69377-0
Current medical information - admission, home health [CARE]
Discouraged
Status Information
- Status
- DISCOURAGED
- Comment
- Discouraged as items are from a legacy demonstration tool that is no longer maintained.
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 69377-0 | Current medical information | |||
| Indent52464-5 | Primary and Other Diagnoses, Comorbidities, and Complications | |||
| Indent Indent18630-4 | Primary Diagnosis at Assessment | |||
| Indent52465-2 | Other Diagnoses, Comorbidities, and Complications | |||
| Indent Indent29308-4 | Diagnosis | 0..* | ||
| Indent52468-6 | Which of the following treatments did the patient receive during the 2-day assessment period? | |||
| Indent Indent52802-6 | Major treatments admitted with [CARE] | 1..30 | ||
| Indent Indent52565-9 | Specify reason for continuous monitoring: | |||
| Indent Indent52566-7 | Specify most intensive frequency of suctioning during stay: Every____ hours | |||
| Indent Indent52567-5 | Specify reason for 24-hour supervision | |||
| Indent Indent52568-3 | Specify | |||
| Indent52471-0 | Medications (Optional) | O | ||
| Indent Indent52418-1 | Medication Name | |||
| Indent Indent52809-1 | Dose form Current medication | |||
| Indent Indent18609-8 | Current medication, Route | |||
| Indent Indent52810-9 | Current medication, Frequency | |||
| Indent Indent52796-0 | Planned Stop Date (if applicable) | |||
| Indent52472-8 | Allergies and Adverse Drug Reactions | |||
| Indent Indent52571-7 | Does patient have allergies or any known adverse drug reactions? | |||
| Indent Indent52473-6 | Allergies/Causes of Reaction | 0..* | ||
| Indent Indent31044-1 | Patient Reaction | 0..* | ||
| Indent52474-4 | Skin integrity panel | |||
| Indent Indent52475-1 | Presence of pressure ulcers | |||
| Indent Indent Indent52573-3 | Is this patient at risk of developing pressure ulcers? | |||
| Indent Indent Indent52574-1 | Does this patient have one or more unhealed pressure ulcer(s) at stage 2 or higher? | |||
| Indent Indent Indent55763-7 | IF THE PATIENT HAS ONE OR MORE STAGE 2-4 PRESSURE ULCERS, indicate the number of unhealed pressure ulcers at each stage. | |||
| Indent Indent Indent Indent52575-8 | Number of pressure ulcers at assessment - stage 2 [CARE] | |||
| Indent Indent Indent Indent52576-6 | Number of pressure ulcers at assessment - stage 3 [CARE] | |||
| Indent Indent Indent Indent52577-4 | Number of pressure ulcers at assessment - stage 4 [CARE] | |||
| Indent Indent Indent Indent52578-2 | Number of pressure ulcers at assessment - unstageable [CARE] | |||
| Indent Indent Indent Indent52583-2 | Number of unhealed stage 2 ulcers known to be present for more than 1 month [CARE] | {#} | ||
| Indent Indent52477-7 | If any pressure ulcer is stage 3 or 4 (or if eschar is present), please record the most recent measurements for the LARGEST ulcer (or eschar): | |||
| Indent Indent Indent52728-3 | Longest length in any direction | cm | ||
| Indent Indent Indent52729-1 | Pressure Ulcer Width: | cm | ||
| Indent Indent Indent57228-9 | Pressure Ulcer Depth: Depth of the same pressure ulcer; from visible surface to the depth of the deepest area | cm | ||
| Indent Indent Indent52584-0 | Date of measurement | |||
| Indent Indent52730-9 | Indicate if any unhealed stage 3 or stage 4 pressure ulcer(s) has undermining and/or tunneling (sinus tract) present. | |||
| Indent Indent52585-7 | Major wound (excluding pressure ulcers). Does the patient have one or more major wound(s) that require ongoing care because of draining, infection, or delayed healing? | |||
| Indent Indent52478-5 | Number of Major Wounds | |||
| Indent Indent Indent52586-5 | Delayed healing of surgical wound # [CARE] | {#} | ||
| Indent Indent Indent52587-3 | Trauma-related wound # | {#} | ||
| Indent Indent Indent52588-1 | Diabetic foot ulcer(s) # | {#} | ||
| Indent Indent Indent52589-9 | Vascular ulcer (arterial or venous including diabetic ulcers not located on the foot) # [CARE] | {#} | ||
| Indent Indent Indent52590-7 | Other | {#} | ||
| Indent Indent Indent52591-5 | Please specify: | |||
| Indent Indent52592-3 | Turning surfaces not intact [CARE] | 1..5 | ||
| Indent52479-3 | Physiologic Factors | |||
| Indent Indent52480-1 | Anthropometric Measures | |||
| Indent Indent Indent3137-7 | Height (inches) OR | [in_us];cm;m | ||
| Indent Indent Indent8301-4 | Height (cm) | [in_us];cm;m | ||
| Indent Indent Indent3141-9 | Weight (pounds) OR | [lb_av];kg | ||
| Indent Indent Indent8335-2 | Weight (kg) | [lb_av];kg | ||
| Indent Indent72105-0 | Vital signs and oximetry - admission, home health, interim, discharge [CARE] | |||
| Indent Indent Indent8310-5 | Temperature (deg F) OR | Cel | ||
| Indent Indent Indent8867-4 | Heart Rate (beats/min) | {beats}/min;{counts/min} | ||
| Indent Indent Indent9279-1 | Respiratory Rate (breaths/min) | {breaths}/min;{counts/min} | ||
| Indent Indent Indent8480-6 | Systolic Blood Pressure (mm/Hg) | mm[Hg] | ||
| Indent Indent Indent8462-4 | Diastolic Blood Pressure (mm/Hg) | mm[Hg] | ||
| Indent Indent Indent59408-5 | Oxygen saturation in Arterial blood by Pulse oximetry | % | ||
| Indent Indent Indent52593-1 | Please specify source and amount of supplemental O2 | |||
| Indent Indent52482-7 | Laboratory | |||
| Indent Indent Indent718-7 | Hemogloblin (gm/dL) | g/dL | ||
| Indent Indent Indent20570-8 | Hematocrit (%) | % | ||
| Indent Indent Indent26464-8 | WBC (K/mm3) | 10*3/uL | ||
| Indent Indent Indent4548-4 | HbA1c (%) | % | ||
| Indent Indent Indent2947-0 | Sodium (mEq/L) | mmol/L | ||
| Indent Indent Indent6298-4 | Potassium (mEq/L) | mmol/L | ||
| Indent Indent Indent3094-0 | BUN (mg/dL) | mg/dL | ||
| Indent Indent Indent2160-0 | Creatinine (mg/dL) | mg/dL | ||
| Indent Indent Indent1751-7 | Albumin (gm/dL) | g/dL | ||
| Indent Indent Indent14338-8 | Prealbumin (mg/dL) | mg/dL;g/dL | ||
| Indent Indent Indent6301-6 | INR | {INR} | ||
| Indent Indent52483-5 | Other | |||
| Indent Indent Indent10230-1 | Left Ventricular Ejection Fraction (%) | % | ||
| Indent Indent52484-3 | Arterial Blood Gases (ABGs) | |||
| Indent Indent Indent52593-1 | Please specify source and amount of supplemental O2 | |||
| Indent Indent Indent2744-1 | pH of Arterial blood | [pH] | ||
| Indent Indent Indent2019-8 | PaCO2 (mm/Hg) | mm[Hg] | ||
| Indent Indent Indent1960-4 | HCO3 (mEq/L) | mmol/L | ||
| Indent Indent Indent2703-7 | PaO2 (mm/Hg) | mm[Hg] | ||
| Indent Indent Indent2708-6 | SaO2 (%) | % | ||
| Indent Indent Indent1925-7 | B.E. (base excess) (mEq/dL) | mmol/L | ||
| Indent Indent52485-0 | Pulmonary Function Tests | |||
| Indent Indent Indent19870-5 | FVC (liters) | L | ||
| Indent Indent Indent19926-5 | FEV1% or FEV1/FVC (%) | % | ||
| Indent Indent Indent20150-9 | FEV1 (liters) | L | ||
| Indent Indent Indent33452-4 | PEF (liters per minute) | L/min | ||
| Indent Indent Indent20159-0 | MVV (liters per minute) | L/min | ||
| Indent Indent Indent19862-2 | TLC (liters) | mL;L | ||
| Indent Indent Indent19843-2 | FRC (liters) | L | ||
| Indent Indent Indent20146-7 | RV (liters) | L | ||
| Indent Indent Indent19924-0 | ERV (liters) | L | ||
| Indent69339-0 | Influenza vaccine during assessment period [CMS Assessment] | |||
| Indent Indent55019-4 | Influenza virus vaccine received in facility during assessment period [CMS Assessment] | |||
| Indent Indent58131-4 | Date of influenza vaccination | {mm/dd/yyyy} | ||
| Indent Indent55020-2 | If influenza vaccine not received, state reason: | |||
| Indent55021-0 | Pneumococcal vaccine | |||
| Indent Indent55022-8 | Is the resident's Pneumococcal Vaccination up to date? | |||
| Indent Indent45956-0 | Reason pneumococcal vaccine not received during assessment period [CMS Assessment] |
Fully-Specified Name
- Component
- Current medical information - admission, home health
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- CARE
Basic Attributes
- Class
- PANEL.SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.64
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
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=69377-0
LOINC Copyright
Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright