85662-5
Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
Deprecated
Status Information
- Status
- DEPRECATED
Term Description
This panel should be used for CMS LCDS v3.00 Planned Discharge assessments performed between April 1, 2016 and June 30, 2018.
Source: Regenstrief LOINC
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 85662-5 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] | |||
| Indent85663-3 | Administrative Information | |||
| Indent Indent58198-3 | Type of Record | |||
| Indent Indent54581-4 | Facility Provider Numbers | |||
| Indent Indent Indent76468-8 | National Provider Identifier (NPI) | |||
| Indent Indent Indent69417-4 | CMS Certification Number (CCN) | |||
| Indent Indent Indent45398-5 | State Medicaid Provider Number | |||
| Indent Indent85632-8 | Type of Provider | |||
| Indent Indent54593-9 | Assessment Reference Date. Observation end date | {mm/dd/yyyy} | ||
| Indent Indent52455-3 | Admission Date | {mm/dd/yyyy} | ||
| Indent Indent52454-6 | Reason for Assessment | |||
| Indent Indent52525-3 | Discharge Date | {mm/dd/yyyy} | ||
| Indent Indent85817-5 | Patient Demographic Information | |||
| Indent Indent Indent54503-8 | Legal Name of Patient | |||
| Indent Indent Indent Indent45392-8 | Patient First (Given) name | |||
| Indent Indent Indent Indent45393-6 | Middle initial | |||
| Indent Indent Indent Indent45394-4 | Patient Last (Family) name | |||
| Indent Indent Indent Indent45395-1 | Suffix | |||
| Indent Indent Indent45966-9 | Social Security and Medicare numbers | |||
| Indent Indent Indent Indent45396-9 | Social Security Number | |||
| Indent Indent Indent Indent45397-7 | Medicare number (or comparable railroad insurance number) | |||
| Indent Indent Indent45400-9 | Medicaid Number | |||
| Indent Indent Indent46098-0 | Gender | |||
| Indent Indent Indent21112-8 | Birth date | {mm/dd/yyyy} | ||
| Indent Indent Indent59362-4 | Race/Ethnicity | 1..6 | ||
| Indent Indent Indent52556-8 | Payer Information | 1..13 | ||
| Indent Indent55128-3 | Discharge Location | |||
| Indent Indent85412-5 | Program Interruption(s) | |||
| Indent Indent85669-0 | Number of Program Interruptions During This Stay in This Facility | {#} | ||
| Indent Indent85483-6 | Program Interruption Dates | 0..5 | ||
| Indent Indent Indent85413-3 | Interruption Start Date | 1..1 | {mm/dd/yyyy} | |
| Indent Indent Indent85414-1 | Interruption End Date | 1..1 | {mm/dd/yyyy} | |
| Indent85640-1 | Hearing, Speech, and Vision | |||
| Indent Indent85629-4 | Comatose - persistent vegetative state and no discernible consciousness | |||
| Indent Indent83250-1 | Expression of Ideas and Wants | |||
| Indent Indent83249-3 | Understanding Verbal Content | |||
| Indent85638-5 | Cognitive Patterns | |||
| Indent Indent85649-2 | LCDS v3.00 - Signs and Symptoms of Delirium (from CAM) [CMS Assessment] | |||
| Indent Indent Indent85812-6 | Acute onset and fluctuating course | |||
| Indent Indent Indent Indent85634-4 | Is there evidence of an acute change in mental status from the patient's baseline? | |||
| Indent Indent Indent Indent85630-2 | Did the (abnormal) behavior fluctuate during the day, that is, tend to come and go or increase and decrease in severity? | |||
| Indent Indent Indent85631-0 | Inattention.Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said? | |||
| Indent Indent Indent85651-8 | 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? | |||
| Indent Indent Indent85811-8 | Altered level of consciousness | |||
| Indent Indent Indent Indent85646-8 | Overall, how would you rate the patient's level of consciousness? Alert (Normal) | |||
| Indent Indent Indent Indent85655-9 | 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) | |||
| Indent85664-1 | Functional Abilities and Goals | |||
| Indent Indent85665-8 | Self-Care - Discharge Performance | |||
| Indent Indent Indent83232-9 | Eating | |||
| Indent Indent Indent83230-3 | Oral hygiene | |||
| Indent Indent Indent83228-7 | Toileting hygiene | |||
| Indent Indent Indent85652-6 | Wash upper body | |||
| Indent Indent85672-4 | Mobility - Discharge Performance | |||
| Indent Indent Indent83218-8 | Roll left and right | |||
| Indent Indent Indent83216-2 | Sit to lying | |||
| Indent Indent Indent83214-7 | Lying to sitting on side of bed | |||
| Indent Indent Indent83212-1 | Sit to stand | |||
| Indent Indent Indent83210-5 | Chair/bed-to-chair transfer | |||
| Indent Indent Indent83208-9 | Toilet transfer | |||
| Indent Indent Indent83278-2 | Does the patient walk? | |||
| Indent Indent Indent83204-8 | Walk 10 feet | |||
| Indent Indent Indent83202-2 | Walk 50 feet with two turns | |||
| Indent Indent Indent83200-6 | Walk 150 feet | |||
| Indent Indent Indent83271-7 | Does the patient use a wheelchair/scooter? | |||
| Indent Indent Indent83188-3 | Wheel 50 feet with two turns | |||
| Indent Indent Indent83272-5 | Indicate the type of wheelchair/scooter used | |||
| Indent Indent Indent83235-2 | Wheel 150 feet | |||
| Indent Indent Indent83272-5 | Indicate the type of wheelchair/scooter used | |||
| Indent85666-6 | Bladder and Bowel | |||
| Indent Indent83238-6 | Bladder Continence | |||
| Indent83279-0 | Health Conditions | |||
| Indent Indent83280-8 | Any Falls Since Admission. Has the patient had any falls since admission? | |||
| Indent Indent54854-5 | Number of Falls Since Admission | |||
| Indent Indent Indent54855-2 | No injury | |||
| Indent Indent Indent54856-0 | Injury (except major) | |||
| Indent Indent Indent54857-8 | Major injury | |||
| Indent85670-8 | 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 Indent83256-8 | Current Number of Unhealed Pressure Ulcers at Each Stage | |||
| Indent Indent Indent54884-2 | Number of Stage 1 pressure ulcers | {#} | ||
| Indent Indent Indent55124-2 | Number of Stage 2 pressure ulcers | {#} | ||
| Indent Indent Indent54886-7 | Number of these Stage 2 pressure ulcers that were present upon admission | {#} | ||
| Indent Indent Indent55125-9 | Number of Stage 3 pressure ulcers | {#} | ||
| Indent Indent Indent54887-5 | Number of these Stage 3 pressure ulcers that were present upon admission | {#} | ||
| Indent Indent Indent55126-7 | Number of Stage 4 pressure ulcers | {#} | ||
| Indent Indent Indent54890-9 | Number of these Stage 4 pressure ulcers that were present upon admission | {#} | ||
| 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 | {#} | ||
| 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 | {#} | ||
| Indent Indent Indent54950-1 | Number of unstageable pressure ulcers with suspected deep tissue injury in evolution | {#} | ||
| Indent Indent Indent54951-9 | Number of these unstageable pressure ulcers that were present upon admission | {#} | ||
| Indent Indent83282-4 | Worsening in Pressure Ulcer Status Since Admission | |||
| Indent Indent Indent83283-2 | Stage 2 | {#} | ||
| Indent Indent Indent83284-0 | Stage 3 | {#} | ||
| Indent Indent Indent83285-7 | Stage 4 | {#} | ||
| Indent Indent Indent83286-5 | Unstageable - Non-removable dressing | {#} | ||
| Indent Indent Indent83287-3 | Unstageable - Slough and/or eschar | {#} | ||
| Indent Indent Indent83288-1 | Unstageable - Deep tissue injury | {#} | ||
| Indent83247-7 | Special Treatments, Procedures, and Programs | |||
| Indent Indent69339-0 | Influenza Vaccine | |||
| Indent Indent Indent55019-4 | Did the patient receive the influenza vaccine in this facility for this year's influenza vaccination season? | |||
| Indent Indent Indent58131-4 | Date influenza vaccine received | {mm/dd/yyyy} | ||
| Indent Indent Indent55020-2 | If influenza vaccine not received, state reason: | C | ||
| Indent85637-7 | Assessment Administration | |||
| Indent Indent85648-4 | Signature of Persons Completing the Assessment | 0..12 | ||
| Indent Indent Indent85647-6 | Signature | |||
| Indent Indent Indent85650-0 | Title | |||
| Indent Indent70157-3 | Sections | |||
| Indent Indent70158-1 | Date Sections Completed | |||
| Indent Indent70127-6 | Signature of Person Verifying Assessment Completion | |||
| Indent Indent30947-6 | LTCH CARE Data Set Completion Date | {mm/dd/yyyy} |
Fully-Specified Name
- Component
- Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- CMS Assessment
Basic Attributes
- Class
- PANEL.SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.73
- Change Reason
- Release 2.73: Status: LOINC will keep most current version and one prior version of CMS assessments active and discourage all older versions.;
- Order vs. Observation
- Order
- Panel Type
- Panel
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=85662-5
LOINC Copyright
Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright