUIRR	LA11419-1
Irrigation, intragastric	IGASTIRR	LA11420-9
Irrigation, intralesional	ILESIRR	LA11421-7
Irrigation, intraocular	IOIRR	LA11422-5
Irrigation, rectal	RECIRR	LA11423-3
Irrigation, urinary bladder	BLADIRR	LA11424-1
Irrigation, urinary bladder, continuous	BLADIRRC	LA11425-8
Irrigation, urinary bladder, tidal	BLADIRRT	LA11426-6
Lavage, intragastric	IGASTLAV	LA11427-4
Mucosal absorption, intraduodenal	IDOUDMAB	LA11428-2
Mucosal absorption, intratracheal	ITRACHMAB	LA11429-0
Mucosal absorption, submucosal	SMUCMAB	LA11430-8
Nebulization, endotracheal tube	ETNEB	LA11431-6
Occlusive dressing technique	OCDRESTA	LA11432-4
Rinse, dental	DENRINSE	LA11433-2
Rinse, oral	ORRINSE	LA11434-0
Shampoo	SHAMPOO	LA11435-7
Subconjunctival	SUBCONJTA	LA11436-5
Suck, oromucosal	SUCK	LA11437-3
Suppository, urethral	URETHSUP	LA11438-1
Swallow, oral	PO	LA11439-9
Swish and spit out, oromucosal	SWISHSPIT	LA11440-7
Swish and swallow, oromucosal	SWISHSWAL	LA11441-5
Topical	TOPICAL	LA9456-0
Topical absorption, transtympanic	TTYMPTABSORP	LA11443-1
Topical application, buccal	BUC	LA11444-9
Topical application, cervical	CERV	LA11445-6
Topical application, dental	DEN	LA11446-4
Topical application, gingival	GIN	LA11447-2
Topical application, hair	HAIR	LA11448-0
Topical application, intracorneal	ICORNTA	LA11449-8
Topical application, intracoronal (dental)	ICORONTA	LA11450-6
Topical application, intraesophageal	IESOPHTA	LA11451-4
Topical application, intraileal	IILEALTA	LA11452-2
Topical application, intralesional	ILTOP	LA11453-0
Topical application, intraluminal	ILUMTA	LA11454-8
Topical application, intraocular	IOTOP	LA11455-5
Topical application, iontophoresis	IONTO	LA11456-3
Topical application, laryngeal	LARYNGTA	LA11457-1
Topical application, mucous membrane	MUC	LA11458-9
Topical application, nail	NAIL	LA11459-7
Topical application, nasal	NASAL	LA11460-5
Topical application, ophthalmic	OPTHALTA	LA11461-3
Topical application, oral	ORALTA	LA11462-1
Topical application, oromucosal	ORMUC	LA11463-9
Topical application, oropharyngeal	OROPHARTA	LA11464-7
Topical application, perianal	PERIANAL	LA11465-4
Topical application, perineal	PERINEAL	LA11466-2
Topical application, periodontal	PDONTTA	LA11467-0
Topical application, rectal	RECTAL	LA11468-8
Topical application, scalp	SCALP	LA11469-6
Topical application, skin	SKIN	LA11470-4
Topical application, soaked dressing	DRESS	LA11471-2
Topical application, swab	SWAB	LA11472-0
Topical application, transmucosal	TMUCTA	LA11473-8
Topical application, vaginal	VAGINS	LA11474-6
Transdermal	TRNSDERM	LA9454-5
Translingual	TRNSLING	LA9455-2

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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
18605-6	Medication current Set

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Οδός:Prid:Pt:Φαρμακευτική αγωγή.παρούσα:Nom: Synonyms: ATTACH ATTACH.MEDS MEDS Nom Prid Pt Οδός Φαρμακευτική αγωγή Φαρμακευτική αγωγή.παρούσα
es-AR	Spanish (Argentina)	vía:presencia o identidad:punto en el tiempo:medicación.actual:Nominal:
fr-FR	French (France)	Voie d'administration:Identification:Ponctuel:Traitement courant:Résultat nominal:
it-IT	Italian (Italy)	Via:Prid:Pt:Farmaco.attuale:Nom: Synonyms: Allegato Allegato farmaci Farmaco attuale Medicazione Presenza o Identità Punto nel tempo (episodio)
ru-RU	Russian (Russian Federation)	Путь:ПрИд:ТчкВрм:Лекарственный препарат.текущий:Ном: Synonyms: Номинальный;Именной Присутствие или Идентификация Точка во времени;Момент
zh-CN	Chinese (China)	途径:存在与否或特征标识:时间点:药物.当前:名义型: Synonyms: Health Insurance Portability and Accountability Act of 1996;HIPAA;健康保險可攜與責任法;HIPAA法案;健康保险可移植性和问责法1996年;美国健康保险携带和责任法案;医疗保险便携性和责任法案;医疗保险便携性与责任法案;醫療保險可攜性與責任法;HIPAA 信息附件.药物处理;健康保险便携与责任法案信息附件.药物处理;健康保险便携与责任法案信息附件.药物治疗;药物处理HIPAA信息附件;药物处理信息附件;药物处理健康保险便携与责任法案信息附件信息附件;健康保险便携与责任法案信息附件;附件分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答处理用药.当前;处理用药物.当前;处理药物.当前;当前的处理用药;当前的处理用药物;当前的处理药物;当前的治疗用药;当前的治疗用药物;当前的治疗药物;当前的药物;治疗用药.当前;治疗用药物.当前;治疗药物.当前处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物存在;存在与否;特征标识;身份;身份标识时刻;随机;随意;瞬间药物;药物处理;用药;使用药物路径;通道;通路

52810-9 Current medication, Frequency

Observation ID in Form

E1d

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Frequency
Property: NRat
Time: Pt
System: Medication.current
Scale: Qn
Method

Basic Attributes

Class: ATTACH.MEDS
Type: Claims Attachments
First Released: Version 2.26
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 8478

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Συχνότητα:NRat:Pt:Φαρμακευτική αγωγή.παρούσα:Qn: Synonyms: ATTACH ATTACH.MEDS MEDS NRat Pt Qn Συχνότητα Φαρμακευτική αγωγή Φαρμακευτική αγωγή.παρούσα
fr-FR	French (France)	Fréquence:Nombre/Temps:Ponctuel:Traitement courant:Numérique:
it-IT	Italian (Italy)	Frequenza:NRat:Pt:Farmaco.attuale:Qn: Synonyms: Allegato Allegato farmaci Farmaco attuale Indice numerico Medicazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Frequência:NRat:Pt:Medicação.atual:Qn: Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU	Russian (Russian Federation)	Частота:КолСкор:ТчкВрм:Лекарственный препарат.текущий:Колич: Synonyms: Количественный Количество скорость Точка во времени;Момент
zh-CN	Chinese (China)	频率:计数型速率:时间点:药物.当前:定量型: Synonyms: Health Insurance Portability and Accountability Act of 1996;HIPAA;健康保險可攜與責任法;HIPAA法案;健康保险可移植性和问责法1996年;美国健康保险携带和责任法案;医疗保险便携性和责任法案;医疗保险便携性与责任法案;醫療保險可攜性與責任法;HIPAA 信息附件.药物处理;健康保险便携与责任法案信息附件.药物处理;健康保险便携与责任法案信息附件.药物治疗;药物处理HIPAA信息附件;药物处理信息附件;药物处理健康保险便携与责任法案信息附件信息附件;健康保险便携与责任法案信息附件;附件单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 可用数量表示的;定量性;数值型;数量型;连续数值型标尺处理用药.当前;处理用药物.当前;处理药物.当前;当前的处理用药;当前的处理用药物;当前的处理药物;当前的治疗用药;当前的治疗用药物;当前的治疗药物;当前的药物;治疗用药.当前;治疗用药物.当前;治疗药物.当前处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物时刻;随机;随意;瞬间药物;药物处理;用药;使用药物频次;频度;频繁性;次数;频率分布;发生次数;周率;频繁程度

52796-0 Planned Stop Date (if applicable)

Observation ID in Form

E1e

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Planned stop date
Property: Date
Time: Pt
System: Medication.current
Scale: Qn
Method

Long Common Name

Planned stop date Current medication

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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

52472-8 Allergies and Adverse Drug Reactions

Observation ID in Form

F

Fully-Specified Name

Component: Allergies & Adverse Drug Reactions
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

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

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52571-7 Does patient have allergies or any known adverse drug reactions?

Observation ID in Form

F1

Skip Logic

If None Known, skip to Section G. Skin Integrity. If Yes, list all allergies/causes of reaction [e.g., food, medications, other] and describe the adverse reactions.)

Fully-Specified Name

Component: Known allergies or adverse drug reactions
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Known allergies or adverse drug reactions [CARE]

Basic Attributes

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

Normative Answer List LL553-9

Answer	Code	Score	Answer ID
None known	0		LA10030-7
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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
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 https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52473-6 Allergies/Causes of Reaction

Observation ID in Form

F1a

Fully-Specified Name

Component: Allergy or cause of reaction
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Allergy or cause of reaction

Basic Attributes

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

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
62863-6	PhenX domain - Infectious diseases and immunity

31044-1 Patient Reaction

Observation ID in Form

F1b

Fully-Specified Name

Component: Immunization reaction
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Immunization reaction

Basic Attributes

Class: VACCIN
Type: Clinical
First Released: Version 2.05
Last Updated: Version 2.52 (MIN)
Order vs. Observation: Observation

Example Answer List LL3209-5

Answer	Score	Answer ID
Pain	7	LA7460-4
Hypotonic		LA22435-4
Fever		LA7435-6
Encephalopathy, disorder of the brain		LA22437-0
Anaphylaxis within 24 hours		LA22438-8
Redness		LA22439-6
Swelling	6	LA22440-4

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
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
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
62863-6	PhenX domain - Infectious diseases and immunity

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αντίδραση ανοσοποίησης:Εύρεση:Pt:^Ασθενής:Nom: Synonyms: - Nom Pt VACCIN Ανοσοποίηση Αντίδραση ανοσοποίησης Ασθενής Εύρεση
es-AR	Spanish (Argentina)	reacción:hallazgo:punto en el tiempo:^paciente:Nominal:
es-MX	Spanish (Mexico)	Reacción de inmunización:Tipo:Punto temporal:^ Paciente:Nominal:
fr-FR	French (France)	Réaction d'immunisation:Recherche:Ponctuel:^patient:Résultat nominal:
it-IT	Italian (Italy)	Immunizzazione, reazione:Osservazione:Pt:^Paziente:Nom: Synonyms: Osservazione paziente Punto nel tempo (episodio) Vaccinazioni
pt-BR	Portuguese (Brazil)	Reação:Achado:Pt:^Paciente:Nom: Synonyms: Finding; Findings; Point in time; Random; Nominal; Rxn; React; VACCINE
zh-CN	Chinese (China)	疫苗接种反应:发现:时间点:^患者:名义型: Synonyms: React Rxn 免疫接种历史;免疫史;接种史;免疫接种史分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论响应接种;接种记录;疫苗;疫苗接种时刻;随机;随意;瞬间疫苗接种（免疫接种、预防接种、接种）反应

69378-8

Current medical information

Discouraged

52464-5 Primary and Other Diagnoses, Comorbidities, and Complications

Observation ID in Form

Type of Entry

Form Coding Instructions

Fully-Specified Name

Basic Attributes

Member of these Panels

Related Names

18630-4 Primary Diagnosis at Assessment

Observation ID in Form

Type of Entry

Fully-Specified Name

Long Common Name

Basic Attributes

Example Answer List LL4747-3

Member of these Panels

Language Variants Get Info

Related Names

Third Party Copyright

52465-2 Other Diagnoses, Comorbidities, and Complications

Observation ID in Form

Type of Entry

Form Coding Instructions

Fully-Specified Name

Basic Attributes

Member of these Panels

Related Names

29308-4 Diagnosis

Part Descriptions

Observation ID in Form

Type of Entry

Fully-Specified Name

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

Related Codes

52466-0 Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)

Observation ID in Form

Type of Entry

Fully-Specified Name

Basic Attributes

Member of these Panels

Related Names

52558-4 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?

Observation ID in Form

Type of Entry

Skip Logic

Form Coding Instructions

Fully-Specified Name

Long Common Name

Basic Attributes

Normative Answer List LL251-0

Member of these Panels

Related Names

Third Party Copyright

52467-8 Procedure [CARE]

Type of Entry

Fully-Specified Name

Basic Attributes

Member of these Panels

Related Names

29300-1 Procedure type

Observation ID in Form

Fully-Specified Name

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

52560-0 Procedure.left [CARE]

Observation ID in Form

Type of Entry

Fully-Specified Name

Basic Attributes

Normative Answer List LL251-0

Member of these Panels

Related Names