86615-2  MDS v3.0 - RAI v1.14.1, v1.15.1 - Functional abilities and goals - discharge [CMS Assessment]MDS v3.0 - RAI v1.14.1, v1.15.1 - Functional abilities and goals - discharge [CMS Assessment]MDS v3.0 - RAI v1.14.1, v1.15.1 - Functional abilities and goals - discharge: -: Pt: ^Patient: -: CMS Assessment  

PANEL HIERARCHY

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  86615-2   Functional Abilities and Goals - Discharge (End of SNF PPS Stay)    
       86616-0   Self-Care - Discharge Performance    
            83232-9   Eating    
            83230-3   Oral hygiene    
            83228-7   Toileting hygiene    
       86617-8   Mobility - Discharge Performance    
            83216-2   Sit to lying    
            83214-7   Lying to sitting on side of bed    
            83212-1   Sit to stand    
            83210-5   Chair/bed-to-chair transfer    
            83208-9   Toilet transfer    
            83278-2   Does the resident walk?    
            83202-2   Walk 50 feet with two turns    
            83200-6   Walk 150 feet    
            83271-7   Does the resident use a wheelchair/scooter?    
            83188-3   Wheel 50 feet with two turns    
            83272-5   Indicate the type of wheelchair/scooter used    
            83235-2   Wheel 150 feet    
            83272-5   Indicate the type of wheelchair/scooter used    
 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
MDS v3.0 - RAI v1.14.1, v1.15.1 - Functional abilities and goals - discharge  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Functional Abilities and Goals - Discharge (End of SNF PPS Stay)
  Long Common Name:  MDS v3.0 - RAI v1.14.1, v1.15.1 - Functional abilities and goals - discharge [CMS Assessment]

OBSERVATION ID IN FORM
GG

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.63
  Last Updated in Version: 2.64
  Order vs. Obs.: Subset
  Status: Active.
Change Reason: This panel is in version 1.14.1 and 1.15.1, so "v1.15.1" was added to the Component.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP260893-5  MDS v3.0 - RAI v1.14.1, v1.15.1 - Functional abilities and goals - discharge 
Time   LP6960-1  Pt   [Point in time (spot)] 
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
  Centers for Medicare and Medicaid Assessment PANEL.SURVEY.CMS Random
  Disch Panl Survey
  Pan Pnl  
  Panel Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS MDS   GG     1.15.1 
   CMS MDS   GG     1.14.1 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:41 PM
  Long Common Name: MDS v3.0 - RAI v1.14.1, v1.15.1 - Functional abilities and goals - discharge [CMS Assessment]
  Fully Specified Name: MDS v3.0 - RAI v1.14.1, v1.15.1 - Functional abilities and goals - discharge: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 10
  ID: 92215
  # of Panel Elements: 19
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



86616-0   MDS v3.0 - RAI v1.14.1, v1.15.1 - Self-care - discharge performance [CMS Assessment]MDS v3.0 - RAI v1.14.1, v1.15.1 - Self-care - discharge performance [CMS Assessment]MDS v3.0 - RAI v1.14.1, v1.15.1 - Self-care - discharge performance: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
MDS v3.0 - RAI v1.14.1, v1.15.1 - Self-care - discharge performance  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Self-Care - Discharge Performance
  Long Common Name:  MDS v3.0 - RAI v1.14.1, v1.15.1 - Self-care - discharge performance [CMS Assessment]

OBSERVATION ID IN FORM
GG0130_3

FORM CODING INSTRUCTIONS
(Assessment period is the last 3 days of the SNF PPS Stay ending on A2400C.) Code the resident’s usual performance at the end of the SNF PPS stay for each activity using the 6-point scale. If an activity was not attempted at the end of the SNF PPS stay, code the reason. Safety and Quality of Performance - If helper assistance is required because resident's performance is unsafe or of poor quality, score according to amount of assistance provided. Activities may be completed with or without assistive devices.

SKIP LOGIC
Complete only if A0310G is not = 2 and A0310H = 1 and A2400C minus A2400B is greater than 2 and A2100 is not = 03.

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.63
  Last Updated in Version: 2.64
  Order vs. Obs.: Subset
  Status: Active.
Change Reason: This panel is in version 1.14.1 and 1.15.1, so "v1.15.1" was added to the Component.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP260894-3  MDS v3.0 - RAI v1.14.1, v1.15.1 - Self-care - discharge performance 
Time   LP6960-1  Pt   [Point in time (spot)] 
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
  Centers for Medicare and Medicaid Assessment PANEL.SURVEY.CMS Random
  Disch Panl Survey
  Pan Pnl  
  Panel Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS MDS   GG0130_3     1.15.1 
   CMS MDS   GG0130_3     1.14.1 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:41 PM
  Long Common Name: MDS v3.0 - RAI v1.14.1, v1.15.1 - Self-care - discharge performance [CMS Assessment]
  Fully Specified Name: MDS v3.0 - RAI v1.14.1, v1.15.1 - Self-care - discharge performance: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 9
  ID: 92216
  Status (Raw): ACTIVE


83232-9   Eating - functional ability during 3 day assessment period [CMS Assessment]Eating - functional ability during 3 day assessment period [CMS Assessment]Eating - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to use suitable utensils to bring food/liquid to the mouth and swallow food once the meal is presented on a table/tray. Includes modified food consistency.
 
 

OBSERVATION ID IN FORM
GG0130A3

FORM CONTEXT
The ability to use suitable utensils to bring food to the mouth and swallow food once the meal is presented on a table/tray. Includes modified food consistency.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Added "/liquid" to Term Definition.

NORMATIVE ANSWER LIST    (LL4616-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  0       Independent - Resident completes the activity by him/herself with no assistance from a helper.       06       LA27993-7  
  1       Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.       05       LA27994-5  
  2       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA27995-2  
  3       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.       03       LA27996-0  
  4       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  
  5       Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.       01       LA27998-6  
  6       Resident refused       07       LA27999-4  
  7       Not applicable.       09       LA28000-0  
  8       Not attempted due to medical condition or safety concerns.       88       LA28001-8  

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] LL4153-4 NORMATIVE 9
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 NORMATIVE 9
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  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] LL4616-0 NORMATIVE 9
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 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
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232500-1  Eating - functional ability during 3D assessment period   [Eating - functional ability 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
  Centers for Medicare and Medicaid Assessment Ordinal Screen
  Eating ability Ql Survey
  Finding Qual  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130A1     1.5 
   CMS IRF-PAI   GG0130A1     3.0 
   CMS IRF-PAI   GG0130A1     1.4 
   CMS IRF-PAI   GG0130A1     2.0 
   CMS IRF-PAI   GG0130A3     1.4 
   CMS IRF-PAI   GG0130A3     2.0 
   CMS IRF-PAI   GG0130A3     1.5 
   CMS IRF-PAI   GG0130A3     3.0 
   CMS LCDS   GG0130A1     4.00 
   CMS LCDS   GG0130A1     3.00 
   CMS LCDS   GG0130A3     4.00 
   CMS LCDS   GG0130A3     3.00 
   CMS MDS   GG0130A1     1.15.1 
   CMS MDS   GG0130A1     1.16.1 
   CMS MDS   GG0130A1     1.14.1 
   CMS MDS   GG0130A1     1.17.1 
   CMS MDS   GG0130A3     1.15.1 
   CMS MDS   GG0130A3     1.16.1 
   CMS MDS   GG0130A3     1.17.1 
   CMS MDS   GG0130A3     1.14.1 
   CMS MDS   GG0130A5     1.17.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:41 PM
  Long Common Name: Eating - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Eating - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 7
  ID: 87721
  Status (Raw): ACTIVE


83230-3   Oral hygiene - functional ability during 3 day assessment period [CMS Assessment]Oral hygiene - functional ability during 3 day assessment period [CMS Assessment]Oral hygiene - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to use suitable items to clean teeth. If patient wears dentures, the ability to remove and replace dentures from and to the mouth, and manage equipment for soaking and rinsing them.
 
 

OBSERVATION ID IN FORM
GG0130B3

FORM CONTEXT
The ability to use suitable items to clean teeth. [Dentures (if applicable): The ability to remove and replace dentures from and to the mouth, and manage equipment for soaking and rinsing them.]

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    (LL4616-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  0       Independent - Resident completes the activity by him/herself with no assistance from a helper.       06       LA27993-7  
  1       Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.       05       LA27994-5  
  2       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA27995-2  
  3       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.       03       LA27996-0  
  4       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  
  5       Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.       01       LA27998-6  
  6       Resident refused       07       LA27999-4  
  7       Not applicable.       09       LA28000-0  
  8       Not attempted due to medical condition or safety concerns.       88       LA28001-8  

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] LL4153-4 NORMATIVE 9
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 NORMATIVE 9
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  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] LL4616-0 NORMATIVE 9
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 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
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232502-7  Oral hygiene - functional ability during 3D assessment period   [Oral hygiene - functional ability 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 Oral hygiene ability 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   GG0130B1     1.5 
   CMS IRF-PAI   GG0130B1     3.0 
   CMS IRF-PAI   GG0130B1     1.4 
   CMS IRF-PAI   GG0130B1     2.0 
   CMS IRF-PAI   GG0130B3     1.4 
   CMS IRF-PAI   GG0130B3     2.0 
   CMS IRF-PAI   GG0130B3     1.5 
   CMS IRF-PAI   GG0130B3     3.0 
   CMS LCDS   GG0130B1     4.00 
   CMS LCDS   GG0130B1     3.00 
   CMS LCDS   GG0130B3     4.00 
   CMS LCDS   GG0130B3     3.00 
   CMS MDS   GG0130B1     1.15.1 
   CMS MDS   GG0130B1     1.16.1 
   CMS MDS   GG0130B1     1.14.1 
   CMS MDS   GG0130B1     1.17.1 
   CMS MDS   GG0130B3     1.15.1 
   CMS MDS   GG0130B3     1.16.1 
   CMS MDS   GG0130B3     1.17.1 
   CMS MDS   GG0130B3     1.14.1 
   CMS MDS   GG0130B5     1.17.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:41 PM
  Long Common Name: Oral hygiene - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Oral hygiene - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 8
  ID: 87719
  Status (Raw): ACTIVE


83228-7   Toileting hygiene - functional ability during 3 day assessment period [CMS Assessment]Toileting hygiene - functional ability during 3 day assessment period [CMS Assessment]Toileting hygiene - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to maintain perineal hygiene, adjust clothes before and after using the toilet, commode, bedpan or urinal. If managing an ostomy, include wiping the opening but not managing equipment.
 
 

OBSERVATION ID IN FORM
GG0130C3

FORM CONTEXT
The ability to maintain perineal hygiene, adjust clothes before and after using the toilet, commode, bedpan or urinal. If managing an ostomy, include wiping the opening but not managing equipment.

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    (LL4616-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  0       Independent - Resident completes the activity by him/herself with no assistance from a helper.       06       LA27993-7  
  1       Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.       05       LA27994-5  
  2       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA27995-2  
  3       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.       03       LA27996-0  
  4       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  
  5       Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.       01       LA27998-6  
  6       Resident refused       07       LA27999-4  
  7       Not applicable.       09       LA28000-0  
  8       Not attempted due to medical condition or safety concerns.       88       LA28001-8  

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] LL4153-4 NORMATIVE 9
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 NORMATIVE 9
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  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] LL4616-0 NORMATIVE 9
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 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
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232504-3  Toileting hygiene - functional ability during 3D assessment period   [Toileting hygiene - functional ability 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 Toileting ability
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130C1     1.5 
   CMS IRF-PAI   GG0130C1     3.0 
   CMS IRF-PAI   GG0130C1     1.4 
   CMS IRF-PAI   GG0130C1     2.0 
   CMS IRF-PAI   GG0130C3     1.4 
   CMS IRF-PAI   GG0130C3     2.0 
   CMS IRF-PAI   GG0130C3     1.5 
   CMS IRF-PAI   GG0130C3     3.0 
   CMS LCDS   GG0130C1     4.00 
   CMS LCDS   GG0130C1     3.00 
   CMS LCDS   GG0130C3     4.00 
   CMS LCDS   GG0130C3     3.00 
   CMS MDS   GG0130C1     1.15.1 
   CMS MDS   GG0130C1     1.16.1 
   CMS MDS   GG0130C1     1.14.1 
   CMS MDS   GG0130C1     1.17.1 
   CMS MDS   GG0130C3     1.15.1 
   CMS MDS   GG0130C3     1.16.1 
   CMS MDS   GG0130C3     1.17.1 
   CMS MDS   GG0130C3     1.14.1 
   CMS MDS   GG0130C5     1.17.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:41 PM
  Long Common Name: Toileting hygiene - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Toileting hygiene - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 8
  ID: 87717
  Status (Raw): ACTIVE


86617-8   MDS v3.0 - RAI v1.14.1, v1.15.1 - Mobility - discharge performance [CMS Assessment]MDS v3.0 - RAI v1.14.1, v1.15.1 - Mobility - discharge performance [CMS Assessment]MDS v3.0 - RAI v1.14.1, v1.15.1 - Mobility - discharge performance: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
MDS v3.0 - RAI v1.14.1, v1.15.1 - Mobility - discharge performance  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Mobility - Discharge Performance
  Long Common Name:  MDS v3.0 - RAI v1.14.1, v1.15.1 - Mobility - discharge performance [CMS Assessment]

OBSERVATION ID IN FORM
GG0170_3

FORM CODING INSTRUCTIONS
(Assessment period is the last 3 days of the SNF PPS Stay ending on A2400C.) Code the resident’s usual performance at the end of the SNF PPS stay for each activity using the 6-point scale. If an activity was not attempted at the end of the SNF PPS stay, code the reason. Safety and Quality of Performance - If helper assistance is required because resident's performance is unsafe or of poor quality, score according to amount of assistance provided. Activities may be completed with or without assistive devices.

SKIP LOGIC
Complete only if A0310G is not = 2 and A0310H = 1 and A2400C minus A2400B is greater than 2 and A2100 is not = 03.

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.63
  Last Updated in Version: 2.64
  Order vs. Obs.: Subset
  Status: Active.
Change Reason: This panel is in version 1.14.1 and 1.15.1, so "v1.15.1" was added to the Component.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP260895-0  MDS v3.0 - RAI v1.14.1, v1.15.1 - Mobility - discharge performance 
Time   LP6960-1  Pt   [Point in time (spot)] 
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
  Centers for Medicare and Medicaid Assessment PANEL.SURVEY.CMS Random
  Disch Panl Survey
  Pan Pnl  
  Panel Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS MDS   GG0170_3     1.15.1 
   CMS MDS   GG0170_3     1.14.1 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:41 PM
  Long Common Name: MDS v3.0 - RAI v1.14.1, v1.15.1 - Mobility - discharge performance [CMS Assessment]
  Fully Specified Name: MDS v3.0 - RAI v1.14.1, v1.15.1 - Mobility - discharge performance: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 8
  ID: 92217
  Status (Raw): ACTIVE


83216-2   Sit to lying - functional ability during 3 day assessment period [CMS Assessment]Sit to lying - functional ability during 3 day assessment period [CMS Assessment]Sit to lying - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Sit to lying - functional ability 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 ability during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to move from sitting on side of bed to lying flat on the bed.
 
 

OBSERVATION ID IN FORM
GG0170B3

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    (LL4616-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  0       Independent - Resident completes the activity by him/herself with no assistance from a helper.       06       LA27993-7  
  1       Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.       05       LA27994-5  
  2       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA27995-2  
  3       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.       03       LA27996-0  
  4       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  
  5       Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.       01       LA27998-6  
  6       Resident refused       07       LA27999-4  
  7       Not applicable.       09       LA28000-0  
  8       Not attempted due to medical condition or safety concerns.       88       LA28001-8  

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] LL4153-4 NORMATIVE 9
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 NORMATIVE 9
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  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] LL4616-0 NORMATIVE 9
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 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
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232516-7  Sit to lying - functional ability during 3D assessment period   [Sit to lying - functional ability 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 ability
  Finding Qual Survey
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170B1     1.5 
   CMS IRF-PAI   GG0170B1     3.0 
   CMS IRF-PAI   GG0170B1     1.4 
   CMS IRF-PAI   GG0170B1     2.0 
   CMS IRF-PAI   GG0170B3     1.4 
   CMS IRF-PAI   GG0170B3     2.0 
   CMS IRF-PAI   GG0170B3     1.5 
   CMS IRF-PAI   GG0170B3     3.0 
   CMS LCDS   GG0170B1     4.00 
   CMS LCDS   GG0170B1     3.00 
   CMS LCDS   GG0170B3     4.00 
   CMS LCDS   GG0170B3     3.00 
   CMS MDS   GG0170B1     1.15.1 
   CMS MDS   GG0170B1     1.16.1 
   CMS MDS   GG0170B1     1.14.1 
   CMS MDS   GG0170B1     1.17.1 
   CMS MDS   GG0170B3     1.15.1 
   CMS MDS   GG0170B3     1.16.1 
   CMS MDS   GG0170B3     1.17.1 
   CMS MDS   GG0170B3     1.14.1 
   CMS MDS   GG0170B5     1.17.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:41 PM
  Long Common Name: Sit to lying - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Sit to lying - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87705
  Status (Raw): ACTIVE


83214-7   Lying to sitting on side of bed - functional ability during 3 day assessment period [CMS Assessment]Lying to sitting on side of bed - functional ability during 3 day assessment period [CMS Assessment]Lying to sitting on side of bed - functional ability 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 ability 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 ability during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual 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
GG0170C3

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    (LL4616-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  0       Independent - Resident completes the activity by him/herself with no assistance from a helper.       06       LA27993-7  
  1       Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.       05       LA27994-5  
  2       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA27995-2  
  3       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.       03       LA27996-0  
  4       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  
  5       Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.       01       LA27998-6  
  6       Resident refused       07       LA27999-4  
  7       Not applicable.       09       LA28000-0  
  8       Not attempted due to medical condition or safety concerns.       88       LA28001-8  

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] LL4153-4 NORMATIVE 9
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 NORMATIVE 9
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  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] LL4616-0 NORMATIVE 9
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 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
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232518-3  Lying to sitting on side of bed - functional ability during 3D assessment period   [Lying to sitting on side of bed - functional ability 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 ability 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   GG0170C1     1.5 
   CMS IRF-PAI   GG0170C1     3.0 
   CMS IRF-PAI   GG0170C1     1.4 
   CMS IRF-PAI   GG0170C1     2.0 
   CMS IRF-PAI   GG0170C3     1.4 
   CMS IRF-PAI   GG0170C3     2.0 
   CMS IRF-PAI   GG0170C3     1.5 
   CMS IRF-PAI   GG0170C3     3.0 
   CMS LCDS   GG0170C1     4.00 
   CMS LCDS   GG0170C1     3.00 
   CMS LCDS   GG0170C3     4.00 
   CMS LCDS   GG0170C3     3.00 
   CMS MDS   GG0170C1     1.15.1 
   CMS MDS   GG0170C1     1.16.1 
   CMS MDS   GG0170C1     1.14.1 
   CMS MDS   GG0170C1     1.17.1 
   CMS MDS   GG0170C3     1.15.1 
   CMS MDS   GG0170C3     1.16.1 
   CMS MDS   GG0170C3     1.17.1 
   CMS MDS   GG0170C3     1.14.1 
   CMS MDS   GG0170C5     1.17.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:42 PM
  Long Common Name: Lying to sitting on side of bed - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Lying to sitting on side of bed - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 13
  ID: 87703
  Status (Raw): ACTIVE


83212-1   Sit to stand - functional ability during 3 day assessment period [CMS Assessment]Sit to stand - functional ability during 3 day assessment period [CMS Assessment]Sit to stand - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Sit to stand - functional ability 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 ability during 3 day assessment period [CMS Assessment]

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

OBSERVATION ID IN FORM
GG0170D3

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    (LL4616-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  0       Independent - Resident completes the activity by him/herself with no assistance from a helper.       06       LA27993-7  
  1       Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.       05       LA27994-5  
  2       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA27995-2  
  3       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.       03       LA27996-0  
  4       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  
  5       Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.       01       LA27998-6  
  6       Resident refused       07       LA27999-4  
  7       Not applicable.       09       LA28000-0  
  8       Not attempted due to medical condition or safety concerns.       88       LA28001-8  

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] LL4153-4 NORMATIVE 9
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 NORMATIVE 9
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  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] LL4616-0 NORMATIVE 9
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 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
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232520-9  Sit to stand - functional ability during 3D assessment period   [Sit to stand - functional ability 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 ability
  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   GG0170D1     1.5 
   CMS IRF-PAI   GG0170D1     3.0 
   CMS IRF-PAI   GG0170D1     1.4 
   CMS IRF-PAI   GG0170D1     2.0 
   CMS IRF-PAI   GG0170D3     1.4 
   CMS IRF-PAI   GG0170D3     2.0 
   CMS IRF-PAI   GG0170D3     1.5 
   CMS IRF-PAI   GG0170D3     3.0 
   CMS LCDS   GG0170D1     4.00 
   CMS LCDS   GG0170D1     3.00 
   CMS LCDS   GG0170D3     4.00 
   CMS LCDS   GG0170D3     3.00 
   CMS MDS   GG0170D1     1.15.1 
   CMS MDS   GG0170D1     1.16.1 
   CMS MDS   GG0170D1     1.14.1 
   CMS MDS   GG0170D1     1.17.1 
   CMS MDS   GG0170D3     1.15.1 
   CMS MDS   GG0170D3     1.16.1 
   CMS MDS   GG0170D3     1.17.1 
   CMS MDS   GG0170D3     1.14.1 
   CMS MDS   GG0170D5     1.17.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:42 PM
  Long Common Name: Sit to stand - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Sit to stand - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87701
  Status (Raw): ACTIVE


83210-5   Bed-to-chair transfer - functional ability during 3 day assessment period [CMS Assessment]Bed-to-chair transfer - functional ability during 3 day assessment period [CMS Assessment]Bed-to-chair transfer - functional ability 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 ability 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 ability during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to transfer to and from a bed to a chair (or wheelchair).
 
 

OBSERVATION ID IN FORM
GG0170E3

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    (LL4616-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  0       Independent - Resident completes the activity by him/herself with no assistance from a helper.       06       LA27993-7  
  1       Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.       05       LA27994-5  
  2       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA27995-2  
  3       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.       03       LA27996-0  
  4       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  
  5       Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.       01       LA27998-6  
  6       Resident refused       07       LA27999-4  
  7       Not applicable.       09       LA28000-0  
  8       Not attempted due to medical condition or safety concerns.       88       LA28001-8  

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] LL4153-4 NORMATIVE 9
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 NORMATIVE 9
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  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] LL4616-0 NORMATIVE 9
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 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
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232522-5  Bed-to-chair transfer - functional ability during 3D assessment period   [Bed-to-chair transfer - functional ability 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 ability Ordinal Screen
  Centers for Medicare and Medicaid Assessment Ql Survey
  Finding Qual  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170E1     1.5 
   CMS IRF-PAI   GG0170E1     3.0 
   CMS IRF-PAI   GG0170E1     1.4 
   CMS IRF-PAI   GG0170E1     2.0 
   CMS IRF-PAI   GG0170E3     1.4 
   CMS IRF-PAI   GG0170E3     2.0 
   CMS IRF-PAI   GG0170E3     1.5 
   CMS IRF-PAI   GG0170E3     3.0 
   CMS LCDS   GG0170E1     4.00 
   CMS LCDS   GG0170E1     3.00 
   CMS LCDS   GG0170E3     4.00 
   CMS LCDS   GG0170E3     3.00 
   CMS MDS   GG0170E1     1.15.1 
   CMS MDS   GG0170E1     1.16.1 
   CMS MDS   GG0170E1     1.14.1 
   CMS MDS   GG0170E1     1.17.1 
   CMS MDS   GG0170E3     1.15.1 
   CMS MDS   GG0170E3     1.16.1 
   CMS MDS   GG0170E3     1.17.1 
   CMS MDS   GG0170E3     1.14.1 
   CMS MDS   GG0170E5     1.17.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:42 PM
  Long Common Name: Bed-to-chair transfer - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Bed-to-chair transfer - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 87699
  Status (Raw): ACTIVE


83208-9   Toilet transfer - functional ability during 3 day assessment period [CMS Assessment]Toilet transfer - functional ability during 3 day assessment period [CMS Assessment]Toilet transfer - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to get on and off a toilet or commode.
 
 

OBSERVATION ID IN FORM
GG0170F3

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    (LL4616-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  0       Independent - Resident completes the activity by him/herself with no assistance from a helper.       06       LA27993-7  
  1       Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.       05       LA27994-5  
  2       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA27995-2  
  3       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.       03       LA27996-0  
  4       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  
  5       Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.       01       LA27998-6  
  6       Resident refused       07       LA27999-4  
  7       Not applicable.       09       LA28000-0  
  8       Not attempted due to medical condition or safety concerns.       88       LA28001-8  

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] LL4153-4 NORMATIVE 9
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 NORMATIVE 9
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  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] LL4616-0 NORMATIVE 9
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 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
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232524-1  Toilet transfer - functional ability during 3D assessment period   [Toilet transfer - functional ability 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 ability
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170F1     1.5 
   CMS IRF-PAI   GG0170F1     3.0 
   CMS IRF-PAI   GG0170F1     1.4 
   CMS IRF-PAI   GG0170F1     2.0 
   CMS IRF-PAI   GG0170F3     1.4 
   CMS IRF-PAI   GG0170F3     2.0 
   CMS IRF-PAI   GG0170F3     1.5 
   CMS IRF-PAI   GG0170F3     3.0 
   CMS LCDS   GG0170F1     4.00 
   CMS LCDS   GG0170F1     3.00 
   CMS LCDS   GG0170F3     4.00 
   CMS LCDS   GG0170F3     3.00 
   CMS MDS   GG0170F1     1.15.1 
   CMS MDS   GG0170F1     1.16.1 
   CMS MDS   GG0170F1     1.14.1 
   CMS MDS   GG0170F1     1.17.1 
   CMS MDS   GG0170F3     1.15.1 
   CMS MDS   GG0170F3     1.16.1 
   CMS MDS   GG0170F3     1.17.1 
   CMS MDS   GG0170F3     1.14.1 
   CMS MDS   GG0170F5     1.17.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:42 PM
  Long Common Name: Toilet transfer - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Toilet transfer - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 8
  ID: 87697
  Status (Raw): ACTIVE


83278-2   Does the patient walk - discharge performance during 3 day assessment period [CMS Assessment]Does the patient walk - discharge performance during 3 day assessment period [CMS Assessment]Does the patient walk - discharge performance during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Does the patient walk - discharge performance during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Does the resident walk?
  Long Common Name:  Does the patient walk - discharge performance during 3 day assessment period [CMS Assessment]

OBSERVATION ID IN FORM
GG0170H3

SKIP LOGIC
If 0, Skip to GG0170Q3. Does the resident use a wheelchair/scooter? If 2, Continue to GG0170J, Walk 50 feet with 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    (LL4185-6)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  2       LA33-6  

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]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP250634-5  Does the patient walk - discharge performance during 3D assessment period   [Does the patient walk - discharge performance 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   LP100598-4  Discharge 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170H3     1.5 
   CMS IRF-PAI   GG0170H3     1.4 
   CMS LCDS   GG0170H3     3.00 
   CMS MDS   GG0170H3     1.15.1 
   CMS MDS   GG0170H3     1.14.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:42 PM
  Long Common Name: Does the patient walk - discharge performance during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Does the patient walk - discharge performance during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 87767
  Status (Raw): ACTIVE


83202-2   Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]Walk 50 feet with two turns - functional ability 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 ability 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 ability during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Once standing, the patient's usual ability to walk at least 50 feet and make two turns.
 
 

OBSERVATION ID IN FORM
GG0170J3

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    (LL4616-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  0       Independent - Resident completes the activity by him/herself with no assistance from a helper.       06       LA27993-7  
  1       Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.       05       LA27994-5  
  2       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA27995-2  
  3       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.       03       LA27996-0  
  4       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  
  5       Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.       01       LA27998-6  
  6       Resident refused       07       LA27999-4  
  7       Not applicable.       09       LA28000-0  
  8       Not attempted due to medical condition or safety concerns.       88       LA28001-8  

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] LL4153-4 NORMATIVE 9
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 NORMATIVE 9
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  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] LL4616-0 NORMATIVE 9
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 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
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232530-8  Walk 50 feet with two turns - functional ability during 3D assessment period   [Walk 50 feet with two turns - functional ability 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 ability
  Centers for Medicare and Medicaid Assessment Qual  
  Finding Qualitative  
  Findings Screen  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170J1     1.5 
   CMS IRF-PAI   GG0170J1     3.0 
   CMS IRF-PAI   GG0170J1     1.4 
   CMS IRF-PAI   GG0170J1     2.0 
   CMS IRF-PAI   GG0170J3     1.4 
   CMS IRF-PAI   GG0170J3     2.0 
   CMS IRF-PAI   GG0170J3     1.5 
   CMS IRF-PAI   GG0170J3     3.0 
   CMS LCDS   GG0170J1     4.00 
   CMS LCDS   GG0170J1     3.00 
   CMS LCDS   GG0170J3     4.00 
   CMS LCDS   GG0170J3     3.00 
   CMS MDS   GG0170J1     1.15.1 
   CMS MDS   GG0170J1     1.16.1 
   CMS MDS   GG0170J1     1.14.1 
   CMS MDS   GG0170J1     1.17.1 
   CMS MDS   GG0170J3     1.15.1 
   CMS MDS   GG0170J3     1.16.1 
   CMS MDS   GG0170J3     1.17.1 
   CMS MDS   GG0170J3     1.14.1 
   CMS MDS   GG0170J5     1.17.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:42 PM
  Long Common Name: Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Walk 50 feet with two turns - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 12
  ID: 87691
  Status (Raw): ACTIVE


83200-6   Walk 150 feet - functional ability during 3 day assessment period [CMS Assessment]Walk 150 feet - functional ability during 3 day assessment period [CMS Assessment]Walk 150 feet - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Walk 150 feet - functional ability 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 ability during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Once standing, the patient's usual ability to walk at least 150 feet in a corridor or similar space.
 
 

OBSERVATION ID IN FORM
GG0170K3

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    (LL4616-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  0       Independent - Resident completes the activity by him/herself with no assistance from a helper.       06       LA27993-7  
  1       Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.       05       LA27994-5  
  2       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA27995-2  
  3       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.       03       LA27996-0  
  4       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  
  5       Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.       01       LA27998-6  
  6       Resident refused       07       LA27999-4  
  7       Not applicable.       09       LA28000-0  
  8       Not attempted due to medical condition or safety concerns.       88       LA28001-8  

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] LL4153-4 NORMATIVE 9
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 NORMATIVE 9
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  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] LL4616-0 NORMATIVE 9
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 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
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232532-4  Walk 150 feet - functional ability during 3D assessment period   [Walk 150 feet - functional ability 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 ability
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170K1     1.5 
   CMS IRF-PAI   GG0170K1     3.0 
   CMS IRF-PAI   GG0170K1     1.4 
   CMS IRF-PAI   GG0170K1     2.0 
   CMS IRF-PAI   GG0170K3     1.4 
   CMS IRF-PAI   GG0170K3     2.0 
   CMS IRF-PAI   GG0170K3     1.5 
   CMS IRF-PAI   GG0170K3     3.0 
   CMS LCDS   GG0170K1     4.00 
   CMS LCDS   GG0170K1     3.00 
   CMS LCDS   GG0170K3     4.00 
   CMS LCDS   GG0170K3     3.00 
   CMS MDS   GG0170K1     1.15.1 
   CMS MDS   GG0170K1     1.16.1 
   CMS MDS   GG0170K1     1.14.1 
   CMS MDS   GG0170K1     1.17.1 
   CMS MDS   GG0170K3     1.15.1 
   CMS MDS   GG0170K3     1.16.1 
   CMS MDS   GG0170K3     1.17.1 
   CMS MDS   GG0170K3     1.14.1 
   CMS MDS   GG0170K5     1.17.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:42 PM
  Long Common Name: Walk 150 feet - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Walk 150 feet - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87689
  Status (Raw): ACTIVE


83271-7   Does the patient use a wheelchair or scooter during 3 day assessment period [CMS Assessment]Does the patient use a wheelchair or scooter during 3 day assessment period [CMS Assessment]Does the patient use a wheelchair or scooter during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Does the patient use a wheelchair or scooter during 3D assessment period  Find  3D  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Does the resident use a wheelchair/scooter?
  Long Common Name:  Does the patient use a wheelchair or scooter during 3 day assessment period [CMS Assessment]

OBSERVATION ID IN FORM
GG0170Q3

SKIP LOGIC
If 0, Skip to H0100, Appliances. If 1, Continue to GG0170R. Wheel 50 feet with 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    (LL251-0)  
 
Source: Regenstrief LOINC
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  

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]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [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]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP250632-9  Does the patient use a wheelchair or scooter during 3D assessment period   [Does the patient use a wheelchair or scooter 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  
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170Q1     1.5 
   CMS IRF-PAI   GG0170Q1     3.0 
   CMS IRF-PAI   GG0170Q1     2.0 
   CMS IRF-PAI   GG0170Q1     1.4 
   CMS IRF-PAI   GG0170Q3     2.0 
   CMS IRF-PAI   GG0170Q3     1.4 
   CMS IRF-PAI   GG0170Q3     1.5 
   CMS IRF-PAI   GG0170Q3     3.0 
   CMS LCDS   GG0170Q1     3.00 
   CMS LCDS   GG0170Q1     4.00 
   CMS LCDS   GG0170Q3     3.00 
   CMS LCDS   GG0170Q3     4.00 
   CMS MDS   GG0170Q1     1.15.1 
   CMS MDS   GG0170Q1     1.14.1 
   CMS MDS   GG0170Q1     1.16.1 
   CMS MDS   GG0170Q1     1.17.1 
   CMS MDS   GG0170Q3     1.17.1 
   CMS MDS   GG0170Q3     1.15.1 
   CMS MDS   GG0170Q3     1.16.1 
   CMS MDS   GG0170Q3     1.14.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:42 PM
  Long Common Name: Does the patient use a wheelchair or scooter during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Does the patient use a wheelchair or scooter during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 12
  ID: 87760
  Status (Raw): ACTIVE


83188-3   Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]Wheel 50 feet with two turns - functional ability 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 ability 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 ability during 3 day assessment period [CMS Assessment]

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

OBSERVATION ID IN FORM
GG0170R3

FORM CONTEXT
Once seated in wheelchair/scooter, can 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

NORMATIVE ANSWER LIST    (LL4616-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  0       Independent - Resident completes the activity by him/herself with no assistance from a helper.       06       LA27993-7  
  1       Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.       05       LA27994-5  
  2       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA27995-2  
  3       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.       03       LA27996-0  
  4       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  
  5       Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.       01       LA27998-6  
  6       Resident refused       07       LA27999-4  
  7       Not applicable.       09       LA28000-0  
  8       Not attempted due to medical condition or safety concerns.       88       LA28001-8  

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] LL4153-4 NORMATIVE 9
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  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] LL4616-0 NORMATIVE 9
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 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
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232544-9  Wheel 50 feet with two turns - functional ability during 3D assessment period   [Wheel 50 feet with two turns - functional ability 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 ability
  Centers for Medicare and Medicaid Assessment Qual  
  Finding Qualitative  
  Findings Screen  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170R1     1.5 
   CMS IRF-PAI   GG0170R1     3.0 
   CMS IRF-PAI   GG0170R1     2.0 
   CMS IRF-PAI   GG0170R1     1.4 
   CMS IRF-PAI   GG0170R3     2.0 
   CMS IRF-PAI   GG0170R3     1.4 
   CMS IRF-PAI   GG0170R3     1.5 
   CMS IRF-PAI   GG0170R3     3.0 
   CMS LCDS   GG0170R1     3.00 
   CMS LCDS   GG0170R1     4.00 
   CMS LCDS   GG0170R3     3.00 
   CMS LCDS   GG0170R3     4.00 
   CMS MDS   GG0170R1     1.15.1 
   CMS MDS   GG0170R1     1.14.1 
   CMS MDS   GG0170R1     1.16.1 
   CMS MDS   GG0170R1     1.17.1 
   CMS MDS   GG0170R3     1.17.1 
   CMS MDS   GG0170R3     1.15.1 
   CMS MDS   GG0170R3     1.16.1 
   CMS MDS   GG0170R3     1.14.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:42 PM
  Long Common Name: Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Wheel 50 feet with two turns - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 12
  ID: 87677
  Status (Raw): ACTIVE


83272-5   Indicate the type of wheelchair or scooter used during 3 day assessment period [CMS Assessment]Indicate the type of wheelchair or scooter used during 3 day assessment period [CMS Assessment]Indicate the type of wheelchair or scooter used during 3D assessment period: Type: 3D: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Indicate the type of wheelchair or scooter used during 3D assessment period  Type  3D  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Indicate the type of wheelchair/scooter used
  Long Common Name:  Indicate the type of wheelchair or scooter used during 3 day assessment period [CMS Assessment]

OBSERVATION ID IN FORM
GG0170RR3

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    (LL4186-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Manual       1       LA19016-7  
  2       Motorized       2       LA26847-6  

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]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [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]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP250633-7  Indicate the type of wheelchair or scooter used during 3D assessment period   [Indicate the type of wheelchair or scooter used during 3 day assessment period] 
Property   LP6886-8  Type 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Survey  
  Centers for Medicare and Medicaid Assessment Typ  
  Nominal    

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170RR1     1.5 
   CMS IRF-PAI   GG0170RR1     3.0 
   CMS IRF-PAI   GG0170RR1     1.4 
   CMS IRF-PAI   GG0170RR1     2.0 
   CMS IRF-PAI   GG0170RR3     3.0 
   CMS IRF-PAI   GG0170RR3     2.0 
   CMS IRF-PAI   GG0170RR3     1.5 
   CMS IRF-PAI   GG0170RR3     1.4 
   CMS IRF-PAI   GG0170SS1     2.0 
   CMS IRF-PAI   GG0170SS1     1.4 
   CMS IRF-PAI   GG0170SS1     1.5 
   CMS IRF-PAI   GG0170SS1     3.0 
   CMS IRF-PAI   GG0170SS3     2.0 
   CMS IRF-PAI   GG0170SS3     1.5 
   CMS IRF-PAI   GG0170SS3     3.0 
   CMS IRF-PAI   GG0170SS3     1.4 
   CMS LCDS   GG0170RR1     3.00 
   CMS LCDS   GG0170RR1     4.00 
   CMS LCDS   GG0170RR3     3.00 
   CMS LCDS   GG0170RR3     4.00 
   CMS LCDS   GG0170SS1     4.00 
   CMS LCDS   GG0170SS1     3.00 
   CMS LCDS   GG0170SS3     4.00 
   CMS LCDS   GG0170SS3     3.00 
   CMS MDS   GG0170RR1     1.15.1 
   CMS MDS   GG0170RR1     1.14.1 
   CMS MDS   GG0170RR1     1.16.1 
   CMS MDS   GG0170RR1     1.17.1 
   CMS MDS   GG0170RR3     1.15.1 
   CMS MDS   GG0170RR3     1.14.1 
   CMS MDS   GG0170RR3     1.16.1 
   CMS MDS   GG0170RR3     1.17.1 
   CMS MDS   GG0170SS1     1.15.1 
   CMS MDS   GG0170SS1     1.16.1 
   CMS MDS   GG0170SS1     1.17.1 
   CMS MDS   GG0170SS1     1.14.1 
   CMS MDS   GG0170SS3     1.17.1 
   CMS MDS   GG0170SS3     1.14.1 
   CMS MDS   GG0170SS3     1.15.1 
   CMS MDS   GG0170SS3     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:42 PM
  Long Common Name: Indicate the type of wheelchair or scooter used during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Indicate the type of wheelchair or scooter used during 3D assessment period: Type: 3D: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 12
  ID: 87761
  Status (Raw): ACTIVE


83235-2   Wheel 150 feet - functional ability during 3 day assessment period [CMS Assessment]Wheel 150 feet - functional ability during 3 day assessment period [CMS Assessment]Wheel 150 feet - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Wheel 150 feet - functional ability 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 ability during 3 day assessment period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Once seated in wheelchair/scooter, the patient's usual ability to wheel at least 150 feet in a corridor or similar space.
 
 

OBSERVATION ID IN FORM
GG0170S3

FORM CONTEXT
Once seated in wheelchair/scooter, can 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

NORMATIVE ANSWER LIST    (LL4616-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  0       Independent - Resident completes the activity by him/herself with no assistance from a helper.       06       LA27993-7  
  1       Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.       05       LA27994-5  
  2       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA27995-2  
  3       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.       03       LA27996-0  
  4       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  
  5       Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.       01       LA27998-6  
  6       Resident refused       07       LA27999-4  
  7       Not applicable.       09       LA28000-0  
  8       Not attempted due to medical condition or safety concerns.       88       LA28001-8  

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] LL4153-4 NORMATIVE 9
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] LL4153-4 NORMATIVE 9
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  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] LL4616-0 NORMATIVE 9
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4616-0 NORMATIVE 9
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 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
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232546-4  Wheel 150 feet - functional ability during 3D assessment period   [Wheel 150 feet - functional ability 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 ability
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170S1     1.5 
   CMS IRF-PAI   GG0170S1     3.0 
   CMS IRF-PAI   GG0170S1     2.0 
   CMS IRF-PAI   GG0170S1     1.4 
   CMS IRF-PAI   GG0170S3     2.0 
   CMS IRF-PAI   GG0170S3     1.4 
   CMS IRF-PAI   GG0170S3     1.5 
   CMS IRF-PAI   GG0170S3     3.0 
   CMS LCDS   GG0170S1     3.00 
   CMS LCDS   GG0170S1     4.00 
   CMS LCDS   GG0170S3     3.00 
   CMS LCDS   GG0170S3     4.00 
   CMS MDS   GG0170S1     1.15.1 
   CMS MDS   GG0170S1     1.14.1 
   CMS MDS   GG0170S1     1.16.1 
   CMS MDS   GG0170S1     1.17.1 
   CMS MDS   GG0170S3     1.17.1 
   CMS MDS   GG0170S3     1.15.1 
   CMS MDS   GG0170S3     1.16.1 
   CMS MDS   GG0170S3     1.14.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:43 PM
  Long Common Name: Wheel 150 feet - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Wheel 150 feet - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87724
  Status (Raw): ACTIVE


83272-5   Indicate the type of wheelchair or scooter used during 3 day assessment period [CMS Assessment]Indicate the type of wheelchair or scooter used during 3 day assessment period [CMS Assessment]Indicate the type of wheelchair or scooter used during 3D assessment period: Type: 3D: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Indicate the type of wheelchair or scooter used during 3D assessment period  Type  3D  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Indicate the type of wheelchair/scooter used
  Long Common Name:  Indicate the type of wheelchair or scooter used during 3 day assessment period [CMS Assessment]

OBSERVATION ID IN FORM
GG0170SS3

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    (LL4186-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Manual       1       LA19016-7  
  2       Motorized       2       LA26847-6  

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]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [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]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP250633-7  Indicate the type of wheelchair or scooter used during 3D assessment period   [Indicate the type of wheelchair or scooter used during 3 day assessment period] 
Property   LP6886-8  Type 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Survey  
  Centers for Medicare and Medicaid Assessment Typ  
  Nominal    

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170RR1     1.5 
   CMS IRF-PAI   GG0170RR1     3.0 
   CMS IRF-PAI   GG0170RR1     1.4 
   CMS IRF-PAI   GG0170RR1     2.0 
   CMS IRF-PAI   GG0170RR3     3.0 
   CMS IRF-PAI   GG0170RR3     2.0 
   CMS IRF-PAI   GG0170RR3     1.5 
   CMS IRF-PAI   GG0170RR3     1.4 
   CMS IRF-PAI   GG0170SS1     2.0 
   CMS IRF-PAI   GG0170SS1     1.4 
   CMS IRF-PAI   GG0170SS1     1.5 
   CMS IRF-PAI   GG0170SS1     3.0 
   CMS IRF-PAI   GG0170SS3     2.0 
   CMS IRF-PAI   GG0170SS3     1.5 
   CMS IRF-PAI   GG0170SS3     3.0 
   CMS IRF-PAI   GG0170SS3     1.4 
   CMS LCDS   GG0170RR1     3.00 
   CMS LCDS   GG0170RR1     4.00 
   CMS LCDS   GG0170RR3     3.00 
   CMS LCDS   GG0170RR3     4.00 
   CMS LCDS   GG0170SS1     4.00 
   CMS LCDS   GG0170SS1     3.00 
   CMS LCDS   GG0170SS3     4.00 
   CMS LCDS   GG0170SS3     3.00 
   CMS MDS   GG0170RR1     1.15.1 
   CMS MDS   GG0170RR1     1.14.1 
   CMS MDS   GG0170RR1     1.16.1 
   CMS MDS   GG0170RR1     1.17.1 
   CMS MDS   GG0170RR3     1.15.1 
   CMS MDS   GG0170RR3     1.14.1 
   CMS MDS   GG0170RR3     1.16.1 
   CMS MDS   GG0170RR3     1.17.1 
   CMS MDS   GG0170SS1     1.15.1 
   CMS MDS   GG0170SS1     1.16.1 
   CMS MDS   GG0170SS1     1.17.1 
   CMS MDS   GG0170SS1     1.14.1 
   CMS MDS   GG0170SS3     1.17.1 
   CMS MDS   GG0170SS3     1.14.1 
   CMS MDS   GG0170SS3     1.15.1 
   CMS MDS   GG0170SS3     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:28:43 PM
  Long Common Name: Indicate the type of wheelchair or scooter used during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Indicate the type of wheelchair or scooter used during 3D assessment period: Type: 3D: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 12
  ID: 87761
  Status (Raw): ACTIVE

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