85056-0  Mobility - discharge goal [CMS Assessment]Mobility - discharge goal [CMS Assessment]Mobility - discharge goal: -: 3D: ^Patient: -: CMS Assessment  

PANEL HIERARCHY

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  85056-0   Mobility - Discharge Goal    
       83217-0   Roll left and right    
       83215-4   Sit to lying    
       83213-9   Lying to sitting on side of bed    
       83211-3   Sit to stand    
       83209-7   Chair/Bed-to-chair transfer    
       83207-1   Toilet transfer    
       83205-5   Car transfer    
       83203-0   Walk 10 feet    
       83201-4   Walk 50 feet with two turns    
       83199-0   Walk 150 feet    
       83197-4   Walking 10 feet on uneven surfaces    
       83195-8   1 step (curb)    
       83193-3   4 steps    
       83191-7   12 steps    
       83189-1   Picking up object    
       83187-5   Wheel 50 feet with two turns    
       83236-0   Wheel 150 feet    
 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Mobility - discharge goal  3D  ^Patient  CMS Assessment
  Override Display Name for Form:  Mobility - Discharge Goal
  Long Common Name:  Mobility - discharge goal [CMS Assessment]

OBSERVATION ID IN FORM
GG0170_2

FORM CODING INSTRUCTIONS
Code the patient's discharge goal using the 6-point scale. Do not use codes 07, 09, or 88 to code discharge goal(s). Safety and Quality of Performance - If helper assistance is required because patient's performance is unsafe or poor quality, score according to amount of assisance provided. Activities may be completed with or without assistive devices.

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.61
  Last Updated in Version: 2.64
  Order vs. Obs.: Subset
  Status: Active.
Change Reason: Removed IRF-PAI from Component because term is used across IRF-PAI, OASIS, and MDS assessments.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP267068-7  Mobility - discharge goal 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  3 days Pan Panl
  Centers for Medicare and Medicaid Assessment Panel Pnl
  Disch PANEL.SURVEY.CMS Survey

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170_2     2.0 
   CMS IRF-PAI   GG0170_2     3.0 
   CMS IRF-PAI   GG0170_2     1.5 
   CMS IRF-PAI   GG0170_2     1.4 
   CMS MDS   GG0170_2     1.17.1 
   CMS MDS   GG0170_2     1.16.1 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:07 PM
  Long Common Name: Mobility - discharge goal [CMS Assessment]
  Fully Specified Name: Mobility - discharge goal: -: 3D: ^Patient: -: CMS Assessment
     
  Component Word Count: 3
  ID: 90226
  # of Panel Elements: 18
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



83217-0   Roll left and right - functional goal during 3 day assessment period [CMS Assessment]Roll left and right - functional goal during 3 day assessment period [CMS Assessment]Roll left and right - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Roll left and right - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Roll left and right
  Long Common Name:  Roll left and right - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to roll from lying on back to left and right side, and return to lying on back on the bed.
 
 

OBSERVATION ID IN FORM
GG0170A2

FORM CONTEXT
The ability to roll from lying on back to left and right side, and return to lying on back.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.64
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232515-9  Roll left and right - functional goal recorded during 3D assessment period   [Roll left and right - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP35055-0  Right 
Fragments for synonyms   LP35056-8  Left 

RELATED NAMES
  3 days Ordinal RT
  Centers for Medicare and Medicaid Assessment Ql Screen
  Finding Qual Survey
  Findings Qualitative  
  L R  
  LT Roll goal  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170A2     2.0 
   CMS IRF-PAI   GG0170A2     3.0 
   CMS IRF-PAI   GG0170A2     1.5 
   CMS IRF-PAI   GG0170A2     1.4 
   CMS LCDS   GG0170A2     3.00 
   CMS LCDS   GG0170A2     4.00 
   CMS MDS   GG0170A2     1.17.1 
   CMS MDS   GG0170A2     1.16.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:07 PM
  Long Common Name: Roll left and right - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Roll left and right - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 11
  ID: 87706
  Status (Raw): ACTIVE


83215-4   Sit to lying - functional goal during 3 day assessment period [CMS Assessment]Sit to lying - functional goal during 3 day assessment period [CMS Assessment]Sit to lying - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Sit to lying - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Sit to lying
  Long Common Name:  Sit to lying - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to move from sitting on side of bed to lying flat on the bed.
 
 

OBSERVATION ID IN FORM
GG0170B2

FORM CONTEXT
The ability to move from sitting on side of bed to lying flat on the bed.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232517-5  Sit to lying - functional goal recorded during 3D assessment period   [Sit to lying - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Ordinal Screen
  Centers for Medicare and Medicaid Assessment Ql Sit to lie goal
  Finding Qual Survey
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170B2     2.0 
   CMS IRF-PAI   GG0170B2     3.0 
   CMS IRF-PAI   GG0170B2     1.5 
   CMS IRF-PAI   GG0170B2     1.4 
   CMS LCDS   GG0170B2     3.00 
   CMS LCDS   GG0170B2     4.00 
   CMS MDS   GG0170B2     1.17.1 
   CMS MDS   GG0170B2     1.16.1 
   CMS MDS   GG0170B2     1.15.1 
   CMS MDS   GG0170B2     1.14.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:07 PM
  Long Common Name: Sit to lying - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Sit to lying - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 87704
  Status (Raw): ACTIVE


83213-9   Lying to sitting on side of bed - functional goal during 3 day assessment period [CMS Assessment]Lying to sitting on side of bed - functional goal during 3 day assessment period [CMS Assessment]Lying to sitting on side of bed - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Lying to sitting on side of bed - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Lying to sitting on side of bed
  Long Common Name:  Lying to sitting on side of bed - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to move from lying on the back to sitting on the side of the bed with feet flat on the floor, and with no back support.
 
 

OBSERVATION ID IN FORM
GG0170C2

FORM CONTEXT
The ability to safely move from lying on the back to sitting on the side of the bed with feet flat on the floor, and with no back support.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.64
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232519-1  Lying to sitting on side of bed - functional goal recorded during 3D assessment period   [Lying to sitting on side of bed - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Lie to sit goal Qualitative
  Centers for Medicare and Medicaid Assessment Ordinal Screen
  Finding QL Survey
  Findings Qual  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170C2     2.0 
   CMS IRF-PAI   GG0170C2     3.0 
   CMS IRF-PAI   GG0170C2     1.5 
   CMS IRF-PAI   GG0170C2     1.4 
   CMS LCDS   GG0170C2     3.00 
   CMS LCDS   GG0170C2     4.00 
   CMS MDS   GG0170C2     1.17.1 
   CMS MDS   GG0170C2     1.16.1 
   CMS MDS   GG0170C2     1.15.1 
   CMS MDS   GG0170C2     1.14.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:08 PM
  Long Common Name: Lying to sitting on side of bed - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Lying to sitting on side of bed - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 14
  ID: 87702
  Status (Raw): ACTIVE


83211-3   Sit to stand - functional goal during 3 day assessment period [CMS Assessment]Sit to stand - functional goal during 3 day assessment period [CMS Assessment]Sit to stand - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Sit to stand - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Sit to stand
  Long Common Name:  Sit to stand - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to come to a standing position from sitting in a chair or on the side of the bed.
 
 

OBSERVATION ID IN FORM
GG0170D2

FORM CONTEXT
The ability to safely come to a standing position from sitting in a chair or on the side of the bed.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.64
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232521-7  Sit to stand - functional goal recorded during 3D assessment period   [Sit to stand - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Ordinal Sit to stand goal
  30-Second Chair Stand Ql Stands
  Centers for Medicare and Medicaid Assessment Qual Survey
  Finding Qualitative  
  Findings Screen  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170D2     2.0 
   CMS IRF-PAI   GG0170D2     3.0 
   CMS IRF-PAI   GG0170D2     1.5 
   CMS IRF-PAI   GG0170D2     1.4 
   CMS LCDS   GG0170D2     3.00 
   CMS LCDS   GG0170D2     4.00 
   CMS MDS   GG0170D2     1.17.1 
   CMS MDS   GG0170D2     1.16.1 
   CMS MDS   GG0170D2     1.15.1 
   CMS MDS   GG0170D2     1.14.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:08 PM
  Long Common Name: Sit to stand - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Sit to stand - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 87700
  Status (Raw): ACTIVE


83209-7   Bed-to-chair transfer - functional goal during 3 day assessment period [CMS Assessment]Bed-to-chair transfer - functional goal during 3 day assessment period [CMS Assessment]Bed-to-chair transfer - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Bed-to-chair transfer - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Chair/Bed-to-chair transfer
  Long Common Name:  Bed-to-chair transfer - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to transfer to and from a bed to a chair (or wheelchair).
 
 

OBSERVATION ID IN FORM
GG0170E2

FORM CONTEXT
The ability to safely transfer to and from a bed to a chair (or wheelchair).

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.64
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232523-3  Bed-to-chair transfer - functional goal recorded during 3D assessment period   [Bed-to-chair transfer - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Findings Qualitative
  Bed to chair goal Ordinal Screen
  Centers for Medicare and Medicaid Assessment Ql Survey
  Finding Qual  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170E2     2.0 
   CMS IRF-PAI   GG0170E2     3.0 
   CMS IRF-PAI   GG0170E2     1.5 
   CMS IRF-PAI   GG0170E2     1.4 
   CMS LCDS   GG0170E2     3.00 
   CMS LCDS   GG0170E2     4.00 
   CMS MDS   GG0170E2     1.17.1 
   CMS MDS   GG0170E2     1.16.1 
   CMS MDS   GG0170E2     1.15.1 
   CMS MDS   GG0170E2     1.14.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:08 PM
  Long Common Name: Bed-to-chair transfer - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Bed-to-chair transfer - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 11
  ID: 87698
  Status (Raw): ACTIVE


83207-1   Toilet transfer - functional goal during 3 day assessment period [CMS Assessment]Toilet transfer - functional goal during 3 day assessment period [CMS Assessment]Toilet transfer - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Toilet transfer - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Toilet transfer
  Long Common Name:  Toilet transfer - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to get on and off a toilet or commode.
 
 

OBSERVATION ID IN FORM
GG0170F2

FORM CONTEXT
The ability to safely get on and off a toilet or commode.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.64
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232525-8  Toilet transfer - functional goal recorded during 3D assessment period   [Toilet transfer - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Ordinal Screen
  Centers for Medicare and Medicaid Assessment Ql Survey
  Finding Qual Toilet transfer goal
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170F2     2.0 
   CMS IRF-PAI   GG0170F2     3.0 
   CMS IRF-PAI   GG0170F2     1.5 
   CMS IRF-PAI   GG0170F2     1.4 
   CMS LCDS   GG0170F2     3.00 
   CMS LCDS   GG0170F2     4.00 
   CMS MDS   GG0170F2     1.17.1 
   CMS MDS   GG0170F2     1.16.1 
   CMS MDS   GG0170F2     1.15.1 
   CMS MDS   GG0170F2     1.14.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:08 PM
  Long Common Name: Toilet transfer - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Toilet transfer - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87696
  Status (Raw): ACTIVE


83205-5   Car transfer - functional goal during 3 day assessment period [CMS Assessment]Car transfer - functional goal during 3 day assessment period [CMS Assessment]Car transfer - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Car transfer - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Car transfer
  Long Common Name:  Car transfer - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to transfer in and out of a car or van on the passenger side. Does not include the ability to open/close door or fasten seat belt.
 
 

OBSERVATION ID IN FORM
GG0170G2

FORM CONTEXT
The ability to transfer in and out of a car or van on the passenger side. Does not include the ability to open/close door or fasten seat belt.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232527-4  Car transfer - functional goal recorded during 3D assessment period   [Car transfer - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Findings Qualitative
  Car transfer goal Ordinal Screen
  Centers for Medicare and Medicaid Assessment Ql Survey
  Finding Qual  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170G2     2.0 
   CMS IRF-PAI   GG0170G2     3.0 
   CMS IRF-PAI   GG0170G2     1.5 
   CMS IRF-PAI   GG0170G2     1.4 
   CMS MDS   GG0170G2     1.17.1 
   CMS MDS   GG0170G2     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:08 PM
  Long Common Name: Car transfer - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Car transfer - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87694
  Status (Raw): ACTIVE


83203-0   Walk 10 feet - functional goal during 3 day assessment period [CMS Assessment]Walk 10 feet - functional goal during 3 day assessment period [CMS Assessment]Walk 10 feet - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Walk 10 feet - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Walk 10 feet
  Long Common Name:  Walk 10 feet - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for patient's ability to, once standing, walk at least 10 feet in a room, corridor or similar space.
 
 

OBSERVATION ID IN FORM
GG0170I2

FORM CONTEXT
Once standing, the ability to walk at least 10 feet in a room, corridor, or similar space.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232529-0  Walk 10 feet - functional goal recorded during 3D assessment period   [Walk 10 feet - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Ordinal Screen
  Centers for Medicare and Medicaid Assessment Ql Survey
  Finding Qual Walk 10 ft goal
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170I2     2.0 
   CMS IRF-PAI   GG0170I2     3.0 
   CMS IRF-PAI   GG0170I2     1.5 
   CMS IRF-PAI   GG0170I2     1.4 
   CMS LCDS   GG0170I2     3.00 
   CMS LCDS   GG0170I2     4.00 
   CMS MDS   GG0170I2     1.17.1 
   CMS MDS   GG0170I2     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:08 PM
  Long Common Name: Walk 10 feet - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Walk 10 feet - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 87692
  Status (Raw): ACTIVE


83201-4   Walk 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment]Walk 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment]Walk 50 feet with two turns - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Walk 50 feet with two turns - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Walk 50 feet with two turns
  Long Common Name:  Walk 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for patient's ability to, once standing, walk at least 50 feet and make two turns.
 
 

OBSERVATION ID IN FORM
GG0170J2

FORM CONTEXT
Once standing, the ability to walk at least 50 feet and make two turns.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232531-6  Walk 50 feet with two turns - functional goal recorded during 3D assessment period   [Walk 50 feet with two turns - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP34659-0  Two 

RELATED NAMES
  2 Ordinal Survey
  3 days Ql Walk 50 ft 2 turn goal
  Centers for Medicare and Medicaid Assessment Qual  
  Finding Qualitative  
  Findings Screen  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170J2     2.0 
   CMS IRF-PAI   GG0170J2     3.0 
   CMS IRF-PAI   GG0170J2     1.5 
   CMS IRF-PAI   GG0170J2     1.4 
   CMS LCDS   GG0170J2     3.00 
   CMS LCDS   GG0170J2     4.00 
   CMS MDS   GG0170J2     1.17.1 
   CMS MDS   GG0170J2     1.16.1 
   CMS MDS   GG0170J2     1.15.1 
   CMS MDS   GG0170J2     1.14.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:08 PM
  Long Common Name: Walk 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Walk 50 feet with two turns - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 13
  ID: 87690
  Status (Raw): ACTIVE


83199-0   Walk 150 feet - functional goal during 3 day assessment period [CMS Assessment]Walk 150 feet - functional goal during 3 day assessment period [CMS Assessment]Walk 150 feet - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Walk 150 feet - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Walk 150 feet
  Long Common Name:  Walk 150 feet - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for patient's ability to, once standing, walk at least 150 feet in a corridor or similar space.
 
 

OBSERVATION ID IN FORM
GG0170K2

FORM CONTEXT
Once standing, the ability to walk at least 150 feet in a corridor or similar space.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232533-2  Walk 150 feet - functional goal recorded during 3D assessment period   [Walk 150 feet - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Ordinal Screen
  Centers for Medicare and Medicaid Assessment Ql Survey
  Finding Qual Walk 150 ft goal
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170K2     2.0 
   CMS IRF-PAI   GG0170K2     3.0 
   CMS IRF-PAI   GG0170K2     1.5 
   CMS IRF-PAI   GG0170K2     1.4 
   CMS LCDS   GG0170K2     3.00 
   CMS LCDS   GG0170K2     4.00 
   CMS MDS   GG0170K2     1.17.1 
   CMS MDS   GG0170K2     1.16.1 
   CMS MDS   GG0170K2     1.15.1 
   CMS MDS   GG0170K2     1.14.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:08 PM
  Long Common Name: Walk 150 feet - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Walk 150 feet - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 87688
  Status (Raw): ACTIVE


83197-4   Walking 10 feet on uneven surfaces - functional goal during 3 day assessment period [CMS Assessment]Walking 10 feet on uneven surfaces - functional goal during 3 day assessment period [CMS Assessment]Walking 10 feet on uneven surfaces - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Walking 10 feet on uneven surfaces - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Walking 10 feet on uneven surfaces
  Long Common Name:  Walking 10 feet on uneven surfaces - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to walk 10 feet on uneven or sloping surfaces (indoor or outdoor), such as turf or gravel.
 
 

OBSERVATION ID IN FORM
GG0170L2

FORM CONTEXT
The ability to walk 10 feet on uneven or sloping surfaces, such as grass or gravel.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.64
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232535-7  Walking 10 feet on uneven surfaces - functional goal recorded during 3D assessment period   [Walking 10 feet on uneven surfaces - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Ordinal Screen
  Centers for Medicare and Medicaid Assessment Ql Survey
  Finding Qual Walk 10 ft uneven goal
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170L2     2.0 
   CMS IRF-PAI   GG0170L2     3.0 
   CMS IRF-PAI   GG0170L2     1.5 
   CMS IRF-PAI   GG0170L2     1.4 
   CMS MDS   GG0170L2     1.17.1 
   CMS MDS   GG0170L2     1.16.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:08 PM
  Long Common Name: Walking 10 feet on uneven surfaces - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Walking 10 feet on uneven surfaces - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 13
  ID: 87686
  Status (Raw): ACTIVE


83195-8   1 step (curb) - functional goal during 3 day assessment period [CMS Assessment]1 step (curb) - functional goal during 3 day assessment period [CMS Assessment]1 step (curb) - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
1 step (curb) - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  1 step (curb)
  Long Common Name:  1 step (curb) - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to go up and down a curb and/or up and down one step.
 
 

OBSERVATION ID IN FORM
GG0170M2

FORM CONTEXT
The ability to step over a curb or up and down one step.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.64
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232537-3  1 step (curb) - functional goal recorded during 3D assessment period   [1 step (curb) - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP21265-1 

RELATED NAMES
  1 step curb goal i Screen
  3 days Ordinal Survey
  Centers for Medicare and Medicaid Assessment Ql  
  Finding Qual  
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170M2     2.0 
   CMS IRF-PAI   GG0170M2     3.0 
   CMS IRF-PAI   GG0170M2     1.5 
   CMS IRF-PAI   GG0170M2     1.4 
   CMS MDS   GG0170M2     1.17.1 
   CMS MDS   GG0170M2     1.16.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:08 PM
  Long Common Name: 1 step (curb) - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: 1 step (curb) - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 87684
  Status (Raw): ACTIVE


83193-3   4 steps - functional goal during 3 day assessment period [CMS Assessment]4 steps - functional goal during 3 day assessment period [CMS Assessment]4 steps - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
4 steps - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  4 steps
  Long Common Name:  4 steps - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to go up and down four steps with or without a rail.
 
 

OBSERVATION ID IN FORM
GG0170N2

FORM CONTEXT
The ability to go up and down four steps with or without a rail.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232539-9  4 steps - functional goal recorded during 3D assessment period   [4 steps - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Findings Qualitative
  4 steps goal Ordinal Screen
  Centers for Medicare and Medicaid Assessment Ql Survey
  Finding Qual  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170N2     2.0 
   CMS IRF-PAI   GG0170N2     3.0 
   CMS IRF-PAI   GG0170N2     1.5 
   CMS IRF-PAI   GG0170N2     1.4 
   CMS MDS   GG0170N2     1.17.1 
   CMS MDS   GG0170N2     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:09 PM
  Long Common Name: 4 steps - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: 4 steps - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87682
  Status (Raw): ACTIVE


83191-7   12 steps - functional goal during 3 day assessment period [CMS Assessment]12 steps - functional goal during 3 day assessment period [CMS Assessment]12 steps - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
12 steps - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  12 steps
  Long Common Name:  12 steps - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to go up and down 12 steps with or without a rail.
 
 

OBSERVATION ID IN FORM
GG0170O2

FORM CONTEXT
The ability to go up and down 12 steps with or without a rail.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232541-5  12 steps - functional goal recorded during 3D assessment period   [12 steps - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  12 steps goal Findings Qualitative
  3 days Ordinal Screen
  Centers for Medicare and Medicaid Assessment Ql Survey
  Finding Qual  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170O2     2.0 
   CMS IRF-PAI   GG0170O2     3.0 
   CMS IRF-PAI   GG0170O2     1.5 
   CMS IRF-PAI   GG0170O2     1.4 
   CMS MDS   GG0170O2     1.17.1 
   CMS MDS   GG0170O2     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:09 PM
  Long Common Name: 12 steps - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: 12 steps - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87680
  Status (Raw): ACTIVE


83189-1   Picking up object - functional goal during 3 day assessment period [CMS Assessment]Picking up object - functional goal during 3 day assessment period [CMS Assessment]Picking up object - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Picking up object - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Picking up object
  Long Common Name:  Picking up object - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to bend/stoop from a standing position to pick up a small object, such as a spoon, from the floor.
 
 

OBSERVATION ID IN FORM
GG0170P2

FORM CONTEXT
The ability to bend/stoop from a standing position to pick up a small object, such as a spoon, from the floor.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4154-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232543-1  Picking up object - functional goal recorded during 3D assessment period   [Picking up object - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Ordinal Qualitative
  Centers for Medicare and Medicaid Assessment Pick up obj goal Screen
  Finding Ql Survey
  Findings Qual  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170P2     2.0 
   CMS IRF-PAI   GG0170P2     3.0 
   CMS IRF-PAI   GG0170P2     1.5 
   CMS IRF-PAI   GG0170P2     1.4 
   CMS MDS   GG0170P2     1.17.1 
   CMS MDS   GG0170P2     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:09 PM
  Long Common Name: Picking up object - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Picking up object - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 87678
  Status (Raw): ACTIVE


83187-5   Wheel 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment]Wheel 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment]Wheel 50 feet with two turns - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Wheel 50 feet with two turns - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Wheel 50 feet with two turns
  Long Common Name:  Wheel 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to, once seated in wheelchair/scooter, wheel at least 50 feet and make two turns.
 
 

OBSERVATION ID IN FORM
GG0170R2

FORM CONTEXT
Once seated in wheelchair/scooter, the ability to wheel at least 50 feet and make two turns.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active

EXAMPLE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232545-6  Wheel 50 feet with two turns - functional goal recorded during 3D assessment period   [Wheel 50 feet with two turns - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP34659-0  Two 

RELATED NAMES
  2 Ordinal Survey
  3 days Ql Wheel 50ft 2 turns goal
  Centers for Medicare and Medicaid Assessment Qual  
  Finding Qualitative  
  Findings Screen  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170R2     2.0 
   CMS IRF-PAI   GG0170R2     3.0 
   CMS IRF-PAI   GG0170R2     1.5 
   CMS IRF-PAI   GG0170R2     1.4 
   CMS LCDS   GG0170R2     3.00 
   CMS LCDS   GG0170R2     4.00 
   CMS MDS   GG0170R2     1.17.1 
   CMS MDS   GG0170R2     1.16.1 
   CMS MDS   GG0170R2     1.15.1 
   CMS MDS   GG0170R2     1.14.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:09 PM
  Long Common Name: Wheel 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Wheel 50 feet with two turns - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 13
  ID: 87676
  Status (Raw): ACTIVE


83236-0   Wheel 150 feet - functional goal during 3 day assessment period [CMS Assessment]Wheel 150 feet - functional goal during 3 day assessment period [CMS Assessment]Wheel 150 feet - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Wheel 150 feet - functional goal recorded during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Wheel 150 feet
  Long Common Name:  Wheel 150 feet - functional goal during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for patient's ability to, once seated in wheelchair/scooter, wheel at least 150 feet in a corridor or similar space.
 
 

OBSERVATION ID IN FORM
GG0170S2

FORM CONTEXT
Once seated in wheelchair/scooter, the ability to wheel at least 150 feet in a corridor or similar space.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active

EXAMPLE ANSWER LIST    (LL4154-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       06       LA11539-6  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort.       03       LA11758-2  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232547-2  Wheel 150 feet - functional goal recorded during 3D assessment period   [Wheel 150 feet - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Ordinal Screen
  Centers for Medicare and Medicaid Assessment Ql Survey
  Finding Qual Wheel 150ft goal
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170S2     2.0 
   CMS IRF-PAI   GG0170S2     3.0 
   CMS IRF-PAI   GG0170S2     1.5 
   CMS IRF-PAI   GG0170S2     1.4 
   CMS LCDS   GG0170S2     3.00 
   CMS LCDS   GG0170S2     4.00 
   CMS MDS   GG0170S2     1.17.1 
   CMS MDS   GG0170S2     1.16.1 
   CMS MDS   GG0170S2     1.15.1 
   CMS MDS   GG0170S2     1.14.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:46:09 PM
  Long Common Name: Wheel 150 feet - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Wheel 150 feet - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 87725
  Status (Raw): ACTIVE