Version 2.78

52634-3 Does the patient have any impairments with respiratory status?

Observation ID in Form

F1

Skip Logic

If No impairments, skip to Section G. Endurance. If Yes, please complete this section.

Fully-Specified Name

Component
Any impairments with respiratory status
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.64
Change Reason
Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Survey Question

Text
Does the patient have any impairments with respiratory status?
Source
CARE I.f01

Example 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
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52635-0 Respiratory status with supplemental oxygen

Fully-Specified Name

Component
Respiratory status with oxygen therapy during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.64

Survey Question

Text
Respiratory Status With Supplemental O2: Was the patient dyspneic or noticeably short of breath?
Source
CARE I.f01a

Normative Answer List LL582-8

Answer Code Score Answer ID
Severe, with evidence the patient is struggling to breathe at rest 5 LA10075-2
Mild at rest (during day or night) 4 LA10005-9
With minimal exertion (for example, while eating, talking, or performing other ADLs) or with agitation 3 LA6445-6
With moderate exertion (e.g., while dressing, using commode or bedpan, walking between rooms) 2 LA10122-2
When climbing stairs 1 LA10121-4
Never, patient was not short of breath 0 LA10020-8
Not assessed (e.g., on ventilator) 8 LA10035-6
Not applicable 9 LA4720-4

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52636-8 Respiratory status without supplemental oxygen

Observation ID in Form

F1b

Fully-Specified Name

Component
Respiratory status without oxygen therapy during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.64

Survey Question

Text
Respiratory Status Without Supplemental O2: Was the patient dyspneic or noticeably short of breath?
Source
CARE I.f01b

Normative Answer List LL582-8

Answer Code Score Answer ID
Severe, with evidence the patient is struggling to breathe at rest 5 LA10075-2
Mild at rest (during day or night) 4 LA10005-9
With minimal exertion (for example, while eating, talking, or performing other ADLs) or with agitation 3 LA6445-6
With moderate exertion (e.g., while dressing, using commode or bedpan, walking between rooms) 2 LA10122-2
When climbing stairs 1 LA10121-4
Never, patient was not short of breath 0 LA10020-8
Not assessed (e.g., on ventilator) 8 LA10035-6
Not applicable 9 LA4720-4

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission