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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)"

LOINC Names Get Info

Fully-Specified Name
Altered level of consciousness in last 3D:Find:3D:^Patient:Ord:CAM.CMS
Long Common Name
Altered level of consciousness in last 3 day [CAM.CMS]

Part Model Get Info

  • Component
    Altered level of consciousness in last 3D
    LP411588-9
    • Analyte
      Altered level of consciousness in last 3D
      LP411588-9
      • Component Numerator
        Altered level of consciousness in last 3D
        LP411588-9
        • Component Numerator Core
          Altered level of consciousness in last 3D
          LP411588-9
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    Find
    LP6813-2
  • Time
    3D
    LP6933-8
  • System
    ^Patient
    LP310005-6
    • System Core
      NULL
       
    • Super System
      Patient
      LP6985-8
  • Scale
    Ord
    LP7751-3
  • Method
    CAM.CMS
    LP411606-9

Survey Question

Text
Altered level of consciousness - Did the patient have altered level of consciousness as indicated by any of the following criteria? Vigilant - startled easily to any sound or touch, Lethargic - repeatedly dozed off when being asked questions, but responded to voice or touch, Stuporous - very difficult to arouse and keep aroused for the interview, Comatose - could not be aroused
CMS

Normative Answer List: LL652-9

Source: Centers for Medicare & Medicaid Services
AnswerCodeScoreAnswer ID
Behavior not present0LA61-7
Behavior continuously present, does not fluctuate1LA10992-8
Behavior present, fluctuates (comes and goes, changes in severity)2LA10993-6

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.68 (ADD)
Order vs. Observation
Observation

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=93414-1