69413-3
Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - Planned discharge - version 1.0
Discouraged
Status Information
- Status
- DISCOURAGED
- Comment
- Discouraged as items are from a legacy demonstration tool that is no longer maintained.
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 69413-3 | Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - Planned discharge - version 1.0 | |||
| Indent70117-7 | Administrative information | |||
| Indent Indent58198-3 | Type of record during assessment period [CMS Assessment] | |||
| Indent Indent58200-7 | Correction number during assessment period [CMS Assessment] | {#} | ||
| Indent54581-4 | Facility provider numbers | |||
| Indent Indent76468-8 | National Provider Identifier (NPI) | |||
| Indent Indent69417-4 | CMS Certification Number (CCN) | |||
| Indent Indent45398-5 | State provider number for Facility | |||
| Indent52714-3 | Provider type [CARE] | |||
| Indent54593-9 | Assessment reference date - observation end date during assessment period [CMS Assessment] | {mm/dd/yyyy} | ||
| Indent52455-3 | Admission date | {mm/dd/yyyy} | ||
| Indent69418-2 | Reason for assessment | |||
| Indent52525-3 | Discharge date | {mm/dd/yyyy} | ||
| Indent54503-8 | Legal name of patient | |||
| Indent Indent45392-8 | Patient First (Given) name | |||
| Indent Indent45393-6 | Middle initial | |||
| Indent Indent45394-4 | Patient Last (Family) name | |||
| Indent Indent45395-1 | Suffix | |||
| Indent45966-9 | Social Security and Medicare numbers | |||
| Indent Indent45396-9 | Social Security number [Identifier] | |||
| Indent Indent45397-7 | Medicare or comparable number | |||
| Indent45400-9 | Medicaid number | |||
| Indent46098-0 | Gender | |||
| Indent21112-8 | Birth date | O | {mm/dd/yyyy} | |
| Indent59362-4 | Race/Ethnicity | 1..6 | ||
| Indent69372-1 | What is the highest level of school this patient has completed? | |||
| Indent54505-3 | Language | |||
| Indent Indent54588-9 | Does the resident need or want an interpreter to communicate with a doctor or health care staff? | |||
| Indent Indent54899-0 | Preferred Language | |||
| Indent45404-1 | Marital status | |||
| Indent11340-7 | Lifetime occupation(s) | |||
| Indent52556-8 | Current Payment Source (s) | 1..13 | ||
| Indent52721-8 | Other (specify) | |||
| Indent52716-8 | Was the patient's discharge delayed for at least 24 hours? | |||
| Indent52717-6 | Reason for discharge delay | |||
| Indent52718-4 | Other (specify) | |||
| Indent52688-9 | Discharge Location. Where will the patient be discharged to? | |||
| Indent70118-5 | Hearing, speech, vision | |||
| Indent Indent45482-7 | Persistent vegetative state/no discernible consciousness at time of assessment | |||
| Indent70114-4 | Functional status - usual performance | |||
| Indent Indent52663-2 | Roll left and right | |||
| Indent Indent52664-0 | Sit to lying | |||
| Indent Indent52648-3 | Lying to Sitting on Side of Bed | |||
| Indent70116-9 | Bowel and bladder | |||
| Indent Indent69667-4 | Bowel continence [CARE] | |||
| Indent69867-0 | Active diagnoses | 1..3 | ||
| Indent70115-1 | Swallowing - nutritional status | |||
| Indent Indent46039-4 | Height and weight Set | |||
| Indent Indent Indent3137-7 | Body height Measured | [in_us];cm;m | ||
| Indent Indent Indent3141-9 | Body weight Measured | 0..1 | [lb_av];kg | |
| Indent70112-8 | Skin conditions | |||
| Indent Indent58214-8 | Unhealed Pressure Ulcer(s). Does this patient have one or more unhealed pressure ulcer(s) at Stage 1 or higher? | |||
| Indent Indent70113-6 | Current number of unhealed (non-epithelialized) pressure ulcers at each stage - Long term care hospital [CARE] | |||
| Indent Indent Indent54884-2 | Number of pressure injuries - stage 1 during assessment period [CMS Assessment] | {#} | ||
| Indent Indent Indent54886-7 | Number of these Stage 2 pressure ulcers that were present upon admission/reentry | {#} | ||
| Indent Indent Indent58123-1 | Date of Pressure injury.oldest non-epithelialized stage 2 [CMS Assessment] | {mm/dd/yyyy} | ||
| Indent Indent Indent52576-6 | Number of pressure ulcers at assessment - stage 3 [CARE] | |||
| Indent Indent Indent54887-5 | Number of these Stage 3 pressure ulcers that were present upon admission/reentry | {#} | ||
| Indent Indent Indent52577-4 | Number of pressure ulcers at assessment - stage 4 [CARE] | |||
| Indent Indent Indent54890-9 | Number of these Stage 4 pressure ulcers that were present upon admission/reentry | {#} | ||
| Indent Indent Indent54893-3 | Number of unstageable pressure ulcers due to non-removable dressing/device | {#} | ||
| Indent Indent Indent54894-1 | Number of these unstageable pressure ulcers that were present upon admission/reentry | {#} | ||
| Indent Indent Indent54946-9 | Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar | {#} | ||
| Indent Indent Indent54947-7 | Number of these unstageable pressure ulcers that were present upon admission/reentry | {#} | ||
| Indent Indent Indent54950-1 | Number of unstageable pressure ulcers with suspected deep tissue injury in evolution | {#} | ||
| Indent Indent Indent54951-9 | Number of these unstageable ulcers that were present upon admission/reentry | {#} | ||
| Indent Indent Indent52477-7 | Dimensions of unhealed stage 3 or 4 pressure ulcers or eschar - LTCH | |||
| Indent Indent Indent Indent52728-3 | Pressure Ulcer Length | cm | ||
| Indent Indent Indent Indent52729-1 | Pressure Ulcer Width: | cm | ||
| Indent Indent Indent Indent57228-9 | Pressure Ulcer Depth | cm | ||
| Indent Indent Indent55073-1 | Most Severe Tissue Type for Any Pressure Ulcer | |||
| Indent70119-3 | Healed pressure ulcers - Long term care hospital [CARE] | |||
| Indent Indent54957-6 | Were pressure ulcers present on the prior assessment (OBRA or PPS)? | |||
| Indent54952-7 | Worsening in pressure ulcer status since last assessment | |||
| Indent Indent54953-5 | Stage 2 | {#} | ||
| Indent Indent54954-3 | Stage 3 | {#} | ||
| Indent Indent54955-0 | Stage 4 | {#} | ||
| Indent70120-1 | Assessment administration | |||
| Indent Indent68995-0 | Person completing form name Provider | |||
| Indent Indent46500-5 | Discipline of Person Completing Assessment | |||
| Indent Indent70157-3 | Form sections completed Provider | |||
| Indent Indent70158-1 | Date sections completed Provider | |||
| Indent Indent70127-6 | Signature of RN Assessment Coordinator Verifying Assessment Completion | |||
| Indent Indent Indent70127-6 | Signature: | |||
| Indent Indent Indent30947-6 | Date RN Assessment Coordinator signed assessment as complete: | {mm/dd/yyyy} |
Fully-Specified Name
- Component
- Continuity assessment record and evaluation tool - Long term care hospital - Planned discharge - version 1.0
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- CARE
Basic Attributes
- Class
- PANEL.SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.73
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
LOINC Terminology Service (API) using HL7® FHIR® Get Info
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