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Form Coding Instructions

Use this assessment as a guide, ask questions in your own words during the constultation to help you answer each question. Circle one option in each section to reflect the level of complexity relating to this client. To be completed either during or after the consultation

Source: Patient Centered Assessment Method (PCAM)

83329-3 Health and well-being panel [PCAM]

Fully-Specified Name

Component
Health and well-being panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method
PCAM

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

83328-5 Thinking about your client's physical health needs, are there any symptoms or problems (risk indicators) you are unsure about that require further investigation?

Fully-Specified Name

Component
Physical health needs that require further investigation
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PCAM

Long Common Name

Physical health needs that require further investigation [PCAM]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4189-8

AnswerCodeScoreAnswer ID
No identified areas of uncertainty or problems already being investigatedLA26851-8
Mild vague physical symptoms or problems; but do not impact on daily life or are not of concern to clientLA26852-6
Mod to severe symptoms or problems that impact on daily lifeLA26853-4
Severe symptoms or problems that cause significant impact on daily lifeLA26854-2

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

83330-1 Are the client's physical health problems impacting on their mental well-being?

Fully-Specified Name

Component
Physical health impacting mental well-being
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PCAM

Long Common Name

Physical health impacting mental well-being [PCAM]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4192-2

AnswerCodeScoreAnswer ID
No identified areas of concernLA26855-9
Mild impact on mental well-being e.g. "feeling fed-up", "reduced enjoyment"LA26856-7
Moderate to severe impact upon mental well-being and preventing enjoyment of usual activitiesLA26857-5
Severe impact upon mental well-being and preventing engagement with usual activitiesLA26858-3

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

83332-7 Are there any problems with your client's lifestyle behaviors (alcohol, drugs, diet, exercise) that are impacting on physical or mental well-being?

Fully-Specified Name

Component
Lifestyle behaviors impacting physical or mental well-being
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PCAM

Long Common Name

Lifestyle behaviors impacting physical or mental well-being [PCAM]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4193-0

AnswerCodeScoreAnswer ID
No identified areas of concernLA26855-9
Some mild concern of potential negative impact on well-beingLA26859-1
Mod to severe impact on client's well-being, preventing enjoyment of usual activitiesLA26860-9
Severe impact on client's well-being with additional potential impact on othersLA26861-7

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

83333-5 Do you have any other concerns about your client's mental well-being - how would you rate their severity and impact on the client?

Fully-Specified Name

Component
Other mental well-being concerns
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PCAM

Long Common Name

Other mental well-being concerns [PCAM]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4194-8

AnswerCodeScoreAnswer ID
No identified areas of concernLA26855-9
Mild problems- don't interfere with functionLA26862-5
Mod to severe problems that interfere with functionLA26863-3
Severe problems impairing most daily functionsLA26864-1

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

83334-3 Social environmental panel [PCAM]

Fully-Specified Name

Component
Social environmental panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method
PCAM

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.61 (MIN)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

83322-8 How would you rate their home environment in terms of safety and stability (including domestic violence, insecure housing, neighbor harassment)?

Fully-Specified Name

Component
Home environment safety and stability
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PCAM

Long Common Name

Home environment safety and stability [PCAM]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.61 (NAM)
Change Reason
A typo was corrected in the Component.
Order vs. Observation
Observation

Normative Answer List LL4196-3

AnswerCodeScoreAnswer ID
Consistently safe, supportive, stable, no identified problemsLA26865-8
Safe, stable, but with some inconsistencyLA26866-6
Safety/stability questionableLA26867-4
Unsafe and unstableLA26868-2

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

83323-6 How do daily activities impact on the client's well-being (include current or anticipated unemployment, work, caregiving, access to transportation or other)?

Fully-Specified Name

Component
Daily activities impact on well-being
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PCAM

Long Common Name

Daily activities impact on well-being [PCAM]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4197-1

AnswerCodeScoreAnswer ID
No identified problems or perceived positive benefitsLA26869-0
Some general dissatisfaction but no concernLA26870-8
Contributes to low mood or stress at timesLA26871-6
Severe impact on poor mental well-beingLA26872-4

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

83324-4 How would you rate their social network (family, work, friends)?

Fully-Specified Name

Component
Social network
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PCAM

Long Common Name

Social network [PCAM]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4199-7

AnswerCodeScoreAnswer ID
Good participation with social networksLA26873-2
Adequate participation with social networksLA26874-0
Restricted participation with some degree of social isolationLA26875-7
Little participation, lonely and socially isolatedLA26876-5

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

83335-0 How would you rate their financial resources (including ability to afford all required medical care)?

Fully-Specified Name

Component
Financial resources
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PCAM

Long Common Name

Financial resources [PCAM]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4200-3

AnswerCodeScoreAnswer ID
Financially secure, resources adequate, no identified problemsLA26877-3
Financially secure, some resource challengesLA26878-1
Financially insecure, some resource challengesLA26879-9
Financially insecure, very few resources, immediate challengesLA26880-7

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

83336-8 Health literacy and communication panel [PCAM]

Fully-Specified Name

Component
Health literacy and communication panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method
PCAM

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

83337-6 How well does the client now understand their health and well-being (symptoms, signs or risk factors) and what they need to do to manage their health?

Fully-Specified Name

Component
Understand health and well-being and what they need to do to manage their health
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PCAM

Long Common Name

Understand health and well-being and what they need to do to manage their health [PCAM]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4201-1

AnswerCodeScoreAnswer ID
Reasonable to good understanding and already engages in managing health or is willing to undertake better managementLA26881-5
Reasonable to good understanding but do not feel able to engage with advice at this timeLA26882-3
Little understanding which impacts on their ability to undertake better managementLA26883-1
Poor understanding with significant impact on ability to manage healthLA26884-9

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

83338-4 How well do you think your client can engage in healthcare discussions (barriers include language, deafness, aphasia, alcohol or drug problems, learning difficulties, concentration)?

Fully-Specified Name

Component
Can engage in healthcare discussions
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PCAM

Long Common Name

Can engage in healthcare discussions [PCAM]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4202-9

AnswerCodeScoreAnswer ID
Clear and open communication, no identified barriersLA26885-6
Adequate communication, with or without minor barriersLA26886-4
Some difficulties in communication with or without moderate barriersLA26887-2
Serious difficulties in communication, with severe barriersLA26888-0

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

83339-2 Service coordination panel [PCAM]

Fully-Specified Name

Component
Service coordination panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method
PCAM

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

83340-0 Do other services need to be involved to help this client?

Fully-Specified Name

Component
Do other services need to be involved to help this client
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PCAM

Long Common Name

Do other services need to be involved to help this client [PCAM]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4204-5

AnswerCodeScoreAnswer ID
Other care/services not required at this timeLA26889-8
Other care/services in place and adequateLA26890-6
Other care/services in place but not sufficientLA26891-4
Other care/services not in place and requiredLA26892-2

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

83341-8 Are current services involved with this client well-coordinated (include coordination with other services you are now recommending)?

Fully-Specified Name

Component
Are current services involved with this client well-coordinated
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PCAM

Long Common Name

Are current services involved with this client well-coordinated [PCAM]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4205-2

AnswerCodeScoreAnswer ID
All required care/services in place and well coordinatedLA26893-0
Required care/services in place and adequately coordinatedLA26894-8
Required care/services in place with some coordination barriersLA26901-1
Required care/services missing and/or fragmentedLA26902-9

Member of these Panels

LOINCLong Common Name
83331-9Patient Centered Assessment Method panel [PCAM]

83344-2 What action is required [PCAM]

Fully-Specified Name

Component
What action is required
Property
Imp
Time
Pt
System
^Patient
Scale
Nar
Method
PCAM

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
85554-4Electronic Patient Centered Assessment Method panel [ePCAM]
83331-9Patient Centered Assessment Method panel [PCAM]

83343-4 Who needs to be involved [PCAM]

Fully-Specified Name

Component
Who needs to be involved
Property
Imp
Time
Pt
System
^Patient
Scale
Nar
Method
PCAM

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
85554-4Electronic Patient Centered Assessment Method panel [ePCAM]
83331-9Patient Centered Assessment Method panel [PCAM]

83342-6 Barriers to action [PCAM]

Fully-Specified Name

Component
Barriers to action
Property
Imp
Time
Pt
System
^Patient
Scale
Nar
Method
PCAM

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
85554-4Electronic Patient Centered Assessment Method panel [ePCAM]
83331-9Patient Centered Assessment Method panel [PCAM]

83345-9 What action will be taken [PCAM]

Fully-Specified Name

Component
What action will be taken
Property
Imp
Time
Pt
System
^Patient
Scale
Nar
Method
PCAM

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
85554-4Electronic Patient Centered Assessment Method panel [ePCAM]
83331-9Patient Centered Assessment Method panel [PCAM]