88331-4  Mobility - discharge performance [CMS Assessment]Mobility - discharge performance [CMS Assessment]Mobility - discharge performance: -: Pt: ^Patient: -: CMS Assessment  

PANEL HIERARCHY

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  88331-4   Mobility - Discharge Performance    
       83218-8   Roll left and right    
       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    
       83206-3   Car transfer    
       83204-8   Walk 10 feet    
       83202-2   Walk 50 feet with two turns    
       83200-6   Walk 150 feet    
       83198-2   Walking 10 feet on uneven surfaces    
       83196-6   1 step (curb)    
       83194-1   4 steps    
       83192-5   12 steps    
       83190-9   Picking up object    
       83271-7   Does the patient use a wheelchair and/or scooter?    
       83188-3   Wheel 50 feet with two turns    
       83272-5   Indicate the type of wheelchair or scooter used    
       83235-2   Wheel 150 feet    
       83272-5   Indicate the type of wheelchair or scooter used    
 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Mobility - discharge performance  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Mobility - Discharge Performance
  Long Common Name:  Mobility - discharge performance [CMS Assessment]

OBSERVATION ID IN FORM
GG0170_3

FORM CODING INSTRUCTIONS
Code the patient's usual performance at discharge for each activity using the 6-point scale. If the activity was not attempted at discharge, code the reason. Safety and Quality of Performance - If helper assistance is required because patient'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
If the patient has an incomplete stay, skip discharge GG0170 items.

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

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  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   LP267066-1  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 IRF-PAI   GG0170_3     2.0 
   CMS IRF-PAI   GG0170_3     3.0 
   CMS MDS   GG0170_3     1.17.1 
   CMS MDS   GG0170_3     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:54:14 PM
  Long Common Name: Mobility - discharge performance [CMS Assessment]
  Fully Specified Name: Mobility - discharge performance: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 3
  ID: 94900
  # of Panel Elements: 21
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



83218-8   Roll left and right - functional ability during 3 day assessment period [CMS Assessment]Roll left and right - functional ability during 3 day assessment period [CMS Assessment]Roll left and right - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to roll from lying on back to left and right side, and return to lying on back on the bed
 
 

OBSERVATION ID IN FORM
GG0170A3

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

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 "on the bed" to Term Definition.

NORMATIVE ANSWER LIST    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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
  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
  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   LP232514-2  Roll left and right - functional ability during 3D assessment period   [Roll left and right - 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   LP35055-0  Right 
Fragments for synonyms   LP35056-8  Left 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170A1     1.5 
   CMS IRF-PAI   GG0170A1     3.0 
   CMS IRF-PAI   GG0170A1     2.0 
   CMS IRF-PAI   GG0170A1     1.4 
   CMS IRF-PAI   GG0170A3     2.0 
   CMS IRF-PAI   GG0170A3     1.4 
   CMS IRF-PAI   GG0170A3     1.5 
   CMS IRF-PAI   GG0170A3     3.0 
   CMS LCDS   GG0170A1     3.00 
   CMS LCDS   GG0170A1     4.00 
   CMS LCDS   GG0170A3     3.00 
   CMS LCDS   GG0170A3     4.00 
   CMS MDS   GG0170A1     1.16.1 
   CMS MDS   GG0170A1     1.17.1 
   CMS MDS   GG0170A3     1.17.1 
   CMS MDS   GG0170A3     1.16.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:54:14 PM
  Long Common Name: Roll left and right - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Roll left and right - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 87707
  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    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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 12:54:14 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 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    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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 12:54:15 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 come to a standing position from sitting in a chair, wheelchair, 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    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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 12:54:15 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 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    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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 12:54:15 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 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    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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 12:54:15 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


83206-3   Car transfer - functional ability during 3 day assessment period [CMS Assessment]Car transfer - functional ability during 3 day assessment period [CMS Assessment]Car transfer - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

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

OBSERVATION ID IN FORM
GG0170G3

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

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

NORMATIVE ANSWER LIST    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 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   LP232526-6  Car transfer - functional ability during 3D assessment period   [Car 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
  Car transfer 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   GG0170G1     2.0 
   CMS IRF-PAI   GG0170G1     3.0 
   CMS IRF-PAI   GG0170G1     1.5 
   CMS IRF-PAI   GG0170G1     1.4 
   CMS IRF-PAI   GG0170G3     2.0 
   CMS IRF-PAI   GG0170G3     3.0 
   CMS IRF-PAI   GG0170G3     1.5 
   CMS IRF-PAI   GG0170G3     1.4 
   CMS MDS   GG0170G1     1.17.1 
   CMS MDS   GG0170G1     1.16.1 
   CMS MDS   GG0170G3     1.17.1 
   CMS MDS   GG0170G3     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:54:15 PM
  Long Common Name: Car transfer - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Car transfer - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 8
  ID: 87695
  Status (Raw): ACTIVE


83204-8   Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]Walk 10 feet - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  Once standing, the patient's usual ability to walk at least 10 feet in a room, corridor or similar space.
 
 

OBSERVATION ID IN FORM
GG0170I3

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

SKIP LOGIC
If discharge performance is coded 07, 09, 10, or 88, Skip to GG0170M, 1 step (curb)

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    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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
  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
  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   LP232528-2  Walk 10 feet - functional ability during 3D assessment period   [Walk 10 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 10 ft ability
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170I1     1.5 
   CMS IRF-PAI   GG0170I1     3.0 
   CMS IRF-PAI   GG0170I1     2.0 
   CMS IRF-PAI   GG0170I1     1.4 
   CMS IRF-PAI   GG0170I3     1.4 
   CMS IRF-PAI   GG0170I3     2.0 
   CMS IRF-PAI   GG0170I3     1.5 
   CMS IRF-PAI   GG0170I3     3.0 
   CMS LCDS   GG0170I1     3.00 
   CMS LCDS   GG0170I1     4.00 
   CMS LCDS   GG0170I3     3.00 
   CMS LCDS   GG0170I3     4.00 
   CMS MDS   GG0170I1     1.16.1 
   CMS MDS   GG0170I1     1.17.1 
   CMS MDS   GG0170I3     1.16.1 
   CMS MDS   GG0170I3     1.17.1 
   CMS MDS   GG0170I5     1.17.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:54:15 PM
  Long Common Name: Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Walk 10 feet - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87693
  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    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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 12:54:15 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    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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 12:54:15 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


83198-2   Walking 10 feet on uneven surfaces - functional ability during 3 day assessment period [CMS Assessment]Walking 10 feet on uneven surfaces - functional ability during 3 day assessment period [CMS Assessment]Walking 10 feet on uneven surfaces - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

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

OBSERVATION ID IN FORM
GG0170L3

FORM CONTEXT
The ability to walk 10 feet on uneven or sloping surfaces (indoor or outdoor), such as turf or gravel.

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

NORMATIVE ANSWER LIST    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 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   LP232534-0  Walking 10 feet on uneven surfaces - functional ability during 3D assessment period   [Walking 10 feet on uneven surfaces - 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 10 ft uneven ability
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170L1     2.0 
   CMS IRF-PAI   GG0170L1     3.0 
   CMS IRF-PAI   GG0170L1     1.5 
   CMS IRF-PAI   GG0170L1     1.4 
   CMS IRF-PAI   GG0170L3     2.0 
   CMS IRF-PAI   GG0170L3     3.0 
   CMS IRF-PAI   GG0170L3     1.5 
   CMS IRF-PAI   GG0170L3     1.4 
   CMS MDS   GG0170L1     1.17.1 
   CMS MDS   GG0170L1     1.16.1 
   CMS MDS   GG0170L3     1.17.1 
   CMS MDS   GG0170L3     1.16.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:54:15 PM
  Long Common Name: Walking 10 feet on uneven surfaces - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Walking 10 feet on uneven surfaces - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 12
  ID: 87687
  Status (Raw): ACTIVE


83196-6   1 step (curb) - functional ability during 3 day assessment period [CMS Assessment]1 step (curb) - functional ability during 3 day assessment period [CMS Assessment]1 step (curb) - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to go up and down a curb and/or up and down one step.
 
 

OBSERVATION ID IN FORM
GG0170M3

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

SKIP LOGIC
If discharge performance is coded 07, 09, 10, or 88, Skip to GG0170P, Picking up object

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    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 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   LP232536-5  1 step (curb) - functional ability during 3D assessment period   [1 step (curb) - 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   LP21265-1 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170M1     2.0 
   CMS IRF-PAI   GG0170M1     3.0 
   CMS IRF-PAI   GG0170M1     1.5 
   CMS IRF-PAI   GG0170M1     1.4 
   CMS IRF-PAI   GG0170M3     2.0 
   CMS IRF-PAI   GG0170M3     3.0 
   CMS IRF-PAI   GG0170M3     1.5 
   CMS IRF-PAI   GG0170M3     1.4 
   CMS MDS   GG0170M1     1.17.1 
   CMS MDS   GG0170M1     1.16.1 
   CMS MDS   GG0170M3     1.17.1 
   CMS MDS   GG0170M3     1.16.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:54:15 PM
  Long Common Name: 1 step (curb) - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: 1 step (curb) - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87685
  Status (Raw): ACTIVE


83194-1   4 steps - functional ability during 3 day assessment period [CMS Assessment]4 steps - functional ability during 3 day assessment period [CMS Assessment]4 steps - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to go up and down four steps with or without a rail.
 
 

OBSERVATION ID IN FORM
GG0170N3

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

SKIP LOGIC
If discharge performance is coded 07, 09, 10, or 88, Skip to GG0170P, Picking up object

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    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 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   LP232538-1  4 steps - functional ability during 3D assessment period   [4 steps - 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
  4 steps 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   GG0170N1     2.0 
   CMS IRF-PAI   GG0170N1     3.0 
   CMS IRF-PAI   GG0170N1     1.5 
   CMS IRF-PAI   GG0170N1     1.4 
   CMS IRF-PAI   GG0170N3     2.0 
   CMS IRF-PAI   GG0170N3     3.0 
   CMS IRF-PAI   GG0170N3     1.5 
   CMS IRF-PAI   GG0170N3     1.4 
   CMS MDS   GG0170N1     1.17.1 
   CMS MDS   GG0170N1     1.16.1 
   CMS MDS   GG0170N3     1.17.1 
   CMS MDS   GG0170N3     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:54:16 PM
  Long Common Name: 4 steps - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: 4 steps - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 8
  ID: 87683
  Status (Raw): ACTIVE


83192-5   12 steps - functional ability during 3 day assessment period [CMS Assessment]12 steps - functional ability during 3 day assessment period [CMS Assessment]12 steps - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to go up and down 12 steps with or without a rail.
 
 

OBSERVATION ID IN FORM
GG0170O3

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

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

NORMATIVE ANSWER LIST    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 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   LP232540-7  12 steps - functional ability during 3D assessment period   [12 steps - 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
  12 steps ability Findings Qualitative
  3 days Ordinal Screen
  Centers for Medicare and Medicaid Assessment Ql Survey
  Finding Qual  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170O1     2.0 
   CMS IRF-PAI   GG0170O1     3.0 
   CMS IRF-PAI   GG0170O1     1.5 
   CMS IRF-PAI   GG0170O1     1.4 
   CMS IRF-PAI   GG0170O3     2.0 
   CMS IRF-PAI   GG0170O3     3.0 
   CMS IRF-PAI   GG0170O3     1.5 
   CMS IRF-PAI   GG0170O3     1.4 
   CMS MDS   GG0170O1     1.17.1 
   CMS MDS   GG0170O1     1.16.1 
   CMS MDS   GG0170O3     1.17.1 
   CMS MDS   GG0170O3     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:54:16 PM
  Long Common Name: 12 steps - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: 12 steps - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 8
  ID: 87681
  Status (Raw): ACTIVE


83190-9   Picking up object - functional ability during 3 day assessment period [CMS Assessment]Picking up object - functional ability during 3 day assessment period [CMS Assessment]Picking up object - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

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

OBSERVATION ID IN FORM
GG0170P3

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

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

NORMATIVE ANSWER LIST    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4153-4 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   LP232542-3  Picking up object - functional ability during 3D assessment period   [Picking up object - 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 Qualitative
  Centers for Medicare and Medicaid Assessment Pick up obj ability Screen
  Finding Ql Survey
  Findings Qual  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170P1     2.0 
   CMS IRF-PAI   GG0170P1     3.0 
   CMS IRF-PAI   GG0170P1     1.5 
   CMS IRF-PAI   GG0170P1     1.4 
   CMS IRF-PAI   GG0170P3     2.0 
   CMS IRF-PAI   GG0170P3     3.0 
   CMS IRF-PAI   GG0170P3     1.5 
   CMS IRF-PAI   GG0170P3     1.4 
   CMS MDS   GG0170P1     1.17.1 
   CMS MDS   GG0170P1     1.16.1 
   CMS MDS   GG0170P3     1.17.1 
   CMS MDS   GG0170P3     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:54:16 PM
  Long Common Name: Picking up object - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Picking up object - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87679
  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 patient use a wheelchair and/or 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 J1800. Any Falls Since Admission. 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 12:54:16 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, the ability to wheel at least 50 feet and make two turns.

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

NORMATIVE ANSWER LIST    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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 12:54:16 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 or 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 12:54:16 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, the ability to wheel at least 150 feet in a corridor or similar space.

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

NORMATIVE ANSWER LIST    (LL4681-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA28225-3  
  4       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       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury.       09       LA28226-1  
  9       Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).       10       LA28227-9  
  10       Not attempted due to medical condition or safety concerns       88       LA26735-3  

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 12:54:16 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 or 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 12:54:16 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

3rd PARTY COPYRIGHT
  Code System: http://snomed.info/sct
  This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org. This may incur a fee in SNOMED International non-Member countries.