52523-8
Discharge Status
Discouraged
52524-6 Discharge Information
Observation ID in Form
A
Fully-Specified Name
- Component
- Discharge Information
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
- Panel Type
- Panel
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 |
52525-3 Discharge date
Observation ID in Form
A1
Fully-Specified Name
- Component
- Discharge date
- Property
- TmStp
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
Basic Attributes
- Class
- H&P.HX
- Type
- Clinical
- First Released
- Version 2.24
- Last Updated
- Version 2.63 (MIN)
- Order vs. Observation
- Both
Member of these Panels
LOINC | Long Common Name |
---|---|
103991-6 | CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment] |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
83265-9 | Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] |
87414-9 | Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] |
88329-8 | Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] |
85671-6 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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] |
86870-3 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment] |
86874-5 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment] |
86875-2 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment] |
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
86872-9 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] |
86871-1 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] |
86873-7 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] |
86877-8 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] |
86856-2 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] |
86876-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] |
88279-5 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment] |
88280-3 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment] |
88281-1 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88283-7 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] |
88284-5 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] |
88285-2 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] |
88286-0 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] |
88287-8 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] |
88292-8 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] |
88288-6 | Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] |
88951-9 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment] |
88952-7 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment] |
88953-5 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88945-1 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] |
88946-9 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] |
88947-7 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] |
88948-5 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] |
88949-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] |
88955-0 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] |
88950-1 | Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
89963-3 | Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment] |
93128-7 | Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment] |
87506-2 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment] |
93219-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment] |
103948-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment] |
87507-0 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment] |
93221-0 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment] |
103946-0 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment] |
87508-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment] |
93220-2 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment] |
103947-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment] |
90479-7 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment] |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
90477-1 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] |
90478-9 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment] |
90474-8 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment] |
90475-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment] |
91552-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment] |
90476-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
101108-9 | MDS v3.0 - RAI v1.18.11 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101107-1 | MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] |
101109-7 | MDS v3.0 - RAI v1.18.11 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment] |
101110-5 | MDS v3.0 - RAI v1.18.11 - Nursing home PPS (NP) item set during assessment period [CMS Assessment] |
101106-3 | MDS v3.0 - RAI v1.18.11 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment] |
101113-9 | MDS v3.0 - RAI v1.18.11 - Swing bed discharge (SD) item set during assessment period [CMS Assessment] |
101112-1 | MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
105008-7 | MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
104606-9 | MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] |
105201-8 | MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment] |
104552-5 | MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment] |
104554-1 | MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment] |
104607-7 | MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment] |
104609-3 | MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
75854-0 | PCORnet common data model set - version 1.0 [PCORnet] |
85057-8 | PCORnet Common Data Model set - version 3.0 [PCORnet] |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
el-GR | Greek (Greece) | Ημερομηνία εξιτηρίου: Synonyms: TmStp Ημερομηνία εξιτηρίου |
es-MX | Spanish (Mexico) | Fecha de alta: |
it-IT | Italian (Italy) | Data di dimissione: Synonyms: Anamnesi paziente Punto nel tempo (episodio) Time stamp (Data e Ora) |
pt-BR | Portuguese (Brazil) | Data de alta médica: Synonyms: Time stamp; |
ru-RU | Russian (Russian Federation) | Выбытие дата: Synonyms: Time Stamp (Дата и Время) Выписка Дата выписки Количественный Точка во времени; |
zh-CN | Chinese (China) | 出院日期: Synonyms: 允许...离开(医院、 |
Example Units
Unit | Source |
---|---|
{mm/dd/yyyy} | Example UCUM Units |
52526-1 Attending Physician (at this location)
Observation ID in Form
A2
Fully-Specified Name
- Component
- Attending physician name
- Property
- Pn
- Time
- Pt
- System
- Provider
- Scale
- Nom
- Method
Long Common Name
Attending physician name
Basic Attributes
- Class
- CLIN
- Type
- Clinical
- First Released
- Version 2.24
- Last Updated
- Version 2.73 (MIN)
- Common Test Rank Get Info
- 7284
Member of these Panels
LOINC | Long Common Name |
---|---|
80190-2 | Catheterization and angiography procedure details panel |
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 |
68359-9 | End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746 |
67868-0 | End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728 |
55140-8 | Vaccine Adverse Event Reporting System (VAERS) panel |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
el-GR | Greek (Greece) | Όνομα θεράποντος ιατρού: Synonyms: Pn Ιατρός Όνομα Όνομα θεράποντος ιατρού |
es-MX | Spanish (Mexico) | Nombre del médico tratante: |
it-IT | Italian (Italy) | Medico curante, nome: Synonyms: Clinico Nome del medico curante Nome di persona Punto nel tempo (episodio) |
pt-BR | Portuguese (Brazil) | Nome do médico atendente: Synonyms: Person name; |
ru-RU | Russian (Russian Federation) | Штатный лечащий врач фамилия: Synonyms: Номинальный; |
zh-CN | Chinese (China) | 主治医师姓名: Synonyms: 主治医生姓名; |
52688-9 Discharge Location. Where will the patient be discharged to?
Observation ID in Form
A3
Fully-Specified Name
- Component
- Discharge disposition
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Discharge disposition [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.66 (NAM)
- Change Reason
- Updated Component from "Discharge location" to "Discharge disposition" for consistency across LOINC for terms reporting the location/status (disposition) of the patient at discharge.
Normative Answer List LL591-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Private residence | 1 | LA10062-0 | |
Other community-based residential setting (e.g., assisted living residents, group home, adult foster care) | 2 | LA10048-9 | |
Long-term care facility/nursing home | 3 | LA9999-9 | |
Skilled nursing facility (SNF/TCU) | 4 | LA10080-2 | |
Short-stay acute hospital (IPPS) | 5 | LA10078-6 | |
Long-Term Care Hospital (LTCH) | 6 | LA10000-0 | |
Inpatient rehabilitation hospital or unit (IRF) | 7 | LA9986-6 | |
Psychiatric hospital or unit | 8 | LA10065-3 | |
Facility-based hospice | 9 | LA9969-2 | |
Other (e.g., shelter, jail, no known address) | 10 | LA10047-1 | |
Discharged against medical advice | 11 | LA9965-0 |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52689-7 Frequency of Assistance at Discharge (or admission for HH). How often will the patient require assistance (physical care or supervision) from a caregiver(s) or provider(s)?
Observation ID in Form
A4
Skip Logic
If Patient does not require assistance, Skip to Section B. Residential Information.
Fully-Specified Name
- Component
- Frequency of assistance at discharge
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Long Common Name
Frequency of assistance at discharge [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL592-7
Answer | Code | Score | Answer ID |
---|---|---|---|
Patient does not require assistance | 1 | LA10057-0 | |
Weekly or less (e.g., requires help with grocery shopping or errands, etc.) | 2 | LA10118-0 | |
Less than daily but more often than weekly | 3 | LA9995-7 | |
Intermittently and predictably during the day or night | 4 | LA9989-0 | |
All night but not during the day | 5 | LA9932-0 | |
All day but not at night | 6 | LA9931-2 | |
24 hours per day, or standby services | 7 | LA9919-7 |
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 |
52690-5 Caregiver(s) Availability. Was the discharge destination decision influenced by the availability of a family member or friend to provide assistance?
Observation ID in Form
A5
Skip Logic
If No, skip to Section B. Residential Information.
Fully-Specified Name
- Component
- Discharge destination influenced by caregiver availability
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Long Common Name
Discharge destination influenced by caregiver availability [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL251-0
Answer | Code | Score | Answer ID |
---|---|---|---|
2: No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
1: 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 |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
52691-3 Willing Caregiver(s). Does the patient have one or more willing caregiver(s)?
Observation ID in Form
A6
Skip Logic
In NO, skip to Section B. Residential Information. If Unclear, skip to Section B. Residential Infomation.
Fully-Specified Name
- Component
- Willing caregiver
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Long Common Name
Willing caregiver [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL593-5
Answer | Code | Score | Answer ID |
---|---|---|---|
2: No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
Yes, confirmed by caregiver | 1 | LA10130-5 | |
Yes, confirmed only by patient | 2 | LA10131-3 | |
Unclear from patient; no confirmation from caregiver | 9 | LA10108-1 |
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 |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
52692-1 Types of Caregiver(s). What is the relationship of the caregiver(s) to the patient?
Observation ID in Form
A7
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Types of caregiver
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Long Common Name
Types of caregiver
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MAJ)
- Change Reason
- Method removed and Answer List Type changed to Example because this generic term can be used across contexts
Example Answer List LL594-3
Answer | Code | Score | Answer ID |
---|---|---|---|
Spouse or significant other | a | LA6382-1 | |
Child | b | LA9949-4 | |
Other unpaid family member or friend | c | LA10052-1 | |
Paid help | d | LA6320-1 |
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 |
52527-9 Residential Information
Observation ID in Form
B
Form Coding Instructions
Complete only if patient is discharged to a private residence or other community-based setting
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Residential Information
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
- Panel Type
- Panel
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 |
52693-9 Patient Lives With at Discharge (or admission for HH). Upon discharge (admission), who will the patient live with?
Observation ID in Form
B1
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Patient will live with at discharge
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Patient will live with at discharge [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL549-7
Answer | Code | Score | Answer ID |
---|---|---|---|
Lives alone | a | LA6255-9 | |
Lives with paid helper | b | LA9997-3 | |
Lives with other(s) | c | LA9996-5 | |
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | d | LA4489-6 |
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 |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
52528-7 Support Needs/Caregiver Assistance
Observation ID in Form
C
Form Coding Instructions
Type of Assistance Needed. Patient needs assistance with (check all that apply). Support Needs/Caregiver Assistance. (If patient needs assistance, check one on each row)
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Support Needs &or Caregiver Assistance
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
- Panel Type
- Panel
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 |
52694-7 ADL assistance (e.g., transfer/ambulation, bathing, dressing, toileting, eating/feeding)
Observation ID in Form
C1a
Fully-Specified Name
- Component
- ADL assistance needed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
ADL assistance needed [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL595-0
Answer | Code | Score | Answer ID |
---|---|---|---|
CG able | 1 | LA9945-2 | |
CG will need training and/or other supportive services | 2 | LA9947-8 | |
CG not likely to be able | 3 | LA9946-0 | |
CG ability unclear | 4 | LA9944-5 |
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 |
52695-4 IADL assistance (e.g., meals, housekeeping, laundry, telephone, shopping, finances)
Observation ID in Form
C1b
Fully-Specified Name
- Component
- IADL assistance needed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
IADL assistance needed [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL595-0
Answer | Code | Score | Answer ID |
---|---|---|---|
CG able | 1 | LA9945-2 | |
CG will need training and/or other supportive services | 2 | LA9947-8 | |
CG not likely to be able | 3 | LA9946-0 | |
CG ability unclear | 4 | LA9944-5 |
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 |
52696-2 Medication administration (e.g., oral, inhaled, or injectable)
Observation ID in Form
C1c
Fully-Specified Name
- Component
- Medication administration assistance needed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Medication administration assistance needed [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL595-0
Answer | Code | Score | Answer ID |
---|---|---|---|
CG able | 1 | LA9945-2 | |
CG will need training and/or other supportive services | 2 | LA9947-8 | |
CG not likely to be able | 3 | LA9946-0 | |
CG ability unclear | 4 | LA9944-5 |
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 |
52697-0 Medical procedures/treatments (e.g., changing wound dressing)
Observation ID in Form
C1d
Fully-Specified Name
- Component
- Medical procedures &or treatments assistance needed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Medical procedures/treatments assistance needed [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL595-0
Answer | Code | Score | Answer ID |
---|---|---|---|
CG able | 1 | LA9945-2 | |
CG will need training and/or other supportive services | 2 | LA9947-8 | |
CG not likely to be able | 3 | LA9946-0 | |
CG ability unclear | 4 | LA9944-5 |
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 |
52698-8 Management of equipment (includes oxygen, IV/infusion equipment, enteral/parenteral nutrition, ventilator therapy equipment, or supplies)
Observation ID in Form
C1e
Fully-Specified Name
- Component
- Management of equipment assistance needed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Management of equipment assistance needed [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL595-0
Answer | Code | Score | Answer ID |
---|---|---|---|
CG able | 1 | LA9945-2 | |
CG will need training and/or other supportive services | 2 | LA9947-8 | |
CG not likely to be able | 3 | LA9946-0 | |
CG ability unclear | 4 | LA9944-5 |
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 |
52699-6 Supervision and safety
Observation ID in Form
C1f
Fully-Specified Name
- Component
- Supervision and safety assistance needed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Supervision and safety assistance needed [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL595-0
Answer | Code | Score | Answer ID |
---|---|---|---|
CG able | 1 | LA9945-2 | |
CG will need training and/or other supportive services | 2 | LA9947-8 | |
CG not likely to be able | 3 | LA9946-0 | |
CG ability unclear | 4 | LA9944-5 |
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 |
52700-2 Advocacy or facilitation of patient's participation in appropriate medical care (includes transportation to or from appointments)
Observation ID in Form
C1g
Fully-Specified Name
- Component
- Advocacy assistance needed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Advocacy assistance needed [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL595-0
Answer | Code | Score | Answer ID |
---|---|---|---|
CG able | 1 | LA9945-2 | |
CG will need training and/or other supportive services | 2 | LA9947-8 | |
CG not likely to be able | 3 | LA9946-0 | |
CG ability unclear | 4 | LA9944-5 |
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 |
52701-0 None of the above or non-residential setting
Observation ID in Form
C1h
Fully-Specified Name
- Component
- No assistance needed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
No assistance needed [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL251-0
Answer | Code | Score | Answer ID |
---|---|---|---|
2: No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
1: 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 |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
52529-5 Discharge Care Options
Observation ID in Form
D
Form Coding Instructions
Please indicate whether the team considered the following services appropriate for the patient at discharge; for those identified as potentially appropriate, were they: unavailable, refused by family, or not covered by insurance. (Check all that apply.)
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Discharge Care Options
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
- Panel Type
- Panel
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 |
52702-8 Home Health Care (HHA)
Observation ID in Form
Da
Fully-Specified Name
- Component
- Home health care considered appropriate
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Home health care considered appropriate [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL596-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Considered Appropriate by the Provider | 1 | LA9955-1 | |
No Bed/Services Available | 2 | LA11804-4 | |
Refused by Patient/Family | 3 | LA10069-5 | |
Not Covered by Insurance | 4 | LA10041-4 |
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 |
52703-6 Skilled Nursing Facility (SNF/TCU)
Observation ID in Form
Db
Fully-Specified Name
- Component
- Skilled nursing facility considered appropriate
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Skilled nursing facility considered appropriate [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL596-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Considered Appropriate by the Provider | 1 | LA9955-1 | |
No Bed/Services Available | 2 | LA11804-4 | |
Refused by Patient/Family | 3 | LA10069-5 | |
Not Covered by Insurance | 4 | LA10041-4 |
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 |
52704-4 Inpatient Rehabilitation Hospital or Unit (IRF)
Observation ID in Form
Dc
Fully-Specified Name
- Component
- Inpatient rehabilitation hospital considered appropriate
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Inpatient rehabilitation hospital considered appropriate [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL596-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Considered Appropriate by the Provider | 1 | LA9955-1 | |
No Bed/Services Available | 2 | LA11804-4 | |
Refused by Patient/Family | 3 | LA10069-5 | |
Not Covered by Insurance | 4 | LA10041-4 |
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 |
52705-1 Long-Term Care Hospital (LTCH)
Observation ID in Form
Dd
Fully-Specified Name
- Component
- Long term care hospital considered appropriate
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Long term care hospital considered appropriate [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL596-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Considered Appropriate by the Provider | 1 | LA9955-1 | |
No Bed/Services Available | 2 | LA11804-4 | |
Refused by Patient/Family | 3 | LA10069-5 | |
Not Covered by Insurance | 4 | LA10041-4 |
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 |
52706-9 Psychiatric Hospital or Unit
Observation ID in Form
De
Fully-Specified Name
- Component
- Psychiatric hospital considered appropriate
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Psychiatric hospital considered appropriate [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL596-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Considered Appropriate by the Provider | 1 | LA9955-1 | |
No Bed/Services Available | 2 | LA11804-4 | |
Refused by Patient/Family | 3 | LA10069-5 | |
Not Covered by Insurance | 4 | LA10041-4 |
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 |
52707-7 Outpatient Services
Observation ID in Form
Df
Fully-Specified Name
- Component
- Outpatient services considered appropriate
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Outpatient services considered appropriate [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL596-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Considered Appropriate by the Provider | 1 | LA9955-1 | |
No Bed/Services Available | 2 | LA11804-4 | |
Refused by Patient/Family | 3 | LA10069-5 | |
Not Covered by Insurance | 4 | LA10041-4 |
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 |
52708-5 Acute Hospital Admission
Observation ID in Form
Dg
Fully-Specified Name
- Component
- Acute hospital admission considered appropriate
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Acute hospital admission considered appropriate [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL596-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Considered Appropriate by the Provider | 1 | LA9955-1 | |
No Bed/Services Available | 2 | LA11804-4 | |
Refused by Patient/Family | 3 | LA10069-5 | |
Not Covered by Insurance | 4 | LA10041-4 |
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 |
52709-3 Hospice
Observation ID in Form
Dh
Fully-Specified Name
- Component
- Hospice considered appropriate
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Hospice considered appropriate [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL596-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Considered Appropriate by the Provider | 1 | LA9955-1 | |
No Bed/Services Available | 2 | LA11804-4 | |
Refused by Patient/Family | 3 | LA10069-5 | |
Not Covered by Insurance | 4 | LA10041-4 |
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 |
52710-1 Long-term Personal Care Services
Observation ID in Form
Di
Fully-Specified Name
- Component
- Long-term personal care services considered appropriate
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Long-term personal care services considered appropriate [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL596-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Considered Appropriate by the Provider | 1 | LA9955-1 | |
No Bed/Services Available | 2 | LA11804-4 | |
Refused by Patient/Family | 3 | LA10069-5 | |
Not Covered by Insurance | 4 | LA10041-4 |
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 |
52711-9 Long-Term Nursing Facility
Observation ID in Form
Dj
Fully-Specified Name
- Component
- Long term care nursing facility considered appropriate
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Long term care nursing facility considered appropriate [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL596-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Considered Appropriate by the Provider | 1 | LA9955-1 | |
No Bed/Services Available | 2 | LA11804-4 | |
Refused by Patient/Family | 3 | LA10069-5 | |
Not Covered by Insurance | 4 | LA10041-4 |
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 |
52712-7 Other (specify)
Observation ID in Form
Dk
Fully-Specified Name
- Component
- Other service considered appropriate
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Other service considered appropriate [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL596-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Considered Appropriate by the Provider | 1 | LA9955-1 | |
No Bed/Services Available | 2 | LA11804-4 | |
Refused by Patient/Family | 3 | LA10069-5 | |
Not Covered by Insurance | 4 | LA10041-4 |
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 |
55760-3 Other service considered appropriate.other specified [CARE]
Observation ID in Form
Dk1
Fully-Specified Name
- Component
- Other service considered appropriate.other specified
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
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 |
55761-1 No services needed after discharge [CARE]
Observation ID in Form
Dl
Fully-Specified Name
- Component
- No services needed after discharge
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
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 |
52530-3 Discharge Location Information
Observation ID in Form
E
Fully-Specified Name
- Component
- Discharge Location Information
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
- Panel Type
- Panel
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 |
52713-5 Is the patient being discharged with referral for additional services?
Observation ID in Form
E1
Skip Logic
If No, skip to E7. Discharge Delay. If Yes, please identify the name, location, and type, of service to which the patient is discharged.
Fully-Specified Name
- Component
- Discharged with referral for additional services
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Long Common Name
Discharged with referral for additional services [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL251-0
Answer | Code | Score | Answer ID |
---|---|---|---|
2: No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
1: 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 |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
52458-7 Name Provider
Observation ID in Form
E2
Fully-Specified Name
- Component
- Name
- Property
- Pn
- Time
- Pt
- System
- Provider
- Scale
- Nom
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.27 (MIN)
Member of these Panels
LOINC | Long Common Name |
---|---|
52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
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 |
62400-7 | PhenX - arrhythmia protocol 041101 |
97029-3 | Spine Tango surgery follow-up 2017 Spine Tango |
52714-3 Provider type [CARE]
Observation ID in Form
E3
Fully-Specified Name
- Component
- Provider type
- Property
- Type
- Time
- Pt
- System
- Provider
- Scale
- Nom
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL729-5
Answer | Code | Score | Answer ID |
---|---|---|---|
Home Health Care (HHA) | 1 | LA9978-3 | |
Skilled nursing facility (SNF/TCU) | 2 | LA10080-2 | |
Inpatient rehabilitation hospital or unit (IRF) | 3 | LA9986-6 | |
Long-Term Care Hospital (LTCH) | 4 | LA10000-0 | |
Psychiatric hospital or unit | 5 | LA10065-3 | |
Outpatient Services | 6 | LA10053-9 | |
Short-stay acute hospital (IPPS) | 7 | LA10078-6 | |
Hospice | 8 | LA6216-1 | |
Long-term nursing facility | 9 | LA11502-4 | |
Other (specify) | 10 | LA6310-2 |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52715-0 Other (specify)
Observation ID in Form
E3_10
Fully-Specified Name
- Component
- Provider type.other specified
- Property
- Type
- Time
- Pt
- System
- Provider
- Scale
- Nom
- Method
- CARE
Long Common Name
Provider type.other specified [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
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 |
52531-1 Provider city
Observation ID in Form
E4
Fully-Specified Name
- Component
- Provider city
- Property
- Loc
- Time
- Pt
- System
- Provider
- Scale
- Nom
- Method
Basic Attributes
- Class
- CLIN
- Type
- Clinical
- First Released
- Version 2.24
- Last Updated
- Version 2.73 (MIN)
- Common Test Rank Get Info
- 8342
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 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
el-GR | Greek (Greece) | Πόλη παρόχου: Synonyms: Loc Πόλη Πόλη παρόχου |
es-MX | Spanish (Mexico) | Ciudad proveedora: |
it-IT | Italian (Italy) | Provider, città: Synonyms: Città del provider Clinico Posizione Punto nel tempo (episodio) |
pt-BR | Portuguese (Brazil) | Cidade provedora: Synonyms: Location; |
ru-RU | Russian (Russian Federation) | Провайдер город: Synonyms: Локализация Номинальный; |
zh-CN | Chinese (China) | 服务提供者 城市: Synonyms: 分类型应答; |
52532-9 Provider state
Observation ID in Form
E5
Fully-Specified Name
- Component
- Provider state
- Property
- Loc
- Time
- Pt
- System
- Provider
- Scale
- Nom
- Method
Basic Attributes
- Class
- CLIN
- Type
- Clinical
- First Released
- Version 2.24
- Last Updated
- Version 2.73 (MIN)
- Common Test Rank Get Info
- 8154
Example Answer List LL3178-2
Answer | Code | Score | Answer ID |
---|---|---|---|
AL | LA21991-7 | ||
AK | LA21992-5 | ||
AZ | LA21993-3 | ||
AR | LA21994-1 | ||
CA | LA21995-8 | ||
CO | LA21996-6 | ||
CT | LA21997-4 | ||
DC | LA21998-2 | ||
DE | LA21999-0 | ||
FL | LA22000-6 | ||
GA | LA22001-4 | ||
HI | LA22002-2 | ||
ID | LA19256-9 | ||
IL | LA22003-0 | ||
IN | LA22004-8 | ||
IA | LA22005-5 | ||
KS | LA22006-3 | ||
KY | LA22007-1 | ||
LA | LA22008-9 | ||
ME | LA22009-7 | ||
MD | LA20036-2 | ||
MA | LA22010-5 | ||
MI | LA22011-3 | ||
MN | LA22012-1 | ||
MS | LA22013-9 | ||
MO | LA22014-7 | ||
MT | LA22015-4 | ||
NE | LA22016-2 | ||
NV | LA22017-0 | ||
NH | LA21453-8 | ||
NJ | LA22018-8 | ||
NM | LA22019-6 | ||
NY | LA22020-4 | ||
NC | LA22021-2 | ||
ND | LA22022-0 | ||
OH | LA22023-8 | ||
OK | LA22024-6 | ||
OR | LA22025-3 | ||
PA | LA22026-1 | ||
PR | LA21403-3 | ||
RI | LA22027-9 | ||
SC | LA22028-7 | ||
SD | LA22029-5 | ||
TN | LA22030-3 | ||
TX | LA3601-7 | ||
UT | LA22031-1 | ||
VT | LA22032-9 | ||
VA | LA18827-8 | ||
WA | LA22033-7 | ||
WV | LA22034-5 | ||
WI | LA22035-2 | ||
WY | LA22036-0 | ||
Other, Please specify: | LA46-8 |
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 |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
el-GR | Greek (Greece) | Περιφέρεια παρόχου: Synonyms: Loc Κατάσταση Περιφέρεια παρόχου |
es-MX | Spanish (Mexico) | Estado del proveedor: |
it-IT | Italian (Italy) | Provider, stato: Synonyms: Clinico Posizione Punto nel tempo (episodio) Stato del provider |
pt-BR | Portuguese (Brazil) | Estado provedor: Synonyms: Location; |
ru-RU | Russian (Russian Federation) | Провайдер штат: Synonyms: Локализация Номинальный; |
zh-CN | Chinese (China) | 服务提供者州别: Synonyms: 分类型应答; |
45952-9 National provider ID
Observation ID in Form
E6
Observation Required in Panel
Optional
Fully-Specified Name
- Component
- National provider ID
- Property
- ID
- Time
- Pt
- System
- Provider
- Scale
- Nom
- Method
Basic Attributes
- Class
- SURVEY.MDS
- Type
- Surveys
- First Released
- Version 2.17
- Last Updated
- Version 2.50 (MIN)
Member of these Panels
LOINC | Long Common Name |
---|---|
76464-7 | American Physical Therapy Association registry panel |
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 |
45981-8 | Deprecated MDS full assessment form - version 2.0 |
46104-6 | Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update |
46076-6 | Deprecated Minimum Data Set (MDS) supplemental items section - version 2.0 |
71746-2 | Personnel contact information panel [ESRD] Personnel |
52716-8 Was the patient's discharge delayed for at least 24 hours?
Observation ID in Form
E7
Fully-Specified Name
- Component
- Discharge delayed at least 24H
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
Discharge delayed at least 24 hours
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MAJ)
- Change Reason
- Method removed and Answer List Type changed to Example because this generic term can be used across contexts
Example Answer List LL251-0
Answer | Code | Score | Answer ID |
---|---|---|---|
2: No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
1: 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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
52717-6 Reason for discharge delay
Observation ID in Form
E8
Fully-Specified Name
- Component
- Reason for discharge delay
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MAJ)
- Change Reason
- Method removed and Answer List Type changed to Example because this generic term can be used across contexts
Example Answer List LL598-4
Answer | Code | Score | Answer ID |
---|---|---|---|
No bed available | 1 | LA10021-6 | |
Services, equipment or medications not available (e.g., home health care, durable medical equipment, IV medications) | 2 | LA10072-9 | |
Family/support (e.g., family could not pick patient up) | 3 | LA9970-0 | |
Medical (patient condition changed) | 4 | LA10004-2 | |
Other (specify) | 5 | LA6310-2 |
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52718-4 Other (specify)
Observation ID in Form
E8_5
Fully-Specified Name
- Component
- Reason for discharge delay.other specified
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- CARE
Long Common Name
Reason for discharge delay.other specified [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
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 |
69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
52719-2 In the situation that the patient or an authorized representative has requested this information not be shared with the next provider, check here:
Observation ID in Form
E9
Fully-Specified Name
- Component
- Patient requested information not be shared with next provider
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Long Common Name
Patient requested information not be shared with next provider [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.64 (MIN)
Normative Answer List LL251-0
Answer | Code | Score | Answer ID |
---|---|---|---|
2: No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | 0 | LA32-8 | |
1: 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 |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.