Version 2.80

85649-2 Signs and Symptoms of Delirium (from CAM)

Observation ID in Form

C1610

Form Context

Confusion Assessment Method (CAM©) Shortened Version Worksheet

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

(3-day assessment period)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
LCDS v3.00 - Signs and Symptoms of Delirium (from CAM)
Property
-
Time
3D
System
^Patient
Scale
-
Method
CMS Assessment

Long Common Name

LCDS v3.00 - Signs and Symptoms of Delirium (from CAM) [CMS Assessment]

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.78 (MIN)
Change Reason
Release 2.78: PanelType: CMS LTPAC Project policy: revise all existing Header LOINCs from “Order, Panels” to “Subset, Organizers”; ORDER_OBS: CMS LTPAC Project policy: revise all existing Header LOINCs from “Order, Panels” to “Subset, Organizers”; Release 2.69: COMPONENT: Changed version back to v3.00 since reporting period codes are now used in LCDS rather than 3D.; Release 2.67: COMPONENT: The assessment version was added to the Component to differentiate from new versions
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85662-5 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]

85812-6 Acute onset and fluctuating course

Fully-Specified Name

Component
LCDS v3.00 - Acute onset and fluctuating course
Property
-
Time
3D
System
^Patient
Scale
-
Method
CMS Assessment

Long Common Name

LCDS v3.00 - Acute onset and fluctuating course [CMS Assessment]

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.69 (NAM)
Change Reason
Release 2.69: COMPONENT: Updated to included most recent version of LCDS that uses this panel.;
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85662-5 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]

85634-4 Is there evidence of an acute change in mental status from the patient's baseline?

Observation ID in Form

C1610A

Fully-Specified Name

Component
Is there evidence of an acute change in mental status from the patient's baseline during 3D assessment period
Property
Find
Time
3D
System
^Patient
Scale
Ord
Method
CAM.CMS

Long Common Name

Is there evidence of an acute change in mental status from the patient's baseline during 3 day assessment period [CAM.CMS]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.67 (MAJ)
Change Reason
Release 2.67: METHOD_TYP: Method updated to reflect that this item is from the CMS adaption of the Confusion Assessment Method (CAM); SURVEY_QUEST_TEXT: Survey question from the Confusion Assessment Method (CAM) added to clarify the source of this term; SURVEY_QUEST_SRC: Survey question from the Confusion Assessment Method (CAM) added to clarify the source of this term
Order vs. Observation
Observation

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
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85662-5 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]

85630-2 Did the (abnormal) behavior fluctuate during the day, that is, tend to come and go or increase and decrease in severity?

Term Description

This term is the CMS Assessment adaption of question 2B on the Confusion Assessment Method (CAM): "Did this behavior fluctuate during the interview, that is, tend to come and go or increase and decrease in severity?"

Observation ID in Form

C1610B

Fully-Specified Name

Component
Did the (abnormal) behavior fluctuate during the day, that is, tend to come and go or increase and decrease in severity during 3D assessment period
Property
Find
Time
3D
System
^Patient
Scale
Ord
Method
CAM.CMS

Long Common Name

Did the (abnormal) behavior fluctuate during the day, that is, tend to come and go or increase and decrease in severity during 3 day assessment period [CAM.CMS]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.67 (MAJ)
Change Reason
Release 2.67: METHOD_TYP: Method updated to reflect that this item is from the CMS adaption of the Confusion Assessment Method (CAM); SURVEY_QUEST_TEXT: Survey question from CMS was added to clarify that this term is an adaptation of question 2B from the Confusion Assessment Method (CAM)
Order vs. Observation
Observation

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
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85662-5 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]

85631-0 Inattention.Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said?

Observation ID in Form

C1610C

Fully-Specified Name

Component
Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said during 3D assessment period
Property
Find
Time
3D
System
^Patient
Scale
Ord
Method
CAM.CMS

Long Common Name

Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said during 3 day assessment period [CAM.CMS]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.67 (MAJ)
Change Reason
Release 2.67: METHOD_TYP: Method updated to reflect that this item is from the CMS adaption of the Confusion Assessment Method (CAM); SURVEY_QUEST_TEXT: Survey question from the Confusion Assessment Method (CAM) added to clarify the source of this term; SURVEY_QUEST_SRC: Survey question from the Confusion Assessment Method (CAM) added to clarify the source of this term; ANSWER_LIST_TYPE: Answer List Type changed to Example to accommodate Override Answer List
Order vs. Observation
Observation

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
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85662-5 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]

85651-8 Disorganized thinking.Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject?

Observation ID in Form

C1610D

Fully-Specified Name

Component
Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject during 3D assessment period
Property
Find
Time
3D
System
^Patient
Scale
Ord
Method
CAM.CMS

Long Common Name

Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject during 3 day assessment period [CAM.CMS]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.67 (MAJ)
Change Reason
Release 2.67: METHOD_TYP: Method updated to reflect that this item is from the CMS adaption of the Confusion Assessment Method (CAM); SURVEY_QUEST_TEXT: Survey question from the Confusion Assessment Method (CAM) added to clarify the source of this term; SURVEY_QUEST_SRC: Survey question from the Confusion Assessment Method (CAM) added to clarify the source of this term; ANSWER_LIST_TYPE: Answer List Type changed to Example to accommodate Override Answer List
Order vs. Observation
Observation

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
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85662-5 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]

85811-8 Altered level of consciousness

Observation ID in Form

C1610E

Fully-Specified Name

Component
LCDS v3.00 - Altered level of consciousness
Property
-
Time
3D
System
^Patient
Scale
-
Method
CMS Assessment

Long Common Name

LCDS v3.00 - Altered level of consciousness [CMS Assessment]

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.69 (NAM)
Change Reason
Release 2.69: COMPONENT: Updated to included most recent version of LCDS that uses this panel.;
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85662-5 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]

85646-8 Overall, how would you rate the patient's level of consciousness? Alert (Normal)

Term Description

This term is the CMS Assessment adaption of question 4 on the Confusion Assessment Method (CAM): "[Altered level of consciousness] Overall, how would you rate this patient's level of consciousness? (Alert [normal]; Vigilant [hyperalert, overly sensitive to environmental stimuli, startled very easily], Lethargic [drowsy, easily aroused]; Stupor [difficult to arouse]; Coma; [unarousable]; Uncertain)"

Observation ID in Form

C1610E1

Fully-Specified Name

Component
Level of consciousness - Alert (normal) during 3D assessment
Property
Find
Time
3D
System
^Patient
Scale
Ord
Method
CAM.CMS

Long Common Name

Level of consciousness - Alert (normal) during 3 day assessment [CAM.CMS]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.67 (MAJ)
Change Reason
Release 2.67: METHOD_TYP: Method updated to reflect that this item is from the CMS adaption of the Confusion Assessment Method (CAM); SURVEY_QUEST_TEXT: Survey question from CMS was added to clarify that this term is an adaptation of question 4 from the Confusion Assessment Method (CAM)
Order vs. Observation
Observation

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
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85662-5 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]

85655-9 Overall, how would you rate the patient's level of consciousness? Vigilant (hyperalert) or Lethargic (drowsy, easily aroused) or Stupor (difficult to arouse) or Coma (unarousable)

Term Description

This term is the CMS Assessment adaption of question 4 on the Confusion Assessment Method (CAM): "[Altered level of consciousness] Overall, how would you rate this patient's level of consciousness? (Alert [normal]; Vigilant [hyperalert, overly sensitive to environmental stimuli, startled very easily], Lethargic [drowsy, easily aroused]; Stupor [difficult to arouse]; Coma; [unarousable]; Uncertain)"

Observation ID in Form

C1610E2

Fully-Specified Name

Component
Level of consciousness - Vigilant or lethargic or stupor or coma during 3D assessment
Property
Find
Time
3D
System
^Patient
Scale
Ord
Method
CAM.CMS

Long Common Name

Level of consciousness - Vigilant or lethargic or stupor or coma during 3 day assessment [CAM.CMS]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.67 (MAJ)
Change Reason
Release 2.67: METHOD_TYP: Method updated to reflect that this item is from the CMS adaption of the Confusion Assessment Method (CAM); SURVEY_QUEST_TEXT: Survey question from CMS was added to clarify that this term is an adaptation of question 4 from the Confusion Assessment Method (CAM)
Order vs. Observation
Observation

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
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85662-5 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]